2. Bolton, where?

4. Service Specification… … To lead and facilitate a ‘whole systems’ approach to meeting the speech, language and communication and dysphagia needs of the children and young people within Bolton.

5. Achieved by working collaboratively with Partners within integrated frameworks. This enables the provision of a comprehensive service that supports children and young people within the universal, targeted and specialist populations.

6. Representing…… Early Years Quality Improvement Team Health Visiting Team Special Schools Team Midwifery Team NHS Bolton LA Commissioner Team YOT Statutory Assessment and Inclusion Team School Quality Improvement Team Midwifery Team

7. Figure 7 Workforce deployment pyramid for integrated children’s services Children with additional needs Vulnerable Children All children SLT Others Targeted Services Universal Services Specialist Services Service focus Proportion of SLT time per Child Specialist Workforce Population Figure 7 Workforce deployment pyramid for integrated children’s services Paediatric Speech and Language Therapy Service RCSLT Position Paper 2006

8. A ssessment and Short Term Intervention Assessment and Long Term Intervention Mainstream Services Assessment and Long Term Intervention -Complex Needs Paediatric Speech and Language Therapy Service Duty of Care Population Child, Young Person, Family and Team working with them. Referrer Population Discharge Prevention and Facilitation Referral for Assessment, Consultation and Advice Care Pathways

9. A ssessment and Short Term Intervention Assessment and Long Term Intervention Mainstream Services Assessment and Long Term Intervention -Complex Needs Paediatric Speech and Language Therapy Service Duty of Care Population Child, Young Person, Family and Team working with them. Referrer Population Discharge Prevention and Facilitation Referral for Assessment, Consultation and Advice Care Pathways

10. Prevention and Facilitation…. Midwifery Team Health Visiting Team Children Centre’s Team Early Years Quality Improvement Team School Quality Improvement Team Parents Children and Young People’s Workforce

11. Challenging context – all children (EYFSP 2011) 3589 children Children Eligible for Free School Meals 22.7% Children who speak English as an Additional Language 25.3% Children who are BME 32.2% Children who have an Identified SEN 8.5% Children Living in 30% Most Deprived Areas 58.4%

12. ECaT programme 2009- 11 20 schools and settings with children age 3-4 14 linked settings Improvements for all PSED and CLL scales

13. ECaT outcomes Approx 1200 children 15% reduction in children at risk of delay (listening and attention) July 09 to July 10; 18% reduction in children at risk of delay (understanding language) July 09 to July 10; 22% reduction in children at risk of delay (speech sounds and talk) July 09 to July 10; 26% reduction in children at risk of delay (social skills) July 09 to July 10

14. The keys to success High quality programme of staff training and development and hands-on coaching, modelling in the setting Commitment from senior leaders and strategic use of data Lead Practitioner/Champion in every setting driving the programme Cluster meetings and settings providing support to other settings High levels of parental involvement Specialist consultancy and support provided by Speech and language Therapists and Early Years Consultants

15. A focus on communication Continued commitment from Bolton Council to Every Child a Talker (ECaT) programme All early years settings to identify a Communication Champion –Launched at ‘Learn to Communicate- Communicate to Learn’ September 2011 Funded a newly created post of Communication Coordinator to lead, support and develop the Communication Champion Programme Bolton Paediatric Speech and Language Therapy Service committed to 0.5 FTE Speech and Language Therapist to work collaboratively with Communication Coordinator. Developing an early years communication strategy as part of a revised early years educational improvement strategy

16. Next Steps….. School Quality Improvement team Health Visiting Team Midwifery Team

17. A ssessment and Short Term Intervention Assessment and Long Term Intervention Mainstream Services Assessment and Long Term Intervention -Complex Needs Paediatric Speech and Language Therapy Service Duty of Care Population Child, Young Person, Family and Team working with them. Referrer Population Discharge Prevention and Facilitation Referral for Assessment, Consultation and Advice Care Pathways

18. A Key Message … Request for involvement with child, young person and family Consultation, Assessment and Advice. Intervention Packages

19. A ssessment and Short Term Intervention Assessment and Long Term Intervention Mainstream Services Assessment and Long Term Intervention -Complex Needs Paediatric Speech and Language Therapy Service Duty of Care Population Child, Young Person, Family and Team working with them. Referrer Population Discharge Prevention and Facilitation Referral for Assessment, Consultation and Advice Care Pathways

20. A Key Message … ‘Right people doing the right things’ Trans-disciplinary Care Pathways RCSLT Position Paper 2006 Selective Mutism ASD

21. A Key Message … Skill Mixed Teams Operational Leadership Professional Leadership Assistant Practitioners Assistants

22. Thank you ……. RCSLT ICAN AFASIC ELKLAN Jean Gross Marie Gascoigne Kate Malcolmess ++++++