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

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exceptional contribution made by existing staff who have worked hard to provide a high standard service with inadequate resources. 50
6.10 Service evaluation The speech and language therapy services have been extensively audited over the last few years. Audit is a continuous process that can provide useful information to improve clinical practice. It is also frequently used to aid planning and priority setting. It appears to the scrutiny panel that the time has come for action on the results of these previous audits and that there is no need for further audits to assist the planning process in the immediate future. 6.11 Complaints Over the last few years the level of complaints for both children and adults has been unacceptable. The vast majority of these complaints have been related to under-provision of the service. Many are voiced within the local setting; many others are made formally to the different organisation. Many parents that provided information to the Scrutiny Panel spoke of being ignored and of feeling that their child’s problem was not been taken seriously. It is recommended that both the Council and the PCT ensure that future complaints are fully recorded and monitored and that reports are discussed within both organisations and also at the joint working groups with responsibility for children, adults and those with learning disabilities. 6.12 Problems arising from lead PCT responsibilities across several PCTs There is a problem delivering a service to a wide population including specifically those living in Havering and Brentwood by a single service. Inevitably there are questions of fairness in the way in which services are supplied to the three populations. It is possible that each PCT will want to manage its own SALT service in the future. However, there remains the continuing problem of critical mass and the fact that in some subspecialties a single therapist will have a caseload across more than one PCT. At this stage an option appraisal has not been carried out and it should not be assumed that three small teams have advantages over a single service across three PCTs. It is recommended that the two PCTs that receive services from Barking and Dagenham PCT consider as a matter of urgency whether they wish the lead arrangement and shared arrangements to continue. The Scrutiny Panel recommends that these organisational arrangements be confirmed so that they can be operational by the onset of the year 2005- 2006. 6.13 Budget issues The Panel has been given insight into the budgeting of the PCT since it came into existing in 2002. It does appear that prior to 2003-2004 there was no clarity about the budget for Speech and Language Services. Now that there is greater clarity it appears that there is 30% shortfall between current expenditure and allocated budget (or put another way there is a 30% overspend on the current budget). This remains a major problem for the PCT both for the current year and for future years. At the stakeholder presentation 51
Page 1 and 2: London Borough of Barking and Dagen
Page 3 and 4: The Speech and Language Therapy Ser
Page 5 and 6: 3. Costs 36 3.1 Current costs of th
Page 7 and 8: Recommendations The Health Scrutiny
Page 9 and 10: 1. Introduction 1.1 Background to s
Page 11 and 12: 2. Description of current services
Page 13 and 14: As a result of the change programme
Page 15 and 16: nursery staff, health visitors etc)
Page 17 and 18: 2.2.4 Recommendations from the LBBD
Page 19 and 20: Speaking and Listening Focus The de
Page 21 and 22: times and no applications have been
Page 23 and 24: H would be seen each term at school
Page 25 and 26: is a success story although a big d
Page 27 and 28: carers as and when appropriate, whi
Page 29 and 30: Given that the audit covered a two-
Page 31 and 32: Information was not available for H
Page 33 and 34: Time spent by therapists on differe
Page 35 and 36: 2.5. Learning disabilities 2.5.1 Ch
Page 37 and 38: Estimated cost £309,700 £401,300
Page 39 and 40: 3.1.4 Summary of current costs and
Page 41 and 42: Neurosurgical Unit 15 1.00 Domicili
Page 43 and 44: clinical specialist Tracheotomy /Vo
Page 45 and 46: 5. NHS plans The NHS planning syste
Page 47 and 48: It is recommended that the Council
Page 49: 6.7 Service delivery to those with
Page 53 and 54: organisations. The Panel would prop
Page 55 and 56: National Deaf Children’s Society
Page 57 and 58: Appendix 1 List of written evidence
Page 59 and 60: Item Date 33 July 2004 Author Title
Page 61 and 62: Appendix 3 Information provided fro
Page 63 and 64: joined the mainstream school. Howev
Page 65: introduction of the intervention pr

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