Service Outline

Welcome to the Children’s Speech and Language Therapy Service for North Derbyshire.

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What we do

We aim to:

  • help children and young people with speech, language and communication needs to participate fully in everyday life 
  • help children and young people with feeding difficulties maintain and/or develop eating and drinking skills to improve their quality of life, health and safety, and enjoyment of feeding
  • provide support that is appropriate to the child or young person’s needs and environment
  • work collaboratively with families and other health and education staff.

Our Speech and Language Therapists will identify each child’s individual communication strengths and needs and support the development of skills in the child, their carers and teachers.

We work in clinics, family homes, schools, nurseries and Children’s Centres to support children and young people between the ages of 0-19 years.

We work in close partnership with other Specialist Children’s Services and with our colleagues in local authority social and educational services at a local and regional level.  We are a partner in the Speech, Language and Communication Needs Pathway.

What we offer

Our services include:

  • comprehensive assessment
  • direct intervention (individual or group)
  • indirect intervention – through parents/other family members and staff in educational and care settings
  • specialised training for parents and staff in educational and care settings
  • advice to other agencies on the speech, language and communication training that they deliver.

We offer an open referral system. However, not all children need to see a Speech and Language Therapist straight away.

If you are a parent and have concerns about your child’s speech, language or communication or about feeding difficulties, speak to your health visitor or your child’s teacher. They will know what to do and who to contact and will follow professional guidelines.

If you are a professional and have concerns, contact the child’s health visitor or the special educational needs co-ordinator (SENCO) in the child’s educational setting who will follow an integrated speech, language and communication pathway

What to expect at your first appointment

Children and young people referred to the Speech and Language Therapy service will usually be seen for a first appointment in one of our community clinics. Families are offered a choice of appointment times and dates at their nearest clinic. The initial appointment is approximately 45 minutes long. During this, families and the therapist discuss current concerns about the child’s communication and/or feeding difficulties. The therapist will ask some questions about the child’s general development including early feeding and hearing and will assess speech and language skills. This may include playing with toys and looking at pictures. The therapist will provide immediate advice to families on how to help the child at home.

What happens next?

After the initial appointment, the therapist will provide a written summary of the child’s strengths and needs and outline what the speech and language therapy service and families can do to support the child. This information is shared with school/nursery and other agencies with the consent of parents/carers.

Provision is based on the child or young person’s needs and involves close collaboration with, and input from, parents and carers. If therapy is required, further clinic appointments will be made. Therapy may take the form of advice to parents/carers or be delivered as part of a speech and language group.  In some cases where support for speech and language therapy programmes is agreed, speech and language therapy may be delivered in a school/nursery setting.

For older children at secondary school, intervention is usually provided as training and advice to school staff so that they can support students in mainstream lessons and other school activities.

What we offer

Our services include:

  • comprehensive assessment
  • direct intervention (individual or group)
  • indirect intervention – through parents/other family members and staff in educational and care settings
  • specialised training for parents and staff in educational and care settings
  • advice to other agencies on the speech, language and communication training that they deliver.

We offer an open referral system. However, not all children need to see a Speech and Language Therapist straight away.

If you are a parent and have concerns about your child’s speech, language or communication or about feeding difficulties, speak to your health visitor or your child’s teacher. They will know what to do and who to contact and will follow professional guidelines.

If you are a professional and have concerns, contact the child’s health visitor or the special educational needs co-ordinator (SENCO) in the child’s educational setting who will follow an integrated speech, language and communication pathway

What to expect at your first appointment

Children and young people referred to the Speech and Language Therapy service will usually be seen for a first appointment in one of our community clinics. Families are offered a choice of appointment times and dates at their nearest clinic. The initial appointment is approximately 45 minutes long. During this, families and the therapist discuss current concerns about the child’s communication and/or feeding difficulties. The therapist will ask some questions about the child’s general development including early feeding and hearing and will assess speech and language skills. This may include playing with toys and looking at pictures. The therapist will provide immediate advice to families on how to help the child at home.

What happens next?

After the initial appointment, the therapist will provide a written summary of the child’s strengths and needs and outline what the speech and language therapy service and families can do to support the child. This information is shared with school/nursery and other agencies with the consent of parents/carers.

Provision is based on the child or young person’s needs and involves close collaboration with, and input from, parents and carers. If therapy is required, further clinic appointments will be made. Therapy may take the form of advice to parents/carers or be delivered as part of a speech and language group.  In some cases where support for speech and language therapy programmes is agreed, speech and language therapy may be delivered in a school/nursery setting.

For older children at secondary school, intervention is usually provided as training and advice to school staff so that they can support students in mainstream lessons and other school activities.

Where we are

Speech and language therapists are based at the following clinics:

Chesterfield 

The Den, Chesterfield Royal Hospital

Clay Cross Clinic

Staveley Clinic

High Peak and Dales

Buxton Health Centre

Chapel Health Centre, Chapel-en-le-Frith

Dales Children’s Centre, Newholme Hospital, Bakewell

Matlock Clinic

New Mills Clinic

North Eastern Derbyshire

Bolsover Clinic

Dronfield Clinic

Eckington Clinic

The Hub, South Normanton

Killamarsh Clinic

Shirebrook Health Centre, Shirebrook, Nr Mansfield

The Springs Health Centre, Clowne

Tibshelf Health Centre, Tibshelf, Alfreton

For all enquiries contact:

Children’s Specialist Services @ The Den, Chesterfield Royal Hospital

Tel: 01246 514509
Email: crhft.cts@nhs.net

Making a referral

Anyone can make a referral to the Speech and Language Therapy Service, as long as parents have given their signed consent. Parents can phone to refer their own children.

If you want to refer a child for speech, language or communication difficulties or for difficulties with feeding/swallowing, you can do so using our the relevant referral form below:

Assessment appointments will be offered within 7 weeks of receipt of the referral.

Who can be referred to our service?

The Children’s Therapy Services at Chesterfield Royal Hospital NHS Foundation Trust can only accept referrals for children who live in or have a GP in the North Derbyshire Area.

For older children, we can only accept a referral if there is:

  • A significant disparity between communication and other levels of development
  • Significant change in social communication difficulties; please note these need to be evidenced by school reports and/or educational psychology reports
  • A stammer
  • Persistent hoarseness or other voice disorder following referral to ENT
  • Traumatic brain injury resulting in communication impairment
  • Any condition where loss of previously acquired skills is apparent.
What information do we need?

We need the following information when a child or young person is referred to us:

  • Child’s name, address, gender and ethnicity (if known)
  • Date of birth
  • NHS number (if known)
  • GP name and address
  • Date of most recent hearing test or notice of referral to audiology if none since new-born screen
  • Name of main carer and relationship to child
  • Address of carer (including postcode)
  • Nursery/school/other setting (full address)
  • Other professionals involved
  • Main language spoken at home
  • Interpreter required (Yes/No)
  • Name, title and contact details of referrer
  • Date of referral
  • Reason for referral

Children with complex needs

Pre-school children with complex needs are supported by our specialist speech and language therapists who are based at the Child Development Centre at The Den, Chesterfield Royal Hospital. The team covers the whole of the North Derbyshire Health community.

School-aged children and young people with complex needs will often have some speech, language and communication needs and/or eating/drinking difficulties which will have been identified as part of their statement of need. Our therapists work with the staff at each school to identify the most effective way to support an individual child. This may involve:

  • working at a whole-school level to develop aspects of the communication environment
  • working directly with an individual child or young person for a period of time
  • working alongside teaching and support staff to facilitate carryover of therapy into the classroom
  • providing training to staff and parents

For some children and young people, their school environment will be very well placed to meet their communication and social needs. In this instance, speech and language therapy services will not need to provide continued input.

Information for parents and carers

Resources

Information for parents from Derbyshire County Council on services for children with special educational needs can be found at:

http://www.derbyshire.gov.uk/education/special_educational_needs/my_child/default.asp

Information for schools, nurseries and children’s centres

Resources

Early Years settings and schools in Derbyshire have access to the following resources provided by Derbyshire County Council.

Early Years

  • Early Years Intervention (CD-Rom)
  • Meeting Special Educational Needs in the Early Years: Guidance for all Early Years Settings
  • (CD-Rom and Print)

Contact Derbyshire Advisory and Inspection Service, Children and Younger Adults Department for further information on 01629 580000

Schools

  • The Derbyshire File for Language Friendly Schools
  • The Derbyshire File for Autism-Friendly Schools
  • The Derbyshire File for Dyslexia-Friendly Schools

Contact Dena Bembridge on 01629 532861 or  Dena.Bembridge@derbyshire.gov.uk 
Julie Mellon on 01629 532821 or  Julie.Mellon@derbyshire.gov.uk

Contact us

For all enquiries contact:

Children’s Specialist Services @ The Den, Chesterfield Royal Hospital on

Tel: 01246 514509
Email: crhft.cts@nhs.net

Useful links

Information and advice about speech, language and communication difficulties in children and young people can be found on the following websites.

ACE North
Information about alternative and augmentative communication support
www.ace-north.org.uk

Afasic
Afasic is a charity set up to help children and young people with speech and language difficulties and their families.
www.afasicengland.org.uk

British Stammering Association (BSA)
Information and support on stammering/stuttering, and BSA services and activities for adults and children. 
 www.stammering.org.uk

Downs Syndrome Association (DSA)
‘Information and support on all aspects of living with Down’s Syndrome for all who need it’.
www.downs-syndrome.org.uk

Nuffield Dyspraxia Foundation
Information about dyspraxia 
www.dyspraxiafoundation.org.uk

Elklan
Information and resources to support the development of children’s speech and language
www.elklan.co.uk

I CAN
A children’s charity that specifically supports children with communication difficulties. 
www.ican.org.uk

The Communication Trust

The Communication Trust is a campaigning voice for chidlren with speech, language and communication needs.

www.thecommunicationtrust.org.uk

The Hanen Centre
A website for parents and educators of pre-school children
www.hanen.org

Makaton
Information on Makaton signing, resources and training.
www.makaton.org  

National Autistic Society (NAS)
Information about autism and Asperger’s syndrome and NAS services and activities
www.autism.org.uk

Royal College of Speech and Language Therapists
Website of the professional body for speech and language therapists in the UK.
www.rcslt.org.uk

Talking Point
Information and resources for parents of children with communication difficulties and professionals working with them.
www.talkingpoint.org.uk

(The Trust cannot be responsible for information held within external websites).