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Speach and Language Therapy (SALT) - Meetings, agendas, and ...

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Table of contents<br />

Executive summary<br />

Section Title Page<br />

1. Introduction 9<br />

1.1 Background to scrutiny of health service 9<br />

1.2 Background to speech <strong>and</strong> language services 9<br />

1.3 Review method 9<br />

2. Description of current services 11<br />

2.1 Children’s services provided by the NHS 11<br />

2.1.1 Caseload review <strong>and</strong> priority setting 11<br />

2.1.2 Caseload 12<br />

2.1.3 New dem<strong>and</strong>s 14<br />

2.2 Children’s Services provided by the Education Authority 15<br />

2.2.1 Funding 15<br />

2.2.2 Provision 15<br />

2.2.3 Summary of parents’ <strong>and</strong> staff comments in 2001 16<br />

2.2.4 Recommendations from the LBBD review 17<br />

2.2.5 Working in schools 18<br />

2.2.6 Working with parents 19<br />

2.2.7 Situation in 2004 19<br />

2.2.8 Special Educational Needs, Review <strong>and</strong> Assessment Team 19<br />

2.2.9 Multi Agency Work 20<br />

2.2.10 Joint professional training programme 20<br />

2.2.11 Education staffing levels 20<br />

2.2.12 Future: 22<br />

2.3 Complaints about the existing service 22<br />

2.3.1 Parents’ views 22<br />

2.3.2 Staff views 25<br />

2.3.3 Voluntary sector views 26<br />

2.4 Adult services 28<br />

2.4.1 Local provision 28<br />

2.4.2 National recommendations 29<br />

2.4.3 Contacts 30<br />

2.4.4 Adult caseload 30<br />

2.4.5 Local provision of services for those with difficulty<br />

swallowing<br />

31<br />

2.4.6 Audit for adult inpatients <strong>and</strong> outpatients at St George’s 32<br />

Hospital December 2003 with difficulty swallowing<br />

2.4.7 Audit of tracheotomy patients - January 2004 32<br />

2.4.8 An analysis of time spent by therapists on different activities 32<br />

2.4.9 The planning process 33<br />

2.4.10 Complaints of the adult service 34<br />

2.5 Learning disabilities 35<br />

2.5.1 Children’s services 35<br />

4

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