Trafford’s Speech and Trafford’s Speech and Language Therapy Service – an Language Therapy Service – an

updateupdateNadine ArdittiNadine Arditti

Clinical Lead Speech and Language Therapist for Clinical Lead Speech and Language Therapist for Service Development Service Development

April 2013April 2013

Referral into SLT for EYReferral into SLT for EY

Speech and Language Therapy Speech and Language Therapy Screening AssessmentsScreening Assessments

Refer via a written referral into the department. Refer via a written referral into the department. Parents can self refer but the information that Parents can self refer but the information that

professionals supply via a written referral is vital in the professionals supply via a written referral is vital in the triaging of referrals.triaging of referrals.

Referrals are triaged by SLT manager.Referrals are triaged by SLT manager. Pre school children tend to go to the screening Pre school children tend to go to the screening

assessment or the Targeted SLT Service.assessment or the Targeted SLT Service.

Communication Strategies Communication Strategies GroupsGroups

Monthly groups are held at Timperley Health Centre or Woodsend Monthly groups are held at Timperley Health Centre or Woodsend Clinic. Clinic.

The groups are for parents only. The groups are for parents only. There are groups for language (120 minutes) and dysfluency There are groups for language (120 minutes) and dysfluency

(stammering) (90 minutes).(stammering) (90 minutes). The groups are informal and interactive and share information with The groups are informal and interactive and share information with

parents on how language develops and how to support children’s parents on how language develops and how to support children’s speech and language/fluency development. Parents are shown a speech and language/fluency development. Parents are shown a PowerPoint presentation and videos and are given written materials PowerPoint presentation and videos and are given written materials to support their learning.to support their learning.

Unless specified at the screening assessment, children are offered Unless specified at the screening assessment, children are offered an 8 week telephone review, followed by a 12 week clinic review, if an 8 week telephone review, followed by a 12 week clinic review, if required.required.

Parental feedback has been excellent for the groups.Parental feedback has been excellent for the groups. Attendance at the Communication Strategies Groups is the Attendance at the Communication Strategies Groups is the

precursor to therapy.precursor to therapy.

Small TalkSmall Talk

Small Talk is a short course held at CC which has been Small Talk is a short course held at CC which has been planned specifically to address the need for early language planned specifically to address the need for early language support for two year olds who do not achieve the expressive support for two year olds who do not achieve the expressive language element of their two year check and who have no language element of their two year check and who have no other developmental concerns.other developmental concerns.

The group takes place once a week for 6 weeks, each The group takes place once a week for 6 weeks, each session lasts 90 minutes and is play based. The emphasis session lasts 90 minutes and is play based. The emphasis is on parents developing supportive language skills, activity is on parents developing supportive language skills, activity ideas and strategies that they can continue at home. ideas and strategies that they can continue at home. Delivery includes the following; the principles of the EYFS, Delivery includes the following; the principles of the EYFS, consistent use of Signalong, use of the ECAT monitoring tool consistent use of Signalong, use of the ECAT monitoring tool and ICAN resources.and ICAN resources.

Small Talk will enable parents to develop a positive early Small Talk will enable parents to develop a positive early home learning environment. This has the potential to home learning environment. This has the potential to improve outcomes for their child and contribute to readiness improve outcomes for their child and contribute to readiness for school.for school.

Referral into ClinicReferral into Clinic

Older children or children requiring further Older children or children requiring further assessment or clinic based therapy are assessment or clinic based therapy are transferred directly to their local clinics. transferred directly to their local clinics. Clinics are now based at:Clinics are now based at:

Timperley Health CentreTimperley Health Centre Conway Road Health CentreConway Road Health Centre Partington Health CentrePartington Health Centre Seymour Grove Health CentreSeymour Grove Health Centre Delamere CentreDelamere Centre Woodsend Health CentreWoodsend Health Centre

Early Years SLT ServiceEarly Years SLT Service For children who present with For children who present with

significant, complex or specific significant, complex or specific speech, language and speech, language and communication needscommunication needs

Their needs cannot be met through Their needs cannot be met through the community clinic service.the community clinic service.

The children would benefit from The children would benefit from home and nursery visits.home and nursery visits.

Early Years Assessment Early Years Assessment Groups (EYAG)Groups (EYAG)

For children with more complex needs who require further For children with more complex needs who require further assessment of their speech and language development assessment of their speech and language development and would benefit from being assessed in a group setting.and would benefit from being assessed in a group setting.

The group is run by a Highly Specialist SLT, Children’s The group is run by a Highly Specialist SLT, Children’s Centre teacher and a SLT Support worker.Centre teacher and a SLT Support worker.

Parents are given a detailed written report following the Parents are given a detailed written report following the group and referrals to all relevant agencies are undertaken group and referrals to all relevant agencies are undertaken from the group.from the group.

The groups were run in the Children’s Centres, however The groups were run in the Children’s Centres, however with changes to the CC, the assessments may be done with changes to the CC, the assessments may be done during home and nursery visits.during home and nursery visits.

Children with Speech Sound Children with Speech Sound DifficultiesDifficulties

Children with speech sound disorders (unusual Children with speech sound disorders (unusual patterns) will be prioritised.patterns) will be prioritised.

Children with mildly delayed speech sound Children with mildly delayed speech sound systems will not be seen for therapy until the systems will not be seen for therapy until the final term of reception, If required. There is a final term of reception, If required. There is a strong evidence base to support this.strong evidence base to support this.

Please continue to refer in children where there Please continue to refer in children where there are concerns about speech clarity, but please be are concerns about speech clarity, but please be aware that these children may be discharged aware that these children may be discharged with advice.with advice.

Targeted SLT ServiceTargeted SLT Service This is an assessment and engagement service for This is an assessment and engagement service for

children who:children who: Are unlikely to access mainstream services or there is Are unlikely to access mainstream services or there is

a history of non-attendance at health appointments.a history of non-attendance at health appointments. For children who are subject to a multi-agency child For children who are subject to a multi-agency child

protection plan or are deemed a ‘child in need’.protection plan or are deemed a ‘child in need’. Where there is likely to be a negative impact on the Where there is likely to be a negative impact on the

child’s educational, social or emotional wellbeing if the child’s educational, social or emotional wellbeing if the child does not access support for their speech, child does not access support for their speech, language and communication needs.language and communication needs.

Children will be referred on to the relevant department Children will be referred on to the relevant department after initial assessment.after initial assessment.

SLT SLT Jen Davies Jen Davies (please ensure details re the child’s (please ensure details re the child’s social worker are included)social worker are included)

School servicesSchool services Special schoolsSpecial schools; Pictor, Delamere, Longford Park, ; Pictor, Delamere, Longford Park,

Brentwood, Manor High Brentwood, Manor High Inclusive Nursery – Inclusive Nursery – Acre Hall Primary. For children with Acre Hall Primary. For children with

SLISLISLT SLT Suzanne Pickstone Suzanne Pickstone

Small specialist classes; Small specialist classes; Acre Hall (infant & junior), Acre Hall (infant & junior), Moorlands (junior), The Firs (junior), Barton Clough, Moorlands (junior), The Firs (junior), Barton Clough, Wellfield (infants/ Junior) – support pupils/ teaching staff Wellfield (infants/ Junior) – support pupils/ teaching staff via specialised/ targeted training, individual therapy via specialised/ targeted training, individual therapy programmesprogrammesSLT SLT Nadine Arditti - juniors (Acre Hall, The Firs, Nadine Arditti - juniors (Acre Hall, The Firs, Moorlands), Penny Moran (Barton Clough/ Acre Hall Moorlands), Penny Moran (Barton Clough/ Acre Hall infants), Jennie Fleetwood (Wellfield Infants), Jen Wilson infants), Jennie Fleetwood (Wellfield Infants), Jen Wilson (Wellfield Juniors)(Wellfield Juniors)

School ServicesSchool Services

• Language Outreach Service – Language Outreach Service – For For children with SLI in mainstreamchildren with SLI in mainstream

SLTs SLTs Debbie Swift & Lucy McGill Debbie Swift & Lucy McGill

• PIPS – Partington Inclusion primary PIPS – Partington Inclusion primary Service – Service – SLT Nadine ArdittiSLT Nadine Arditti

School ServicesSchool Services School Support Team – School Support Team – support for children support for children with with

language and communication difficulties that are having language and communication difficulties that are having a medium-high impact on their learning. The child has a medium-high impact on their learning. The child has been placed at School Action/ Plus on the Code Of been placed at School Action/ Plus on the Code Of Practice or has a Statement of Special Educational Practice or has a Statement of Special Educational Needs. We offer termly visits.Needs. We offer termly visits.SLTs SLTs Eleanor Taylor, Rebecca Myles, Lucy McGill, Eleanor Taylor, Rebecca Myles, Lucy McGill, Nadine Arditti and Penny MoranNadine Arditti and Penny Moran

ASD Mainstream Service – ASD Mainstream Service – To provide assessment to To provide assessment to support in the diagnosis of ASD as part of a multi-support in the diagnosis of ASD as part of a multi-professional team (neurodevelopmental pathway), or for professional team (neurodevelopmental pathway), or for intervention with children already diagnosedintervention with children already diagnosedSLTsSLTs Mali Rashidi (primary), Christine Suddons Mali Rashidi (primary), Christine Suddons (secondary)(secondary)

Language Outreach ModerationLanguage Outreach Moderation

A moderation panel meets usually every A moderation panel meets usually every half term to discuss pupils and the support half term to discuss pupils and the support that has been requested.that has been requested.

SLTs form part of the panel with other SLTs form part of the panel with other professionals such as Educational professionals such as Educational Psychologists.Psychologists.

LO Moderation PaperworkLO Moderation Paperwork

SLTs and schools complete the request for SLTs and schools complete the request for Language Outreach support (Language Outreach support (www.traffordlearning.orgwww.traffordlearning.org))

Include the SEN criteria checklist for speech and Include the SEN criteria checklist for speech and language difficulties at SA+language difficulties at SA+

Include additional evidence from the SLT and Include additional evidence from the SLT and school which indicates the child has a school which indicates the child has a severe/complex speech and language difficulty severe/complex speech and language difficulty with strengths in areas of thinking and with strengths in areas of thinking and development which do not require language.development which do not require language.

GPsGPs

SLT will only accept referrals for children SLT will only accept referrals for children with Trafford GPs. with Trafford GPs.

School aged children who live in and attend School aged children who live in and attend a school in Trafford, but have a Manchester a school in Trafford, but have a Manchester GP, should be referred to Manchester SLT GP, should be referred to Manchester SLT department for assessment. Trafford SLT department for assessment. Trafford SLT department then has a service level department then has a service level agreement with Manchester SLT Department agreement with Manchester SLT Department in which Trafford will provide therapy.in which Trafford will provide therapy.

How to referHow to refer CYPS Complex and Additional Needs TeamCYPS Complex and Additional Needs Team

SLT DepartmentSLT DepartmentCherry Manor CentreCherry Manor CentreCherry LaneCherry LaneSaleSaleCheshireCheshireM33 4GYM33 4GY0161 912 25920161 912 2592

Need pupil’s details (DoB, address) with signed parental Need pupil’s details (DoB, address) with signed parental consent.consent.

Referral form can be accessed on the Trafford learning Referral form can be accessed on the Trafford learning website; website; http://www.traffordlearning.org/trafford/Sections/public_hthttp://www.traffordlearning.org/trafford/Sections/public_html/Teaching/sen/TraffordSLTpage.htmml/Teaching/sen/TraffordSLTpage.htm along with pre-referral questionnaires along with pre-referral questionnaires

CommissioningCommissioning

Additional SLT time can be commissioned Additional SLT time can be commissioned directly from Trafford’s Speech and directly from Trafford’s Speech and Language Therapy service for specific Language Therapy service for specific project if schools wish to buy this in. project if schools wish to buy this in. Please contact Nadine Arditti, Clinical Please contact Nadine Arditti, Clinical Lead Speech and Language Therapist to Lead Speech and Language Therapist to discuss; discuss; nadine.arditti@trafford.nhs.uknadine.arditti@trafford.nhs.uk 0161 912 2592 Cherry Manor Centre0161 912 2592 Cherry Manor Centre