To: Samantha Benniman

Education Access Team, Learning & Skills, Shropshire Council, The Shirehall, Abbey Foregate, Shrewsbury. SY2 6ND

Telephone (01743) 254381

(For action or referral to appropriate officer)

INVITATION FOR AN OFFICER TO ATTEND A SCHOOL ORGANISED

PUPIL PLANNING MEETING

This form should be completed whenever a school considers that an officer can make a useful contribution to a school organised pupil planning meeting. The form is designed to give officers a summary of current background information which will also help in determining the most appropriate person to attend. The attending Inclusion Officer will not Chair the meeting and it is Schools responsibility to invite parents/carers. If the Pupil is Looked After consult with the Shropshire Looked After Team in the first instance.

SCHOOL

PUPIL'S NAME

DATE OF BIRTH / SCHOOL YEAR GROUP
UNIQUE PUPIL NUMBER

ADMISSION DATE

PREVIOUS SCHOOL(S)

HOME ADDRESS

NAME OF PARENT(S) OR CARER(S)

PARENT(S)/CARER(S) HOME/CONTACT TELEPHONE NUMBER

NATURE AND DURATION OF PROBLEM (continue on separate sheets if necessary).

STRATEGIES USED BY SCHOOL TO ALLEVIATE PROBLEM (including dates)

(continue on separate sheets if necessary).

Please attach evidence of a Pastoral Support Programme (PSP) or an Individual Education Plan (IEP), with review outcomes.

DATES AND DURATION OF EXCLUSIONS

Evidence of interventions and strategies used to avoid exclusion:

Support for re-integration following exclusion:

Please attach detailed attendance record for last 2 terms to date
Yes / No
Does this show any significant attendance problem.
Yes / No
IS THE PUPIL "LOOKED AFTER".

CONTACT WITH PARENT(S)/CARER(S) (please specify with dates)

SPECIAL EDUCATIONAL NEEDS – does the pupil have special education needs?

Yes No

EHCP/Statement
SEN Support
Graduated Support Plan

What resources (if any) have the school already employed in connection with the pupils’ needs.

EXTERNAL HELP ALREADY SOUGHT FROM OTHER AGENCIES

(name of contact person, if known)

1. Education Welfare Officer / 2. CAMHS
3. Educational Psychology Service / 4. Social Worker
5. Youth Offending Service / 6. Police
7. Primary Care Trust / 8. Youth Service
9. Family Support Worker / 10. Looked-After Children Team
11. Behaviour Support Team / 12. Learning Support Advisory Team
13. Early Help / 14. Any others (please specify)
Yes / No
HAS AN E-CINS REFERRAL BEEN COMPLETED?
Yes / No
Has an Early Help Planning meeting taken place?
If so please attach your completed meeting notes.

PLEASE PROVIDE ANY SUGGESTED DATES/TIMES FOR THE PUPIL PLANNING MEETING. (allowing preferably at least 3 weeks notice)

ANY OTHER USEFUL INFORMATION

Signed: ...... Date: ......

Headteacher

AND/OR

Signed: ...... Date: ......

(Head of Year/Tutor

responsible for completing this form)

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