EHCP Annual Review Form

Education, Health and Care Plan
Annual Review Form
Date of this review
Date of last review
Date of current EHCP
Personal Details
First Name (s)
Address
Last name
Date of Birth
Contact Number (s)
Gender
Setting/School/Post 16
Agencies Involved
Primary Need
UPN Number
NHS Number
Integrated Youth Support
System ID
School Attendance since
the last EHCP meeting
CareFirst ID
Parent/Carer’s Details – if applicable
Name of Person with
Parental Responsibility
Address
Email
Name of Person with
Parental Responsibility
Address
Email
Contact Number (s)
Contact Number (s)
POST 16 ONLY - CAPACITY
Are you answering the questions on behalf of someone else?
Your name:
Yes
No
Has the person given consent to answering the questions on their behalf? Yes
No
If not are you / do you
have :
Lasting Power of Attorney to deal with their
personal welfare
Yes
No
Deputy for them, appointed by the Court of
Protection
I consider / have been advised that they
cannot manage their affairs due to
difficulties in making decisions
Yes
No
Yes
No
Other
If the young person has substantial difficulty with the assessment and there is no one else
appropriate to assist them an Independent Advocate may be required.
To be used by your social care assessor for their views and comments in relation to the
applicability of the Mental capacity Act 2005 and need for an Independent Advocate.
Plan Details
Date of Issue of Final Plan
The date by which this
plan will be reviewed
Version Number
Recommendations of the Annual Review
In line with the Local Authority’s exit criteria and the child / young person’s progress, does the
Education, Health and Care plan needs to:
1.
be maintained i.e. child /young person still needs an EHC Plan to detail additional support
required.
Yes
No
2.
have a reduction of provision i.e. child/ young person no longer needs adult support to
meet their personal hygiene needs.
Yes
No
3.
be ceased i.e. the identified outcomes have been met and the child/young person’s needs
can be met from the SEND support arrangements within the setting or the child/young
person’s needs can be met within a ‘My Plan’
Yes
No
If the child/young person is currently in Specialist Provision – can the child/young person’s needs
be met in a mainstream placement or Integrated Resource/Hub?
Yes
No
Has the child/young person’s SEND changed so significantly that another full statutory
assessment should be considered?
Yes
No
Does the EHC Plan need amending?
Yes
No
If yes please provide full details below, the reasons for making your recommendation, plus
supporting evidence.
People who have contributed to and written this review of the Education,
Health and Care Plan are:
Name
Job Title
Organisational
Name/ Address
Tel/Email
Invited Attended How did
they
contribute?
E.g.
provided
report.
Report
Date of
attached? report
*** and his/her parent’s/carer’s views, interests, aspirations and goals
Section A
Review Section A of the EHCP with the child/young person and parent/carer if applicable.
Have there been any significant changes? Yes
No
If yes, please provide an updated description below. Please consider:
What are my home circumstances?
What are my current likes and hobbies?
What’s important to me?
What do people do for me?
What’s working well for me?
Views about progress over the last year.
Aspirations e.g. education, play, friendships, FE, independent living, university and employment.
If the parent/carer did not attend the Annual Review meeting please record the efforts to engage
with them below.
*** Progress and Special Educational Needs
Child /young person’s attainment
Early Years Foundation Stage
Developmental Stage/Step/EYFS Stage
Development
EYFS Phase
EYFS Phase
Journal Step
(E, D, S)
Months
Dates
Personal, Social
and Emotional
Development
(PSED)
Communication,
Language and
Literacy (SL&L)
Physical
Development
(PD)
KS1 – 3
Current Year
Group:
English
Attainment at
Current
previous review:
Assessment:
R–
R–
WWSpagSpag-
Maths
Attainment at
Current
previous review:
Assessment:
14 – 19 include other qualifications as appropriate
Date
Subject and Grade
Any other qualification/attainment information
Please attach evidence of the child/young person’s progress over time e.g. overview from tracker.
Summary of Strengths and Special Educational Needs
Section B:
*** strength’s and special educational needs.
Communication and
Interaction
Strengths and Needs
this year.
Have there been any significant changes?
If yes, please update below.
Yes
No
Yes
No
Yes
No
Yes
No
Strengths:
Needs:
Cognition and
Learning
Strengths and Needs
this year.
Have there been any significant changes?
If yes, please update below.
Strengths:
Needs:
Social, Emotional and
Mental Health
Strengths and Needs
this year.
Have there been any significant changes?
If yes, please update below.
Strengths:
Needs:
Sensory and Physical
Strengths and Needs
this year.
Have there been any significant changes?
If yes, please update below.
Strengths:
Needs:
***’s strengths and health needs related to his/her SEN
Include any strengths
and any health needs
this year.
Have there been any significant changes?
Yes
No
If yes, please update and include information about health provision
below or on an annotated EHCP. (Attach evidence if appropriate)
Strengths
Needs
***’s strengths and social care needs related to his/her SEN
Include any strengths,
Family Environment
and Social Care
support this year.
Have there been any significant changes?
Yes
No
If yes, please update and include information about care provision
below or on an annotated EHCP. (Attach evidence if appropriate)
Strengths
Needs
Outcomes sought and Provision provided to support ****
Section E and Section F:
Outcome Number.
Please list the
Outcomes in
numerical order as
they appear on the
EHCP
Support/Provision/Equipment
Record what has been provided
this year.
Include frequency, outside
agencies involvement, staff training
etc.
Evidence of Impact/Outcomes met
Provide information about the
situation and progress towards the
Outcome.
Has outcome been met?
Yes/No/Partially
Has outcome been met?
Yes/No/Partially
Has outcome been met?
Yes/No/Partially
Has outcome been met?
Yes/No/Partially
Has outcome been met?
Yes/No/Partially
Please add as many rows into the table as required.
Section E, Section F and Section G:
Health
Outcome Number.
Please list the
Outcomes in
numerical order as
they appear on the
EHCP
Support/Provision/Equipment
Record any health provision
provided this year.
Evidence of Impact/Outcomes
Provide information about the
situation and progress towards the
Outcome.
Have outcomes been met?
Yes/No/Partially
Have outcomes been met?
Yes/No/Partially
Please add as many rows into the table as required
Section E, Section F and Section H:
Social Care
Outcome Number.
Please list the
Outcomes in
numerical order as
they appear on the
EHCP
Support/Provision/Equipment
Record any social care provision
provided this year.
Evidence of Impact/Outcomes
Provide information about the
situation and progress towards this
outcome.
Have outcomes been met?
Yes/No/Partially/Still relevant
Have outcomes been met?
Yes/No/Partially/Still relevant
Please add as many rows into the table as required
Suggested New Outcomes – if applicable
New Outcome
Steps towards meeting the outcome
Include resources to be used, who will do what, when and
how often
Preparing for adulthood (necessary from Y9 onwards)
Issues to be considered
as part of the review
meeting
What are the young
person’s aspirations for
when they leave education
or training?
Has the young person had
advice and support in order
to achieve their aspirations?
What steps need to be
taken to support the young
person as they move
towards independence?
Details of any discussions
Has this
information been
included in the
EHCP? Yes/No
Section I
Education Placement
Does consideration need to be given to alternative placement or inclusion in a mainstream
setting?
Yes
No
If yes, provide the child/young person’s or parent/carer’s preference and reasons for consideration
below.
Section J – personal budget
Personal Budget
Is there a personal budget? Yes
No
If yes, please specify how this has been spent to support the child/young person.
Sheffield Support Grid – currently not applicable to Early Years or Post 16.
What Sheffield Support Grid level / category is the child / young person?
Does the child /young person receive additional locality funding support ?
Yes
No
If yes please specify how this additional support has been used to support the child/young person?
Please summarise any points of discussion at the meeting not covered above
(e.g. need to change school/setting, unresolved difference of opinion, insufficient evidence).
Name of Chair of the annual review:
Position Held (e.g. Headteacher):
Signed:
Date:
Please send this report to the SEND Team and all those invited to the meeting, including parents
no later than 2 weeks after the meeting. Please attach any reports or advice received since the
last Annual review. The parents and school will be notified within 4 weeks of the meeting date of
any action to be taken by the Local Authority.
The completed form should be sent to:
SEND Assessment and Placement Team, Floor 5 North, Moorfoot, Sheffield, S1 4PL