Joint working between LB Hillingdon and PCT to deliver Bercow Recommendations

Satwinder Saraon

(Children’s Specialist Services Manager, LBH)

Freda O’Driscoll

(Clinical Service Lead, Paediatric Therapies) April 2010

BERCOW REVIEW

• A National centrally commissioned review of provision for children and young people with SLCN • 40 Bercow Recommendations: To improve provision for children and young people with SLCN.

To improve understanding of the importance of communication

Bercow Driver for Change

• To ensure that early identification and interaction are recognised as essential • Over arching understanding that no single agency can deliver the 5 ECM outcomes in isolation.

Aim: To jointly plan, commission, and deliver universal, targeted and specialist services

Bercow Recommendations

•

Development of a Joint Commissioning Framework

• SLCN Steering group • Operational group established

Recommendations

cont’d

•

Robust system for early identification

• Early screening and intervention for SLCN • Clear pathways to be agreed • Health Promotion/ Prevention • Training • Monthly triage assessment

Recommendations

cont’d

•

Monitoring at Key Transition Points between LA & PCT

• Year 7 school transition groups for Children with SLCN • Speech / Language link • Transition information Secondary Schools

•

Recommendations

cont’d

0 5 years monitoring by PCT through “Child Health Promotion Programme”

• Leaflets / parent information packs • Universal Health questionnaires • 8 months and 2 years • ECAT- Every Child A Talker

•

Recommendations

cont’d

Range of information, advice and support should be readily available to families.

• Preschool and school age information packs and resources • Training of HV Teams to support parent information/advice • Speech and Language Link resources and information • Joined up working between schools, Health and Education across universal, targeted and specialist support • Information available through Children’s Information Services (early years)

Recommendations

cont’d

•

SLCN – identified and prioritised by all Children’s Centres.

• New Commissioning opportunities • Wellcomm • Monthly drop-in triage assessment session • Training for Children’s Centres

Recommendations

cont’d

Workforce development

• Range of training for a range of professionals to be developed.

• SCLN workstream mapping current training provision and identifying gaps/ current and future needs/ tracking impact.

• Supporting SpeechLink / Wellcomm Tools • Training Teaching Assistants • Training for Foundation Staff (KS1) • ELKLAN – Link highly skilled TAs.

SLT and LAS; Mainstream Schools Integrated Model For Joint Working Wave 1 – Universal

w Embed Screening Tool ( SpeechLink and LanguageLink) w Advising on Language Group work in schools w Provide Parental Information w Inclusion Development Plan (IDP Team, SO’B) w Provision planning in schools w Vocabulary Project – Secondary Pilot w Language enrichment and the curriculum w Joint planning – general SLCN in schools w Training including IDP team Led by Speech and Language Therapy (SALT) Led by Language Advisory Team

Wave 2 – Targeted

w Joint planning – caseload / input / support w Language groups – advice, support and monitoring (Amber children w Amber children – speech, dysfluency etc.

w Targeted training w Advice for Teaching Assistants w Curriculum Differentiation w ELKLAN Training – Class Teachers & Teaching Assistants

Wave 3 – Specialist

w Social communication w Severe Language Disorders w Severe Speech Disorders w AAC Needs w Physical Disabilities w Hearing Impairment w Selective Mutes w Severe Dysfluencies / Stammering w Complex medical conditions

(Acquired Brain Injury [ABI], Cleft Palate, Down’s Syndrome)

May be provided by SALT and / or Language Advisory Team (Joint planning and discussion) Further support from/ linking with IDP team

Identification Early Intervention – SpeechLink/ Language Link The package

• Computer based speech screen for developmental speech difficulties (recommended age for use 4-8 years) • Web site with detailed information and resources on supporting children with speech difficulties • To be administered by teacher or teaching assistant who can then directly access and implement speech sound programmes based on individual child’s profile.

The screen

• For children aged 4-8 years • • Language Link screen for all children on reception entry.

Speech Link screened for any child with “immature Speech” • Looks at the ability to produce sounds at the beginning and end of words • Both screens takes 15 minutes each to administer by TA’s or Teachers

Speech Link Website

• Speech development information • Handouts for parents • Full range of speech programmes • Printable picture resources • Demonstration video • Computer based speech games

•

Language Link Website

Language development • Language difficulties explained • Encouraging spoken language • General classroom strategies • Handouts for parents • Range of language programmes for school implementation • Printable picture resources

Next Steps

• 49 Schools currently signed up to the training • Training programme June/September • Screening starts in September for language for all Reception aged children • January- Screening for speech • Continuing Operational Group work streams to deliver on Bercow priorities