This section provides information on any Personal Budget that will be used to secure provision in the EHCP and to meet the outcomes detailed in the plan. Potential Education Funding Potential Health Funding Potential Social Care Funding Total Indicative Budget YES/NO Request for EHCP Personal Budget a third party or direct payment request is being made, who is the intended recipient (full responsibility)? Contact details (if not already known) Name: Role: Address: Telephone: Personal Budget Details Outcome Goods, Service Frequency Type Source and/or Provision (what do I want to (how often will I (how do I want the (education, health, social achieve through the receive goods, budget organised, care and/or own (how do I intend to use of budget) service or third party and/or contributions use the budget) provision) direct payment) Sign off page Who can [Name]’s plan be shared with?
This section provides information on any Personal Budget that will be used to secure provision in the EHCP and to meet the outcomes detailed in the plan. Potential Education Funding Potential Health Funding Potential Social Care Funding Total Indicative Budget Request for EHCP Personal Budget YES/NO a third party or direct payment request is being made, who is the intended recipient (full responsibility)? Contact details (if not already known) Name: Role: Address: Telephone: Personal Budget Details Outcome (what do I want to achieve through the use of budget) Goods, Service and/or Provision (how do I intend to use the budget) Frequency (how often will I receive goods, service or provision) Type (how do I want the budget organised, third party and/or direct payment) Source (education, health, social care and/or own contributions Sign off page Who can [Name]’s plan be shared with?
SEND14_EHCP-w.o-example_28-Aug-14_v4.8.docx