derby short 13 07 10 by pMTe7o


									                         Derby: cost-effective prevention and early intervention

Driver for change
                                     The journey
Derby is one of several
Children’s Trusts which              Funding was used to put in place a team of speech and language therapists (SLTs), speech and
received government                  language practitioners (SLPs), a SLT assistant (SLTA) and Family Visitors, working from a
funding, from October 2008,          Children’s Centre in one of Derby’s localities.
for pilots to develop                                                                                                                           Impact
partnership work with                All 2 year olds are assessed on language development, by health visiting team nursery nurses,
                                     family visitors or a SLTA, using the Child Profiling Tool from the Every Child a Talker (ECaT)
children aged 0-7.
                                     programme. Where the screening shows language delay, families are provided with advice and                  30% of 477 children screened
                                     resources and signposted to groups including Play and Talk and Chatterbox. Families reluctant                  so far were identified as being
                                     to attend group sessions are offered home visits by the SLP or Family Visitor.                                 at risk of speech, language
                                                                                                                                                    and communication (SLC)
                                     Emphasis is put on building capacity in settings’ and schools’ workforces:                                     delay and were given advice
                                      Inclusion Consultants, Advisory Teachers and SLTs have used the Inclusion Development                        and signposted to further
                                       Programme as the basis for jointly-delivered training                                                        support
                                      The Communication Trust’s framework for Speech, Language and Communication Needs                            An increase in knowledge and
                                       competencies is used to audit workforce skills                                                               skills in the 230 practitioners
                                      Schools use computer-based Speech Link and Language Link tools, with SLT advice, to                          trained so far in supporting
                                       identify children who need to be referred to the SLT service, and to support and monitor gains               SLC development, and
                                       by children with less severe difficulties.                                                                   improvement in language,
                                                                                                                                                    interaction and the learning
                                     The mainstream SLT service is school- rather than clinic-based, with PCT and local authority                   environment.
                                     funding. For children with more severe difficulties, a SLP visits the school weekly/fortnightly,              94% of children attending
                                     helping school staff to support the child and linking with the SLT service. Schools are provided               Play and Talk sessions
                                     with a staged Pathway, showing action through everyday teaching, assessment, small-group                       showed an improvement in
                                     programmes, and expected school support where an SLT is directly involved.                                     their SLC skills.
Aims of strategy                                                                                                                                   Children attending schools
                                     The Derby team are very aware of research evidence on the links between speech, language                       with SLP input achieve
                                     and communication difficulties and behaviour problems. All primary school aged children at risk                targets more rapidly than in
 Improved early                     of exclusion are referred to SLTs where appropriate.                                                           schools without a practitioner.
  identification and support
  for children with speech,
  language and                       T:
  communication problems              Two
 An aim is that no child        Next steps
                                      W
  will enter school with              E
  previously unidentified         Extend screening of 2 year olds throughout the city as part of the Healthy Child Programme
  speech, language and            Continue provision of training, funded by the local authority
  communication                       Each
                                  Share good practice between settings, through ECaT and Communication Language                    Fuller information is at
  problems.                           Literacy Development cluster groups
                                   and E                                                                                  
                                  Provide Play and Talk outreach, delivered by Family Visitors through Children’s Centres
                                  Offer the SLP service to schools across the city.
                                                                                                                                                                              July 2010

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