Person centred AR/TR Form 2016-2017

xxxxx’s Person Centred Annual/Transfer Review


This Person Centred Annual Review is co-produced by (C/YP name) with his/her family/carers and the agencies/professionals involved

Date of this review
Date of last review

Person Centred Review – Contents Page

  1. Who came to my review
  1. My Personal details
  1. People who work with me
  1. All about me (Section A)
  1. My needs (Section B, C and D)
  1. My achievements
  1. My outcomes and support (Section E and F)
  1. My health needs (Section G)
  1. My social needs (Section H)
  1. Needs assessment (for transfer reviews only)

Please note: This can be used as the agenda

Person Centred Annual Review
  1. Who came to my review

Name / Role / Address / Contact Details
(Phone No./E-mail) / Attendance (Yes/No) / Report attached
2: My Personal details
Family Name / Child/Young Persons’ Name
DOB / Gender
Address
Parent/ Carers Name / Contact Number(s)
Email / Unique Pupil Number
Ethnicity: / Year Group
Is the Child /Young Person a Looked After Child/Young Person? / If yes, name of Social Worker
Name of setting / Date of C/YP’s admission
Attendance %
3. People who work with me
Name / Role / Contact Details
(Phone No./E-mail) / Attendance (Yes/No) / Report attached
4: All about Me (this links to section A of the EHC plan – you can add a one page profile)
What we like and admire about
What really matters to me
E.g. what the child/young person really likes – their favourite people, things, places to go
What is important for me (good support):
What is working? / What is not working?
How best to communicate with me:
Hopes, dreams and aspirations for the future:
5. My Strengths / My Needs (Sections B, C and D of the EHC Plan)
Communication and interaction
Thinking and Learning
Social Emotional and Mental Health
Sensory and Physical
6. My Achievements
What are everyone’s views on the C/YP’s progress?(Attach reports if available and/or record any comments made at the meeting)
What are the C/YP’s views on their progress? (Attach reports if available and/or record any comments made at the meeting)
Include examples of the child’s work e.g. pictures or some good writing
What is the school’s assessment of the C/YP’s progress? (Attach reports and/or record any comments made at the meeting).
Profile of current levels of attainment - include P Levels (where appropriate)
Subject: / Previous Assessment
Date:
Key stage: / Current Assessment
Date:
Key stage:
English
Speaking and listening
Reading
Writing
Overall subject level
Mathematics
Overall subject level
Science
Overall subject level
Please indicate which assessment tool you have used:
Early Years Foundation Stage Summary (you can also attach the development profile)
Main areas of learning / Aspects of learning / Age/stage of development
(in months)
Personal Social Emotional
Communication
Physical
Thinking

7. My outcomes and support to meet my needs (Section B, E and F)

Communication and Interaction: Outcomes and Provision
E1 Outcome: By the end of Key stage X
Will be able to: sign all the letters of the alphabet / F1 Special educational provision
Steps towards the outcomes / What needs to happen and who will support this? / When and how often will this happen? / Resources required (for example, programmes)
EXAMPLE: Daily practising of BSL fingerspelling / Daily practising of fingerspelling with key worker
Family to support fingerspelling with / Daily
5 minutes everyday after registration / Fingerspelling chart
Letters of the alphabet
Signalong DVD
How will I know the steps/actions being taken are helping me to achieve my outcome?
I will be able to sign all the letters of the alphabet to my teacher confidently
Thinking and learning: Outcomes and Provision
E2 Outcome: By the end of Key stage X
Will be able to: / F2 Special educational provision
Steps towards the outcomes / What needs to happen and who will support this? / When and how often will this happen? / Resources required (for example, programmes)
How will I know the steps/actions being taken are helping me to achieve my outcome?

Please Note: Only complete for areas where the child or young person has a need and link back to the child/young person’s aspirations

Social, Emotional and Mental Health (3): Outcomes and Provision
E3 Outcome: By the end of Key stage X
Will be able to / F3 Special educational provision to meet the outcome
Steps towards the outcomes / What needs to happen and who will support this? / When and how often will this happen? / Resources required (for example, programmes)
Physical , Sensory and Medical (4): Outcomes and Provision
E4 Outcome: By the end of Key stage X
Will be able to / F4 Special educational provision to meet the outcome
Steps towards the outcomes / What needs to happen and who will support this? / When and how often will this happen? / Resources required (for example, programmes)
8. My Health needs (This links into Section G)
9. My social care needs (This links into section H1 and H2)
10. This is for Transfer Reviews only - Needs Assessment
Is there a need to request additional reports from professionals?
Yes  No 
If yes please specify the professionals below:
  • Educational Psychology
  • Speech and Language Therapy
  • Occupational Therapy
  • Physiotherapy
  • Health Advice
  • Child and Adolescent Mental Health Service Advice (CAMHS)
  • Social Worker
  • Specialist Teacher

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Person centred AR/TR Form 2016-2017

Key recommendations

Amendments to statement/EHC Plan (please tick the appropriate boxes)

☐Statement/EHC Plan remains appropriate so no changes are needed

☐Changes to personal details

☐Change of placement requested

☐Transfer review information complete

☐Changes are required to theStatement/EHCPlan as it no longer reflects the current areas of need.

☐Statement/EHC Plan is no longer needed because the child’s needs can be met at SENSupport through an SEN Support Plan.

Signature/s

Facilitator Signature:
Print Name:
Signature of Parent and/or Young person:
Date:
 I give consent for this review report to be shared with all professionals involved with my child

Think before you print - help our planet

Please send a copy of the review by email to the Administration Team:

Postal address:

The SEND Administration Team

Hackney Learning Trust

1 Reading Lane

London

E8 1GQ

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