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Joint working between LB Hillingdon and PCT to deliver Bercow Recommendations. Satwinder Saraon (Children’s Specialist Services Manager, LBH) Freda O’Driscoll (Clinical Service Lead, Paediatric Therapies) April 2010. BERCOW REVIEW.

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Joint working between LB Hillingdon and PCT to deliver Bercow Recommendations

Satwinder Saraon (Children’s Specialist Services Manager, LBH)

Freda O’Driscoll(Clinical Service Lead, Paediatric Therapies)

April 2010

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BERCOW REVIEW Bercow Recommendations

  • A National centrally commissioned review of provision for children and young people with SLCN

  • 40 Bercow Recommendations:

    To improve provision for children and young people with SLCN.

    To improve understanding of the importance of communication

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Bercow Driver for Change Bercow Recommendations

  • To ensure that early identification and interaction are recognised as essential

  • Over arching understanding that no single agency can deliver the 5 ECM outcomes in isolation.

    Aim: To jointly plan, commission, and deliver

    universal, targeted and specialist services

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Bercow Recommendations Bercow Recommendations

  • Development of a Joint Commissioning Framework

    • SLCN Steering group

    • Operational group established

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Recommendations Bercow Recommendationscont’d

  • Robust system for early identification

    • Early screening and intervention for SLCN

    • Clear pathways to be agreed

    • Health Promotion/ Prevention

    • Training

    • Monthly triage assessment

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Recommendations Bercow Recommendationscont’d

  • Monitoring at Key Transition Points between LA & PCT

    • Year 7 school transition groups for Children with SLCN

    • Speech / Language link

    • Transition information Secondary Schools

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Recommendations Bercow Recommendationscont’d

  • 0-5 years monitoring by PCT through “Child Health Promotion Programme”

    • Leaflets / parent information packs

    • Universal Health questionnaires

    • 8 months and 2 years

    • ECAT- Every Child A Talker

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Recommendations Bercow Recommendationscont’d

  • Range of information, advice and support should be readily available to families.

    • Preschool and school age information packs and resources

    • Training of HV Teams to support parent information/advice

    • Speech and Language Link resources and information

    • Joined up working between schools, Health and

      Education across universal, targeted and

      specialist support

    • Information available through Children’s Information

      Services (early years)

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Recommendations Bercow Recommendationscont’d

  • SLCN – identified and prioritised by all Children’s Centres.

    • New Commissioning opportunities

    • Wellcomm

    • Monthly drop-in triage assessment session

    • Training for Children’s Centres

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Recommendations Bercow Recommendationscont’d

Workforce development

  • Range of training for a range of professionals to be developed.

  • SCLN workstream mapping current training provision and identifying gaps/ current and future needs/ tracking impact.

  • Supporting SpeechLink / Wellcomm Tools

  • Training Teaching Assistants

  • Training for Foundation Staff (KS1)

  • ELKLAN – Link highly skilled TAs.

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SLT Bercow Recommendationsand LAS; Mainstream Schools Integrated Model For Joint WorkingWave 1 – Universal

w Embed Screening Tool ( SpeechLink and LanguageLink) w Provide Parental Information

wAdvising on Language Group work in schools wInclusion Development Plan (IDP Team, SO’B)

w Provision planning in schools w Language enrichment and the curriculum

w Vocabulary Project – Secondary Pilot w Joint planning – general SLCN in schools

w Training including IDP team

Wave 2 – Targeted

w Joint planning – caseload / input / support

w Language groups – advice, support and monitoring (Amber children

w Amber children – speech, dysfluency etc.

w Targeted training w Advice for Teaching Assistants

w Curriculum Differentiation

w ELKLAN Training – Class Teachers & Teaching Assistants

Wave 3 – Specialist

w Social communication

w Severe Language Disorders

w Severe Speech Disorders

w AAC Needs

w Physical Disabilities

w Hearing Impairment

w Selective Mutes

w Severe Dysfluencies / Stammering

w Complex medical conditions (Acquired Brain Injury [ABI], Cleft Palate, Down’s Syndrome)

Led by Speech and Language Therapy (SALT)

Led by Language Advisory Team

May be provided by SALT and / or Language Advisory Team (Joint planning and discussion)

Further support from/ linking with IDP team

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Identification Early Intervention – SpeechLink/ Language Bercow RecommendationsLinkThe package

  • Computer based speech screen for developmental speech difficulties (recommended age for use 4-8 years)

  • Web site with detailed information and resources on supporting children with speech difficulties

  • To be administered by teacher or teaching assistant who can then directly access and implement speech sound programmes based on individual child’s profile.

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The screen Bercow Recommendations

  • For children aged 4-8 years

  • Language Link screen for all children on reception entry.

  • Speech Link screened for any child with “immature Speech”

  • Looks at the ability to produce sounds at the beginning and end of words

  • Both screens takes 15 minutes each to

    administer by TA’s or Teachers

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Speech Link Website Bercow Recommendations

  • Speech development information

  • Handouts for parents

  • Full range of speech programmes

  • Printable picture resources

  • Demonstration video

  • Computer based speech games

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Language Link Website Bercow Recommendations

  • Language development

  • Language difficulties explained

  • Encouraging spoken language

  • General classroom strategies

  • Handouts for parents

  • Range of language programmes for school


  • Printable picture resources

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Next Steps Bercow Recommendations

  • 49 Schools currently signed up to the training

  • Training programme June/September

  • Screening starts in September for language for all Reception aged children

  • January- Screening for speech

  • Continuing Operational Group work streams to

    deliver on Bercow priorities