Archived decisions

1. Respondent

Bryony Cooper

Mary North

Jane Richardson

Philippa Cook

Margaret S Meikle

1. Designation

Deputy HOS SLT

Speech & Language Therapy Manager

S & LT Manager

Speech & Language Therapy Manager

Manager Speech & Language Therapy

1. Organisation

Blackwater Valley & Hart PCT

NH PCT

Southampton City PCT

Winchester & Eastleigh Healthcare NHS Trust

Portsmouth City Teaching Primary Care Trust

2.1 Children's speech & language therapy services are managed by

Primary Care Trust

Primary Care Trust

Primary Care trust

Acute Trust, Primary Care Trust

Primary Care Trust

2.2 Specify if other

Integrated Trust

Integrated Trust

2.3 Which PCTs commission S&LT services

BV&H PCT hosts specialist services directorate within which is paed SLT. Also SLAs with some Surrey PCTs

Southampton City, New Forest E/TUS

Mid Hants PCT & Eastleigh & Test Valley South PCT

Portsmoth City PCT, East Hants PCT, Fareham & Gosport PCT, Portsmouth Hospitals

3.1 Which education authority does your service cover

Hants / Surrey

Hampshire

Southampton City & Hampshire

Hampshire

Portsmouth City, Hampshire CC

3.2 What is the child population 0-19 for your PCT area

NR

NR

Possibly 1,000,000

58,895

110,000 0-16 16-19 classed as 16-24

3.3 a) Qualified therapist staffing levels

7.3 (1.6 is TTO = term time only)

8.96

15.27

10.59

31.44

b) Assistant staffing levels

10.5 hours TTO

None

1.00

0

0.75 (Sure Start)

c) Qualified therapists (fixed funding)

none

2.0 SLIP

0.6 two Sec age projects

0.1 preschool

0.1 Dove House

3 hrs TTO communication

0.1 TTO tribunal

N/R

N/R

0.8 Sure Start (3 Sure Start Areas)

0.8 Schools & Colleges Funding

d) Admin support adequate

yes

Just but need to keep justifying. Therapists undertake some clerical work

No

No

No

e) comments

Some posts cover both Surrey & Hants

Therapists have laptops, these could be used to email reports etc & save admin time

15 hours short of admin support, qualified therapists includes 1.5 wte cover 3 language units of 13 children each & 0.6 wte cover Westgate Bilingual unit of 8 children

The SLT service hosted on behalf of 3 local PCTs & Portsmouth Hospitals. Resources are allocated according to clinical need. i.e. there is not one established per hospital

3.4 a) Qualified therapists vacancies

None

0.4 being covered by agency

1

0.5 wte

0.8 Secondary/ Colleges

1.0 Specialist

b) assistant vacancies

None

None

0.6

N/R

c) Qualified therapists (fixed funding) vacancies

None

0.6 SLIP

1 hr tribunal

N/R

N/R

d) comments

1 post vacant for 1 year another vacant for 1 term. Both now filled

None

Maternal Leave, other absence needs to be taken into account

N/R

3.5 Where is the service delivered

See Below

See Below

See Below

See Below

See Below

3.6 How is the level of service to these localities delivered

See Below

See Below

See Below

See Below

See Below

3.5 Comments

Variety of reasons lead to service delivery

Children with language programmes updates on a yearly basis, service to as many children with need as possible, criteria to ensure that the children with the most need are targeted

See previous page. I am not able to separate Portsmouth from Hampshire

3.7 a. Groups of children you are not able to provide a service to

Looked after children, Children with emotional and behavioural disorders, Children with autistic spectrum disorder, as part of SLIP

Looked after children, Children with emotional and behavioural disorders, Children of secondary school age

Children with dysphagia, Children of secondary school age

Children over 16 years of age

3.7 b. Comments

Not specific service for preschool children with hearing impairment

Children that require a specialist stammering service

Children over 16 with SEN are either seen in school or transferred to adult services

3.8 a. Training to which education staff in last 2 years

SENcos, Learning support assistants; Narrative therapy, LI in m/s schools, language development, phonology development

SENcos, Learning support assistants; DcD programmes, Language Resource pack, Speech and language difficulties as requested by individual schools, Derbyshire Language Scheme, I can Courses

SENcos, Learning support assistants; Speech & language development, Derbyshire language scheme, Makaton

SENcos, Learning Support Assistants; Speech & language Communication, Narrative Therapy, PECs, Carrying out a SLT programme, DLS, role of SLT, Makaton

SENcos, Learning support assistants; Genetic S&L Development, Specific Approaches to various S & L Disorders

3.8 b. Comments

With high caseloads it is difficult to put dedicated time aside for training

4.1 Do you have written criteria for entry to your service

Yes

Yes

N/R

Yes

5.1 a)waiting times for assessment of urgent referral

Urgent 0-4 Weeks

Routine 0-4 Weeks

Urgent 0-4 Weeks

Routine 3 - 6 Months

Urgent 6-12 Weeks

Routine 6-12 Weeks

Urgent 6-12 Weeks

Routine 3-6 Months

Urgent 0-4 weeks

Routine- within 6 weeks

5.2 following assessment is there a waiting time for treatment

Yes

Yes

Yes

No

Yes

6.1 a)Successful funding bid in last 2 years

Health Authority

Education

Health Authority, Sure start

No

Sure Start, not education auth but direct funding from schools

b) comments

Some funding from LEA but does not lead to service development

Specific projects such as Earlybird training, other from schools to provide a specific service. It is difficult to full fill some of these and develop the service through these initiatives

CRES has taken a substantial amount out of the budget

30 hours across 3 Sure Start & services 28hr Assistant

7 Barriers impacting service delivery

Lack of resources, Increase in the demands on the service, Impact of inclusion policy on mainstream service, impact of HV changes in their own service will have impact on SLT referrals

Inclusion, Parental expectations, Agency/Professional expectations, lack of resources

Impact of inclusion on small services, rising expectation of users, Demand and capacity, Recruitment and retention of staff

Cultural/ philosophical differences between Health & Education, roles & responsibilities of Class teacher, SLTs, SENcos, Teacher advisors etc, Lack of time to follow up programmes & Advice

Need to revisit protocol for the reply services working within education. Need to clarify respective roles of Therapists / School Staff / Commissions / Education Authority

8 Any other comments

Not asked Hants specific info on questionnaire.

Health & Education need to spend time truly exploring the relationship between the two services from strategic development -> Commissioning -> Service delivery to look at how together agencies can bet meet the needs of children

I have found this questionnaire quite tricky to complete. All SLT & O.T & PT are hosted in South East Hants and cover Portsmouth City to. The expectation from the PCTs is that all services are delivered equally according to clinical need. The answers must take account of a bigger area than just the south east of Hampshire. All services wish to remain hosted.

3.5 Where is the service delivered

3.6 How is the level of service to these localities allocated

Service Level Agreement

Individual Clients/ Client groups, with special needs

Rationalised through use of clinical priorities

Historical levels of service

Acute Hospital

3, 2, 5

3

2

2, 5

Regional Centre

Out patient Clinics

3, 2

3

2

2

Child Development Centre

1, 3, 5

1

1, 3

1, 5

1

General Practices

2, 4

2

2, 4

Early Years Centres

1, 2, 3, 4, 5

1

1, 2, 3

1, 2, 4, 5

1, 4

Play Groups/ Nurseries

1, 2, 3, 4, 5

1

1, 2, 4

1, 2, 4, 5

1

Sure Start

3, 5

3

5

Education Action Zones

Health Action Zones

Specialist pre-school units

2, 3, 5

2

2, 5

2, 3

Special Schools

1, 2, 3, 4, 5

1, 2

1, 2, 4

1, 2, 3, 4, 5

1, 3, 4

Mainstream Schools

1, 2, 3, 4, 5

1

1, 2

1, 2, 3, 4, 5

1

Mainstream Specialist unit

1, 2, 4, 5

1

1, 2

1, 2, 5

1, 2, 4

Respite Facility

Patient's Home

1, 2, 4, 5

1

1, 2, 4

1, 2, 5

1

Other

3

3