My Agreed Outcomes Plan:coordinated SEN Support

Who am I and what’s in My Agreed Outcomes Plan?
This is me
I like to be known as: /

My personal details

My first name:
My surname:
My date of birth:
My address:
I live with:
Other people I would like you to know about:

My Agreed Outcomes Plan

My Early Years setting(s):
Date of this Agreed Outcomes Plan:
Date of initial Agreed Outcomes Plan:
Date this Agreed Outcomes Plan will be reviewed:

What’s in My Agreed Outcomes Plan?

Plan page number / Date completed
Who I am – the front cover of my Outcome Plan / 1 / ...
My Agreed Outcomes Plan – setting / date of plan / review date / 1
What’s in my Outcomes Plan – contents / 1 / ...
Things I’d like you to know about me – my views, interests, likes and dislikes / 2 / ...
My family’s priorities and meeting agenda / ...
Meeting notes and summary of advice / ...
Areas of SEN and Banding Thresholds
Agreed Long Term Outcomes / ...
Agreed actions / ...
Additional information / ...
Early Years Agreed Outcome Plan - based on My Support Plan Sept 2014.


MY AGREED OUTCOMES PLAN MEETING
Date of Meeting: ... / Date plan finalised: ...
Invited to my Outcomes Plan Meeting:
Name and Role: / Attended
Yes/No / Report Provided Dated:
Parent Priorities (discussed prior to the meeting and recorded here):
  • ...

Notes of the Meeting:
Agenda Items to cover:
  • highlights in the last few month / since last review
  • How did the child get on with the Agreed Outcomes planned at the last review?
  • Were actions completed and effective?
  • What Support provision is working well?
  • What are the priorities?
  • What would be helpful / needs to change?
  • Other matters:
...

Areas of SEN

This section completed on: ...
Broad areas of SEN identified
  • Communication and Interaction
  • Cognition and Learning
  • Social, emotional and mental health difficulties
  • Sensory and/or physical needs
/ Yes/No
Yes/No
Yes/No
Yes/No
My (child’s name) Level of SEN under the CYC SEN Banding Threshold: ______
Child’s Specific identified Needs: / Long Term Outcomes linked to each specific need
(list here and then provide details on the My Agreed Outcomes sheets attached)
Agreed Actions
This section completed on: ...
Who? / What will they do? / When? / How will this improve things for me or my family?

Additional advice and information

This section completed/updated on:
Document title / Written/provided by / Where is this document held? / Date
... / ... / ... / ...
... / ... / ... / ...
... / ... / ... / ...
... / ... / ... / ...

Name: Date of birth: Initial Agreed Outcomes Plan date: Current plan date: Page 1

My Agreed Outcomes Plan:coordinated SEN Support

Name: Date of birth: Initial Agreed Outcomes Plan date: Current plan date: Page 1