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Speech, Language and Communication Strategy

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Speech, Language and Communication Strategy Contents Acknowledgements ................................................................................................................................. 2 1. Derby Integrated Early Years Speech, Language and Communication Strategic Model .................... 3 1.1 Introduction .................................................................................................................................. 3 1.2 National Policy Context ................................................................................................................. 5 1.3 Local Context ............................................................................................................................... 12 1.4 Early Intervention Foundation Maturity Matrix ......................................................................... 14 2. Needs Analysis .................................................................................................................................. 16 2.1 Special Educational Needs (SEND) .............................................................................................. 20 2.2 Provision for children .................................................................................................................. 21 3. Parent Views ..................................................................................................................................... 26 4. Wider Stakeholder Views .................................................................................................................. 29 5. Speech, Language and Communication Logic Model ....................................................................... 33 6. Integrated Model of Working ........................................................................................................... 35 6.1 Integration .................................................................................................................................. 35 6.2 Assessing need ............................................................................................................................ 57 6.3 Co-ordination of local service delivery/organisational structures .............................................. 58 6.4 Places .......................................................................................................................................... 59 6.5 Purpose of the Derby Speech, Language and Communication Pathway .................................... 80 6.6 City-wide Public Health messaging ............................................................................................. 80 6.7 The Wider Workforce.................................................................................................................. 81 7. Organisational Structures ................................................................................................................. 81 7.1 Professional respect and relationships ....................................................................................... 81 7.2 Place based model ...................................................................................................................... 82 7.3 Information sharing .................................................................................................................... 82 7.4 Risks and issues ........................................................................................................................... 84 8. Integrated Commissioning ................................................................................................................ 85 9. Integrated Governance ..................................................................................................................... 87 9.1 Accountability ............................................................................................................................. 87 9.2 Parent and child engagement ..................................................................................................... 88 9.3 Clinical Governance ..................................................................................................................... 88 9.4 Workforce ................................................................................................................................... 89 10. Implementation .............................................................................................................................. 89 11. Five Year Delivery Plan .................................................................................................................... 90 1 Acknowledgements The Author wishes to thank Derby City Council analysts in the Policy and Insight Team and the wide cross section of operational, strategic and parent stakeholders who have provided guidance, local knowledge, intelligence and passionate views about children’s speech, language and communication in Derby. 2 1. Derby Integrated Early Years Speech, Language and Communication Strategic Model 1.1 Introduction This document describes the proposed model for the integration of health, early years education and childcare settings, early help, public health, voluntary sector, family support and primary care for children’s speech, language and communication, 0-5 years in Derby. Over a period of 5 years, from 2020 to 2025, the model aims to ensure that ‘All children are ready to start school with good speech and language skills which support learning, mental health and later employment prospects and life chances’. The strategy was developed in partnership with a group of stakeholders including parents, strategic leaders and operational practitioners from midwifery, health visiting, Family Nurse Partnership, early years education settings, health and local authority commissioners, family information service, NHS Speech and Language Therapy service, children’s centres and early help, the Virtual School for children who are looked after (LAC), primary schools, early years improvement and SEND teams and officers, library and educational psychology services. The original scope of the model described was brought together by the Department for Education funded Early Outcomes Fund programme. The project was designed to improve early language outcomes for 0-5 year olds through high quality services by increasing the leadership focus at Local Authority level on the key issues of early language and to focus on resource evaluation and partnership working amongst a local area to encourage innovation around the wider system. The Derby programme was developed in conjunction with two partner Local Authorities – Nottingham and Leicester cities, Better Communication CIC (a not for profit organisation specialising in supporting the implementation of change in the commissioning and provision of services for children and young people with speech, language and communication needs – SLCN) and the School Development Support Agency (SDSA), a regional not for profit organisation supporting schools to work collaboratively, building professional partnerships related to school improvement. The three city programme of work was designed so that each local authority could learn from one other and provide the following outputs; • A needs analysis for each city, looking at population and qualitative data from key stakeholder semi-structured interviews. • A review of the literature, looking at evidence-based assessment tools, interventions and methods for the age group. • A pathway of support for parents and professionals which included an outcomes framework to describe universal, targeted and specialist advice and tools available. • Development of a strategy and model of support to describe the way forward. • A methodology to address integrated commissioning that incorporates models of strengths- based partnership working across sectors and improves wider outcomes across the system such as children’s educational attainment, parent and child mental health and children’s later social mobility and employment. 3 The project was co-ordinated by a steering group in Derby City Council whose membership comprised of a Senior Early Years School Improvement Officer, Senior Programme Manager for the Early Outcomes Fund programme, Principle Public Health Manager and the Head of Service for Early Help. The strategic model describes how speech and language support can be delivered in an integrated way by a wide group, involving local services and education settings to maximise help for parents and children. To support the development of the strategy, a pathway of support was also co- produced with the same group of stakeholders. The strategic model aims to support parents and children in two ways; 1. Prevention – enabling and supporting parents to build strong attachments with their children and provide opportunities for early language skills to flourish at home, helping them to confidently seek advice and know when and where to find what they need. 2. Identification and intervention – supporting local services and early years education settings to spot problems early, knowing how to identify need and provide support which avoids speech and language needs becoming entrenched and needing intervention from specialist services, preparing children for statutory school. This document feeds into the Derby City Council Health and Wellbeing Strategy, the contributions of the Public Health nursing team and the delivery of the Healthy Child Programme, drivers from the Joined Up Care Derbyshire
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