Speech, Language and Communication Re-design

1. Speech, Language and Communication Re-design Showcasing Integrated Transformation

2. The Challenge in Specialist Health provision • 7-14% of all children and young people likely to have some kind of SLC need • Levels of deprivation and social mobility strongly influence prevalence – Suffolk is a patchwork • Current caseload for specialist service for East and west Suffolk is 3565 • High numbers of children not being seen within the 18 weeks target • Fragmented pathways and inequity of support

3. Guiding Principles – set by the Steering Group but tested with parents and carers • A child and family needs-led service; • A fully integrated service - both universal and specialist services; • Shared responsibility – everybody’s business, across the whole system – bringing clarity of roles and accountability; • Skills and knowledge across the whole system to support CYP with SLCN; • A clear, visible, well understood pathway, open and transparent and easy to navigate; • An equitable, consistent, sustainable and realistic offer; • Early identification and timely impactful intervention – at every stage; • Outcomes focused, evidence based and jointly owned; • ‘Train my parents and my teachers, they know me best’

4. So what did we do….. • Mapped the current range of services - really showed the complexity, how difficult it must be for parents and carers • Designed a new integrated model based on the guiding principles • Walked through real case studies – refined it and refined it and refined it! • Tested it with parents and carers and refined it some more – three workshops • Researched prevalence/need and agreed a set of assumptions • Use these to develop an activity and finance model – led by Public Health • Produced a business case to seek investment • In the meantime we took opportunities and got transformation funding for one-off investment

5. Proposed Integrated Model – Key Features • Equip universal settings to screen – intervene – screen (Health Visitors, Family Support practitioners, Early Years and Primary Schools) • Makaton training • Wellcom packs • Speech Link and Language Link • Enhanced outreach offer to support more children within mainstream education settings • Investment in specialist provision to meet need based on activity and finance model and a new approach to workforce to better utilise skills £1 million over 2 years • Extension of Suffolk Communication And Resource Centre provision to age 25 years

6. How will it impact Children and Young People? • Health Visitors and Early Years will have the skills and resources to identify SLC needs more effectively ensuring that children and parents/carers get the support they need early • Primary schools will be given the resources to be able to assess needs of children, provide support early (including supporting parents) and will know when it is appropriate to refer a child to specialist health provision to get additional help • Schools will benefit from an extended education outreach offer which means more support for children with identified SLC needs who are in mainstream education settings • Specialist health provision will have sufficient resources to support children quicker and to be able to support and train universal settings so that only referrals that need specialist support are made • This includes sufficient resources to support those children in specialist education settings – additional OT and PT also provided • Those young people who make use of communication aids will continue to be supported to age 25, rather than the service ceasing at 18 years.

7. The Speech and Language Specialists

8. Why Speech and Language? “Early speech, language and communication difficulties are a very significant predictor of later literacy difficulties” Snowling (2006) “Children who enter school with poorly developed speech and language skills are at risk of educational underachievement” Conti Ramsden et al (2009), Dockrell et al (2011)

9. Language and Attainment? “Children with SLCN are amongst the poorest performers of all the SEN groups at GCSE level”

10. Language and Wellbeing? 66% of children with serious behaviour difficulties have underlying language impairments many of which are undiagnosed” Cohen et al (1998)

11. The National Picture Specific difficulty Additional difficulty Hidden difficulty

12. Where we come in….

13. All our packages provide: • Robust assessments • Tailored interventions • Instant reports and analysis • Information for parents • Measured outcomes • Help desk support

15. Speech Link • Screening tool for developmental speech difficulties • Tailored programmes and resources for working on common speech sound errors • Online Listening games • Parents programmes • In package training From £150 set up £180 annually +VAT

16. Speech Link Assessment • 4 – 8 years • Identifies which children need to be seen by SaLT • Considers initial and final consonant sounds • Takes 15 minutes

17. Speech Link Results • Speech Link total score • Recommendations • Next steps • Established sounds • Intelligibility ratings

18. Speech Link Intervention • Clear seven step programmes • In built training • Large bank of printable resources

19. Speech Link Intervention • Online listening games • 5 levels • Suitable for ALL pupils

20. Working with parents • Information sheets • Homework activities

21. In Package Training • How speech sounds are produced • Working with speech • Video walk throughs

22. The rest of the website….. • Speech development tables • Speech and literacy • Impact of speech difficulties • Developing speech in the classroom • How speech sounds are produced

24. Infant Language Link • Standardised assessment of understanding of language • Tailored programmes for supporting developmental language difficulties • Reporting at pupil, class and whole school level • Planned small group interventions • Printable classroom resources • Information for parents • In package training From £150 set up £275 annually +VAT

25. Infant Language Link • Universal screen in year R • Builds an individual profile for each child • Builds a whole class profile • Allows identified children to be tracked through Key Stage 1 • Offers a whole school approach

26. The Assessment • 8 key areas of understanding • Concepts • Instructions • Verb Tenses • Pronouns • Negatives • Questions • Reasoning • Vocabulary “Who has the most?”

27. The pupil card • Language Link and Speech Link results • Recommendations • Class strategies • Pupil responses • Pupil Report • Pupil Provision map • EAL pupils

28. Pupil Report • Assessment summary • Progress measures • Language Interventions • Speech Interventions

29. Report • Instant live reports • Assessment summary • Level of need • Current Interventions and outcomes • Patterns and trends Class Year Key stage Whole school

30. Provision • mapping • Summary of interventions • past and present • Record of outcomes of completed interventions • Entry and exit data for progress measures Class Year Key stage Whole school

31. Language Link Intervention Planned language groups Individual supplementary teaching plans

32. Group interventions Children recommended for groups Quick and easy set up Progress tracked online All resources provided

33. Language Link Groups

34. Working with parents • General information about supporting language development • Information sheet on each area of language from the assessment • Home practice activities

35. Measured outcomes • Effectiveness of group interventions • Supplementary teaching outcomes • Measurement of teacher, parent and pupil views

36. The rest of the website • Language in the classroom • Language difficulties explained • Working on vocabulary • Developing spoken language • Differentiation for SLCN • Role of the SaLT • Useful websites • Language development • Look up tables • Understanding • Spoken language • Social language • Vocabulary

37. Online Training • Video walk through

38. And if all that wasn’t enough….. Help Desk Training Open 8.30 - 5.00 Open during school holidays Staffed by: • Bespoke INSET days • Regional events • Online CPD courses • SALTs • Staff with school experience • Technical team

39. The Speech and Language Specialists