Conditions in scope

Targeted SLT

Requests will be considered for children and young people presenting with speech and language difficulties. All requests are triaged with consideration given to the impact the speech and/or language difficulty is having. This includes:

Pre-school:

  • Impact on behaviour, such as frustration, hitting out, withdrawal
  • Lacking in means to communicate such as signing, gesture, word
  • High level of concern by parents, pre-school setting

School age:

  • Difficulty in making and maintaining friendships
  • Difficulty processing information and instructions
  • Impact on behaviour, such as frustration, withdrawal
  • Difficulty expressing needs, wants, feelings and ideas
  • High level of concern by parents and/or school

Specialist SLT

Specialist SLT services accept referrals for children or young people with:

  • Moderate to profound sensory-neural deafness
  • Cochlear implant
  • Mechanical feeding and swallowing difficulties
  • Maxillo-facial disorders including cleft palate

The SLT service uses Care Aims principles to support its clinical decision making at triage, assessment and through any intervention offered. This approach identifies the impact and clinical risk to the child or young person and supports the decision as to whether SLT is the appropriate service at that time. Please ensure that you indicate within the Request for Service form the impact the difficulty is having/perceived to be having on the child or young person.

For requests in relation to feeding and swallowing difficulties please refer directly to the criteria available for Dysphagia.

Exclusion criteria

SLT do not provide a service to children and young people who present:

  • As reluctant talkers – (elective and selective Mutism)
  • With dyslexia
  • With listening and attention difficulties in the absence of speech or language difficulties
  • With difficulties in English when this is an additional language but they have no difficulties acquiring their first language
  • Acquired brain injury
  • Speech difficulties but without Speech Link results or evidence that accessed website toolkit and implemented strategies (for three months or other agreed time)
  • Language difficulties without Language Link results or evidence that accessed website toolkit and implemented strategies (for three months or other agreed time)