1. Children’s Therapy Services

2. Who are Children’s Therapy Services CEAS - Children’s Equipment and adaptations OT - Occupational Therapy Physio - Physiotherapy SLT/SALT Speech and Language therapy Funded by both NHS & Education

3. What do we do? CEAS The Children's Equipment and Adaptations Service is an established service funded by Social Services and the CCG. Specialist Occupational Therapists and Support Staff provide advice and/or assess for equipment and/or adaptations that would address difficulties with activities of daily living in the home, e.g. access to spaces, bathing, toileting and safety.

4. Wash & Dry Toilet Ceiling Track Hoist

5. Access

6. Safety

7. What do we do? OT Occupational Therapists assess and provide strategies to support carrying out the activities of daily living. Gross/fine motor skills -improving postural stability and co-ordinating the two sides of the body/ improved hand-eye co-ordination and hand function to help with scissor skills, tying laces and buttoning clothes

9. What do we do? Graphic Skills - handwriting and pencil grip Increasing independence in feeding, dressing skills and personal hygiene Identifying Equipment

11. What do we do? Sensory processing -strategies to ensure that the child is in the optimum state of alertness for learning and reduce challenging behaviour Perceptual skills /Auditory /visual perception - developing body awareness through movement programmes, strategies to support how your child interprets and uses the information taken in through the eyes and ears for learning

12. Stability Wedge Cushion

14. Physio The Children’s Physiotherapy Service sees children who have a physical impairment or disability or are in need of rehabilitation following an accident or surgery. These children would have difficulties with mobility, muscle strength, range of movement, balance, respiratory or neurological conditions.

15. Physio’s are also involved with the provision of equipment to support mobility/ reduce pain.

17. SLT The Speech and Language Therapy service provides assessment, diagnosis, advice and treatment for children with a range of speech, language and communication and swallowing difficulties. Severe speech or language delay (i.e. over 12 months delay) Stammering Selective mute

18. Children with complex social communication needs including Autism Spectrum Conditions. Severe speech sounds difficulties – i.e. unclear speech Feeding and swallowing difficulties

19. For school age children in mainstream schools the NHS commissions SLT to provide the Foundation offer of assessment and first episode of care. Education then hold the duty to meet any ongoing speech and language and communication needs under the Special educational needs code of practice.

20. How to access services Concerns Identify need – parent or education/health Local assessments - local interventions at nursery, children’s centre, school Still Concerned One area of need – single referral Range of needs – CAF then referral to multiple agencies Ring us as a parent/carer Assessments Assessments by specialists –clincial observations/standardised assessments giving centile scores (NHS goal to see new referrals for treatment within 18 weeks)

21. How to access services Plan Consider all findings and create individual plan Do Intervention programme written – carried out in a variety of ways Review What progress has been made, are the strategies needed in place?

22. Discharge / Exit Services Skills within typical range Strategies are in place for ongoing needs Skills are achieved – just generalisation needed in environment Needs are mild/moderate – to be met by advice by people in environment NHS core offer has ended Reaches end of year 11.

23. The challenges: · Capacity of all services · across the whole system · Waiting times to access the different services · different priorities for each service · Information sharing / IT systems · Recruiting qualified children’s physios Challenges

24. OT programme devised by Stockport OTs in collaboration with LSS and rolled out across schools. Moving and Handling Training in to schools/ respite care Footsteps clinic – joint physio & podiatry. Joint equipment panel with Education & Home equipment store

25. Successes Narrative Therapy WhoWhereWhat When End Makaton Training Training programmes Preventative Programmes Phonological Awareness Programmes Published Packs: Part of the Multi-agency Autism pathway

26. Successes Empowering parents Flexibility Multi-agency working Supporting SEN process Solution focussed therapy Holistic assessments

27. Outcomes we achieve Educational attainment Increased Independence Emotional Wellbeing Expression of opinions/ Improved functioning in daily activities Improved mobility and reduced pain Safety for children/young people and families

28. Question’s