Draft EH & C Plan Final EH & C Plan Amendment Notice EH & C Plan Amended Final EH& C Plan Xxxxx ‘s Education, Health & Care Plan Final or Draft Plan? Review date: Draft Date of final EHC Plan: Date of draft EHC Plan: Signed on behalf of Children’s Services: Identifying Details Given names: Family name: Ethnicity: Gender: Student ID Number: Address: Child/Young Person’s first language: Parent/Carer’s address if different from above: Contact phone number(s): Parents/Carers’ names: Date of Birth: Parent/Carer’s first language: NHS Number: Is child in receipt of Pupil Premium: Amount received: Is this child or young person a Child in Care? Name and contact details of the Social Worker My EHC Plan v3 Feb 2017 1 English Section A My Profile The views, interests and aspirations of the child/young person and their parents: About me: Places, people and things important to me; My aspirations and goals: I use the following ways to communicate: My Parent’s/Carer’s hopes and aspirations for me: A history and summary of my special educational needs. 2 EHCP Section B My Special Educational Needs All identified special educational needs MUST be included. Communication & Interaction (strengths, needs and current functioning): Cognition & Learning (strengths, needs and current functioning): Social, emotional and mental health (strengths, needs and current functioning) Sensory and/or physical needs (strengths, needs and current functioning) Self-care and independence (including preparation for adulthood): 3 EHCP Section C My health needs Details of the child or young person's health needs which are related to their special educational needs: Section D My social care needs Details of the child or young person's health needs which are related to their special educational needs: Section E Outcomes Outcomes sought by the end of current key stage or phase of education. Outcomes should relate to each area of SEN (linked to Sections B, C and D above). Where a young person is in Year 9 or above, this plan must include identification of needs, outcomes and provision required to assist in the preparation for adulthood, including: further education; training and employment; independent living; participation in society and being as healthy as possible in adult life. The lead professional [e.g. SENCO, class teacher or tutor], together with the appropriate specialists, should consider a range of well-founded and effective teaching approaches, appropriate equipment, strategies and interventions in order to support the child/young person’s progress and achieve these outcomes. 4 EHCP The arrangements the education/training provider has in place for setting and reviewing shorter term goals: Agencies (including schools) will maintain a plan that sits alongside this EHCP, which allows for shorter term targets to be set and which can be reviewed regularly to ensure the child/young person is on track to achieve the outcomes specified below. This plan must be reviewed at least annually. The first review must be held within 12 months of the date of the issue of the EH&C Plan. Ref Outcomes sought by the end of current Key Stage or phase of education. E1 E2 E3 E4 E5 E6 E7 E8 *RAS (Resource Allocation System) Categories for monitoring purposes only 5 EHCP *RAS Category Provision to be provided by: Education Health Care Communication & Interaction: Outcome and Provision E1 – Outcome to be achieved by the end of the current Key Stage or phase of education. By Whom & Funding Source (where appropriate) F Special Educational Provision Teaching and support staff from ordinarily available and top up funding. Cognition & Learning: Outcome and Provision E2– Outcome to be achieved by the end of the current Key Stage or phase of education. By Whom & Funding Source (where appropriate) F Special Educational Provision Teaching and support staff from ordinarily available and top up funding. Cognition & Learning: Outcome and Provision E3 – Outcome to be achieved by the end of the current Key Stage or phase of education. 6 EHCP F Special Educational Provision By Whom & Funding Source (where appropriate) Teaching and support staff from ordinarily available and top up funding. Cognition & Learning: Outcome and Provision E4 – Outcome to be achieved by the end of the current Key Stage or phase of education. F Special Educational Provision By Whom & Funding Source (where appropriate) Teaching and support staff from ordinarily available and top up funding. Social Emotional & Mental Health Difficulties: Outcome and Provision E5 – Outcome to be achieved by the end of the current Key Stage or phase of education. F Special Educational Provision By Whom & Funding Source (where appropriate) Teaching and support staff from ordinarily available and top up funding. 7 EHCP Social Emotional & Mental Health Difficulties: Outcome and Provision E6 – Outcome to be achieved by the end of the current Key Stage or phase of education. F Special Educational Provision By Whom & Funding Source (where appropriate) Teaching and support staff from ordinarily available and top up funding. Sensory & Physical: Outcome and Provision E7 – Outcome to be achieved by the end of the current Key Stage or phase of education. F Special Educational Provision By Whom & Funding Source (where appropriate) Teaching and support staff from ordinarily available and top up funding. 8 EHCP Independence, Self-Help & Preparation for Adulthood: Outcome and Provision E8 – Outcome to be achieved by the end of the current Key Stage or phase of education. By Whom & Funding Source (where appropriate) Teaching and support staff from ordinarily available and top up funding. F Special Educational Provision Section F: In order to support the Outcomes identified the following educational provision has been agreed: Note: Where a young person is in Year 9 or above, this section must include any provision required to assist in the preparation for adulthood and independent living. From its notional SEN budget, plus any top up funding provided by this EHC plan, the school/educational setting will provide: xxx hours support each week from a qualified teaching assistant/care and supervision This support should be used flexibly both in and out of the classroom, in groups and in individual situations, as and when appropriate. OR A place will be provided in a specialist setting that can meet the needs and outcomes identified in this Plan OR If the child is in an SEN Resource Centre attached to a mainstream school OR The relevant wording for Post 16 provider 9 EHCP Section G – details of any health provision reasonably required by the learning difficulties or disabilities which result in the child or young person having SEN Where an Individual Health Care Plan has been made, this should be included. Where a young person is in Year 9 or above, this section must include any provision required to assist in the preparation for adulthood and independent living. Provision for Outcome XXX: or None identified Section H1 – details of any social care provision which must be made for a child or young person under 18 resulting from Section 2 of the Chronically Sick and Disabled Persons Act 1970 Where a young person is in or beyond year 9 this section must include any provision required to assist in the preparation for adulthood and independent living. Provision for Outcome XXX: or None identified Section H2 – details of any other social care provision reasonably required by the learning difficulties or disabilities which result in the child or young person having SEN This should include any adult social care provision being provided to meet a young person's needs (though a Statutory Care and Support Plan) under the Care Act 2014. Where a young person is in Year 9 or above, this section must include any provision required to assist in the preparation for adulthood and independent living. Provision for Outcome XXX: or None identified 10 EHCP Section I: Name of Education placement Name of setting: To allow time for parents/carer preferences to be stated, and representations to be made, the name of the school has deliberately been left blank and will be completed when the Final EHC Plan is issued Type of setting: 11 EHCP Section J: Personal budget – to be completed where a personal budget has been agreed. This section provides information on the Personal Budget to secure provision to achieve the SEN outcomes detailed in the EHC Plan. SEN Outcome to be Achieved Provision Annual Amount Choose an item. £ Choose an item. £ Choose an item. £ Choose an item. £ £ TOTAL AMOUNT OF PERSONAL BUDGET 12 EHCP Method of Budget Management Section K: Advice and information gathered during EHC needs assessment and attached to this plan as appendices Type of Advice and Provider Completed by (name and role): Appendix A – Parental Contribution A1: Family Contribution towards the EHCP assessment Appendix B – Educational Advice B 1: Education provider’s contribution towards the EHCP assessment Appendix C – Health Advice C1: Appendix D – Psychological Advice D1: Advice from Gloucestershire County Council’s Educational Psychology Service Appendix E – Advice from Social Care E1: Appendix F1 – Advice from Others F1 : Advice from Gloucestershire County Council’s Advisory Teaching Service Appendix F2 – Other Current Plans (eg Health, Social Care etc) F2: Ref: PersonID_Draft/Final/AN/AF_MonthYear 13 EHCP Date of completion:
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