1. Islington Additional Needs and Disability Service (IANDS) - Therapies Sally Fraser: Clinical Lead Speech & Language Therapist in Mainstream Schools Shonali Sullivan: Senior Occupational Therapist Isey Lane: Senior Physiotherapist

2. What do we do? IANDS helps children and young people who have additional health needs or disabilities and their families, e.g.: Physical disability Learning disability Speech, language and communication needs Social communication difficulties (e.g. ASD) Difficulties with development Difficulties with coordination Disorders that affect the body's muscles, joints, nerves, etc

3. Who are we? Speech and Language Therapists Occupational Therapists Physiotherapists Clinical Psychologists Community Paediatricians

4. Who are we? Early Years (under 5yrs old) –Social Communication Team –Early Years Development Team –Musculoskeletal Service (PT only) Over 5yrs old –Mainstream Schools –Special Schools –Musculoskeletal Service (PT only)

5. How do we do it? Speech & Language Therapy We work across primary and secondary mainstream schools with children from Reception through to College. Schools each have an ‘allocation’ of visits, which can vary depending on the needs of the school and its pupils. AREAS WE WORK WITH: Language needs Speech needs Social communication needs WE DON’T WORK WITH: Voice Fluency (stammering)

6. We offer: Initial assessments of a child’s speech, language and communication skills followed by a report and recommendations Continuous blocks of therapy for some individual children throughout the term Consultative support for some children, where we can give targeted advice and recommendations Whole-school support, which is aimed at developing the school’s ability to develop the speech, language and communication skills of all pupils Support to parents to help language and communication needs at home How do we do it? Speech & Language Therapy

7. Whole-school support Supporting schools to: identify pupils who may require additional support with speech, language and communication run language and communication groups and put in place communication-friendly strategies and approaches in classes We do this by: Offering training to school staff in schools on a wide range of communication topics. Giving advice, activities, ideas, and resources for school staff to use with pupils Working jointly with school staff in small groups and in the classroom to model ideas How do we do it? Speech & Language Therapy

8. Referrals accepted for generalised functional difficulties e.g. dressing, eating, P.E., handwriting AREAS WE WORK WITH: Co-ordination difficulties (particularly fine motor coordination), including developmental coordination disorder (DCD) Sensory processing difficulties Seating and specialist equipment Splinting for chronic conditions How do we do it? Occupational Therapy

9. WHAT WE DON’T DO: Wheelchair assessment/ prescription  Camden and Islington Wheelchair Service  Redcross Sensory Integration Therapy  College of Occupational Therapists Handwriting Skills  Schools Diagnosis of conditions (Developmental Coordination Disorder; Dyspraxia; Dyslexia)  Paediatrician (joint clinics); Educational Psychologists WHERE ARE WE? Based at the Northern Health Centre (Holloway Road) Work in homes, schools, clinics How do we do it? Occupational Therapy

10. Intervention can include: Advice and strategies to address the identified areas of difficulty Programmes for home / school to implement Advice on suitable equipment/ resources for home or school to purchase. Provision of specialist equipment for home Training in schools Goal directed treatment sessions at home/school/clinic – Ongoing direct treatment sessions are not offered Involvement of carers and school is integral How do we do it? Occupational Therapy

11. Primary and secondary mainstream schools AREAS WE WORK WITH: Developmental Co-ordination Disorder (DCD) / Global developmental delay Complex rheumatology (when MSK service not appropriate) Complex orthopaedic (when MSK service not appropriate) Oncology Neurological disorders Chronic pain Chronic Fatigue Syndrome WE DON’T WORK WITH: General fitness (sports clubs, school PE) People with no functional goal How do we do it? Physiotherapy

12. Primary aim is to enable and empower children, young people and their families. Intervention can include: Advice and strategies to address the identified areas of difficulty Programmes for home/school to implement Advice on suitable equipment/resources Goal directed treatment sessions at home/school/clinic/hydro –(ongoing direct treatment sessions are not offered) Involvement of carers and school is integral

13. How can you access us? One referral form for IANDS The central referral team will triage all referrals through a single point into the most appropriate service Most referrals are made by SENCOs, GPs, paediatricians and hospital ward staff Parents and clients are not able to self-refer

14. How can you access us? Speech and Language Therapy Majority of referrals to our service come from the school –School complete a ‘Quick Communication Checklist’ which helps us identify specifically the concerns –School discuss the potential referral with their link SLT –The link SLT then advises whether a referral is indicated. There may be times where the SLT suggests alternative action (i.e. referral to another agency, suggestions for school-based support) We do sometimes receive referrals from other professionals, such as GP, Paediatrician, health visitor, OT etc –In these instances, we make contact with the school to gather information regarding the child’s communication skills in the school context.

15. When do you leave us? Children will be discharged from the service for the following reasons: –Therapy goals are achieved –Ongoing support can be carried out at home/school independently –Transition to adult services –Transition to another service –Non-attendance of appointments –Non-response to request for further information Families and GP will receive a discharge letter with summary of intervention, advice and re-referral details if necessary

16. How do you contact us? Mainstream SLT – 020 7527 5674 Mainstream OT and PT – 020 3316 1892 Central Referrals – 020 3316 1877

17. Questions