Education Health Care Plan for:

Transcription

1 Education Health Care Plan for: Page 1 of 16

2 Section A Child and Family Information, Contents Section B The child/young person s special educational/ health and social needs, Section C - The child/young person s health needs related to their special educational, Section D - The child/young person s social needs related to their special educational, Section E - The child/young person s outcomes, Section F - The special educational provision, Section G - Health provision, Section H 1 Social Care Provision which MUST be made under Sect 18 CSDP Act 1970, 2 Any other social care provision, Section I My Education Provision, Section J - My Personal Budget, Section K Plans/ Assessments/ Supporting Documents & Signatures, Page 2 of 16

3 Name: (Young person) Name: (Parent 1) Name: (Parent 2) Home Address: Home Address: Home Address: Telephone 1 Telephone 1 Telephone 1 Telephone 2 Telephone 2 Telephone 2 Unique Pupil Number: NHS number: NI Number: N/A Ethnicity: Religion: Home Language: CAF in Place: Looked After Child: Pupil Premium: Current Plan put in place: Version: Early Years 0 5 years Version: Key stage 1: Version: Key stage 2: Version: Key stage 4+: Version: Key stage 3: Version: Years 19 25: Version: Key stage 4: Version: Plan ceased: Page 3 of 16

4 Section A: The views and aspirations of the child and his/her parents or young person. All about me: Method of communication: Explanation: Child/ young person Parents What is good at? What finds difficult? 1, Aspiration for short term 2, Aspiration for the medium term. 3, Aspiration for the long term. Page 4 of 16

5 Section B: The child/young person s special educational/ health and social needs Cognition and Learning Emotional, Social and Mental Health Communication and Interaction Physical and/or Sensory Needs Section C: The child/young person s health needs related to their special educational. Area of need Explanation Section D: The child/young person s social needs related to their special educational. Area of need Explanation Page 5 of 16

6 Section E: The child/young person s outcomes. 0 years 2 years Outcome Education Health Social Care 3 years 5 years Outcome Education Health Social Care Key Stage 1: 5 years 7 years Outcome Education Health Social Care Page 6 of 16

7 Key stage 2: 7 years 11 years Outcome Education Health Social Care Key stage 3: 11 years 14 years Outcome Education Health Social Care Page 7 of 16

8 Key Stage 4 +: 14 years 19 years Outcome Education Health Social Care 19 years 25 years Outcome Education Health Social Care Page 8 of 16

9 Section F: The special educational provision Outcome: Provision Outcome : Provision Page 9 of 16

10 Section G: Health provision Health Outcome: Provision Outcome: Provision Section H1: Social Care Provision which MUST be made under Sect 18 CSDP Act 1970 Outcome: Provision Outcome: Provision Section H2: Any other social care provision Outcome: Provision Outcome: Provision Page 10 of 16

11 Section I: Name of Setting/School Type of Provision Dates attended Previous setting/ School Type of Provision My Current Educational Placement Address: Contact number: Head Teacher: SENCO: Class Teacher: Page 11 of 16

12 Section J: My Personal Budget YES NO Does.. and his/parents want to take a personal budget for support If yes is this a: Notional budget Notional and Direct Payment Budget Direct Payment Budget The Personal Budget Allocation is: Breakdown of support Weekly cost Annual cost Education Health Social Care Other Page 12 of 16

13 Section K1: Assessments/Supporting Documents Name Role Agency Contact Details Information/assessments provided Date Changes and updates Page 13 of 16

14 This plans runs in conjunction with the following plans: Agency Plan Page 14 of 16

15 Section K3: Signatures We agree with the contents of this plan: Name Designation Signature Date Parent/ Mother Parent/ Father Head Teacher SEN Caseworker Review Date Page 15 of 16

16 For further information or queries please contact the Special Educational Needs Team: Telephone: Marie Stephens - Kippax Administrator Maria Lyons Administrator Sue Cooley SEN Caseworker Kay Hill Inclusion Manager Steve Eccles SEN Caseworker Rebecca Underwood Finance Officer Mandy Clark Post 16 SEN Caseworker Thomas Powell SEN Caseworker Page 16 of 16