THE OFFICIAL MAGAZINE OF THE ROYAL COLLEGE OF SPEECH & LANGUAGE THERAPISTS
October 2019 | www.rcslt.org
Interview with RCSLT president Nick Hewer ¬ 75 years of speech and language therapy
¬ Living with a stammer: Q&A
Stammering awareness: using text messaging to improve outcomes for children who stammer 1 RCSLT Impact Report 2014-2015 September 2015 | www.rcslt.org
01_Cover_Bulletin October 2019_Bulletin 1 17/09/2019 12:17 BUL.10.19.002.indd 2 12/09/2019 11:15 Contents ISSUE 809
4 Letters 33 11 5 News 11 Opinion by Alison Oppetit and Louise Stevens
12 Gemma Croasdell on a text messaging service to improve outcomes for children who stammer
16 Interview with Nick Hewer 18 Stammering awareness: Q&A with Paul O’Meara
20 Jois Stansfi eld on the RCSLT’s 75th Anniversary
24 Research and Development Forum
25 In the Journals 27 Clinical Excellence Networks 28 Your speech and language therapy job adverts 24 20 33 My working life: Jo Darters
18 CONTACTS
ROYAL COLLEGE OF SPEECH AND President: Nick Hewer EDITORIAL PUBLISHING DIRECTOR LANGUAGE THERAPISTS Honorary vice president: John Bercow Editor: Victoria Briggs Joanna Marsh 2 White Hart Yard, London SE1 1NX Chair: Dr Della Money Publications offi cer: Amelia Dale PRODUCTION Tel: 020 7378 1200 Deputy chair: Mary Heritage Contributing editors: Amit Kulkarni, Aysha Miah-Edwards Email: [email protected] Honorary treasurer: Richard Fass Katie Chadd PRINTING Website: www.rcslt.org Buxton Press ISSN: 1466-173X Professional director: Kamini Gadhok MBE Content assistant: Siobhan Lewis Art editor: Yvey Bailey DISCLAIMER ©2019 Bulletin is the monthly magazine of the Royal College of Speech and Language ADVERTISING Therapists. The views expressed in the Bulletin PUBLISHERS Recruitment sales: are not necessarily the views of the RCSLT. Redactive Publishing Ltd Tel: 020 7324 2777 Publication does not imply endorsement. Publication of advertisements in the Bulletin Level 5, 78 Chamber Street, Email: [email protected] is not an endorsement of the advertiser or of London E1 8BL Display sales: the products and services. The publisher COVER ILLUSTRATION 020 7880 6200 Tel: 020 7880 7668 reserves the right to alter or withdraw any Sam Brewster www.redactive.co.uk Email: [email protected] advertisement without consultation.
October 2019 | www.rcslt.org Bulletin 3
03_Contents_Bulletin October 2019_Bulletin 3 17/09/2019 12:18 Bulletin thrives on your letters and emails. Write to the editor, MY RCSLT, 2 White Hart Yard, London Victoria WORKING SE1 1NX. Email: [email protected] Please include your postal address and LETTERSLIFE telephone number. Letters may be edited Briggs for publication (250 words maximum). EDITORIAL
Retirement Past and future network ne of the realities of working on a magazine is that As a retired member of RCSLT who the content for each issue needs to be decided two to has continued membership, I was Othree months ahead of when Bulletin drops through encouraged to read an excellent letter members’ doors. So, while it might be October by the time this from Barbara Hull (July’s Bulletin) issue lands with you, on the Bulletin desk it’s already 2020. regarding the changes to services. If you haven’t heard the big news yet about next year then I was reminded of my early days of we hope this issue leaves you in no doubt about how important practice working for an education 2020 is to us: in January, the RCSLT turns 75 and we want your authority in clinics and schools, but help to make our anniversary year a special one. not having contact with professional To get you in the anniversary mood, Jois Stansfi eld—who’s colleagues in hospitals. conducting an oral history of the speech and language therapy I do agree with Barbara’s comments profession—writes in this issue on the development of the following the 1974 regulations. RCSLT, from it when it was fi rst established in 1945. To help By 1982 I was privileged to build a united service following the trace the roots of the profession, Jois is on the look-out for demise of ‘Area SALTS’. Th e benefi ts of working as one team across speech and language therapy memorabilia. If you’re the kind of all specialisms were crucial for both staff and patients. person who has old copies of Speech, the forerunner of Bulletin, In the same issue of Bulletin, I also read the fi ne My Working Life squirrelled away somewhere (like we do—see photo on p22) article by Dylis Skinner, as encouraged by the late, very special then be sure to get in touch with Jois to help her in piecing Jill Stuffi ns. Th ank you Dylis! together the profession’s backstory. Finally, I am disappointed that so many SLTs cease to continue Turning from the RCSLT’s past to its present. On p16, we their membership after retirement. Here in Wessex we have a catch up with the organisation’s president, Nick Hewer, who’s valuable retirement network, founded nationally by Joyce Cook been in post for just six months. Nick shared with us how much more than 20 years ago. We still meet twice a year in diff erent he’s looking forward to being part of our anniversary year, locations in the region. All are welcome. which includes working alongside members to raise the profi le Beryl Kellow, Hungerford of the profession. Over the coming months, be sure to let us know what anniversary celebrations you've got planned. Online dysphagia training Victoria Briggs Do any other SLTs working with dysphagia currently run online editor dysphagia awareness training packages for nursing staff and AHPs? [email protected] I would be very grateful to hear from SLTs who do, including how @rcslt_bulletin they went about designing an online training package and whether it has been successful in keeping staff up-to-date with basic dysphagia awareness. If you are happy to share your training ideas, Your RCSLT please email: [email protected]
FRANCES CORBETT Ellie Weeks, specialist SLT
I joined the RCSLT enquiries service this summer. As an Social cognition toolkit enquiries coordinator, I am At Frenchay Brain Injury Rehabilitation Centre, we've been the main point of contact for developing a toolkit of resources for social cognition therapy queries from RCSLT members following brain injury. Is anyone else developing this area of their and the general public, as well as for the coordination of a practice? What therapies are working for you? Would you be number of RCSLT networks interested in trialling a prototype of the toolkit prior to publication? and projects, including our We're interested in hearing from therapists in a range of settings Clinical Excellence Networks including neurorehabilitation, autism and mental health. (CENs), clinical advisers and If you'd like to join the conversation, email me at: leadership mentors. With [email protected] a background in working with charities on a variety of Katie Fahy, SLT information technology change projects, I am excited to also be involved in supporting RCSLT members through the organisation’s digital transformation process. Please don’t hesitate to get in touch if there’s anything I FOLLOW THE RCSLT ON AND can help you with. Frances Corbett, RCSLT enquiries coordinator VISIT: WWW.RCSLT.ORG AND FOLLOW THE LINKS
4 Bulletin October 2019 | www.rcslt.org
04_Editors Lette_Bulletin October 2019_Bulletin 4 17/09/2019 12:18 QUICK LOOK DATES » 16;10 19;10 24;10 RCSLT minor grants International United News deadline DLD day Nations day NHS invests in chief AHPs NHS England (NHSE) and NHS Improvement (NHSI) have recently published the guide Investing in chief allied health professionals: a guide for trust boards and clinicians, which they say they hope will encourage discussions on allied health professional (AHP) leadership among SLTs. Th e guide was developed to provide an evidence-based approach to reviewing and improving AHP leadership in trusts. It contains questions for trusts to consider about the potential benefi ts and common barriers to developing AHP leadership, and key insights as to how those organisations are benefi ting from dedicated chief AHP leadership. It shares the fi ndings from a project commissioned to gain insights from executives who had a chief AHP within their trust, particularly focusing on the drivers, impacts and challenges of implementing “Organisations are benefi ting from the roles. dedicated chief AHP leadership” “Overwhelmingly, trust executives told us that once a chief AHP role was in place, the eff ect on value and contribution of the workforce was immediate,” says Stuart Palma, head of allied health professions read the guide and consider the questions ringfenced to a particular profession, (professional leadership) at NHSE and NHSI. it proposes." prohibiting potential leadership Th is is also an area that RCSLT CEO Kamini development for you and your colleagues? Gadhok sees as a priority within the Prompts If so, use the document to make the case to profession. "As a representative of the Allied Stuart says he hopes that the guide will rethink why these historical practices are Health Professions Federation (AHPF), I have prompt SLTs to consider several such still in place. attended meetings with ministers to raise questions, including the following: ■ Contact your executive board member, concerns about the inequity of access to ■ Who is your chief AHP? Do you have one? responsible for AHPs, to discuss the senior leadership roles for AHPs within NHS Do you feel heard/represented/visible at document and make them aware of the organisations," she says. "It has board level? If not, use the document to key recommendations (most often this taken time to make the case, start the conversation within the speech will be the director of nursing). but by working together, and language therapy and wider AHP Read the guide at bit.ly/nhsinvestingguide we have clearly made an workforce. Or if you would like to discuss AHP NEWS IN BRIEF impact. I would ■ Are professionally agnostic leadership roles arrangements within your trust or encourage all of you to within your organisation or system organisation, email [email protected]
Webinar: Giving Voice to South East Hub Day RCSLT minor grants DLD research priorities Stammering 30 October The next deadline for RCSLT Thank you to all members, 29 October, 1-1.45pm Book in for this event for a day minor grants applications is education professionals, Don’t miss out on the of CPD, to hear about essential 16 October. If you’re looking to parents and service users who opportunity to hear from experts RCSLT updates and for an attend a conference, complete completed the DLD research and to ask a question in this opportunity to network and a short course, or otherwise priorities card-sort activity. stammering webinar from the collaborate with colleagues living support your CPD with up to We had a record number of RCSLT, Action for Stammering and working in the South East. £500 of RCSLT funding, visit responses and will be launching Children, the British Stammering ◉ For more information and to bit.ly/rcsltminorgrants for the top 10 on international DLD Association and the Michael book, visit: bit.ly/sehubday more details. awareness day on 18 October. Palin Centre for Stammering. ◉ Email [email protected] with ◉ Visit: ◉ For more information, visit: any questions bit.ly/DLDresearchpriorities bit.ly/stammeringwebinar
October 2019 | www.rcslt.org Bulletin 5
05_News_Bulletin October 2019_Bulletin 5 17/09/2019 12:19 @jorackley #mysltday A good end to a tough @SLT-Lauren1 TWEET week! Chatting with 2 police offi cers Helping a man with aphasia TALK » who regularly attend incidents at work on his reading so he our hospital about communication can read his granddaughter diffi culties, they were so interested a bedtime story! Functional and appreciative and I hope this is the and patient centred goals! News beginning of something good. #mysltday
New RCSLT honorary vice-presidents announced
At the RCSLT Honours Ceremony and Giving Voice Awards in September, Dr Della Money, RCSLT chair, announced the appointment of two new honorary vice- presidents. Th e fi rst of these will be a familiar name to Bulletin readers: Lord Ramsbotham, who has been an outstanding advocate for speech and language therapy over many years and has long championed the work of the RCSLT in the parliamentary arena, most notably through his long-time chairing of the All-Party Parliamentary Group on Speech and Language Diffi culties. In recognition of his exceptional personal contribution, we are delighted that Lord Ramsbotham has accepted nomination to be our honorary life vice- president. Th is is the fi rst time anyone has Lord Ramsbotham (above, centre) and Lord Shinkwin (inset). held the title and the Board of Trustees felt this was a fi tting way to mark his service. tabling numerous parliamentary questions post as one of our honorary vice-presidents. Th e second honorary vice-president is and facilitating meetings with ministers for Keep an eye on future editions of Bulletin for Lord Shinkwin. Over the past 18 months, the RCSLT and the children's charity I CAN. further information on the involvement of Lord Shinkwin has worked hard to promote Th e outgoing Speaker of the House of Lord Ramsbotham and Lord Shinkwin in the Bercow: Ten Years On report, including Commons John Bercow continues in his RCSLT work.
75th anniversary Editorial award approaching win for SLTs Congratulations to Professor Sue Next year is the RCSLT's 75th anniversary, Roulstone and and we will be marking the occasion by Dr Rena Lyons, celebrating the past, present and future of whose article the speech and language therapy profession Well-Being and throughout the year. Resilience in Children Earlier this year, the RCSLT undertook with Speech and a survey of members to fi nd out how they Language Disorders thought we should mark the anniversary. has won the 2018 Survey questions covered the key messages Editor’s Award from to be used throughout the year, hashtags resources and activities throughout 2020, the Journal of Speech, Language, and Hearing for social media campaigning, initiatives including downloadable content, stories, Research. In the article, the authors explore to mark the anniversary both locally and competitions and social media campaigns. the importance of ‘listening to children’s nationally, and the resources members Stay tuned to Bulletin and rcslt.org for more narratives so that those at risk in relation to would like us to produce. We are grateful to information, and turn to Jois Stansfi eld’s well-being can be identifi ed’. Th e recipients all who responded—your thoughts and ideas story on p20 to read more about the history will be presented with their award at the have been helpful to inform our plans for of the profession and how you can get ASHA convention later this year to celebrate the year. involved in kick-starting the 75th the achievement. Congratulations, from all at We will be bringing members a range of celebrations. the RCSLT.
6 Bulletin October 2019 | www.rcslt.org
06-07_News_Bulletin October 2019_Bulletin 6 17/09/2019 12:19 @LauraBurzioSLT #mySLTday So proud of my stroke patient today who verbally greeted @LetSpeakTherapy me & asked me how I am & responded Love the RCSLT appropriately (without prompts) e-newsletters! Great for after 16 months of working together. an instant catch up #SLT Just shows what hard work, motivation #RCSLT & dedication can do! DELLA MONEY & KAMINI GADHOK
Raising Awareness WORLD CLASS
While the majority of the RCSLT’s work focuses on the of DLD Day 2019 UK, we are an organisation that is also well-connected internationally—a position that allows us to carry out our infl uencing work at a global level. In August, we attended the International Association of Logopeadics and Phoniatrists (IALP) congress in Taiwan. Established in 1924, IALP is a non-profi t worldwide organisation of communication, voice, speech language pathology, audiology and swallowing professionals. At the 2019 congress the current president, Professor Pam Enderby, was inaugurated, and Professor James Law of Newcastle University was awarded the prestigious lifetime award. At the congress general assembly, proposed changes to the bylaws were made, including giving a much stronger voice to affi liated societies, of which the RCSLT is one. Th is will prove useful in our future infl uencing work. While there, we also participated in sessions aimed at working collectively through our global networks to make a greater impact “...we are an for people with speech, language, organisation communication and swallowing needs. that is well- Our international connected Th is year’s International Raising You too can get involved: reach also extends Awareness of Developmental ■ Learn more about DLD: visit to a membership internationally” Language Disorder (DLD) Day will naplic.org.uk/dld with the Comité be held on 18 October. Th e theme ■ Keep up-to-date with this Permanent de Liaison is 'DLD: you and me' and the focus year’s campaign: radld.page on des Orthophonistes/Logopedes de l'Union Européenne is on hearing the voices of children Facebook; @radld on Twitter (CPLOL), the umbrella organisation for speech and and young people with DLD and ■ Run a local event: this could be language associations across Europe. their families. a staff meeting, a stall in the high CPLOL aims to facilitate the profession by Approximately 7.5% of children street or a party for families harmonising standards, legislation and training, as have DLD (Norbury et al. 2016). ■ Take photos and post on well as sharing reports and research. Each year, CPLOL Th at equates to two in a class of social media using the hashtag organises an annual European SLT day on 6 March to 30 students. But very few people #DLDyouandme promote diff erent aspects of the profession—next year’s have ever heard about DLD, so, ■ Become a DLD Ambassador: theme will be ‘reading and writing diffi culties’. as SLTs, it’s important that we do radld.org/get-involved/ Th e RCSLT CPLOL action group is also hosting a something about it. ambassadors unique professional development event at St Andrew’s To help SLTs raise awareness ■ Submit stories or videos: radld. Football Ground in Birmingham on 6 November of DLD, there is guidance on the org/news/tell-us-your-story this year, aimed at creating inclusive services, and Raising Awareness of DLD (RADLD) overcoming barriers of language and culture. Th is event website about making short videos Stephen Parsons will focus on supporting SLTs and other allied health and writing stories. Our aim is to Chair, NAPLIC professionals to consider ways to make their services show that a diverse population of UK representative on the RADLD more inclusive of people from diff erent linguistic and people are aff ected by DLD. international committee cultural groups. CPLOL’s RCSLT representative is Dr Organised activities to raise References Mark Jayes of Manchester Metropolitan University, and awareness of DLD include lighting Norbury, C. F., Gooch, D. , Wray, C. , Baird, G. we hope some members will be able to attend. up monuments around the world in , Charman, T. , Simonoff , E. , Vamvakas, G. You can fi nd more information on CPLOL by visiting purple (including Rochdale Town and Pickles, A. (2016), The impact of cplol.eu and IALP at ialpasoc.info Hall and Niagara Falls). Th e DLD nonverbal ability on prevalence and clinical presentation of language disorder: information sheet is also being Dr Della Money, RCSLT chair evidence from a population study. J Child translated into dozens of languages, Psychol Psychiatr, 57: 1247-1257. doi:10.1111/ Kamini Gadhok, MBE, RCSLT chief executive to be as inclusive as possible. jcpp.12573 Email: [email protected]
October 2019 | www.rcslt.org Bulletin 7
06-07_News_Bulletin October 2019_Bulletin 7 17/09/2019 12:19 FAST FACTS » 360 2,539 number of newly registered views of RCSLT webinars News SLTs in 2019 this year Plastic-free trial a success
Many thanks to everyone who provided feedback on our plastic-free Bulletin mailing trial over the past three months. We’re pleased to announce that it has been a resounding success, and we will be continuing with naked mailing from now on. It has been heart-warming to hear just how passionate the speech and language therapy profession is when it comes to reducing waste and lessening our impact on the planet. Here is just some of the feedback we received: ■ “I love the new plastic-free, naked Bulletin—what a fantastic idea and I really hope you continue it as there really is no need for the wrapping. It’s great to see the RCSLT doing their bit and I really support you as I am also trying to reduce my plastic more.” ■ “My Bulletin has been arriving in pristine condition since the trial was introduced. I expected a few knocks, bends or even tears (which still would have been fi ne for the sake of getting rid of the plastic) but ■ “Just received this month’s Bulletin and and the resources required to have these it’s been absolutely fi ne. Th anks for giving it was refreshing to see no plastic cover. magazines resent. it a go and I hope it can be a permanent Defi nitely keep it going. Th ere was no However, given that the vast majority solution.” damage to my Bulletin even with an of members reported receiving their ■ “As a member receiving the Bulletin awkward letter box!” magazine in good condition, the decision monthly I would like to say what a breath ■ “Just a quick message to thank the RCSLT to continue naked mailing was a relatively of fresh air it is that’s it’s not covered for ditching the plastic mailing bags. It's a straightforward one to make. in plastic! Very pleased that RCSLT is small change but if we all make them we Please continue to let us know if you have responding to current world issues.” can make a big diff erence together.” any thoughts or feedback on the Bulletin ■ “I think the plastic-free Bulletin is much, Of course, there were a few instances of distribution process. much better. I am more likely to read it the magazine arriving damaged, and the now and like that it is reducing plastic Bulletin production team has weighed up Th e Bulletin team waste.” this inconvenience to the members aff ected [email protected]
Free eBook access for members Research throughout October design study
For October only, RCSLT members will On 18 November, the RCSLT will be have access to more than 40,000 ebooks supporting the East of England Research from Springer publishers related to speech Design Service and the National Institute for and language therapy. Continued access Health Research (NIHR) with the study day will depend on usage, so make the most 'Research with the NIHR; opportunities in of it now and increase the chances of speech & language therapy'. Th is event will be having your favourite titles permanently invaluable for any SLT interested in applying available. for NIHR funding or getting involved with You can access the eBook library from research at any stage of their career. For more our webpages by visiting information, see the R&D forum on p24 or
bit.ly/e-bookoctober visit bit.ly/researchwithNIHR SHUTTERSTOCK
8 Bulletin October 2019 | www.rcslt.org
08-09_News_Bulletin October 2019_Bulletin 8 17/09/2019 12:20 40,000 5% DerekD ebooks available to RCSLT of the RCSLT membership gave members throughout feedback on the Bulletin naked Munn October mailing trial COLUMN New website MUTUAL BENEFIT
guidance pages: In their column on p7, Della and Kamini discuss the recent meeting of IALP, the global body that includes speech and language therapy. It's worth adding that feedback needed the International Communication Project (ICP)—the international partnership in which the RCSLT works with others to raise awareness of communication as a human right—was also at the IALP congress. Th ere we presented at two sessions on behalf of the ICP, including one where we took centre stage in order to share our plans for global advocacy. As part of this session, we were able to report on our infl uencing work with the United Nations (UN) in respect of the Convention on the Rights of Persons with Disabilities, through which the RCSLT and Speech Pathology Australia were accredited as non-governmental organisations (NGOs) and allowed to deliver an event at this year’s Conference of State Parties at the UN’s HQ in New York. We also shared our narrative of evidence in respect of the UN Sustainable Development Goals relating to poverty, Th e RCSLT professional guidance ■ Professional accountability and education and “Cultural team is keen for members to autonomy/HCPC health, as they relate provide input on its resources, ■ Settings to communication respect is to ensure their accuracy and Please get in touch if you have disability. critical here” relevance to those in the a suggestion for an amendment At the event, we profession. on the website—for example, if focused on the need Th e guidance pages on the you become aware of any new to co-produce with RCSLT website enable members guidance or research we should people who have to fi nd advice on how to plan and include. communication needs, as well as on widening the improve their services in a range We endeavour to work with circle—Finland, Malta, the Philippines and China were of areas. Th ese resources can be you, our members, to ensure that among those keen to get involved. found by clicking on ‘Guidance’ in content on the RCSLT website is As is only right, there was considerable discussion the main menu, and referring to relevant, useful and up-to-date, around strengthening the voice of the majority world the following pages: and welcome any feedback you in these endeavours, with the direct experience of ■ Clinical guidance A-to-Z might have. countries where the speech and language therapy ■ Delivering quality services Please email [email protected] with profession is very small indeed, and in languages A-to-Z your feedback. other than English. Cultural respect is critical here, as is an understanding that such partnership provides a mutual benefi t (our US colleagues have experience with mutually agreed work in a number of countries Get involved with through the Pan American Health Organisation). I'm pleased therefore that the RCSLT will shortly begin work on our fi rst guidelines for work in the RCSLT guidance majority world, using the experience of colleagues in networks such as Communication Th erapy Th e RCSLT is developing or ■ Guidance for SLTs in the International. Get in touch if you want to know more. updating guidance in various developing world areas. We are currently looking ■ Placement education guidance Derek Munn, RCSLT director of policy and public aff airs for members who are interested ■ Shared decision-making in eating Email [email protected] in the areas below: and drinking guidance ■ Augmentative and alternative Check out the projects webpage for communication (AAC) further information and to register guidance your interest: bit.ly/RCSLTprojects
October 2019 | www.rcslt.org Bulletin 9
08-09_News_Bulletin October 2019_Bulletin 9 17/09/2019 12:20 NEWS News IN BRIEF
RCSLT CPD diary update Free bilingualism The new RCSLT CPD diary is now live, with some improved tools and functionality to help you get the most out of your continuing resource now professional development (CPD). We have created a special guide to help you start using it. The older version of the CPD diary is available no longer accessible online. If you need any content from your old CPD diary, please email [email protected] with your request and the Th e Bilingual Assessment of Simple enquiries team will be able to provide it for you. Sentences (BASS) is now available free ◉ To view the new guide, visit to download for RCSLT members. bit.ly/CPDdiaryguide Th is has been made possible with the support of the University of Manchester and an RCSLT minor New guidance now online grant. The RCSLT has published new online guidance Th is evidence-based, culturally in the areas of critical care and voice. They are appropriate assessment allows SLTs now available on the clinical guidance area of working with a bilingual assistant the website. Many thanks to all the members or interpreter to rapidly screen the who helped with authoring and reviewing expressive language skills of these documents. young children from the ◉ For the voice guidance, visit bit.ly/2ZkM6jn Pakistani heritage community. ◉ For the critical care guidance, visit Home language bit.ly/2ZwBLMy assessment is essential to distinguish diversity New post for Victoria Joff e from disorder and After 18 years at City, University of London. reach a diff erential Professor Victoria Joffe will be leaving to take diagnosis. up a new post as professor and dean of the Children with a School of Health and Social Care at the Pakistani heritage University of Essex from 1 October. Victoria may be exposed to has made a significant contribution to the Mirpuri, Punjabi, or profession throughout her time at City, and we Urdu, as well as hope she will continue to work closely with the English. Mirpuri is the most RCSLT and colleagues throughout the frequently spoken language in this children codeswitched according to a profession in this exciting new role. community, but it is often dismissed rule-based system; and that bilingual as a dialect since it is perceived to children’s mean length of utterance have low social status compared to (MLU) for codeswitched utterances SLT launches YouTube channel Punjabi and Urdu. Mirpuri also has no indicated that these were the THINK, TALK and LEARN is a new YouTube written form. Target sentences are children’s most complex utterances. channel run by consultant SLT Lyndsey Allen. transcribed in IPA script for all three Children with little or no After 20 years working in the NHS and charity languages. codeswitching and/or limited MLU sector, Lyndsey decided to get creative by Although bilingual children are no should therefore be assessed in detail launching a series of short videos on language, more likely to experience language as they may be at risk of language play, literacy and social skill development. disorder than their monolingual disorder. “Being a Youtuber has its challenges,” she says. peers, other factors such as socio- To fi nd out more, download the “I’ve learnt about video editing and social economic deprivation may put this printable PDFs, including the full media marketing, and it is time consuming, population at risk. Bilingual children manual, picture book, recording and often with very little reward. But it’s also fun, often codeswitch between English scoring form, target sentences and and alongside my work with families and and their home language (and, in this questions and prompts at training around the globe, makes a varied and population, other Pakistani heritage bit.ly/bilingualismresources exciting part of my SLT career.” languages) and this is not a sign of ◉ Views the videos at confusion. Research has shown that Dr Sean Pert, senior lecturer, Th e www.youtube.com/c/THINKTALKandLEARN codeswitching occurred in just over University of Manchester 40% of multi-word utterances; that [email protected]
10 Bulletin October 2019 | www.rcslt.org
10_News_Bulletin October 2019_Bulletin 10 17/09/2019 12:21 COLUMN Alison Louise Oppetit & Stevens Opinion
Alison Oppetit and Louise Stevens discuss a case of sustained phonation time. Mrs an opportunity for both patients peer support between two patients, and refl ect on H was highly motivated and to work towards impairment-, the importance of understanding social networks completed all therapy tasks activity- and participation- to improve therapy outcomes on a daily basis, including the based therapy goals, such as use of extended social practice improving vocal quality and with a friend from her sheltered accuracy of production of housing complex who attended target song lyrics, as well as therapy sessions with her. participating in social activities. Alongside this, Mr M, another Th e impact on our respective of our patients, presented to the interventions was evident: neurology clinic with a diagnosis treatment intensity was of non-fl uent agrammatic increased and carryover to variant primary progressive meaningful settings and A patient aphasia. On the Aphasia Impact conversation partners outside Questionnaire (Swinburn, of our clinics was facilitated. 2015), he reported diffi culty Indeed, comparison of baseline partnership for arguing his point, as well as and outcome measures indicated singing along to the television an improvement in Mrs H’s rehabilitation programme Th e Good Old Days. sustained phonation and Mr M’s He described a subsequent production of target items. Th is change in his personality from led to his renewed participation ‘outgoing to introverted’. To in weekly sing-a-longs to Th e support him, we embarked Good Old Days and increased on a period of targeted word confi dence when talking to retrieval therapy, scripting and unfamiliar listeners. rehearsal, to facilitate expression It would appear there should in meetings at his sheltered be greater consideration for accommodation and to help him peer support across diff erent relearn the lyrics of a favourite client groups. Friendships song. Homework was provided and common goals promote to support independent practice carryover of therapy tasks in between sessions. and contribute to measurable progress. Understanding “…there should a patient’s social support network is essential to be greater making meaningful gains in communication therapy. consideration Perhaps the use of needs- for peer support led support groups would be preferential to diagnosis-led across diff erent support groups. ■ client groups” Alison Oppetit, specialist SLT, Royal Preston Hospital Email: ILLUSTRATION BY Sara Gelfgren Initially, unbeknown to [email protected] us, our patients were in fact @AliOppetit friends and residents in the Louise Stevens, specialist SLT, s two SLTs running ear, nose and throat outpatient same sheltered housing. Th ey Blackpool, Fylde and Wyre hospital-based clinic as an 88-year-old woman had ‘buddied up’, supporting Hospitals NHS Trust outpatient clinics for with a weak voice quality each other to complete therapy Email: [email protected] Aadults with acquired that was impacting on her tasks, provide moral support swallowing and communication independence and social life. and generalise new skills to joint disorders, we have been led to She had poor breath support shopping trips, shared meals, References consider a unique approach to and presbyphonia with reduced common interests (in this case, rehabilitation through patient- volume and poor projection. singing), and joint attendance Denizoglu I, Sihvo, M. Lax Vox®: Voice to-patient support across Initially therapy targeted breath at hospital appointments, where Therapy Technique. Turkey: AD Iznir; 2007. neurology and voice caseloads. support, using Lax Vox (Sihvo their partnership was ultimately Swinburn, K. Aphasia Impact Mrs H was referred via the & Denizoglu, 2007) to improve discovered. Singing together was Questionnaire. Connect; 2015.
October 2019 | www.rcslt.org Bulletin 11
11_Opinion_Bulletin October 2019_Bulletin 11 17/09/2019 12:21 FEATURE STAMMERING
12 Bulletin October 2019 | www.rcslt.org
12-14_Cover_Feat_Bulletin October 2019_Bulletin 12 17/09/2019 12:21 FEATURE STAMMERING
A nudge in the right direction
Gemma Croasdell shares the results of a text messaging pilot to improve the outcomes of a therapy group for children who stammer
ILLUSTRATION BY Sam Brewster Looking forward to seeing your child's drawing of their stammer. There is no right or wrong thing to draw, everyone is different. Take care, Flo
It was great to meet you and your child he Heywood, Middleton at the group. We hope you had fun! and Rochdale (HMR) This week it’s about stepping out of Is there anything else to add to your specialist dysfl uency your comfort zone - it feels scary at child’s iceberg? Take care, Flo team delivers intensive the time but once it’s done it feels really group therapy for good. Take care, Flo Figure 1 children aged 7 and above who stammer, along with their parents. Groups run for three hours for six consecutiveT weeks, attended by the young consistently undertaken. We wondered of the group therapy for their child. In the people who stammer and one or both whether this played a role in the diffi culties second message set, twice-weekly texts parents. School staff are also invited along experienced during therapy sessions, as the were sent to reinforce homework activities, on week fi ve. follow-on activities assigned were often serving as both prompts/reminders and While recovery rates for dysfl uency are more challenging. Th e team was concerned encouragement to undertake the activity. high under the age of 7, there are relatively that this led to a less eff ective use of therapy A total of 16 messages were sent to the few examples where stammers have been time, which may have been aff ecting the parents attending the group before, during, resolved after this age. Our group therapy outcomes of the young people in attendance. and up to three months after completion for this age group focuses on supporting In addition, levels of attendance varied. To of the group. Figure 1 shows an example of confi dence, increasing activity and maximise the potential for therapy to improve the text messages sent to families during participation in social and educational outcomes, we decided to make a change. the group. activities, and ensuring emotional wellbeing for the young person who stammers. Our Text messaging service Aims and method groups also aim to ensure families feel Flo is an interactive text messaging service We set out to see if text messaging could empowered to manage these areas for their that the HMR dysfl uency team opted to trial add to the outcomes achieved by children child independently, without the need to with the intensive therapy programme. and parents accessing the groups. Our aims rely on long-term speech and language Th e aim of this was to support pathway for the groups were to: therapy, in order for the child to fulfi l their redesign, and to address the identifi ed ■ increase confi dence; potential. Th ese areas are found to be key challenges within our service. Th e HMR ■ increase understanding and knowledge areas of management for this client group dysfl uency team developed two sets of of stammering; (BSA, 2018) and, clinically, have been found messages to be sent to parents via the text ■ increase understanding and knowledge to be best addressed through a group format service. In the fi rst set, three messages of communication skills; (Liddle et al., 2011). were sent to parents across the week prior ■ increase positive thoughts about speech; Th e main challenge identifi ed by the to the group starting; these were intended and team when running the groups was that to reduce any potential anxieties related to ■ develop self-help and problem-solving ‘homework’ activities were not reliably or attending a group, and to reinforce the value skills. →
October 2019 | www.rcslt.org Bulletin 13
12-14_Cover_Feat_Bulletin October 2019_Bulletin 13 17/09/2019 12:22 FEATURE STAMMERING
Figure 2: Average change in outcome measures per group empowered and confi dent to support their child’s dysfl uency independently, which could lead to possible reductions in service 16 demand and length of episode of care. In the ‘no Flo’ control group, 4/5 families required 14 follow-up therapy for dysfl uency three months after the group, compared to 2/5 12 and 2/8 in groups 1 and 2 respectively. Attendance at these groups is also 10 informally reported by clinicians to be high in comparison to other speech and language 8 therapy groups where text messaging is 6 not used, suggesting that text messaging services may help to support attendance at 4 therapy sessions.
2 Conclusions Th is pilot has demonstrated that the use of 0 interactive text messaging potentially off ers Average score Average score Average score SLTs a simple, clinical enhancement to increase on TOMS increase on increase on standard care in group therapy, and appears child ratings parent ratings to be successful in supporting families’ self- management of their child’s dysfl uency. It is also likely that this is a cost-eff ective Group 1 (no text messaging) Group 3 (text messaging) addition to therapy that improves service Group 2 (text messaging) provision, but this will need to be explored by future cost analysis work. Th ere has been no decline in any outcome measure Th ese aims were evaluated using a users regarding their experience of the text evaluated in the cohorts of families where combination of formal and informal messaging service. Service users report text messaging has been used, providing outcomes measures, including: Th erapy that the number, timing and content of clinicians with a level of confi dence that text Outcome Measures (TOMs); individualised the text messages are appropriate and that messaging may off er a safe enhancement solution-focused rating scales based on they would recommend the care pathway to standard care. Further evaluation is the individuals’ ‘best hopes’; and a set to family and friends. Of the families in ongoing, in order to add to the evidence of rating scales developed by the team to the text messaging groups who completed we have gathered so far. Other areas evaluate the aims above—for example, ‘On the feedback form, 100% gave the highest within the service are now considering a scale of 1 to 10, how do you feel about possible positive scores for all items. whether interactive text messaging can your speech (1 being very negative, 10 Figure 2 shows the average change in be used in other clinical pathways to being very positive)?’. scores per group for each of three outcome support engagement and self-management Outcome measures were taken pre- measures used. It can be seen that outcomes approaches, as well as address service group, post-group and three months across all measures improved for all groups. delivery challenges. after group completion. Outcomes from However, looking across both experimental With thanks to Caroline Poole, clinical a therapy cohort who did not receive groups, there is generally a greater increase improvement lead, Pennine Care NHS the Flo text messaging service (group 1) of scores in groups where text messaging Foundation Trust, for her work on this article ■ were taken for comparison purposes and was used. An exception to this is the compared to two therapy cohorts who did TOMs scores for group 3, which increased Gemma Croasdell, highly specialist SLT, (groups 2 and 3). less than for the control group (group 1). Pennine Care NHS Foundation Trust Th is cohort of children, however, had a Initial fi ndings range of additional needs, such as autism Although cohort numbers are small, and spectrum disorder, ADHD and speech sound References & resources we have only been able to analyse data diffi culties. When rating these children’s from pre- and post-group measures (not activity, participation and wellbeing on the Liddle H, James S, Hardman M. Group therapy for school-aged children who stutter: A survey of current three-month follow-up data, as not all TOMs, it was diffi cult to separate the impact practices. Journal of Fluency Disorders. 2011; group members returned for three-month of these needs from the stammer, possibly 36: 274-279. follow-up appointments), we are so far resulting in less improvement being noted. ‘Speech and Language Therapy, information for seeing some early, positive meaningful It is also interesting that while increases parents of children who stammer.’ British Stammering outcomes emerging for both the service in parent ratings for group 2 did not diff er Association, January 2018. www.stammering.org/ help-information/parents/under-5s/speech-and- users and the service itself. from the control group, those from group 3 language-therapy-information-parents-children-who Th rough both a patient feedback form showed a substantial increase. For more information on Flo, visit:www.health.org.uk/ and informal verbal discussions, there has Finally, parents have reported informally news-and-comment/featured-content/power-of- been very positive feedback from service and in their rating scales that they feel people/fl o
14 Bulletin October 2019 | www.rcslt.org
12-14_Cover_Feat_Bulletin October 2019_Bulletin 14 17/09/2019 12:22 Access multiple assessments on Q-interactiveTM
The Speech and Language Licence on Q-interactive, allows you to administer multiple interactive tests, including the new EVT-3, CELF-5UK, GFTA-3 and KLPA-3. It also enables audio capture and generates instant score reports.
Give digital a try and sign-up for a 30-day free trial: pearsonclinical.co.uk/digitalSLT A1031
October 2019 | www.rcslt.org Bulletin 15
BUL.10.19.015.indd 15 12/09/2019 11:24 FEATURE INTERVIEW
An extraordinary profession
Six months after taking on the role of RCSLT president, Bulletin catches up with Nick Hewer to hear how he’s settling in
efore becoming president of and a half, has a speech and language delay. the RCSLT earlier this year, She is under an SLT at John Radcliff e Hospital Nick Hewer already had a in Oxford.” pretty good understanding of the profession, thanks to A career in communication all the SLTs in his life— While Nick’s presidency of the RCSLT might Bstarting with his partner Catherine mark his fi rst professional foray into speech McAllister (née Coulthurst), who trained as and language therapy, it is clear from his a SLT in the 1960s. “Th rough her, I’ve had career that communication, in one form or the opportunity to meet and admire many of another, has been at the heart of everything her fellow practitioners over the years,” says he’s done. the television presenter and former public When he moved to London at the age of 21, relations (PR) consultant. the public relations industry was still in its Th en there’s the SLT his oldest pal infancy. Nick joined a fi rm of PR consultants is married to, who was at college with as a trainee, proving so adept at the work Catherine. By some quirk of fate, Nick that by the time he turned 30 he had risen to also grew up with Pam Enderby, emeritus become a member of the board, eventually professor at Th e University of Sheffi eld, who buying out the owner and becoming the sole was a childhood friend turned “pillar of the shareholder in the business. community,” he says. When approached It was while running his own PR by the RCSLT and asked to take on the consultancy that Nick was approached by presidency role, it was Pam who was to prove Amstrad, the UK electronics giant owned by instrumental in Nick accepting the position. Alan Sugar, to help them make a move into “It was a great honour to be asked, but the 1980s home computer market. before agreeing to take the role, I had to be For the next 21 years, with Amstrad as a sure that I would be capable of meeting the client, Nick was Sugar’s right hand man. expectations that would accompany it. Pam It was a relationship that grew into a fi rm used her persuasive powers to overcome friendship, spanning Nick’s retirement in some doubts I was entertaining about my 2004, a period in his life that he describes as suitability,” he says. being “a gloomy time… I struggled to adjust.” “She was so persistent that I was left in no His retirement, though—thanks to Alan doubt that this was something I had to do. Sugar—was to be short lived. In 2005, Nick And I’m so glad I did agree because this is was invited to become one of Sugar’s advisers an extraordinary profession. Indeed, I have on BBC TV reality show Th e Apprentice—a a very personal experience of it now in that position he held for 10 years. Since 2012, Sophia, my step-granddaughter, who is two he’s been the host of Channel 4’s Countdown
16 Bulletin October 2019 | www.rcslt.org
16-17_Nick Hewer_Bulletin October 2019_Bulletin 16 17/09/2019 12:22 Nick at home (photo by Geoff Wilson)
contribution. It is a serious responsibility to be “It is a serious made president and I hope that I will deliver and prove to be a valuable asset to the RCSLT,” he says. responsibility to be made Of the future, he says he is looking forward to working with RCSLT staff on key projects, president and I hope that meeting with many more members, and putting his PR and TV skills to very good use. “I believe that the general public has I will deliver” little understanding of the breadth of issues addressed by the profession,” he says. “Having spent some 50 years in the fi elds of marketing and public relations, I hope that I can raise awareness of the important and and has presented a number of BBC swallowing diffi culties.” wide-ranging work of SLTs to support those documentaries, panel shows, and a farming In addition, Nick has been as far afi eld as with speech, language, communication and series besides. Manchester and Plymouth on service visits, to swallowing needs across society. “Public relations is all about meet with members and build his knowledge “Next year marks the RCSLT’s 75th communication. It’s the same in television— of the breadth of the profession’s work. anniversary, a year we hope will be that’s all about communication too,” he says. He has also been a regular visitor to RCSLT punctuated by a series of events and publicity Since becoming president of the RCSLT, HQ, where he’s been acting as an adviser initiatives that will serve to increase awareness Nick hasn’t wasted any time in putting his on the development of the communication and understanding of the profession. So next consummate communication skills to good access symbol, as well as chairing the year is a very important year, and I’m very use in boosting the profi le of the profession. Honours Committee. In September, he much looking forward to being a part of it, “I was fortunate that within a couple of will also have attended the RCSLT Honours working alongside Kamini Gadhok and her days of joining, the RCSLT’s PR manager ceremony in Nottingham, presenting our team, as well as members everywhere, to had arranged for me to go on Good Morning winners with their awards alongside the celebrate the profession and getting a public Britain to talk about the work of SLTs in Countess of Wessex. conversation going about the work that supporting those with speech, language and “If I take something on, I like to make a real members do.” ■
October 2019 | www.rcslt.org Bulletin 17
16-17_Nick Hewer_Bulletin October 2019_Bulletin 17 17/09/2019 12:22 What’s it like living with a stammer? To mark international stammering awareness day this month, Bulletin asked the RCSLT’s Paul O’Meara for a fi rsthand account
What’s the worst experiencee Q: you’ve had relating to your stammer? Without a doubt it was during my time at university. My class were tasked with choosing a fi lm, researching particular aspects of it, and then delivering an oral presentation to our peers. A task like this is problematic for me, as it would be for many stammerers, in that it requires saying particular words, and words that have no substitute. Before I even arrived at university that day, I knew it was going to be a bad experience—and, as predicted, it was horrifi c. I stammered on almost every word—and even every syllable. Once I started to stammer it got worse and Is it true thatthat nervnerveses are a kkeyey worse as my confi dence was massively Q: triggertrigger fforor stammestammering?ring? dented. As a stammerer, I would have Th is is partlypartly true, true, but but at at th thee same same time, time, liked to have been off ered another it’sit’s not q quiteuite that si simplesimple.mple. When W yyou’reou’re route to complete an aassignssignmmentent lilikeke nervous it can bbee worseworse,, bbutut fforor meme,, it is this. Th is was somee years years ago, ago, a ndand more rerelatedlated to tthehe worwordsds I neeneedd to sasayy in a I would hope educationation practpracticesices situation, rather than mmyy own nerves. For have changed sincee tthen.hen. example, II've've ggiveniven speeches at weddinweddingsgs anandd aalthoughlthough I was nervous—terrinervous—terrififi eed,d, actuaactually—becauselly—because I wrote tthehe sspeechpeech anandd cchosehose thethe worwordsds stratestrategically,gically, mmyy ddeliveryelivery WhatWhat aspect of having a wwasas relatrelativelivelyy successful. BuButt in somethingsomething Q: stammer do you think people like a jjobob interview, nerves can get the underestimate? bbetteretter of you. Th is is a situation where I don’t think people realise the daily a llotot riridesdes on not ononlyly your worwords,ds, bbutut mental strain that comes with trying to on yyouou deliverindeliveringg yoyourur messamessagesges speak when you stammer. Every time wwithith relative fl uencuency,y, and it you need to talk to anyone—whether it’s can be overwhelminoverwhelming.g. someone you know or a total stranger— you’re constantly thinking, not only of what you will say, but how you will say it.. Each situation is diff erent, too. You know the words or sounds that are diffi cult to use and you are always thinking of the best way to navigate around them. Fluent speakers give little or no thought to the physical action of speaking; it is second nature to them. Whereas a stammerer experiences a near-constant stream of thought dedicated to enabling the delivery of most words. It really is tiresome. I compare it to having a second full-time job!
18
18-19_Stammering_Poster_Bulletin October 2019_Bulletin 18 17/09/2019 12:23 Stammering: the facts
8% of children aged 2 to 5 are aff ected by developmental stammering, the most Q: WhatWhat cacan peopleople ddoo ttoo hhelp?elp? common type of stammering. As I'veI've gottengotte older and becomee more comfortable with my stammer, tthish is something I’vee gigivenven a llotot more tthoughthought to. Th e majority of children who stammer I think mostmost stammerers wouldd aagreegree that it helps if people will stop naturally or through speech and do not ridicule,ridicu mimic or laugh at you when you struggle. language therapy. LettingLetting me fi nish my words is vveryery iimportant.mportant. Even iiff peopoplele are sure theythey know what I’m tryingying to sasay.y. Th is is often a Stammering often runs in families: around matter of pride for a stammerer—orr—or at least it is for me. 60% of people who stammer have a relation And although it may be diffi cult,t, hholdingolding eye contacontactct is aalsolso who stammers or used to stammer. important, as if people look awayay or seem aagitated,gitated, or even bored by me stammering, it cann feel quite insultininsulting.g. Stammering has a neurological basis: research tells us that the brains of people who stammer are wired slightly diff erently from those who don’t. DoD you think society does enough to Q: caterc for stammerers and others with Up to 3% of people continue stammering into communicationc diffi culties? adulthood—that’s around 1.5 million adults I tthink the answer to this falls into two categories, in the UK. aass on a general day-to-day basis with people you enencounter on the street, you will always receive a Some people who stammer choose to vvarietya of reactions and responses. As a stammerer change the way they speak, while others are yoyou accept that some people just don’t take time to completely comfortable with their stammer. appreciateap that we can’t all communicate to the same level.le However, I do think that people who work for Th ere are many ways people can learn to public-facingpu companies or organisations could be manage their stammer—not one type of armedar with better skills and knowledge when it comes therapy is eff ective for everyone. toto interacting with people who have communication diffidi culties. For example, calling a service provider Stammering can have a signifi cant impact on on the phone can be incredibly frustrating when you a person’s wellbeing at home, in education stammer,st as the person on the other end will and in the workplace. probablypr not know how to respond in a way that is helpful. Th is is why Facts supplied by the British Stammering projectspr like Communicationunication Association. AccessA UK*, which off ers trainingtr to organisationsions For more information visit stamma.org and inin how to respond to bit.ly/RCSLTstammering someoneso with a communicationco diffidi culty, are so valuable.va
*The Communication Access UK project is working to make the UK more communication friendly, through training programmes and the implementation of a communication acceaccesss symbol for business and public spaces. For more information, visit www.rcslt.org/policy/communication-access-uk
Paul O’MearaO’Meara, RCSLT project coordinator and author of a book on stammering Email: [email protected] @_paulomeara 19
18-19_Stammering_Poster_Bulletin October 2019_Bulletin 19 17/09/2019 12:23 FEATURE SLT Winifred Cooke 75TH ANNIVERSARY and young service user demonstrate voice recording in 1948
75 years of speech and language therapy
As the RCSLT prepares to celebrate its 75th anniversary next year, Jois Stansfi eld traces the development of the RCSLT from its founding in 1945 to the present day
peech and language therapy the conversations, participants provided all back) and Communicating Quality (1991, 1996 in the UK became organised sorts of pictures and artefacts that refl ected and 2006). Academic life was represented by under a single professional their experiences of work across the years. examination papers, journals, key text books body in 1945 as the College No doubt current readers also have memories and photographs of fellow students. of Speech Th erapists, now of a wide range of items that have had the Royal College of Speech professional resonance. Innovation Sand Language Th erapists, which is planning In the 1950s there were no British celebrations for its 75th anniversary in Professional identity standardised speech and language therapy 2020. Exploring the history of speech and Speech and language therapy thrives on both assessments, and necessity was the mother language therapy gives us the opportunity to real and stereotyped professional identity. of invention. One participant mentioned, understand where we have come from and In my interviews, ‘twinset and pearls’ were for example, Joan van Th al’s invention of “a recognise how this infl uences our current and mentioned on numerous occasions, and piece of apparatus which was a sort of jam jar future professional lives. one participant said that, while studying at for detecting nasal escape”. I am currently conducting an oral history college, student SLTs “had to wear blazers Th e fi rst standardised test to be published project, which has involved interviewing with the colours round it, and the proper was probably the Coral Richards language SLTs who qualifi ed between 1945 and 1969. scarf”. test in the late 1960s, followed by the Th is has been eye-opening in terms of how Th ere were many references to the Renfrew Scales and the Reynell tests for the profession has changed in numbers (from professional and statutory bodies; logos and children (which are still in use) and the just over 200 members in 1945 to the most publications produced by these organisations Edinburgh Articulation Test. Assessment of recent fi gure of 17,422 members, indicated were seen as defi ning the profession. Other grammar was enhanced by the Language in the RCSLT's 2018-19 Impact Report), but items included qualifi cation ‘parchments’, Assessment, Remediation and Screening also in terms of the methods, challenges and Licentiateship of the College of Speech Procedure (LARSP) in 1978, although many opportunities reported by the participants. Th erapist (LCST) badges (the original LCST participants struggled with this at fi rst Full analysis is at an early stage, but during badge had the member’s number on the because, as one said of their course in the
20 Bulletin October 2019 | www.rcslt.org
20-22_Lois Feature 3_Bulletin October 2019_Bulletin 20 17/09/2019 12:24 FEATURE 75TH ANNIVERSARY
1950s, “we did phonetics, but linguistics wasn't part of our curriculum”. Adult assessment continued to use American materials, including the Boston Diagnostic Aphasia Examination, with the ‘cookie theft’ picture being one element of the more detailed assessment. People listed a range of therapy essentials. In the words of one participant, who qualifi ed in the early 1950s, she had only “one of these little wicker baskets… and in it, a set of small hand mirrors and a package of straws”. Others mentioned “a bunch of keys to entertain kids” (or, more soberingly, “a bunch of keys to a locked hospital ward”), as well as ping pong balls for blowing exercises, popular games, reward stickers and specifi cally designed therapy tools. Th ere are still fi rm favourites that make a regular appearance in many clinics (Pop-up Pirate, anyone?), but technology has changed the way speech and language therapy is delivered, and people mentioned both old and new approaches. Older members of the profession recalled recording devices that were too heavy to carry, and ‘eye pointing picture charts’. In stammering work, the electronic metronome and Edinburgh Masker have given way to altered auditory feedback (AAF) phone apps, while tools such as electro- palatography now support articulation therapy, and augmentative and alternative communication has become increasingly sophisticated.
On the move Student SLTs at the Central School Many people noted the diffi culty they had of Speech and Drama at a 1960s moving materials, therapists and patients facial musculature tutorial around. Early qualifi ed therapists spoke of a range of transport necessities: ■ “We used to walk everywhere, because we didn't have a lot of money… we would walk from Buccleugh Place [in Edinburgh] over “In the 1950s there were to the Royal Infi rmary, and not always in ‘sensible’ shoes.” ■ “I couldn't have aff orded a car. When it no British standardised was quite far away, like Kincardine, which was about the furthest point out from speech and language Dumfermline, I would go on my bike.” ■ “Half past seven in the morning I would catch a bus into Canterbury to catch another therapy assessments…” bus out of Canterbury to go to Folkestone or… the Margate area.” ■ “I travelled the length and breadth of Argyll, and I had to work out things like →
October 2019 | www.rcslt.org Bulletin 21
20-22_Lois Feature 3_Bulletin October 2019_Bulletin 21 17/09/2019 12:24 FEATURE 75TH ANNIVERSARY
boat and ferry timetables.” Many therapists worked across a wide range of clinics and spoke of their cars being their offi ces, complete with case notes and therapy materials. One participant reported that a school “hadn't got a room for me to treat anybody in, so I packed two boys into the car, took them to [the next village] for the morning and treated them there. I did check the car insurance fi rst.” Another recalled gaining a mobile clinic thanks to a Blue Peter television appeal.
Tracing our roots As we can see, things have changed! As part of the plans for the 75th anniversary of the Dr Peter Hawkins, phonetics RCSLT, we hope to be able to build upon lecturer at Queen Margaret this group of artefacts by collecting photos College (now Queen Margaret University) Edinburgh with SLT of items from each year of its existence, as student Eric Foggitt. examples of items that have had professional resonance for members. If there is an object or artefact that says ‘speech and language therapy’ to you, especially from the earliest years of the RCSLT, be it a piece of equipment, a badge or a publication, then please get in touch with a picture and a brief explanation. Email: References j.stansfi [email protected] ■ RCSLT. Communicating Quality. London: Jois Stansfi eld, emeritus professor, faculty RCSLT, 1991. of health, psychology and social care, RCSLT. The RCSLT Impact Report Manchester Metropolitan University 2018-19. London: RCSLT, 2019.
Anniversary year
Bulletin also wants your help to celebrate you want to see in the profession. Where the RCSLT’s 75th anniversary in print and are we headed in the next 10 to 20 years? online. What will help make the profession One of our key aims throughout the stronger? anniversary year will be to look at ways ■ We’d love you to send in your of connecting the profession’s past with photographs. In the same way that the its future. photos above capture a moment in time, we’d love you to take a snapshot of the How you can help profession that’s illustrative of now. Think about those SLTs of the future ■ Share a piece of professional advice perusing their centenary anniversary with us that’s stood you in good stead copy of Bulletin in 2045—what aspect of planning to raise awareness of speech throughout your career. Perhaps it’s the profession do you want to present and language therapy and those the something you’d to say to your younger to them? What technology, device or profession helps to support in this self, to remind you of why you became intervention do you want to showcase and anniversary year. an SLT. What do you know now that tell them: ‘I did this’? Send your contributions to bulletin@ you wished you’d known then? ■ We’re also on the look-out for your 75th info.org with ‘RCSLT 75th anniversary’ ■ Or maybe you want to look to the anniversary celebrations for our news in the subject header and we’ll publish a future and think about the changes section—tell us how your service is selection over the coming months.
22 Bulletin October 2019 | www.rcslt.org
20-22_Lois Feature 3_Bulletin October 2019_Bulletin 22 17/09/2019 12:24 FROM HOSPITAL TO HOME
IDDSI Compliant
Wiltshire Farm Foods is part of the apetito family, providers of award winning meals to hospitals. apetito.co.uk Pictured: Purée Petite Fish & Chips
%HFDXVHRXUH[SHUWO\SUHSDUHG6RIWHU)RRGVUDQJHRIWH[WXUHPRGLƮHGPHDOVLV DYDLODEOHLQKRVSLWDODQGDWKRPHSDWLHQWVZKRKDYHGLƱFXOW\VZDOORZLQJFDQ
always rely on the same safe, nutritious meals.
For more information or to book a free tasting session, visit www.specialistnutrition.com or call 0800 066 3702
OVER 80 DELICIOUS DISHES IN LEVELS 4, 5 & 6
PROUD SUPPLIERS TO THE NHS
FREE FRIENDLY DELIVERY
BUL.10.19.023.indd 2 12/09/2019 11:16 COLUMN Suzanne Research and Murphy Development Forum
Dr Suzanne Murphy from the NIHR Q: What is the NIHR? other funders but would like to Research Design Service shares an NIHR’s mission is to improve the fi nd out more about NIHR’s health and wealth of the nation unique funding streams for exciting opportunity for SLTs to get through research—it is the largest applied research. funding for research funder of health and care research in the UK. NIHR was set Q: Want to know more? up in 2006 by the academic On 18 November, the NIHR surgeon Lord Darzi and Professor Research Design Services, Dame Sally Davies (now the chief supported by the RCSLT, will be medical offi cer for England). running an event at City, Right from the start, NIHR’s aim University of London: Research has been to fund studies that are with the National Institute for Research identifi ed as important by Health Research (NIHR); patients and practitioners— opportunities in speech & language opportunities studies that give us practical therapy. At this event, attendees evidence of what we can do to will hear about the range of make our clients’ lives better. For grants and fellowships that the for SLTs this reason, many studies funded NIHR off er. While these are by NIHR are run by a team of primarily focused on clinicians people that includes practitioners and researchers in the NHS in (SLTs or other health England, there are also professionals), university opportunities for those across the academics and clients (the UK and/or in independent children and adults on the practice. Attendees will also hear receiving end of the fi nal product fi rst-hand experiences from of research), all working people who have been successful collaboratively together. in applying to NIHR and about the kinds of projects they are “NIHR is keen running. Th ey will also hear from people who sit on NIHR funding to encourage panels who will be sharing what SLTs to participate really impresses them when they look at applications. Unlike many in a number of funders, ideas for most NIHR bids come from practitioners; NIHR ways…” therefore provide lots of help for writing bids. At the event, the NIHR Research Design Service Q: What research will explain the support it activities can I get provides, take potential involved with through applicants step-by-step through the NIHR? the bidding process and tell NIHR is keen to encourage SLTs attendees how they can get to participate in a number of involved with NIHR projects ways. You could apply to run a currently running. What’s more, small study leading to an the event is free and includes educational qualifi cation, such as lunch. To book a place, contact ILLUSTRATION BY Ben Mounsey-Wood a PhD, or for post-doctoral Dr Muhammad Waqar at work. You could apply to lead a [email protected] o you think you might like to take part in research but small team on a new research or visit bit.ly/NIHRevent2019 ■ like to be involved don’t want the commitment of idea of your own, or you could with research to running a study? While many become a member of a team to Dr Suzanne Murphy, principal Dadvance our practitioners want to be involved support a larger study. You may research fellow, University knowledge of speech and with research, not everyone has want to receive training and test of Bedfordshire and NIHR language therapy but don’t know the same objectives. With the out new interventions for Research Design Service where to start? Have you fi nished National Institute for Health projects that NIHR is already (East of England) adviser your master’s degree or PhD and Research (NIHR), there may be running. Or, if you are an Email: are wondering about the next more funding opportunities than experienced researcher, you may [email protected] steps? Do you think you might you think. already know about bidding to @SunnyDays_850
24 Bulletin October 2019 | www.rcslt.org
24_RandD_Foru_Bulletin October 2019_Bulletin 24 17/09/2019 12:24 Our monthly look at the latest in published In the research journals
To review an article or suggest an article for review, email [email protected]
Health-related quality Optimum Social motivation in of life voice rest children with ASD
Children with developmental language Following phonosurgery, most patients Social interaction diffi culties commonly disorder (DLD) or autism spectrum undertake voice rest to facilitate wound seen in children with autism spectrum disorder (ASD) may experience poorer healing. Th e optimum length of voice disorders (ASD) may result in withdrawal health-related quality of life (HRQoL) rest is not established. Participants in and isolation from peers. Despite in specifi c domains according to this this study struggled to comply with opportunities within inclusive settings, study—however, further research is absolute voice rest and the fi ndings children with ASD typically continue to needed. suggest that functional outcomes may struggle with their peer interaction. HRQoL was self-reported using be greater in those who undertake Four children with a diagnosis of KIDSCREEN 52 by 114 children with relative voice rest (RVR) compared to ASD, aged 4-6 years, were paired with DLD or ASD attending mainstream absolute voice rest (AVR). four typically developing children, all of schools in England. Non-verbal IQ Twenty individuals undergoing whom attended an inclusive early years (NVIQ), language ability, ASD features removal of benign vocal fold lesions setting. Baseline data including frequency and behavioural, emotional and social were randomised to either seven days of initiation and response to peer diffi culties were assessed. post-operative AVR, or RVR. A portable interaction, as well as duration of play, Children with DLD reported overall voice dosimeter calculating phonation were collected from observation during HRQoL within the average range, but time calculated compliance. Short-term free play. An age-appropriate play activity ‘moods and emotions’ and ‘social (seven days) and long-term (three to six was designed around the specifi c interests acceptance/bullying’ domains were months) outcomes considered of the child with ASD, then initially signifi cantly lower. Children with perceptual evaluation, endoscopic explained and modelled by an adult. ASD reported HRQoL signifi cantly fi ndings and vocal loading task Increased peer social interaction was below the normal range. Controlled performance. seen in all children with generalisation comparisons with the DLD group AVR participants phonated made to novel peers and observederved indicated children with ASD scored signifi cantly less than RVR participants gains maintained six weeks This section aims to highlight signifi cant lower on ‘autonomy’ but were not silent (3% versus 7%). post-intervention. Followingg recent research articles and ‘parents/home life’ domains. Perceptual improvements did not diff er intervention, three children that are relevant to the profession. Inclusion does not Correlations were identifi ed between between groups but those on AVR had were initiating interaction refl ect strength of evidence or off er a critical appraisal. If you KIDSCREEN 52 domains and other signifi cantly improved endoscopic at levels comparable to fi nd any of these interesting, characteristics. For example, NVIQ evaluation at seven days. Conversely, in their typically developing follow them up and apply and ‘self-perception’ were negatively a vocal loading task, those who had peers. your own critical correlated in children with DLD, as undertaken RVR did better than those Th e authors claim that theirir appraisal. were behavioural, emotional and social on AVR. fi ndings “support the social diffi culties and ‘parents/home life’ Th e authors conclude: “AVR may be motivation theory of autism”” and scores in children with ASD. fruitful for short-term histological argue that “embedding preferred interests Th e authors discuss the challenges recovery, but the long-term benefi ts are into social activities might potentially of using self-report methods with this not shown in this study.” Moreover, increase the motivation of some children study sample but highlight: “It remains “Patients recommended for RVR with ASD to interact with their peers”. important to understand how children showed signifi cantly better vocal with neurodevelopmental disorders stamina and immediate recovery from Nikki Gratton, SLT, Humber Teaching perceive their own HRQoL”. vocal loading” at long-term follow up. NHS Foundation Trust
Sally Mordi, clinical lead for autism Anna White, pathway lead ENT SLT, Reference (specialist education), Barnet, Enfi eld Queens Medical Centre, Nottingham and Haringey Mental Health Trust Watkins, L., O’Reilly, M., Kuhn, M. & Ledbetter-Cho, Reference K. (2019). An interest-based intervention package to increase peer social interaction in young children Reference with Autism Spectrum Disorder. Journal of Applied Whitling, S., Lyberg-Åhlander, V., & Rydell, R. Behaviour Analysis, 52 (1), 132-149 Coales, C., Heaney, N., Ricketts, J., Dockrell, J. E., (2018). Absolute or relative voice rest after Lindsay, G., Palikara, O. & Charman, T. (2019). phonosurgery: a blind randomized prospective Health-related quality of life in children with clinical trial. Logopedics, phoniatrics, vocology, autism spectrum disorders and children with 43 (4), 143-154 developmental language disorders. Autism & Developmental Language Impairments, 4, 1-14 SHUTTERSTOCK
October 2019 | www.rcslt.org Bulletin 25
25_ITJ_Bulletin October 2019_Bulletin 25 17/09/2019 12:25 Join us for a free eductationalational afternoon on Post Laryngectomy Pulmonary Issues
We were delighted with the positive response to our first National Symposium on Post Laryngectomy Pulmonary Issues.
“A very informative and insightful day with lots of new tips and tricks to link to my practice” – Healthcare professional, National Symposium May 2019 We are holding the educational afternoon 1:45pm - 5:45pm in the We are now taking this topic on the road! The content of the following cities: education is based on evidence and research within the field of pulmonary health and HME use, with feedback from the largest Exeter, 12th November worldwide quantitative laryngectomy survey. Glasgow, 13th November London, 14th November There will be expert speakers who will provide in depth insight and actionable and practical tools that can be utilised in clinics. A CPD certificate will be provided at the end of the day. Find out more or secure your place for the symposium. Please contact us on 07841 044261 or email [email protected]
The RSCLT invites individuals to apply for the position of: Associate editor, International Journal of Language and Communication Disorders (IJLCD)
Following recent changes in the editorial team, we • Have experience of carrying out peer review are seeking a new associate editor for the IJLCD from • Commit to carrying out the role for a minimum term of three January 2020 to join our supportive editorial team. years • Be able to participate in four editorial meetings a year The IJLCD is an international, peer-reviewed journal, • Membership of the RCSLT and experience as an SLT is which draws together findings from research in desirable language and communication disorders. The IJLCD is published in six issues per year, with occasional An overview of the role is available on request from Christina special issues. McKean (email address below).
The role of associate editor off ers the post-holder the opportunity to make a significant contribution to the dissemination of quality research in the field of communication disorders and related SLT activities. For applications please email the following to [email protected] The successful candidate for this position will: • A covering letter and supporting statement (200 words • Have a PhD in a relevant academic discipline max) • Have an up-to-date knowledge of developmental/ • Your CV child language and communication disorders • A list of publications and presentations and/or other • Possess a proven track record in research enabling activities (peer-reviewed publications, presentations at Closing date for applications September 27th 2019. conferences and/or other research enabling activities) Interviews to take place via Skype in October 2019.
26 Bulletin October 2019 | www.rcslt.org
BUL.10.19.026.indd 26 12/09/2019 11:27 OCTOBER CEN NOTICES CLINICAL EXCELLENCE NETWORKS
Send your CEN notice by email to [email protected] by 6 November for December and 6 December for January. To fi nd out more about RCSLT CENs, visit: tinyurl.com/rcsltcens Venue hire at the RCSLT – special rates for CENs. For further details or to arrange to view our refurbished rooms, email: [email protected]
National CEN for Adults with Autism North West Aphasia CEN South West Dysphagia CEN 24 October 13 November, 10am - 2pm 29 November In Nottingham. Topics include Positive Behavioural “Language led dementias: training people with What is represented by the action we call Support, Long Term Segregation, Interventions, pre primary progressive aphasia and their ‘feeding’ and how/why do our best clinical and post diagnostic issues and presentation by a communication partners”. Speakers will be intentions become misaligned or possibly service user. Please contact Heidi Keeling for more Anna Volkmer, SLT / Senior Research Fellow, harmful to patients and families? We will information on [email protected] and Dr Chris Hardy, Neuropsychologist, UCL. formulate responses to case studies based on Venue: Manchester Metropolitan University. ethical concepts and clinical knowledge. Speaker National Sensory Integration CEN Cost: £5 for members, free to non-members Paula Leslie, PhD, MA (Bioethics), CCC-SLP, 29 October, 10am - 4pm and students. Book here: tinyurl.com/y3bkdemz. FRCSLT is a senior lecturer at the University of For more information, email: [email protected] Lancaster and a specialist adviser to the RCSLT First meeting of a new CEN to support SLTs and in swallowing disorders. Her interests include the SLTAs working within an Ayres Sensory Integration South West Brain Injury CEN process of clinical decision making, health frame of reference across all clinical areas. Social professionals’ education and non-traditional networking opportunity in the evening following 14 November, 10am - 4pm routes to advanced clinical training. She meeting. Speakers: Prof. Pam Enderby - Outcome Theme: Looking after our own wellbeing: Self-care publishes, provides support to researchers, and Measurement, TOMS and SI; Gia Kuek - Combining for SLTs working with brain injured adults and their provides continuing education from grassroots SLT and SI in a parent coaching model. Venue: families. Cost: £20; tickets via Eventbrite: to international level and across the health RSCLT, 2-3 White Hart Yard, London SE1 1NX. bit.ly/2kpDgha. Location: Frenchay Brain Injury professions on complex clinical decision making, Cost: £15 payable on the day (limited spaces). Rehabilitation Centre, Bristol. The agenda for the ethics and end-of-life decisions in vulnerable To reserve a place, or to join the mailing list, study day will be advertised on Basecamp, and will populations. Email: [email protected] contact Amy Stephens: include sessions on Compassion Focused Therapy [email protected] (CFT) led by clinical psychologist Dr Steph Davis, Acquired Brain Injury CEN and a group refl ective session on emotional aspects Promoting Communication in the Early Years of our work, led by Lucie Rochfort, specialist SLT. 13 December, 9am-4:30pm CEN For further information email Sarah Gibbin: Social Cognition in Brain Injury: what is it and 4 November, 9:30am - 3:30pm [email protected]. Please note the room has what can SLTs do about it? Learning objectives: a limited capacity, therefore tickets are essential. to defi ne social cognition and its relevance to Learning from Successful, Long Term Models. brain injury; to highlight the complimentary roles Venue: RCSLT, 2 White Hart Yard, London, SE1 1NX. Central Paediatric Dysphagia CEN of SLT and neuropsychology to diagnose and Cost: £20 for members, £30 for non-members (to treat social cognition; to outline assessment include membership to August 2020). To book, 21 November, 9:15am - 4pm tools and techniques; to introduce therapy email [email protected] Location: Birmingham. Hot topics in Paediatric approaches; to share real-world case studies; Dysphagia. Cost: £10 per day – pay on the day, and to update knowledge on current literature. London Adult Neuro CEN via cash or bank transfer. Key speakers from Oliver Zangwill Centre and Contact: [email protected] 5 November, 8:30am - 4:30pm Frenchay Brain Injury Rehabilitation Centre. Advances in Motor Speech Disorders. Talks from Venue: RCSLT, London, SE1 1NX. Cost: £45 Cleft Lip and Palate CEN Jodi Allen (assessment and diff erential diagnosis of (excludes lunch). To book your place, visit MSDs), Steven Bloch (an insight into conversation 22 November bit.ly/2jRU9ke Email [email protected] with and interaction work in MSDs), Richard Cave Venue: Birmingham Children’s Hospital. Follows an any other queries. (advances in technology), Nicola Wydenbach early years’ theme. Cost: Earlybird (CEN members): (professionally trained singer, Sing to Beat £35 (up until 18 October); afterwards £40. London and South East Region Selective Parkinson’s/Camberwell Skylarks Choir for pwPD) Non-members: £55. For further information on Mutism CEN and Claire Mitchell and Annette Dancer (research study day or becoming a CEN member, visit: 16 January, 9.30am-4pm updates from an SLT and patient perspective). www.cleftsig.co.uk The main topic is: ‘Special Educational Needs Venue: Resource for London, Holloway, N7 6PA. and Selective Mutism’. The afternoon will also Cost: £30, £15 for students. For tickets, visit Essex DLD CEN include a show-and-tell practical session. Eventbrite link on website: 25 November, 9am - 12:30pm Venue: RCSLT, 2-3 White Hart Yard, London londonadultneurocen.weebly.com Two guest speakers. Dr Saloni Krishnan will be SE1 1NX. To book, visit: bit.ly/2jRU4wW visiting to talk about the BOLD (Brain Organisation National Selective Mutism CEN in Language Development) study. The study is led 13 November by Professors Kate Watkins and Dorothy Bishop ‘Selective Mutism - Getting to Grips with and aims to use MRI to look at the development of Adolescents’. To include a range of speakers, language abilities in the brain. Vanessa Rogers will including LIbby Hill, Anita McKiernan and Helena speak about the Symplify online speech and Duncalf. Visit: bit.ly/2keX9rk language toolkit, which allows you to create bespoke lists of words and symbols and use them in interactive games. Venue: Provide HQ, 900 The Crescent, Colchester, CO4 9YQ. Cost: Free for members (those who attended in May), £10 for non-members. Email [email protected] to book a place.
October 2019 | www.rcslt.org Bulletin 27
27_CENs_Bulletin October 2019_Bulletin 27 17/09/2019 12:25 Behaviour change S techniques: part one and
THE OFFICIAL MAGAZINE OF THE ROYAL COLLEGE THE OFFICIAL MAGAZINE OF THE ROYAL COLLEGE OF SPEECH & LANGUAGE THERAPISTS ¬ OF SPEECH & LANGUAGE THERAPISTS c Inside the RCSLT Professional October 2016 | www.rcslt.org Practice and January 2017 | www.rcslt.org Policy Committee ¬ c Addressing early voice prosthesis failure associated with Candida Appointments colonisation
Using Lego Development of Development of Reasonable Therapy for FEES in dysphagia FEES in dysphagia adjustments Writingsuccessful assessment for people with assessment communication learning disabilities THE OFFICIAL MAGAZINE OF THE ROYAL COLLEGE ¬ THE OFFICIAL MAGAZINE OF THE ROYAL COLLEGE ¬ THE OFFICIAL MAGAZINE OF THE ROYAL COLLEGE undergoing THE OFFICIAL MAGAZINE OF THE ROYAL COLLEGE ¬ OF SPEECH & LANGUAGE THERAPISTS Improving services for OF SPEECH & LANGUAGE THERAPISTS Improving services for OF SPEECH & LANGUAGE THERAPISTS videofl uoroscopy OF SPEECH & LANGUAGE THERAPISTS CQ Live: people with primary people with primary your live progressive aphasia progressive aphasia ¬ CPD resource March 2017 | www.rcslt.org March 2017 | www.rcslt.org February 2017 | www.rcslt.org Implementing December 2016 | www.rcslt.org ¬ ¬ voice output ¬ Remembering Remembering communication aids Behaviour Sir Sigmund Sternberg Sir Sigmund Sternberg change ¬ techniques: European part two Swallowing Awareness Day
Laughter and therapy: using humour Promoting the development of young
1in brainRCSLT Impact injury Report 2014-2015 rehabilitation September 2015 | www.rcslt.org 1children’sRCSLT Impact Report language: 2014-2015 A public health perspective Septemb
An alternative for Bulletin experience as a speech and language therapy student ¬ 25 years of Newham’s bilingual co-working service ¬ Behaviour change techniques: part three
orks: the vital roles Making the switch from public to private practice: Making the switch from public to private practice: Cutting a path through the terminological jungle: Reshaping the linguistics curriculum: Diff erent Th e joys and challenges of working independently How to talk about developmental language disorders he wider profession September 2015 | www.rcslt.org 1Th RCSLT e joys Impact and Report 2014-2015challenges of working independentlySeptember 2015 | www.rcslt.org 1 RCSLT Impact Report 2014-2015 September 2015 | www.rcslt.org 1 RCSLT Impact Report 2014-2015 September 2015 | www.rcslt.org 1modelsRCSLT Impact for Report the 2014-2015 delivery of linguistics education Septemb
As the professional membership magazine of FEATURES Please note there is a strict three-month the RCSLT, Bulletin relies on articles written by Bulletin features are in-depth articles on embargo on content from the date of members, for members. topics likely to be of interest to a broad publication and, while we normally permit range of SLTs. Examples include professional re-printing, we would ask you to credit We welcome submissions from people working advice (eg ‘Making the switch from public Bulletin with fi rst publication rights and seek across the speech and language therapy to private sector work’); clinical conditions permission from the magazine’s editor. profession, in all settings and whatever stage and their treatment; individual case studies; you’re at in your career, including students, service users’ fi rst-hand accounts; the retirees, and everyone in between. instigation and outcomes of innovative ways PHOTOGRAPHY Photographs submitted to Bulletin should Whether you’ve got news, an opinion or a case of working; and evaluations (including audits, be of a high resolution (normally 300 dpi or study to share, Bulletin gives you a great way service evaluations, qualitative projects and 500kb in size). Please notify us at the time of of connecting and communicating with your dissertation projects of clinical relevance). submission of any photo credits and ensure peers. The word count for a one-page feature is 650 you have obtained the written consent for Publishing in Bulletin also counts towards your words, while two-page features should come publication of everyone depicted in the photo. continuing professional development (CPD) in at 1,200 words (which includes references, Scanned images from books and magazines hours. graphs, tables and charts). cannot be used for copyright and technical reasons. Please note that we do not accept articles that have been previously published (including TYPES OF CONTENT online). Submitted features should also observe the set word count limits. LETTERS TO THE EDITOR Send your contributions to: Share your thoughts on a particular issue, OPINION The Editor, RCSLT, respond to something you’ve read in Bulletin, Is there a topical issue you want to shout 2 White Hart Yard, or put a question to other members in 250 about or a personal perspective you’d like to London SE1 1NX words or less. share? Opinion pieces should be 650 words Email: [email protected] long and draw on your own experiences and Tel: 020 7378 3004 NEWS perspectives, while being relevant to the Twitter: @rcslt_bulletin We accept news items about members, or on profession. issues that are of interest or importance to the profession. We don’t accept news about commercial events, products or services. SUBMISSIONS PROCESS News submissions should be a maximum of Email your submission to [email protected] with 300 words. the proposed section you’re contributing to (‘News’, ‘My Working Life’ etc.) in the subject MY WORKING LIFE line. The editorial team will acknowledge Tell us about your professional life in 650 receipt of your submission within one month words. Or send us a 120 word snapshot of who and will endeavour to review it and return it you are and what you do for YOUR RCSLT, to you with any suggestions or amendments along with a recent photo. within eight weeks. If your article is accepted for publication, the editor will contact you with OBITUARIES more detailed edits and information about Please get in touch if you would like to when it will be published. contribute an obituary for a friend or colleague who has passed away. These pieces You can also submit queries to the team with should be 600-650 words in length and an outline of a proposed article, if you’re include a photo, if possible. unsure whether or not it will be suitable for publication. The team will aim to get back to BOOK REVIEWS you within eight weeks with recommendations. If you wish to be added to our list of book reviewers, email us with your details and The RCSLT retains the copyright of any article clinical areas of expertise and we’ll get back accepted for publication. to you as we’re sent new titles. Book reviews should be around 200 words.
28 Bulletin September 2019 | www.rcslt.org
BUL OCT19 RECR.indd 28 13/09/2019 14:28 TO ADVERTISE CALL 020 7324 2777 APPOINTMENTS OR EMAIL [email protected] AppointmentsCall 020 7324 2755 or email [email protected] WOULD YOU
What delivering great LIKE TO healthcare should feel like. ADVERTISE HERE ? Speech and Language Therapist Flexible Hours – full or part time • £34,000 To place an advertisement St Neots Hospital, Neurological Care please contact: Are you an experienced Speech and Language Therapist looking for 020 7324 2777 or a new opportunity evaluating service user’s individual speech and [email protected] languages treatments plans, leading therapeutic group sessions and analysing clinical audit data for service users? Join the highly-experienced team at St Neots Hospital providing treatment and rehabilitation for up to 38 people with a range of neurological and mental health conditions. At Elysium we want you to have a career that you can take pride in and enjoy. It’s not just a job, it’s much more than that. It’s what delivering great healthcare should feel like. bulletin Apply online. bulletin www.elysiumhealthcare.co.uk/careers
Keep in touch with your RCSLT online
Visit www.rcslt.org and follow the links
October 2019 | www.rcslt.org Bulletin 29
BUL OCT19 RECR.indd 29 13/09/2019 14:28 Thick & Easy Clear We know Thick & Easy Clear is prescribed to modify the consistency of drinks, helping people with dysphagia to swallow safely. what you’re Thick & Easy Clear: • Encourages fluid intake, therefore made of reducing the risk of dehydration • Is a gum-based thickener • Doesn’t alter the natural appearance, taste or texture of drinks3 Are your patients • Retains a consistent thickness over time drinking enough? Helping patients We all know that water is essential for life.1 Unfortunately, not everyone finds it to stay hydrated easy to drink enough to stay hydrated. Join today, visit www.whatwearemadeof.org to help hydrate the nation and make a dramatic Dysphagia sufferers, estimated at 8% of difference to peoples’ care. the population2 often struggle to take in enough liquids, even developing a fear Find out more about dysphagia of swallowing. For expert information, advice, case studies and the latest developments in clinical dysphagia research It’s time to take hydration seriously call Fresenius Kabi on 01928 533 516 or email [email protected]
References 1. Emma Derbyshire. The Essential Guide to Hydration. Available from: https://www.naturalhydrationcouncil.org.uk/wp-content/uploads/2012/11/ ™ NHC-Essential-Guide-Hydration-FINAL.pdf Accessed 29th January 2018 Thick & Easy 2. http://iddsi.org/ Date accessed: November 2017 3. Fresenius Kabi data on file – Thick & Easy Clear – Acceptability Study Clear Report Sept 2014. Date of preparation: July 2019. Job code: EN1461. Thick & Easy is a trademark of Hormel Health Labs. Fresenius Kabi is an authorised user.
BUL.10.19.030.indd 2 12/09/2019 11:18 Complete Video Library Now Online!
Our therapy materials are developed by world renowned experts: Vivian Sisskin, M.S., CCC-SLP, University of Maryland www.StutteringHelp.org/Store Helping Children Change Thoughts & Feelings About Communication StutteringHelp.org/Streaming 2 hours, 55 minutes DVD 6335 • 50+ titles Avoidance Reduction Therapy in a Group Setting • Works on smart phones, tablets 2 hours DVD 6740 and computers Autism Spectrum Disorders and Stuttering • Instant access 2 hours DVD 6730 • No software to download A Fresh Look at Stuttering • No DVD drive required 24 minutes DVD 4083 • Great for college classrooms THE and take-home assignments STUTTERING THE OUNDATION ® 901-761-0343 • Use in workshops STUTTERING F ® • No expiration FOUNDATION A Nonprofit Organization Since 1947 — Helping Those Who Stutter
October 2019 | www.rcslt.org Bulletin 31
BUL.10.19.031.indd 31 12/09/2019 11:30 FROM HOSPITAL TO HOME
Wiltshire Farm Foods is part of the apetito family, providers of award winning meals to hospitals. apetito.co.uk Pictured: Puree Petite Lamb & Gravy
%HFDXVHRXUH[SHUWO\SUHSDUHG6RIWHU)RRGVUDQJHRIWH[WXUHPRGLƮHG PHDOVLVDYDLODEOHLQKRVSLWDODQGDWKRPHWKRVHZKRKDYHGLƱFXOW\ swallowing can always rely on the same safe, nutritious meals. For more information or to book a free tasting session, visit specialistnutrition.com or call 0800 066 3702
OVER 80 DELICIOUS DISHES IN TEXTURES C, D & E
NUTRITIONAL EXPERTISE
FREE FRIENDLY DELIVERY
BUL.10.19.032.indd 2 12/09/2019 11:19 Jo
MY Darters WORKING LIFE OCCUPATION: HIGHLY SPECIALIST SLT
“Early intervention and prevention is just as crucial now as it ever was”
s an SLT nearer the end of Sadly, government priorities my career than the inevitably changed and with the beginning, I have been demise of Sure Start many of our fortunate to have spent initiatives ended. Funding for the most of my clinical practice Teddy Bear Kit was no longer available. Aworking with under-5s. I was also I felt passionately that such a great tool privileged to be involved in the Sure Start shouldn’t just fade into obscurity. So, initiative, which presented opportunities with permission, I decided to spend for thinking and working in innovative personal time and resources investing ways. in ensuring it would continue to be Sure Start funding enabled the NHS available as a resource. and local authorities to work together Since then, its use has expanded like never before, especially in the fi eld beyond Peterborough. Many SLTs now of helping Early Years Practitioners use it and indeed some teams are (EYPs) to increase their knowledge and recommending that EYPs referring skills in supporting children with into their service use it to show that a speech, language and communication referral is justifi ed. Many schools needs (SLCN). across the country are also using it to I was the team lead for the Peterboroughh assess the skills of all children entering NHS Early Years SLT team at the time and receptionce and then to provide evidence for early intervention and prevention quickly no experience of knowing when a child the EYFS profi le assessment towards the end became my passion. needed referring. Consequently, Joy set of the academic year. Th is latest version is With Sure Start, we had the time and about devising a screening tool to help them called the Teddy Talk Test. funding to be able to devise new resources to see ‘the wood for the trees’. She called it As I refl ect on my career over the last 35 and opportunities for upskilling and the Teddy Bear Kit. It worked for her then years, I realise that while the profession is supporting both parents and practitioners. and, faced with a similar problem nearly utterly diff erent from how it was in Joy’s It was exciting to see the massive impact we 30 years later, we asked Joy’s permission to day, and even when I qualifi ed in the early had on improving the life chances of do further research and development on 1980s, some things stand the test of time: children, especially those from the most her idea. ■ Early intervention and prevention is just deprived backgrounds, with these new Th e updated version of the tool worked so as crucial now as it ever was. approaches. well in our trials that city preschools and ■ Equipping fellow professionals to identify One of the challenges we found back then nurseries were invited to attend training and children at risk and signpost them for was that many EYPs were reporting a lack of provided with a kit. Subsequent evaluation intervention during that critical window confi dence in knowing whether to refer showed that the appropriateness of referrals of opportunity in the early years is just as children into our service. Th ey were aware improved signifi cantly and practitioners important as it’s ever been. we were over-stretched and were concerned reported increased confi dence in the early I know that Joy agrees that it has been a about making inappropriate referrals. So, identifi cation of children at risk of SLCN. privilege to be part of an innovative and we set about resurrecting a screening tool Th ey also reported that the record form and evolving profession and to play a part in its that had been devised back in the 1960s. summary sheet provided with the kit was a journey. ■ Joy Mance was the fi rst SLT ever to work simple way to share information and in Peterborough. Speech therapy was a very structure sensitive conversations with www.teddytalktest.co.uk new profession then and health visitors had parents and carers. [email protected]
October 2019 | www.rcslt.org Bulletin 33
33_MWL_Bulletin October 2019_Bulletin 33 17/09/2019 12:26 QUICK LOOK DATES
Various dates training to early years staff. Cost: £495 October 21-23, RCSLT, London 8 November, Manchester One day courses, £130: FOTT Study for 3-5s, £250 for 0-3s, £745 for both. PROMPT Level 1: Introduction to Bilingual Children with Speech and Language Diffi culties Day, 14 October, 4 May 2020; All prices excluding VAT. Technique Tel: 01208 841450; Moves to Swallow, 18 November, Three-day intensive workshop on A day re the current evidence base for 1 June 2020; email: [email protected]; identification and management, with visit: www.elklan.co.uk teaching the Technique of PROMPT. Making the most of Mealtimes, (PROMPTs for Restructuring Oral clear pointers for practice. Led by Dr Sean Pert of Manchester University. 9 December, 13 July 2020; Various dates Muscular Phonetic Targets). Teaches Cost: £215 or £190 if two book Therapeutic oral hygiene, Develop Narrative Language Skills a system for assessing and treating together. Visit: coursebeetle.co.uk/ 16 September, 23 March 2020. – Use Imaginative Role Play language and speech disorders Two day courses, £625: (part 1) 18-20 bilingualism-nov-2019-manchester; from a perspective of speech-motor May 2020; (part 2) 6-7 July 2020; 28 November, Leeds; 3 December, email: [email protected] control and learning. Trains SLTs to (part 1) 14-16 September 2020; (part Birmingham. A theory into practice provide tactile-kinesthetic input to 11-15 November, Sheffield 2) 16-17 November 2020. workshop. We’ll look at research and Advanced Dysphagia Course Email: [email protected]; give you free assessment tools, with support the development of speech tel: 01684 576795 ideas on how to develop narrative movement. Using holistic framework Five-day course. Topics include: using imaginative play. participants will learn how to embed Critical Care, FEES, Videofluoroscopy, Various dates With Lyndsey Allen, SLT (consultant in speech goals within functional Laryngopharyngeal Reflux, Dementia, Talking Mats Foundation course early years language development). communication, thus developing social Respiratory Disorders, Head and Neck 8 November, Stirling; 13 December, Visit: www.thinktalklearn.co.uk/ interaction and language. Instructor: Cancer. Cost: £675 per delegate. Stirling; 27 November, Manchester; 12 workshops; visit: www.youtube. Justine Rhind. Register: www. Email: [email protected] or November, online course; 6 December, com/c/THINKTALKandLEARN promptinstitute.com/event/10421; [email protected] London. Be more effective in involving Various dates visit: www.promptinstitute.com; 12-15 November email: justine@rhindspeechtherapy. people in decisions. Torbay and South Devon NHS Visit: www.talkingmats.com; Elklan Total Training Package for co.uk; tel: 07533081818 Verbal Pupils with ASD Foundation Trust email: [email protected]; 25 -26 October, Birmingham tel: 01786 479511 2-3 March, Holiday Inn Media City, Four-day full and day courses. Venue: Salford; 8-9 June, RCSLT, London. PODD© Communication System Torbay Hospital. Cost: £150 day, Various dates Equipping SLTs and teaching advisors Introductory Training full course £570, early-bird (before Elklan Total Training Package for to provide accredited training to staff Delivered by licenced trainer 10 October) £550. Day 1: setting 11-16s supporting verbal pupils with ASD, Natalie Fitzpatrick. Relevant to all up a FEES service; Day 2: passing a 18-19 November 2019, RCSLT, London; 3-18 years. Cost: £495 excluding VAT. practitioners supporting children nasendoscope – theory and practice; 4-5 March 2020, Holiday Inn Media Tel: 01208 841450, communicating via visuals. Day 3: anatomy/ physiology of City, Salford; 10-11 June 2020, RCSLT, email: [email protected], Cost: £250. Visit: coursebeetle.co.uk/ swallowing as viewed endoscopically; London. Equipping SLTs and teaching visit: www.elklan.co.uk podd-courses; Day 4: case studies, practical advisors to provide accredited 8-9 October, RCSLT, London email: [email protected] interpretation. training to staff in secondary schools. Email: [email protected] Elklan Total Training Package for 31 October, London Strategies will help students maximise Pupils with SLD Hot topics in AAC 14 November their communication. Swallowing and Nutrition: Cost: £495. Tel: 01208 841450; This course equips SLTs and teaching Enabling emerging communicators to advisors to provide accredited training Navigating Risk, Complexity and email: [email protected]; use switches, training nurses in AAC, Ethical Dilemmas visit: www.elklan.co.uk to staff working with pupils with SLD case studies, journal reviews, and the in different educational settings. amazing Ask Me Anything panel: a day This comprehensive and practical Various dates Cost: £495 excluding VAT. of learning, sharing and discussion! course focuses on complex ethical Elklan Total Training Package for Tel: 01208 841450. Visit: webcollect.org.uk/aaclondon; and risk management issues when 5-11s Email: [email protected]. email: [email protected] working with people with swallowing impairments and/or difficulties 18-19 November 2019 RCSLT, London; Visit: www.elklan.co.uk 1 November, RCSLT, London 7-8 January 2020, RCSLT, London; achieving adequate nutrition and 8-9 October, RCSLT, London Word Aware: teaching vocabulary 2-3 March 2020, Holiday Inn Media hydration. The course has a strong Elklan Supporting Children and in primary schools focus on multi-disciplinary team City, Salford; 8-9 June 2020, RCSLT, Adults using AAC – Accredited CPD London. Equips SLTs and teaching Practical whole school curriculum- management, and is suitable for all advisors to provide accredited Suitable for SLT assistants, SLTs and based approach. Highly rated course. members of the MDT. Cost: £120. evidence informed training to staff educationalists. Practical strategies Suitable for teachers and SLTs so bring Visit: bit.ly/2kLJjgd working in primary schools. and activities will be taught to give a colleague. Trainers: Stephen Parsons 14-15 November, RCSLT, London and Anna Branagan. Cost: from £120. Cost: £495 excluding VAT. learners a thorough grounding in AAC. smiLE Therapy Training Day 1 & 2 Tel: 01208 841450; Cost: £340 excluding VAT; Visit: www.thinkingtalking.co.uk/ email: [email protected]; tel: 01208 841450; training For SLTs and teachers. Innovative visit: www.elklan.co.uk email: [email protected]; 4-7 November, Bristol 10-step therapy. Teaching functional visit: www.elklan.co.uk communication and social skills in Various dates ADOS2 Administration and Coding real settings. Outcome measures Elklan Let’s Talk with 5-11s Training 10 October, RCSLT, London Course and empowering parents integral to Pack Elklan Training Package – ADOS2 is the latest revision of the therapy. 22 November 2019 RCSLT, London; Supporting Children and Adults Autism Diagnostic Observation Visit: www.smiletherapytraining.com; 3 March 2020 Holiday Inn Media Using AAC Schedule and is the most widely used email: [email protected] City, Salford. Educationalists will Equipping SLTs to provide accredited observational assessment in the 15 November, Birmingham be equipped to provide accredited training to staff supporting users of diagnosis of autism. Visit: ados2training.co.uk Attachment diffi culties and training to parents of 5-11s. Relevant AAC. Covers effective use of high and complex trauma - impacts on SLCN Elklan Level 3 qualification essential. low tech communication aids. 7-8 November, Nottingham Cost: £235 excluding VAT; Cost: £235 excluding VAT. Presented by Melanie Cross, lead FEES Training Programme with author of the RCSLT clinical guidelines tel: 01208 841450; Tel: 01208 841450; SVS training email: [email protected]; email: [email protected]; on SEMH. Cost: £215. visit: www.elklan.co.uk visit: www.elklan.co.uk Practical workshop series. Visit: bit.ly/2miDibk; Five-day training programme email: [email protected] Various dates 10-11 October, RCSLT, London spread across a six-month period 18 November Elklan Total Training Package for Elklan Total Training Package for commencing November 2019. 5-11s Vulnerable Young People (VYP) The structure of the programme is SOUTH Network Day for aimed at progressing you through Communication Professionals 18-19 November RCSLT, London; Equipping SLTs and teaching advisors Working with People with Rett 7-8 January 2020 RCSLT, London; to provide accredited training to RCSLT competencies to perform Syndrome 2-3 March 2020 Holiday Inn Media FEES safely and effectively. staff working within youth offending Open to SLTs and other City, Salford; 8-9 June 2020 RCSLT, Full five-day skills workshop series institutions, prisons and vulnerable communication professionals. Share London. Equips SLTs and teaching £900 early-bird rate or £950 full price. situations. case studies with colleagues, find advisors to provide accredited Introductory level two-day course, Cost: £395 excluding VAT (£100 off). out about low and high tech AAC evidence informed training to staff £400 early-bird rate or £450 full price. Tel: 01208 841450; for people with Rett syndrome. working in primary schools. Email: [email protected]; email: [email protected]; Supported by Rett UK. Venue: The Cost: £495 excluding VAT. visit: www.svsassociates.co.uk visit: www.elklan.co.uk Amadeus, Shirland Road, LONDON, Tel: 01208 841450; 8-9 November, Midlands W9 2JA. Cost: Free. email: [email protected]; 17 October, Birmingham TalkTools Level Two Email: [email protected] visit: www.elklan.co.uk The current evidence base for speech interventions: Translating Tactile sensory approach to improve 18 November Various dates research into practice speech/feeding. Level two develops Autobiographical Memory Elklan Total Training Package for Best practice recommendations specific therapeutic program plans to 3-5s, with optional TTP for 0-3s meet Oral Placement needs. Practical Autobiographical memory impacts for transcription and analysis upon our children’s long-term future 20-21 November (3-5s) and 22 examples will be shown via video and will be included. Presented by success academically and emotionally. November (0-3s) 2019 RCSLT, London; live assessment sessions. Dr Anne Hesketh formerly of The impact upon identity, people 4-5 March (3-5s) and 6 March (0-3s) Cost: £535. Manchester University. Cost: £215. reading, inferencing, predicting and 2020 Holiday Inn Media City, Salford; Visit: www.eg-training.co.uk; Visit: coursebeetle.co.uk/speech- social interactions will be drawn out. 10-11 June (3-5s) and (12 June (0-3s) tel: 01530 274747; interventions-oct-2019-birmingham/; The potential to support and underpin 2020 RCSLT, London. Equipping SLTs email: [email protected] email: [email protected] academic progress in literacy will be and EY advisors to provide accredited
34 Bulletin October 2019 | www.rcslt.org
QLD Oct19.indd 34 17/09/2019 12:29 QUICK LOOK DATES
discussed and applied. Cost: £100, teaching, coaching and scaffolding is and why it is important and has 13 February, Derby bring a colleague for £50. so that they can effectively apply the become a hot topic. Explore how Cervical Auscultation Email: [email protected] learning to everyday interactions with children's ability to know, guess, think Lecturer: Dr Alison Stroud. Therapists 19 November, London their child. Visit: hanen.org/ittt-nov- and feel about the world impacts 20-2019-london on building friendships as well as will learn the theory of Cervical Outcome Framework and Goal accessing the curriculum. Auscultation and learn the ‘How, What Attainment Scaling (GAS) 22 November, Newcastle Cost: £100, bring a colleague for £50. and Where’ of Cervical Auscultation. Lecturer: Dr Sidney Chu. Learning NORTH Network Day for Email: [email protected] Delegates will have an opportunity Communication Professionals to participate in a practical session, outcomes: Define the outcome 6-7 December, Gatwick framework and provide examples of working with people with Rett identifying normal and disordered Syndrome quantitative and qualitative measures Advanced Cognitive Rehabilitation swallow sounds. Venue: London Road which can be used at the organisation/ Open to SLTs and other Workshop: Attention & Community Hospital. Cost: £130. service and families /children/client’s communication professionals. Share Information Processing CPD: 5.5 hours. levels. Outline the processes of case studies with colleagues, find Cost: £185. This advanced two-day Visit: www.ncore.org.uk; collaborative goal setting underpinned out about low and high tech AAC interactive workshop is suitable for email: [email protected] by the philosophy of family/child/ for people with Rett syndrome. professionals working with adults who 24 April, RCSLT, London Supported by Rett UK. Cost: free. client-centred care practice and team have cognitive problems following smiLE Therapy Training Day 3 approaches. Describe the structure Email: [email protected] brain injury. Email: enquiries@ of GAS. Apply the Summary Score 27-28 November, London braintreetraining.co.uk; For SLTs and teachers. Innovative Conversion Key or the GAS Calculator tel: 01276 472 369; 10-step therapy. Teaching functional Royal Brompton Upper Airway to work out the standard scores visit: www.braintreetraining.co.uk communication and social skills in Course real settings. Outcome measures before and after treatment in order to 26 December measure the effectiveness. For SLTs wishing to know more about and empowering parents integral to Cost: £130. CPD: 5.5 hours. the assessment and treatment of Imaginative Play therapy. Visit: www.ncore.org.uk; upper airway disorders (with live Children with hearing loss often have Visit: www.smiletherapytraining.com; email: [email protected] workshops). Only 15 places available. delayed development of symbolic email: [email protected] Lecturers: Dr Julia Selby, Dr James 20-21 November, RCSLT, London and imaginative play in addition 29 April-1 May Hull, Mr Guri Sandhu. Cost: £350. to language skills. Attend this Working with Children and Young Elklan Total Training Package for Email: [email protected] workshop to learn about the normal 0-25s with Complex Needs People with Voice Disorders 28-29 November, Kuala Lumpur, development sequence and useful This course equips SLTs to provide Malaysia assessments. This course is aimed at SLTs working with voice-disordered children in a accredited training to staff who Elklan Total Training Package for Cost: £100, bring a colleague for £50. manage pupils with complex learning Email: [email protected] community or educational setting. 5-11s Tel: 020 790526754; needs. It covers pre-intentional to 7-9 January, RSCLT, London early intentional communication. Equips SLTs and teaching advisors to visit: www.ichevents.com; Cost: £495 excluding VAT. provide accredited, evidence-informed Communication Support for 0-25s email: [email protected] Tel: 01208 841450; training to staff working in primary with Complex Needs email: [email protected]; schools. Cost: £550 excluding VAT. Two-day course for practitioners with visit: www.elklan.co.uk Tel: 01208 841450; email: henrietta@ accreditation, followed by ‘Let’s Talk elklan.co.uk; visit: www.elklan.co.uk To book your advert 20-22 November, London with Special Children’ Tutor Pack on 4 December day 3. Cost: £390 excluding VAT. contact: It Takes Two to Talk® Certifi cation Tel: 01208 841450; Tel: 020 7880 7668 Workshop Joining the dots: Hearing loss and social competency at primary email: [email protected]; or email: Learn how to facilitate parents' school visit: www.elklan.co.uk involvement in their child's early [email protected] language intervention through Understanding what theory of mind
Keep in touch with the RCSLT on Twitter
Did you know that you can read about the RCSLT’s activities via social media? BOOK YOUR Find out about: You can also fi nd out QUICK LOOK The RCSLT @RCSLT what’s happening in: The Bulletin magazine Northern Ireland DATE TODAY @RCSLT_Bulletin @RCSLTni Scotland @RCSLTScot Increase the potential of your course or event by advertising in the The RCSLT policy team RCSLT Bulletin Quick Look Dates section. A Bulletin survey shows and its activities Wales @RCSLTWales 77% of readers have attended a course advertised in these pages. @RCSLTPolicy Hubs @RCSLTHubs Research and To book your advert contact: development Follow our feeds for Tel: 020 7880 7668 or email: [email protected] @RCSLTResearch the latest news and Terms and conditions CPD information Payment must be received by Redactive Media before we can publish your Quick @RCSLTLearn Look Date advert. Advert text will be edited for consistency. Enhanced coloured boxes: the editor will determine the box colour. Giving Voice activities @GivingVoiceUK
October 2019 | www.rcslt.org Bulletin 35
QLD Oct19.indd 35 17/09/2019 12:29 If undelivered please return to: RCSLT, 2 White Hart Yard, London SE1 1NX
Voice Box is a UK-wide joke competition Heard any for mainstream and special primary schools. Run by the RCSLT, the competition is good jokes aimed at building confi dence, supporting children’s communication skills and raising awareness that some children need additional specialist help to speak or lately? understand what is being said to them.
The Voice Box competition in England, Scotland and Northern Ireland runs 1 October – 29 November 2019. If you would like to get your local primary schools involved, visit: bit.ly/2XaD97n
The Voice Box competition in Wales runs 5 September - 20 December 2019. If you would like to get your local primary schools involved, visit: bit.ly/2XaD97n
Voice Box OBC Oct 2019.indd 1 13/09/2019 11:52