Appendix B Short Term Inclusion Funding for Individual Children Example Name of the DOB: If FEE Date ISP Name of Provision Plan. Use this section to explain how you will Costing: child: claimed per Implemented: external support the week: agencies County they Stretched(s) Or for OOS involved and live in: Term time(tt) provision hrs date of each per week report: Diagnosis if Date DLA attended: Date of known or agreed transition area of meeting if concern: applicable: EXAMPLE 9.15 9.30 15 mins 1:1 Adult help with independence skills – Carol King 2.6.15 15 hrs tt 11.7.18 Portage until– - remove coat by back chaining. Adult to hold her hand and 19.7.18 bring into room avoid risk of running out of front door – Surrey £9.17 hr x 1 Adult to support use of board, 4 activities to “choices ” hrs x 5 choose from Adult to go with her to her choice of activity sessions x and support to play with her choice for at least 2 minutes. 8 = 9.30 10.00 30 mins 1 : 1 Adult to support Carol by running – £366.80 commentary as she plays Use 2/3 word phrases and signs to model as she plays To copy her play and then extend her play skills 10.00 10.15 15 minutes 1 2 Preparation of equipment and – room for target work Adult to collect Carol and give a choice of two children to join her play Adult to collect second child and take to distraction free room to avoid risk of running out the door. Adult to use bucket time to encourage listening and attention (Target) Adult to support and encourage turn taking (Target) Total £366.80 Appendix C
Appendix B Short Term Inclusion Funding for Individual Children Example Name of the child: County they live in: Diagnosis if known or area of concern: DOB: If FEE claimed per week: Stretched(s) Term time(tt) Date DLA agreed Date ISP Implemented: Or for OOS provision hrs per week attended: Name of external agencies involved and date of each report: Date of transition meeting if applicable: Provision Plan. Use this section to explain how you will support the Costing: £9.17 hr x 1 hrs x 5 sessions x 8 = £366.80 EXAMPLE Carol King Surrey 2.6.15 15 hrs tt 11.7.18 Portage until– 19.7.18 9.15 – 9.30 15 mins 1:1 Adult help with independence skills - remove coat by back chaining. Adult to hold her hand and bring into room – avoid risk of running out of front door Adult to support use of “choices ” board, 4 activities to choose from Adult to go with her to her choice of activity and support to play with her choice for at least 2 minutes. 9.30 – 10.00 30 mins 1 : 1 Adult to support Carol by running commentary as she plays Use 2/3 word phrases and signs to model as she plays To copy her play and then extend her play skills 10.00 – 10.15 15 minutes 1 2 Preparation of equipment and room for target work Adult to collect Carol and give a choice of two children to join her play Adult to collect second child and take to distraction free room to avoid risk of running out the door. Adult to use bucket time to encourage listening and attention (Target) Adult to support and encourage turn taking (Target) Total £366.80 Appendix C
inclusion_fund_2018-2019_current_version.docx