Speech and Language Therapy Update

1. Speech and Language Therapy Update Gill Clarke Advanced Clinical Specialist Lead for Training

2. What’s new? Team re-structure in 2014 • Professional Clinical Manager – Vicky Mulvana • Team Leader – Alison Brown • Professional Lead – Louise Watkins • Team of specialist therapists

3. Advanced Clinical Specialists • Autism – Maria Lahaniati • Complex Needs – Rachel Shearer • Dysphagia – Pippa Hutton • Dysfluency – Helen Lennox • Hearing Impairment – Jo Mitchelmore • Specific Language Impairment including selective mutism – Charlotte Firth (Scarb) • Transitions – Suzanne Thurling • Training – Gill Clarke

4. Children may be seen at…. • Community Clinics • Mainstream schools • CDC • Hob Moor Oaks • Applefields • Haxby Road ERP

5. Referrals 0-5 through drop in clinics Y1+ direct referral

6. Training New Role = Blank Canvas! Schools are a starting point because we already have established training packages to build on.

7. Why Training? • Because we know it works! • E.g. in school based therapy, research shows that children make better progress on SLC targets when the TAs have received training. • SEN reforms – teachers are responsible for the progress of every child’s progress, including spoken language - we can help with this! • If you focus on developing spoken language it will impact on written language – we can support others in developing spoken language.

8. Outcomes for children with SLCN • A child’s vocabulary at 5 is a significant predictor of educational success at 30 • 50 – 90% of children with persistent SLCN go on to have reading difficulties. • Only 20% of children with SLCN reach expected levels for English and Maths at age 11. • 13.8% of pupils with SLCN gain GCSE A*-C including maths and English compared to 60.6% of their peers (DfE 2013) • Narrative skills at 3-6 years is a powerful predictor of literacy skills at 8-12 years

9. New National Curriculum What’s new for Speaking and Listening? • Now called ‘spoken language’ but includes understanding. • A minimal programme of study that isn’t age differentiated and covers the whole of primary. • Language is a cross curricular theme. • A stronger focus on teaching vocabulary and grammar explicitly. • Oral language is central to the school curriculum • But – there is nothing on how spoken language should be taught!

10. Key studies show that a focus on communication makes a difference in outcomes for children Pupils with good language skills do better at school There is an explicit link between spoken language and achievement The current curriculum acknowledges the importance of oral language. The speech and language therapy team can offer training on all aspects of spoken language.

11. What next? It’s the perfect time to be looking at the development of a training programmes on developing speech, language and communication. Information gathering stage.

12. Who would benefit from training in speech, language and communication? • Schools • Nurseries – private and LA • Child minders • Children’s centre staff • Youth offending teams • Health visitors • Respite carers/foster carers • Any other ideas!

13. Are you part of a team that would benefit from training in speech, language and communication? • Do you have ideas on a training service could develop? • Then get in touch!

14. Gill Clarke Email Gillian.Clarke@york.nhs.uk Tel 01904 724915 Mob 07854 195543 Tadcaster Health Centre Crab Garth Tadcaster North Yorkshire LS24 8HD