My Person Centred Review
INSERT MY
PHOTO
Name:
Age:
School:
Parent/Carers:
Date of my last review:
Date of this review:
Chair/facilitator:
Who is here at my review
My family
My teacher
My support assistant and others
What people like and admire
about me
What is important to me and for
me
To Me
For Me
What’s working and not working
Working
Not working
What support I am receiving now and
what support I will need in the future
My action plan
Outcome
Solutions – what and how
Who will do this
By when/Review
• An outcome is the aim/goal or result we want to achieve
• A solution is what/ how we will get there
9. Recommended changes to my statement.
PART 1 – Introduction
Changes to my special educational needs
PART 2 – Special Educational Needs
Changes to my special educational needs
PART 3 - Special Educational Provision
Changes to my special educational needs
PART 4 – Placement
My school
PART 5 – Non-Educational Needs
Changes to my other special educational needs
PART 6 – Non-Educational Provision
Changes to my other special educational needs
Example of an Individual Provision Map Name: delete and insert
as appropriate into this template or use your own school format
(You may use your own school format if you wish)
Yr.
Gp.
Provision/Resource
Staff/Pup
il Ratio
Staff Involved
Cost in time
(Weekly)
Actual Cost
(Annual x 38
weeks)
3
In class small group support for
literacy (3 x 1 hours)
6:1
LSA
3 hours
£1316.70
Literacy – Wordshark (4 x 15 minutes)
9:1
LSA
Teacher
30 minutes
30 minutes
£219.45
£706.80
Literacy skills small group (5 x 1 hours)
6:1
LSA
5 hours
£2194.50
Handwriting skills small group (5 x 15
minutes)
6:1
LSA
1 hour 15
minutes
£548.63
Maths – Power of 2 (3 x 15 minutes)
1:1
LSA
45 minutes
£329.12
Social skills lunch club (1 x 40 minutes)
8:1
LSA
SENCO
20 minutes
20 minutes
£146.30
£424.11
Occupational therapy Programme (3 x
15 minutes)
2:1
LSA
45 minutes
£329.18
12 pupils x school action/9 pupils x school action plus 1 pupil x statement (£4,171 = 22 hours LSA support)
Year
1
2
3
4
5
6
7
8
P7 P8 1C 1B 1A 2C 2B 2A 3C 3B 3A 4C 4B 4A 5C 5B 5A 6C 6B 6A 7+
Please plot onto
the grid the
current level 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.
9
10
11
12
13
Key:
Reading = R,
Writing = W,
Speaking and
Listening = SL,
Spelling = SP and
Science = Sc,
Numeracy = N
Thank you for coming to my
review
My review will be sent to:
SEN Team
6 Linford Road
Walthamstow
London
E17 3LA