Speech, Language and Communication Re-design Showcasing Integrated Transformation

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

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’

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

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

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.

The Speech and Language Specialists

Why Speech and Language? “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) “Early speech, language and communication difficulties are a very significant predictor of later literacy difficulties” Snowling (2006) Lots of research has shown that a child’s language skills at school entry is an excellent predictor of later attainment.

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

Language and Wellbeing? 66% of children with serious behaviour difficulties have underlying language impairments many of which are undiagnosed” Cohen et al (1998) For many of these pupils their language difficulties had been undetected for many years. 40% 7-24 years olds referred to Child Psychiatric services also have language impairments.

The National Picture Specific difficulty Additional difficulty Hidden difficulty

Listening and Attention Where we come in…. Literacy Speech Spoken Language Understanding Listening and Attention Some aspects of communication are easy to observe and some are not. Understanding not easily observable.

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

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

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

Speech Link Results Speech Link total score Recommendations Next steps Established sounds Intelligibility ratings Total score: New feature. Total score is out of the maximum score. This varies across regions. Speech Sounds Established: Shows which sounds are established and OK for this child. This will show where we would not expect sounds to be established yet for a child of this age. Intelligibility ratings: Form the progress measures for Speech Link. More on this later!

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

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

Working with parents Information sheets Homework activities

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

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

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

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

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

The pupil card Language Link and Speech Link results Recommendations Class strategies Pupil responses Pupil Report Pupil Provision map EAL pupils Within a pupil card you can view anything that has been happening for that pupil. It will show the most recent assessment results and the current recommendations for both Language Link and Speech Link where relevant. You can view the class strategies recommended to support this pupil and you can view the most recent assessment responses in detail. You can also view the pupil’s individual report and pupil provision map – More of these later! GO TO Year R1 AND OPEN ALEXANDRA OWEN

Pupil Report Assessment summary Progress measures Language Interventions Speech Interventions The assessment summary will show all the assessments for the pupil across all products. Will build up over time. Most recent results are always shown first.

Report Instant live reports Assessment summary Class Year Level of need Current Interventions and outcomes Patterns and trends Class Year Key stage Whole school Both Language Link and Speech Link information for the class are shown on the same report. Stars with language Link assessment results. Same table as before so you can see which sections of the assessment are causing problems. Then pie charts show percentage of pupils in the cohort who are red blue etc. Chart for whole cohort, just not EAL and just EAL

Provision mapping Class Year Key stage Whole school 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 Both Language Link and Speech Link information for the class are shown on the same report. Stars with language Link assessment results. Same table as before so you can see which sections of the assessment are causing problems. Then pie charts show percentage of pupils in the cohort who are red blue etc. Chart for whole cohort, just not EAL and just EAL

Language Link Intervention Planned language groups Individual supplementary teaching plans

Group interventions Children recommended for groups Quick and easy set up Progress tracked online All resources provided Very easy to add and remove pupils from this page. You can also see which other groups pupils have been recommended for, which are in progress and the outcome of any completed groups.

Language Link Groups

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

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

The rest of the website Language in the classroom Language development 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

Online Training Video walk through

And if all that wasn’t enough….. Training Help Desk 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

The Speech and Language Specialists