1. Speech, Language and Communication Re-design
Showcasing Integrated Transformation

2. 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

3. 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’

4. 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

5. 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

6. 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.

7. The Speech and Language Specialists

8. 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.

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

10. 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.

11. The National Picture Specific difficulty Additional difficulty
Hidden difficulty

12. 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.

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

15. 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

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

17. 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!

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

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

20. Working with parents
Information sheets
Homework activities

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

22. 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

24. 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

25. 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

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

27. 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

28. 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.

29. 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

30. 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

31. Language Link Intervention
Planned language groups
Individual supplementary teaching plans

32. 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.

33. Language Link Groups

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

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

36. 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

37. Online Training
Video walk through

38. And if all that wasn’t enough…..
Training
Help Desk
Open
Open during school holidays
Staffed by:
Bespoke INSET days
Regional events
Online CPD courses
SALTs
Staff with school experience
Technical team

39. The Speech and Language Specialists