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Children and young people

Find out more about our policy work relating to children and young people in England.

Bercow: Ten years on

In response to concerns about the support for children with speech, language and communication needs (SLCN) and major changes in the education and health systems, I CAN, the children’s communication charity, and the Royal College of Speech and Language Therapists (RCSLT) have undertaken an independent review of provision for children with SLCN in England.

Since the first call for evidence in January 2017, we have heard from more than 2,500 people including children and young people; their parents and carers; practitioners, and other key stakeholders.

The report, published on 20 March 2018, brings together the outputs of the review and includes strong recommendations to government and local leaders.

Find out more and read the report at: www.bercow10yearson.com

Background

Bercow: Ten Years On marks a decade since the publication of The Bercow Report: A Review of Services for Children and Young People (0-19) with Speech, Language and Communication Needs.

The original Bercow review report can be read here.

If you have any questions about Bercow: Ten Years On, please contact us

Six month progress report - available here.

RCSLT and I CAN statement on the Government's response to Bercow: Ten Years On - Content available here.

The Bercow Report, 2008

The Bercow review was published in July 2008 as the result of an independent cross-government review chaired by John Bercow, MP and RCSLT vice-president.

The report, entitled the Bercow review of services for children and young people (0-19) with speech, language and communication needs, was the culmination of a major consultation process. It included a questionnaire which received over 2,000 responses, meetings with groups of parents and visits to children's centres, nurseries, primary and secondary schools across England.

The final report followed the submission of an interim report in March 2008. The RCSLT worked closely with the Department for Children, Schools and Families (DCSF) and Mr Bercow to support and contribute to the review.

The report set out 40 recommendations to improve services, and the Government launched its response to the review on 17 December 2008.

The response, Better Communication: An action plan to improve services for children and young people with speech, language and communication needs (SLCN), accepted many of the review's recommendations.

The action plan contained a range of initiatives to improve services for children and young people with SLCN, and understanding across the whole children's workforce of the importance of speech, language and communication.

Many initiatives are integrated within mainstream programmes and projects, to ensure all services understand the importance of supporting children with SLCN.

A decade later, the RCSLT has published Bercow: Ten Years On – find out more at www.bercow10yearson.com

Special educational needs and disability (SEND) reforms

The SEND reforms were the theme of the All-Party Parliamentary Group (APPG) on Speech and Language Difficulties meeting on 21 February 2017.

Derek Munn, RCSLT’s Director of Policy and Public Affairs, gave a presentation on RCSLT’s SEND reforms report.

RCSLT presentation

RCSLT’s presentation highlighted the findings of the report, its policy calls and what it is going to do to help address some of the issues. Nick Smith MP has asked a written question on the report. During the meeting:

For more information, please contact us.

Children and young people’s mental health

RCSLT statement on Government’s response to the Children and Young People’s Mental Health Green Paper (July 2018)

RCSLT submission to NHS England consultation on CAMHS (November 2017)

Adult

The RCSLT's stroke policy

Influencing stroke policy

On 10 May 2016, the RCSLT invited speech and language therapy stroke leads from 50 services across England to the RCSLT stroke study day to discuss how their service records data in SSNAP and to discuss the draft fifth edition of the stroke clinical guidelines. The stroke study day was supported by Sue Pownall and Rosemary Cunningham, the RCSLT representatives for the Royal College of Physicians.

All the presentations from the day are available on the stroke study day page.

You can also read the stroke study day Bulletin article about the lively debate that we had.

RCSLT stroke study day 2018

The RCSLT held a Stroke Study day “Continuing Improvement in Stroke Care – The way forward” on Friday 27th April 2018 at RCSLT London.

Aims and objectives

It was our aim that delegates would:

  • Find out how SLTs should record data for the Sentinel Stroke National Audit Programme (SSNAP)
  • Learn how to interpret SSNAP data
  • Understand how to improve SSNAP scores
  • Be able to apply SSNAP data work for Speech and Language Therapy (SLT) and use it to grow services
  • Have the chance to discuss the latest guidance in stroke and the impact on SLT services

Top five therapy questions on SSNAP.

NICE Stroke rehabilitation in adults

Supporting guidelines and resources

RCSLT's stroke campaign calls

During the RCSLT stroke campaign we called for:

  • One in 10: in an acute ward there must be one speech and language therapist for every 10 people who have had a stroke
  • A communication lifeline: every stroke survivor must have prompt referral to speech and language therapy to allow rapid development of methods of communication in the immediate days following their stroke
  • Community service: every community stroke team must have at least one speech and language therapist

Please contact us for more information.

Work and health

Key messages:

  • Speech, language and communication difficulties can cause a significant barrier to accessing work support services.
  • Services which aim to provide access to welfare, support people into work and / or retain people in work must mainstream inclusive communication approaches throughout their procedures.
  • All information on services must be communication accessible.
  • Front line staff should be trained and provided with resources to be able to identify and adapt their own communication to the needs of people with speech, language and communication needs.

Improving lives: The Work, health and disability green paper

The joint Department of Health and Department for Work and Pensions green paper was published in October 2016. The Government’s aim was to improve the links between health services and employment support and to close the disability employment gap.

The RCSLT response to the “Improving Lives: The Work, Health and Disability Green Paper”

In our response we highlighted the lack of acknowledgement of communication disability and the challenge this presents to people with communication impairments in both entering work and remaining in work.

The RCSLT successfully lobbying the Government to include two case studies within the Green Paper to demonstrate the effectiveness of speech and language therapy in rehabilitation: ‘Anita’ is featured on page 20; while ‘Robert’s’ case study appears on page 71.

Please do read the RCSLT bulletin article in April 2017 discussing our response

The Council for Work and Health

The Council for Work and Health was established in 2008 as part of the Government’s response to Dame Carol Black’s 2008 report “Working for a healthier tomorrow.” The Council comprises the professional bodies which represent those engaged in the delivery of health and wellbeing, and occupational health services, as well as others supporting work and health. The RCSLT is delighted to be a member. The Council provides an authoritative and representative “single voice” on health and wellbeing issues.

AHP Advisory Fitness for Work Report

The Allied Health Professions (AHP) Advisory Fitness for Work Report is an A4 form which provides an employee, their employer and GP with information on the employee’s reported problem and to help keep that employee in or return to work following illness, injury or recovery from treatment.

Support for speech and language therapy services

What are the workforce priorities for AHPs in England's mental health services

HEE have commissioned a rapid research project to explore and understand what AHPs believe are our top workforce issues and priorities for mental health. HEE want to use this information help inform the development of future policy both in the short and longer term. The RCOT has been invited to lead this important project, which will be delivered in collaboration with BAAT and Clever Together and all the AHP Royal Colleges /AHP professional bodies have been invited to get involved.

A report will be produced which will be for HEE’s internal use and will provide them with guidance to write public responses or position papers about its intentions and plans.

The RCSLT really wants to influence the future SLT workforce, so please do get in touch to get involved with this exciting mental health project.

Other work we are involved with

  • Engaging with HEE to inform the Five Year Forward View for Mental Health
  • Engaging with NHS Improvement on their mental health work contributing to the Five Year Forward View
  • Discussions with NHS Benchmarking on data collection and input/outputs
  • Engaging and responding to relevant NICE guidelines and quality standards
  • Influencing government-led initiatives: planning for mental capacity legislation this Summer and mental health legislation later in 2018/19 and the Independent Review of Mental Health Act
  • Representation at groups and committees including Senior Mental Health Leaders Seminar

Resources

The RCSLT has developed a key messages briefing.

RCSLT response to the APPG on Parkinson’s mental health inquiry.

RCSLT response to the Public Accounts Committee inquiry into mental health in prisons.

RCSLT Bulletin article on SLTs and mental health.

RCSLT Bulletin article on R&D: Evidence-informed practice in areas with limited research.

Please contact us to get involved.

Briefings, responses and statements

Follow our work on policy and campaigns. For material relating to the devolved nations, please see our pages for Scotland, Wales and Northern Ireland.

Briefings

RCSLT response to Transforming Children and Young People’s Mental Health Provision Green Paper

RCSLT submission to UN Committee on the Rights of Persons with Disabilities

Queen’s Speech 2017 Apprenticeships in England

RCSLT submission to APPG on Parkinson’s ‘Mental health matters too’ inquiry

Consultation responses

RCSLT submission to NHS England consultation on CAMHS (November 2017)

RCSLT response to Work, Health and Disability Green Paper Consultation (February 2017)

Response to NI Draft Mental Capacity Bill (August 2014)

NHS England’s Five Year Forward View

Five Year Forward View

RCSLT position statement on 7-day services

Sustainability and Transformation Plans (STPs)

RCSLT factsheet on how speech and language therapy services are integral to the delivery of sustainability and transformation plan goals. It can be printed on A3 paper and folded into an A4 booklet.

STPs: how to influence

Briefing on STPs from the Kings Fund

RCSLT factsheets

Speech and language therapy

Key policy issues

Mental Health

What are the workforce priorities for AHPs in England's mental health services HEE have commissioned a rapid research project to explore and understand what AHPs believe are our top workforce issues and priorities for mental health. HEE want to use this information help inform the development of future policy both in the short and longer term. The RCOT has been invited to lead this important project, which will be delivered in collaboration with BAAT and Clever Together and all the AHP Royal Colleges /AHP professional bodies have been invited to get involved. A report will be produced which will be for HEE’s internal use and will provide them with guidance to write public responses or position papers about its intentions and plans. The RCSLT really wants to influence the future SLT workforce, so please do get in touch to get involved with this exciting mental health project.

Other work we are involved with

  • Engaging with HEE to inform the Five Year Forward View for Mental Health
  • Engaging with NHS Improvement on their mental health work contributing to the Five Year Forward View
  • Discussions with NHS Benchmarking on data collection and input/outputs
  • Engaging and responding to relevant NICE guidelines and quality standards
  • Influencing government-led initiatives: planning for mental capacity legislation this Summer and mental health legislation later in 2018/19 and the Independent Review of Mental Health Act
  • Representation at groups and committees including Senior Mental Health Leaders Seminar

Resources

The RCSLT has developed a key messages briefing.

RCSLT response to the APPG on Parkinson’s mental health inquiry.

RCSLT response to the Public Accounts Committee inquiry into mental health in prisons.

RCSLT Bulletin article on SLTs and mental health.

RCSLT Bulletin article on R&D: Evidence-informed practice in areas with limited research.

Please contact us to get involved.

Campaigns and projects

  • Work and Health The RCSLT's work on supporting people into work as well as preventing them from falling out of work because of ill health or disability.
  • RCSLT new SEND report January 2017 RCSLT is calling on the government to guarantee that local authorities and clinical commissioning groups (CCGs) commission speech and language therapy services for children and young people as many are not getting the support they need.
  • Bercow: ten years on In response to concerns about the support for children with speech, language and communication needs (SLCN) and major changes in the education and health system, I CAN, children’s communication charity and the Royal College of Speech and Language Therapists (RCSLT) are undertaking a national review of support for children with SLCN in England.
  • Student funding reforms The RCSLT has worked closely with staff in higher education institutions on our consultation response, using the findings of our student survey and direct member feedback to inform our policy position on the reforms.
  • Giving Voice The campaign aims to ‘give voice’ to people with speech, language and communication needs – to ensure their needs, and those of their carers and families, are met. We equip our members to demonstrate locally how speech and language therapy makes a difference to individuals and society, while RCSLT officers work to engage decision makers and the media at a national level.
  • Dementia campaign The dementia campaign aims to raise awareness of the role of SLTs in dementia, and improve the quality of care received by people with dementia and their families.
  • Youth offenders and criminal justice. Over 60% of people in the youth justice system have speech, language and communication problems. Improving the communication skills of offenders by providing speech and language therapy significantly reduces the risk of re-offending and increases access to rehabilitation and treatment programmes.
  • Improvements in stroke care How we are influencing the mental health agenda to highlight why speech and language therapy matters in mental health

All Party Parliamentary Group

About the All Party Parliamentary Group on Speech and Language Difficulties.

Contact us

For further information about our work in the UK Parliament, please contact us.

APPG on Speech and Language Difficulties

APPG

The RCSLT provides the secretariat of the All-Party Parliamentary Group (APPG) on Speech and Language Difficulties. The Group was launched in 2007 and aims to: The RCSLT provides the secretariat of the All-Party Parliamentary Group (APPG) on Speech and Language Difficulties. The Group was launched in 2007 and aims to:

  • Make Parliament aware that the ability to communicate is a crucial life skill for all.
  • Increase awareness about the impact communication difficulties have on people's lives.
  • Highlight the importance of early identification and intervention.
  • Press for increased provision of speech and language therapy.items

There is more information about the APPG on the Parliament website.

Officers of the Group:

  • Chair: Geraint Davies MP
  • Co-Chair: Lord Ramsbotham
  • Vice-Chairs: Peter Aldous MP and Sir Kevin Barron MP

Secretariat contact

Please contact us and will be happy to help with any queries about the APPG.

Meetings of the APPG on Speech and Language Difficulties

APPG on Speech and Language Difficulties meetings

Inquiry into the links between speech, language and communication needs and social disadvantage

In 2012, the Group undertook an inquiry into the links between speech, language and communications and social disadvantage.

Report from an inquiry into the links between speech, language and communication needs and social disadvantage - February 2013

Consultation responses

Submissions to exclusions review – May 2018

Workforce

Apprenticeships in England

The RCSLT is actively supporting the development of apprenticeships, as they relate to speech and language therapy. Read our position statement.

On 17th July 2017 we were delighted to be joined by 50 speech and language therapists, Skills for Health and the Institute for Apprenticeships at a joint launch workshop with the RCSLT and 2gether NHS Trust. The presentations from the event are available here.

New consultation open until noon 15th November

In November 2017 the Institute for Apprenticeships approved the SLT Expression of Interest (EoI). Since then the Trailblazer Group has been working on the development of the SLT pre-registration degree apprenticeship standard. The group has worked hard to ensure that the standard is consistent with, and has as a basis, the newly published RCSLT curriculum guidelines.

The draft standard has now been published for consultation and is open until noon on 15th November 2018. It is available here on the Skills for Health website. Please do complete the consultation questions. This consultation is only about the content of the standard. It sets out the knowledge, skills and behaviour required of a newly qualified SLT. It is not about implementation issues or about how apprentices will be assessed.

We have developed a list of the most frequently asked questions about the consultation. Take a look at them here.

Further information for employers

If you are interested in keeping in touch with developments, to be notified about the consultation and when it is possible to employ SLT apprentices, please register your interest at healthcare.trailblazer@skillsforhealth.org.uk. Further information on healthcare apprenticeships from Skills for Health. Read more information from the Institute for Apprenticeships about the process for the development of apprenticeships.

Further information for potential apprentices

The SLT apprenticeship standard is still being developed, so it’s not ready yet. It’s not possible to become an SLT apprentice at the moment. It is likely to be a further 12-18 months in development. We will keep updating here with the latest progress so please do check back regularly. In the meantime here are some FAQs about the apprenticeship.

Response to student funding

The Department of Health held a public consultation regarding changes to student funding in England. The document consulted on the Government’s plans to withdraw the NHS bursary for nursing, midwifery and allied health students and move students to the same student loans system as other students.

The RCSLT has worked closely with staff in higher-education institutions on our consultation response and has used the findings of our student survey and direct member feedback to inform our policy position on the reforms.

Due to the overwhelming response we've received from members on this issue, we've produced three documents:

The RCSLT is continuing to engage with key external stakeholders regarding implementation of the reforms. We are engaged with staff at the Higher Education Funding Council for England (HEFCE). This is a non-departmental public body which funds and regulates universities and colleges in England. It will be responsible for providing additional teaching grants (extra financial support) to nursing, midwifery and allied health profession courses. We are preparing for an upcoming HEFCE consultation regarding the HEFCE teaching grant and price groupings for different subjects. We'll be working in partnership with staff who work in higher-education institutions on this topic.

Health and social care strategy

Sustainability and Transformation Plans (STPs)

Influencing STPs briefing document

RCSLT position statement on seven day services

The Bercow review for children and young people needs and services

The Bercow review was published in July 2008 as the result of an independent cross-government review chaired by John Bercow, MP and RCSLT vice-president.

The report, entitled the Bercow review of services for children and young people (0-19) with speech, language and communication needs, was the culmination of a major consultation process. It included a questionnaire which received over 2,000 responses, meetings with groups of parents and visits to children's centres, nurseries, primary and secondary schools across England.

The final report followed the submission of an interim report in March 2008. The RCSLT worked closely with the Department for Children, Schools and Families (DCSF) and Mr Bercow to support and contribute to the review.

The report set out 40 recommendations to improve services, and the Government launched its response to the review on 17 December 2008.

The response, Better Communication: An action plan to improve services for children and young people with speech, language and communication needs (SLCN), accepted many of the review's recommendations.

The action plan contained a range of initiatives to improve services for children and young people with SLCN, and understanding across the whole children's workforce of the importance of speech, language and communication.

Many initiatives are integrated within mainstream programmes and projects, to ensure all services understand the importance of supporting children with SLCN.

A decade later, the RCSLT has published Bercow: Ten Years On – find out more at www.bercow10yearson.com