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My Name is: Date of Birth:

My School SEN Support Plan

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My Personal DetailsSurname: Other names:

Home Address:

Gender:

Religion:

Home language(s):

Date of Birth: Ethnic Origin:

My Parent/Carer DetailsMother’s name: Father’s name:

Home address: Home address:

Telephone: Telephone:  

 Child in Care?  

Any Additional Information:   

One Page Profile

WHAT PEOPLE LIKE AND ADMIRE ABOUT ME

WHAT IS IMPORTANT TO ME

WHAT PEOPLE NEED TO KNOW TO SUPPORT ME WELL

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This is an interpretation of my views based on information from my family and people who know me well

My name is

Age

Important People in my life

Family Background

What I would like to be good at

Summary of my identified needs

Important to me and for me

To (what really matters to me) For (Good support)

What is working and not working so well in my life

Working Not working

Informal (family and community) supportList organised activities that the child/young person does outside of school hours e.g. through the Local Offer or informally

through family support (non-statutory)

Activity With whom When

My Final Education Resources and Support Plan (example of year 3 pupil)Outcome (medium term) Intervention

(solution)Staff/pupil ratio

Staff Weekly Duration

Weekly cost

Annual cost Achieved/not achieved

By the end of year 3 I will have achieved level 2c in literacy and numeracy

In class literacy and numeracy to support individual work on reading, spelling, writing

4:1 HLTA 2 hrs per day = 10 hrs

£175 ÷ 4 = £43.75

£1662

By the end of year 3 I will be able to independently play with one other child for 10 minutes

Social skills group to develop friendships, interaction skills and sharing

8:1 Learning mentor

5 x 30mins per week = 2.5 hrs

£43.75÷ 8 = £5.46

£208

By the end of year 3 I will be able to contribute to a small group discussion, observed on 3 separate occasions

Language programme to develop my ability to converse in a small group situation

6:1 Teaching Assistant

2 x 30 mins per week = 1 hr

£17.50 ÷ 6 = £2.92

£111

By the end of year 3 I will be able to manage my mobility around the school site

A physiotherapy programme to develop my mobility and strengthen my gross motor skills

1:1 Teaching Assistant

5 x 30 mins per week = 2.5 hrs

£43.00 £1660

By the end of year 3 I will be able to play independently with one other child for 10 minutes

A lunch time social skills group

1:1 Teaching Assistant

5 x 1 hr = 5 hrs ÷ 3

£86.00 £1090

By the end of year 3 I will be able to share my feelings with a trusted adult

Daily 30 minute session with a learning mentor

1:1 Learning Mentor

5 x 30 mins = 2.5 hrs

£58.30 £2232

Total £6963

My Support Plan ReviewThe outcomes and support in this plan will be reviewed by my school 2/3 times per year to look at the progress against the outcomes and update the support. The one page profile and other sections will be updated by my parents/carers. The review of support will involve my parents and me.

Signed ................................................................... Parent/Carer Date: .....................................................................

Outcome (medium term) Intervention(solution)

Staff/pupil ratio

Staff Weekly Duration

Weekly cost Annual cost Achieved/not achieved

Total

Additional Resources Provided by the Local Authority