1. Cleft Lip and Palate The impact on speech & language development Ginette Phippen MRCSLT,BSc,PGCert Lead Specialist Speech & Language Therapist The Spires Cleft Centre

2. Impact Feeding Speech Self esteem Language

3. Other factors Hearing Hearing Syndrome Syndrome Language disorder Language disorder Other medical problems Other medical problems

4. What do we look at? Language development Language development ‘Nasal speech’ ‘Nasal speech’ Speech sounds Speech sounds Swallowing Swallowing

5. The child’s network Child Community SLT Centre SLT Link SLT

6. Therapy and Surgery Speech sounds Speech sounds Language Language Nasal speech Nasal speech

7. Questions Why do some children do better than others? Why do some children do better than others? Does early intervention help? Does early intervention help? How do we know who might need surgery for speech? How do we know who might need surgery for speech? Does pre-surgical orthopaedics help ? Does pre-surgical orthopaedics help ? Can jaw surgery affect speech? Can jaw surgery affect speech? Can speech be improved by palate exercises? Can speech be improved by palate exercises?

8. All about Speech Therapy By Sam aged 7

9. Thank you for listening ginette.phippen@salisbury.nhs.uk