Participant Name: John Smith
Date of Case Note: 01/11/2024
Support Coordinator: Sarah Jones
Type of Contact: In-Person
1. Purpose of Contact
John attended a scheduled in-person meeting to discuss his current NDIS plan and support needs.
2. Key Discussion Points
Sarah reviewed John's current support plan, discussing the progress made towards his goals. John expressed satisfaction with his current support providers but raised concerns about the funding allocated for therapy services. Sarah explained the budget review process and the options available to address his concerns. They also discussed potential changes in his living situation and the impact on his support needs.
3. Actions Taken
Sarah provided John with information on how to request a plan review. She also offered to contact his therapy provider to discuss his concerns about funding. Sarah scheduled a follow-up phone call to check in on the progress of the plan review request and to provide further support.
4. Financial Summary & Plan Management Details
Budget Overview:
Support Category: Therapy
Budget Allocated: £5,000
Amount Spent: £3,000
Remaining Balance: £2,000
Notes/Observations: John is utilising his therapy budget at a steady rate. There is a risk of underspending if he does not increase his therapy sessions.
5. Participant Response & Engagement
John actively participated in the discussion and demonstrated a clear understanding of the information provided. He expressed appreciation for the support and guidance offered by Sarah. He agreed to the actions outlined and confirmed his understanding of the next steps.
6. Risks / Issues Identified
John expressed concerns about his mental health and the impact of his living situation on his well-being. Sarah identified a potential risk of social isolation and recommended exploring additional community support options.
7. Recommendations & Plan Adjustments
Sarah recommended that John consider increasing his therapy sessions to address his mental health concerns. She also suggested exploring local community groups to increase social interaction. Sarah recommended a plan review in six months to assess the effectiveness of the support plan.
8. Additional Notes / Observations
John reported a positive relationship with his current support providers. He is actively working towards his goals and is engaged in his support plan.
9. Next Steps & Follow-Up
Sarah will contact John's therapy provider to discuss his funding concerns. Sarah will also follow up with John in two weeks to check on the progress of his plan review request. Sarah will also provide John with information on local community groups.
Participant Name: [Full name]
Date of Case Note: [date in DD/MM/YYYY format]
Support Coordinator: [Support coordinator’s full name]
Type of Contact: [Phone / In-Person / Virtual / Email / Other] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.)
1. Purpose of Contact
[Brief description of the reason for the contact] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank. Write as a short paragraph in third person.)
2. Key Discussion Points
[Summary of discussion points including participant concerns, support updates, review of goals, provider changes, or changes in participant function or environment] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank. Write in full sentences and in third person.)
3. Actions Taken
[Details of actions completed during or following the contact, such as referrals made, service bookings arranged or amended, service agreements reviewed, budget monitoring conducted, and provider communications] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank. Write in full sentences and in third person.)
4. Financial Summary & Plan Management Details
Budget Overview:
Support Category: [Support category name]
Budget Allocated: [Allocated budget amount]
Amount Spent: [Amount spent to date]
Remaining Balance: [Remaining amount in the budget]
Notes/Observations: [Observations on usage, sustainability, risk of overspending or underspending]
(Only include financial details if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise omit this section entirely. Format as short entries under each heading. Use third person.)
5. Participant Response & Engagement
[Description of participant’s engagement level, understanding of discussed items, agreement or concerns raised, feedback, and observable responses] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank. Write in third person using full sentences.)
6. Risks / Issues Identified
[Description of new or ongoing risks including safety concerns, housing instability, mental health issues, financial issues, or service access concerns. Include any need for escalation.] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank. Write in full sentences and in third person.)
7. Recommendations & Plan Adjustments
[Details of recommendations provided to the participant to improve service delivery or support access, including changes to support mix, informal supports, or plan review recommendations] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank. Write in full sentences and in third person.)
8. Additional Notes / Observations
[Any further factual or objective observations, informal support changes, or relevant updates] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank. Write using objective, third-person language.)
9. Next Steps & Follow-Up
[Details of follow-up tasks, who is responsible, and intended timelines – such as booking case conferences, submitting referrals, or provider check-ins] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank. Write in third person using full sentences.)
(Never come up with your own participant details, actions, decisions, risks, or financial information – use only the transcript, contextual notes or case documentation as a reference. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, do not indicate that it is missing – simply omit the relevant placeholder or section. Use as many paragraphs or bullet points as needed, depending on the format, to accurately reflect the contents of the transcript.)