Table 7: Outline of the current service provision for children with SLCN Service Description Provider Commissioner Estimated service Tier Data available Years Foundation Stage This is a mandatory national framework for all early years’ providers and schools. It sets standards that all early years’ providers must meet to ensure children learn and develop well. At the age of 5 every child has an EYFS profile completed which gives a picture of their development. Early years’ providers (Nurseries, pre- schools, Reception classes) Tier 1 / Universal Services No Early Years and Childcare Providers All Early Years and Childcare providers of the free early education entitlement in Sth Tees have access to support and information from the Early Years and Childcare service. In relation to speech and language this can include help to assess a child’s needs and to plan effectively to support their speech and language development. Middlesbrough Council Redcar and Cleveland Council Middlesbrough Council Redcar and Cleveland Council Tier 1 / Universal Services Supporting Communication Training for Early Years Practitioners Support and training provided on request Tier 1 / Universal Services Since 2012 just over 100 settings have undertaken the ICAN / supporting communication training and in addition 154 practitioners have attended venue based training. Children’s Centres Support and training provided at Children’s Centres. Tier 1 / Universal Services No Newborn Hearing Screening The Newborn Hearing Screening Programme aims to identify moderate, severe and profound deafness and hearing impairment in newborn babies. Once a child is identified with a hearing difficulty a robust multi-agency service is put in place to support the child within 48 hours of diagnosis. Tier 1 / Universal Services No Speech and initiative ELKLAN website is signposted to learners. Resources available on-line, but no longer updated Tier 1 / Universal Services No Paediatric Speech and Language Therapy Service Speech and language therapy service options include individual and work, and parent/carer training. CCG , and Redcar and Cleveland councils Tier 2 /3 /4 Specialist services See below
SaLT (Deputy Head of Service) (Head of Service) Management 0.2 0.4 Education 2047 1.4 (incl. 0.8 5.2 (incl. 0.8 vacant) 0.4 vacant) 2.4 (incl. 0.2 vacant) 2.13 0.2 All work across a variety of settings most appropriate to the children being seen. This includes child development centre, school support bases and higher needs bases, language unit, schools, special educational settings, childrens centres, PVIs, hospital and homes. Staff work with a variety of ‘other roles within the workforce’ including education staff, medical staff, specialist teachers, social care staff eg social workers, health visitors, psychologists, CAMHS, childrens centre staff according to the needs of the child. The grade/role of staff is not indicative of who or where staff work but is simply associated with the needs of the child. AAC 30 0.4 Autism 274 0.8 0.2 2.2 (incl. 0.2 vacant) ENT (Cleft, Voice, Nasality) 27 0.2 (incl. 0.1 vacant) Total SEND & Dysphagia 217 0.6 0.4 0.8 0.4 School age SEND 110 1.0 0.8 0.4 School age SEND & Dysphagia 40 Inclusion 105 0.8 Dysphagia 11 0.8 (covering ALL Neurology 0 work fitted in to other sessions Dysfluency 96 0.2 0.6 Hearing Impairment 69 0.62 0.6 0.6 Speech disorder 64 0.2 0.4 0.6 0.2 (incl. 0.1 vacant) Specific Language Impairment 59 0.2 0.8 0.52