Joint working between LB Hillingdon and
PCT to deliver Bercow Recommendations
Satwinder Saraon
(Children’s Specialist Services Manager, LBH)
Freda O’Driscoll
(Clinical Service Lead, Paediatric Therapies)
April 2010
BERCOW REVIEW
• A National centrally commissioned review of provision for
children and young people with SLCN
• 40 Bercow Recommendations:
To improve provision for children and young people with SLCN.
To improve understanding of the importance of communication
Bercow Driver for Change
• To ensure that early identification and interaction are
recognised as essential
• Over arching understanding that no single agency can
deliver the 5 ECM outcomes in isolation.
Aim: To jointly plan, commission, and deliver
universal, targeted and specialist services
Bercow Recommendations
• Development of a Joint
Commissioning Framework
• SLCN Steering group
• Operational group established
Recommendations cont’d
•
Robust system for early identification
• Early screening and intervention for SLCN
• Clear pathways to be agreed
• Health Promotion/ Prevention
• Training
• Monthly triage assessment
Recommendations cont’d
• Monitoring at Key Transition Points between LA
& PCT
• Year 7 school transition groups for Children with SLCN
• Speech / Language link
• Transition information Secondary Schools
Recommendations cont’d
• 0-5 years monitoring by PCT through “Child
Health Promotion Programme”
• Leaflets / parent information packs
• Universal Health questionnaires
• 8 months and 2 years
• ECAT- Every Child A Talker
Recommendations cont’d
•
Range of information, advice and support should be readily
available to families.
• Preschool and school age information packs and resources
• Training of HV Teams to support parent information/advice
• Speech and Language Link resources and information
• Joined up working between schools, Health and
Education across universal, targeted and
specialist support
• Information available through Children’s Information
Services (early years)
Recommendations cont’d
• SLCN – identified and prioritised by all Children’s
Centres.
• New Commissioning opportunities
• Wellcomm
• Monthly drop-in triage assessment session
• Training for Children’s Centres
Recommendations cont’d
Workforce development
• Range of training for a range of professionals to be developed.
• SCLN workstream mapping current training provision and
identifying gaps/ current and future needs/ tracking impact.
• Supporting SpeechLink / Wellcomm Tools
• Training Teaching Assistants
• Training for Foundation Staff (KS1)
• ELKLAN – Link highly skilled TAs.
SLT and LAS; Mainstream Schools Integrated Model For Joint Working
Wave 1 – Universal
w Embed Screening Tool ( SpeechLink and LanguageLink)
w Provide Parental Information
wAdvising on Language Group work in schools
wInclusion Development Plan (IDP Team, SO’B)
w Provision planning in schools
w Language enrichment and the curriculum
w Vocabulary Project – Secondary Pilot
w Joint planning – general SLCN in schools
w Training including IDP team
Wave 2 – Targeted
w Joint planning – caseload / input / support
w Language groups – advice, support and monitoring (Amber children
w Amber children – speech, dysfluency etc.
w Targeted training
w Advice for Teaching Assistants
w Curriculum Differentiation
w ELKLAN Training – Class Teachers & Teaching Assistants
Led by Speech and Language Therapy
(SALT)
Led by Language Advisory Team
May be provided by SALT and / or Language
Advisory Team (Joint planning and
discussion)
Further support from/ linking with IDP team
Wave 3 – Specialist
w Social communication
w Severe Language Disorders
w Severe Speech Disorders
w AAC Needs
w Physical Disabilities
w Hearing Impairment
w Selective Mutes
w Severe Dysfluencies / Stammering
w Complex medical conditions
(Acquired Brain Injury [ABI],
Cleft Palate, Down’s Syndrome)
Identification Early Intervention – SpeechLink/
Language Link
The package
• Computer based speech screen for
developmental speech difficulties
(recommended age for use 4-8 years)
• Web site with detailed information and resources
on supporting children with speech difficulties
• To be administered by teacher or teaching
assistant who can then directly access and
implement speech sound programmes based on
individual child’s profile.
The screen
• For children aged 4-8 years
• Language Link screen for all children on reception entry.
• Speech Link screened for any child with “immature Speech”
• Looks at the ability to produce sounds at the beginning and end
of words
• Both screens takes 15 minutes each to
administer by TA’s or Teachers
Speech Link Website
• Speech development information
• Handouts for parents
• Full range of speech programmes
• Printable picture resources
• Demonstration video
• Computer based speech games
Language Link Website
• Language development
• Language difficulties explained
• Encouraging spoken language
• General classroom strategies
• Handouts for parents
• Range of language programmes for school
implementation
• Printable picture resources
Next Steps
• 49 Schools currently signed up to the training
• Training programme June/September
• Screening starts in September for language for all Reception
aged children
• January- Screening for speech
• Continuing Operational Group work streams to
deliver on Bercow priorities