1. My Person Centred Review Name:Age: School: Parent/Carers: Date of my last review: Date of this review: Chair/facilitator: INSERT MY PHOTO Review Meeting for development of an Education, Health and Care Plan

2. Who is here at my review My family My teacher My support assistant and others

3. What people like and admire about me

4. What is important to me and for me To Me (What matters to me)For Me (good support)

5. What’s working and not working Working Not working

6. Outcomes action plan Life Pathway Outcome (Long term/Medium term) The benefit or difference made to an individual as a result of an intervention. Provision/interventions – Steps what and how Who will do this and how often? Monitoring/ Review Education and Learning Year 9 onwards: Employment By end of key stage is long term By end of year is medium term Independence Year 9 onwards: Independent living Good Health Developing friendships, relationships, community An outcome is the aim/goal or result we want to achieve A solution is what/ how we will get there

7. Personal Budget Please tick if the child/young person has a personal budget from any of the following: Social Care Health Education Please provide details: Does the family want to request a personal budget? If yes please specify what the family are requesting:

8. Needs Assessment Is there a need to request additional reports from professionals? YesNo If yes please specify the professionals below:

9. Complete the table below or attach alternative progress data P7P81C1B1A2C2B2A3C3B3A4C4B4A5C5B5A6C6B6A7+ APS 89 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 1 2 3 4 5 6 7 8 9 10 11 Please plot onto the grid the current level or point of progress in English (speaking and listening). Reading/writing, numeracy and science. Please use the symbols to indicate next to the year group. The grid has been highlighted to show the expected national levels. Key: Reading = R, Writing = W, Speaking and Listening = SL, Spelling = SP and Science = Sc, Numeracy = N

10. Year P1(i)P1(ii)P2(i)P2(ii)P3(i)P3(ii)P4P5P6P7P8 1 2 3 4 5 6 7 8 9 10 11 For P 4 and above please plot the subject progress for this year Key: English = E Maths = M Science = Sc Complete the table below or attach alternative progress data The performance descriptions for P1 to P3 are common across all subjects. Plot the relevant level with a tick 

11. Thank you for coming to my review My review will be sent to: SEN Team 6 Linford Road Walthamstow London E17 3LA