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Late Talkers’ Speech, Language and Communication Needs at Two Years Care Pathway

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V1, 18.12.14 Pathway Author: Louise Butchart and Liz Jackson, Speech and Language Therapists Families, Young People and Children’s Services ‘Late Talkers’ Speech, Language and Communication Needs at Two Years Care Pathway Point of Contact with 2 year old No Are there any concerns about Instructions: speech, language and The circular boxes will make communication? reference to guidance documents. Click on the Bookmarks tab to the left of the screen and scroll through Yes the list to locate these. Click on the document you need to open it. To move back to the pathway Refer to audiology itself, click on the first item in the list ‘Pathway’ Yes Does the child need specific intervention from Speech and Language Therapy? Safeguarding No UNIVERSAL PLUS Let’s Get Talking (including Home Visits Babbleback and Toddler Talk) Review by staff involved supported by speech and language therapist UNIVERSAL PARTNERSHIP PLUS UNIVERSAL PLUS UNIVERSAL No further concerns Request for speech and language Support/monitoring Advice and signposting to local therapy involvement groups Copyright © 2015 Leicestershire Partnership NHS Trust. All rights reserved. Families, Young People and Children’s Services ‘Late Talkers’ Speech, Language and Communication needs at Two Years Care Pathway Guidance Notes The pathway for Speech, Language and Communication needs (SLCN) at 2 years is a tool for all professionals who come into contact with 2 year olds. The pathway helps you to decide which children can be supported by their Health Visiting Team in collaboration with Local Childrens Centre’s and a neighbourhood Speech and Language Therapist and which children require specific intervention from the Speech and Language Therapist. This Universal Plus intervention is part of delivery of the Healthy Child Programme. Children and their families may be supported through ‘Lets Get Talking’ groups, home visits from their Community Nursery Nurse or Childrens Centre team or groups within Leicestershire’s Childrens Centres by Speech and Language Therapists. The pathway contains ‘Guidance Documents’ and other resources/information/links to help you in supporting the child and their family. These can be accessed via the pathway bookmarks. Implementation of this pathway is supported by training and workforce development. ELKLAN training is a 10 week accredited course covering all aspects of Speech, Language and Communication and how to support children with SLCN. This course is being run for Community Nursery Nurses across the City and County three times per year. A one day course for Health Visitors: Communication from the Start, is also being run every 3 months and covers information about the new pathway as well as key messages for parents to help support their children. Copyright © 2015 Leicestershire Partnership NHS Trust. All rights reserved. Internet Links Early Interventions http://www.leicspart.nhs.uk/slcn-earlyinterventions Every Child a Talker (ECAT) http://www.leics.gov.uk/index/education/childcare/early_years_service/foundationstage/ecat.htm Talk to your baby http://www.literacytrust.org.uk/talk_to_your_baby Talking point – milestones http://www.talkingpoint.org.uk/en/Parent.aspx ‘Talk Matters’ Video families.leicester.gov.uk/talkmatters ‘Development Matters’ http://www.foundationyears.org.uk/wp-content/uploads/2012/03/Development-Matters-FINAL- PRINT-AMENDED.pdf LPT Discharge Policy http://www.leicspart.nhs.uk/Library/LPTDischargePolicyFYPC.pdf FYPC Health Visiting Standard Operating Guidelines http://www.leicspart.nhs.uk/Library/HVStandardOperatingGuidance2015finalversion1952015.pdf Copyright © 2015 Leicestershire Partnership NHS Trust. All rights reserved. Who is it for? All professionals working with children under 5. “Practitioners are a child’s most valuable resource in an Early Years setting” This tool packed full of ideas and activities for practitioners to use to support children’s speech, language and communication development. What is it for? This interactive tool helps you find information and is linked to the EYFS Development matters. It includes simple practical tips to use while playing with children. One practitioner commented: “I used the tip of just naming the objects the child is looking at and playing with. It made a big difference, we realised that although the children knew what to do with the tools they didn’t know what they were called” Benefits? Practitioners can feel confident that they are giving targeted support at the right level for the child. As soon as the child’s communication and language needs are identified then practitioners can give them the help they need straight away. How to use it? Using the tool, you can see what stage a child is at in the areas of attention and listening, understanding, talking and social communication. From here, with a simple click, you can open up ideas and activities to help in any of these areas. 1. Click on ‘Evaluating Early Language Development’ box to identify area of concern 2. Click on area that needs support, eg ‘Listening and Attention’ 3. Click for information and ideas to help and specific activities to support the child at their developmental level. 4. Click for more information when needed: • 2 year pathway • Stammering • Speech sound development • EAL • Ideas to give to parents • Useful websites Healthy Child Programme Pregnancy and the first five years of life DH DH INFORMATION READER BOX InformatIon reaDer BoX PolicyPolicy EstatesEstates HR/WorkforceHR/Workforce Commissioning Commissioning ManagementManagement IM&TIM & T Planning/PerformancePlanning FinanceFinance ClinicalClinical SocialSocial Care/Partnership Working Care/Partnership Working DocumentDocument purpose purpose BestBest Practice Guidance Practice Guidance GatewayGateway reference reference 1279312450 titleTitle HealthyHealthy Child Programme – The two year review Child Programme – Pregnancy and the first five years Author DH author Dr. Sheila Shribman, Kate Billingham Publication date 27 Oct 2009 Publication date 27 October 2009 Target audience PCT CEs, Directors of PH, Directors of Nursing, PCT target audience PCTChairs, Allied Health Professionals, GPs, Directors CEs, NHS Trust CEs, SHACEs, Medical Directors, Directorsof Children’s SSs, Health Visitors and Sure Start of PH, Directors of Nursing, Local Authority CEs,Children Centres Directors of Adult SSs, GPs, Directors of Children’s SSs, Health Visitors and Sure Start Children Centres Circulation list Directors of Children’s SSs, Voluntary Organisations/ Circulation list NDPBs DescriptionDescription HCP This publication sets out the evidence based is the early intervention and prevention public healthcontent and process for the 2 to 2½ yr review and programme that lies at the heart of all universal serviceemphasises preventing obesity, promoting emotional for children and families. This updated version haswellbeing, language and learning development. It also been produced to strengthen delivery in pregnancy andrecommends closer working with Early Years Services the first five years of life. Cross reference National to reduce duplication and ensure a smooth transition Service Framework for Children Young People andbetween health and Early Years settings. Maternity, gateway ref 3779 SupersededCross reference documents Child Healthy Child Programme – the two year review 12450 Health Promotion Programme – Pregnancy and Superseded documents the first five years of life actionAction required required N/A timingTiming N/A N/A ContactContact details details Jennie Kate Billingham Mullins PartnershipsDepartment of Health for Children, Families and Maternity AreaArea G17, Wellington House 212, Wellington House 133–155133–155 Waterloo Road Waterloo Road LondonLondon SE1 8UG SE1 8UG For recipient use www.dh.gov.uk for recipient use © Crown copyright 2009 First published October 2009 Produced by COI for the Department of Health The text of this document may be reproduced without formal permission or charge for personal or in­house use. www.dh.gov.uk/publications &2,'++HDOWK\&KLOG3URJUDPPHLQGG Healthy Child Programme � Pregnancy and the first five years of life Update of Standard One (incorporating Standard Two) of the National Service Framework for Children, Young People and Maternity Services (2004) Foreword by Dr Sheila Shribman an effective and high-quality preventive programme in childhood is the foundation of a healthy society. this is as true today as ever. for more than 100 years we have provided a preventive health service that has protected and promoted the health of children. as an experienced paediatrician I have watched the Healthy Child Programme (HCP) change and develop over the years as it has adapted to new knowledge, changes in public expectations and changes in the way in which services are delivered. This is a critical moment in the development This update has been written for a number of the HCP. The advances taking place in of reasons. neuroscience and genetics – and our understanding of how early childhood To raise the profile of the HCP and to highlight development can be both promoted and its importance in addressing some of the serious damaged – create an imperative for the HCP problems that we are facing as a society. to begin in early pregnancy. At the same time, the development of Sure Start children’s To set out how the HCP can deliver a universal centres gives us an opportunity to make more preventive service at the same time as focusing of a difference to children – across a wider set on vulnerable babies, children and families. of outcomes
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