Norfolk County Council www.norfolk.gov.uk/SEN
To be used with ALL Reviews in the Early Years (up to the end of Reception Year)
Child details |
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Child Name: |
Date of birth: |
Also known as: |
UPN: |
Phase Transfer date: (if applicable) |
Year group taught in:
Correct for chronological age? yes no |
Name of setting: |
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Date of current final statement: |
Date of last review (leave blank if this is the first review): |
Primary SEN (one only): |
ASD BESD HI MLD MSI
PD PMLD SLCN SpLD
SLD VI |
Secondary SEN (more than one may be chosen) |
ASD BESD HI MLD MSI
PD PMLD SLCN SpLD
SLD VI |
Key
ASD Autistic Spectrum Disorder
BESD Behavioural Emotional and Social Difficulties
HI Hearing Impairment
MLD Moderate Learning Difficulties
MSI Multi-Sensory Impairment
PD Physical Difficulties
PMLD Profound and Multiple Learning Difficulties
SLCN Speech, Language and Communication Difficulties
SpLD Specific Learning Difficulties
SLD Severe Learning Difficulties
VI Visual Impairment
N ame of Pupil: - ‘All About Me’
My age is:
I live with my:
My favourite activities at school are:
My favourite activities at home are:
Things I don’t like:
My favourite food is:
My friends are:
C hair of the meeting |
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Name: |
Post held: |
Note: Please refer to the Annual Review Process Guidance Document. Chair of the meeting to check contact details for parents / carers. The setting is responsible for issuing invitations.
Details Of those invited to Annual Review |
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Name |
Role |
Report or views |
Contact email / telephone (must be completed) |
Invited |
Attended
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Child |
Attached |
N/a |
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Parent / Carer |
Attached |
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Parent / Carer |
Attached |
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Parent / Carer |
Attached |
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Parent / Carer |
Attached |
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Early Years Setting Manager / Headteacher |
Attached |
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Keyperson |
Attached |
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SENCO |
Attached |
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LA Children’s Services Representative * |
Attached |
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Social Worker * (essential for LAC) |
Attached |
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Health * |
Attached |
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Other |
Attached |
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Other |
Attached |
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Other |
Attached |
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Other |
Attached |
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Other |
Attached |
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The school / setting is responsible for issuing invitations. * Indicates the professionals that will be invited and should attend where appropriate.
P lease complete the child’s views below or append as a separate document
(please feel free to add pictures, photographs or drawings)
Child’s Views |
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Your name: |
Age: |
Your setting: |
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Do you like going to your setting?
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What do you like about being here?
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Tell us/show us what you are good at?
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Is there anything you don’t like?
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What would you like to do/ do better?
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Please sign your name:
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Date: |
P upil’s Parents or Persons with Parental Responsibility |
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Name: |
Relationship to pupil: |
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Address: |
Postcode: |
Home telephone: |
Mobile: |
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Name: |
Relationship to pupil: |
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Address: |
Postcode: |
Home telephone: |
Mobile: |
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Name: |
Relationship to pupil: |
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Address: |
Postcode: |
Home telephone: |
Mobile: |
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Name: |
Relationship to pupil: |
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Address: |
Postcode: |
Home telephone: |
Mobile: |
P arents’ / Carers’ Views |
Your views about your child are very important. You may find filling in this form helpful in preparing for the meeting. You may ask someone to come to the review meeting with you. You can write your own notes or report if you prefer or you can talk to someone about your views. You may like to have a discussion with your child’s setting. You can choose not to answer any of the questions. Further information and support on Annual Reviews is available at http://www.norfolk.gov.uk/senannualreviews Norfolk Parent Partnership have also produced a useful leaflet explaining Annual Reviews: Tel: 01603 704070 or email: [email protected] for a copy. Website: http://www.norfolkparentpartnership.org.uk/Downloads/AnnualReview.pdf |
Thinking about your child in the last 6 months: |
What’s gone well in the last 6 months?
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Are there any areas which you feel have gone particularly well?
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Do you have any particular concerns? Is there anything that could be done differently?
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What would you like to happen by the next review?
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Is there anything else you would like to talk about?
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Will you be coming to the review meeting? (You can bring someone with you to the review - a relative or friend) Yes No
Please sign your name:
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Date: |
SUMMARY REPORT FOR STATUTORY ANNUAL REVIEW |
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Action Points from the Previous Annual Review/Post-Statement Meeting (please list below) |
Completed |
Outcome
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Yes No |
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Yes No |
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Yes No |
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Yes No |
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Yes No |
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Is the current provision flexible and creative enough to meet the child’s current special educational needs? Yes No
(If the answer to this question is No then an action to address this issue must be recorded on the Action Plan at the end of the review). |
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Review of the child’s special educational needs, progress towards objectives and the provision as set out in the current statement. If any new significant needs have been identified – please ensure that evidence is attached, e.g. Other professional reports. |
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Abilities and attainments:
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Behavioural/Social/Emotional:
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Language and Communication:
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Physical/Sensory/Medical:
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Independence and Self-Help:
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Does anything else need to happen to meet these needs?
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D etails of support currently helpful in the setting/school, e.g. organisation, effective strategies, specialist resources/equipment. Please add any relevant reports. (Schools -Attach a copy of the child’s timetable which shows where the provision set out in the statement is provided. Settings – attach a copy of your planning to show how you differentiate for the child.)
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Please detail, or attach the most recent IEP with outcomes, the specific successes the child has achieved in meeting the targets in the current IEP:
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School -please attach a copy of the child’s attendance record. Settings may wish to consider attendance in relation to progress. |
M easuring Progress |
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Measuring progress in very little children requires a holistic approach. The school or setting will have identified the best way to record the child’s progress. Please record it in the section below or alternatively please attach as an appendix.
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Measure and Current attainment |
Record of Progress |
Target for next 6 months |
Measure:
Current attainment:
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Measure:
Current attainment:
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Measure:
Current attainment:
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Measure:
Current attainment:
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Measure:
Current attainment:
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T he sections below must either be completed on this form or a copy of the statement showing the recommended amendments (noting evidence) attached to this report.
THE STATEMENT – RECOMMENDATIONS TO AMEND |
Please complete this Section at the review meeting. All Questions must be completed.
The sections below may be completed or a copy of the statement showing the recommended amendments (noting evidence) attached to this report.
Having recorded and discussed the child’s progress during the review, consider each of the following sections of the Statement of Special Educational Needs and detail recommendations for its amendment. Amendments will be considered in light of these recommendations only if there is written evidence provided to support them. The evidence may be in preceding sections of this review or in reports that will be attached to it. The evidence must be clearly identified on this page. If there is evidence in a report then the relevant page number(s) must be given. |
Should the Statement be maintained? Yes No
If NO please specify reasons for recommending discontinuation.
See the Special Needs Code of Practice November 2001 Sections 8:117-8:124, especially 8:119 and give the evidence available:
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Does the statement require amendments? Yes No |
If the answer is YES, complete the following sections as necessary detailing clearly any changes that are required to the existing Statement.
If the answer is NO please go to the Action Plan and the Signature Page.
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P art 1: Introduction |
Are the details in Part 1 correct? Yes No |
If NO please specify the changes required:
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Part 2: Special Educational Needs |
Have the child’s needs changed since the Statement was written or the last review? Yes No |
If YES detail changes referring to supporting evidence
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Evidence available:
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Part 3: Special Educational Provision – Objectives |
Have any of the objectives in the Statement been achieved? Yes No |
If YES detail changes referring to supporting evidence
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Have any new objectives been identified? Yes No |
If YES detail changes referring to supporting evidence
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Evidence available:
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Part 3: Educational provision to meet needs and objectives |
Is there a need to change the provision (including modifications and disapplications) as described on the Statement? Yes No |
If YES detail changes referring to supporting evidence which demonstrates the difference the change would make:
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Evidence available:
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Part 3: Monitoring arrangements |
Is there a need to change arrangements for setting targets and monitoring progress as described on the Statement? Yes No |
If YES please specify changes and attached supporting evidence
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E vidence available:
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Professional reports or other information which support the above changes MUST be attached to this review report |
Part 4: Placement |
Is the child likely to remain at the current setting or school until the next Annual Review?
Yes No
If the answer is not clear at this point please give details:
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If the answer is NO please give reasons; e.g. transfer to another setting / school.
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Part 5: Non-educational needs |
Is there a need to change the non-educational needs which require provision as specified on the Statement? Yes No |
If YES please give details
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Evidence available:
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Part 6: Non-educational provision |
Is there a need to change the non-educational provision as specified on the Statement? Yes No |
If YES please give details of the new involvement of other Agencies as stated in the most recent reports available. Please attach these reports
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A CTION PLAN |
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Review the actions agreed at the last Annual Review and set a new Action Plan for the forthcoming year.
Please detail how these actions will be monitored over the 6 months.
Every review should consider whether planning is needed about transfer to another setting or school. The Action Plan should begin careful planning for that transition. It may be appropriate to hold a separate transfer planning meeting or an early review. The receiving setting or school should be invited to that review or meeting.
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ACTION |
RESPONSIBLE PERSON |
TARGET DATE |
MONITORING ARRANGEMENTS |
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ADDITIONAL MEETINGS |
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Date and Venue |
Time |
Attendees |
Attendance confirmed |
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A copy of this Action Plan should be given to everyone attending the meeting at the end of the meeting. |
SIGNATURE PAGE |
Has the above been agreed by all attending the review, including the parents/carers? Yes No |
If ‘NO' alternative views/recommendations must be attached. |
Date of the next Annual Review: |
Head Teacher/Manager/Leader/Supervisor Signature:
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Date Report completed and signed:
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Please return the form, preferably via email, to the SEN area team your school or setting is in
SEN - Additional Needs Co-ordinators |
Postal Address |
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City and South
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Norfolk
Children’s Services |
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North & East North |
Norfolk
Children’s Services |
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North & East Gt Y |
Norfolk
Children’s Services |
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North & East Broadland |
Norfolk
Children’s Services |
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West & Breck Breckland
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Norfolk
Children’s Services |
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West & Breck West |
Norfolk
Children’s Services |
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1 Delete as applicable – there must be an annual review every year after the statement is issued. Further informal reviews can also be held on a six monthly basis. Please refer to the Annual Review Guidance document for further information.
NORFOLK CHILDRENS SERVICES EVALUATION FORM FOR FOSTER CARERS AND
NORFOLK CONSTABULARY BEING A POLICE CONSTABLE ISN’T FOR EVERYONE
NORFOLK COUNTY COUNCIL ANNUAL REVIEW CHECKLIST SENDING THE REPORT
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