Supporting children and young people can be challenging. SLCN impacts on many areas of personal and academic life. Communication is not only important for children and young people, but also for a successful education team.
This workshop aimed to:
* Provide you with the tools to evidence the effectiveness of a SLCN response.
* Increase your understanding of SLCN.
* Support you in the development of a graduated response to SLCN within your school setting and putting it into practice.
Topic 1: Identifying children and young people with SLCN within a school setting
* Identifying children and young people with SLCN needs
* Supporting children and young people with targeted approaches
* When to refer children and young people for specialist provision
Topic 2: Demonstrating the effectiveness of a graduated approach to SLCN in your setting
* Effective deployment of LSAs/TAs
* Joining up the dots with outside agency advice
* Evidencing the impact of a graduated approach
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Details of both sides of Gerd, Introduction, Surgical Anatomy, Hiatus Hernia, Esophageal dearance, Investigation etc.
http://www.youtube.com/c/DrDhavalMangukiyaGastrosurgeonSurat
https://gastrosurgerysurat.blogspot.com/
https://drdhavalmangukiya.com/
Information about Gerd surgical management by Dr Dhaval Mangukiya.
Details of both sides of Gerd, Introduction, Surgical Anatomy, Hiatus Hernia, Esophageal dearance, Investigation etc.
http://www.youtube.com/c/DrDhavalMangukiyaGastrosurgeonSurat
https://gastrosurgerysurat.blogspot.com/
https://drdhavalmangukiya.com/
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Polyps and their risks
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Teaching Methods/ Strategies and their selection
Criteria of Teaching Methods/ Strategies
Factors that affect Teaching Methods/ Strategies and their selection
Gastroesophageal Reflux Disease and Antireflux SurgeryHassan s1
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it is topic of today to adopt necessary changes by medical teachers for implementation of competency based medical education curriculum dealt in RBCW workshop.
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We've told patients that we won't know about their polyps until after the pathology report is back; turns out that's not precisely true. Today's excellence in optics provides an accurate instantaneous assessment of the histology of colon polyps which may help in decision making during colonoscopy.
Did you know that if a polyp has a type 5 Kudo pit pattern, 50% were invasive cancers to the submucosal layer? What is it about that scary polyp that raises your hackles? Join us in this highly interactive session where we'll learn Kudo pit patterns as well as Paris polyp classifications to elevate your GI procedure reporting and your patient care.
Describe the emerging evidence supporting the primary role of Kudo Pit Patterns in visual inspection of in situ polyps, and demonstrate your ability to identify the patterns
Authentication of Kudo Pits
Pits and their risks
Images of Kudo pits
Quiz of Kudo Pits
Discuss the potential and shortcomings of the Paris Polyp Classification, and demonstrate an ability to classify the polyp shape
Polyp shapes and and their risks (pedunculated, elevated, depressed)
Images of polyps for Paris classification
Polyps and their risks
Quiz of polyp shapes
Concerns regarding interobserver variability
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3. Identifying children and young
people with SLCN within a
School setting
Natasha Carley
Paediatric Speech and Language Therapist
11/10/2017
Follow us: @ehp_uk
4. Aims:
• Increase knowledge and awareness of SLCN in education and the
impact they can have on children's’ lives.
• Increased awareness of the Universal, Targeted, Specialist approach.
• Strategies to increase identification of SLCN in education settings.
• Universal and Targeted interventions
• Increased awareness of charities and organisations who can provide
support and resources for Schools.
Follow us: @ehp_uk
5. Language is THE key
Good language and communication skills are the foundations of
learning, emotional development and socialising.
Language and communication skills are important for children to
achieve at school and are a strong predictor of later academic success.
Without the right help, at the right time, they will be left out and left
behind.
Follow us: @ehp_uk
6. A child with SLCN – their journey
I’m 5 years old.
I have poor
communication
and language
skills
• By the time I’m 11 years old I’m 6 times less likely to do well in English,
and 10 times less likely to do well in maths than my chatty friends.
• By the end of KS1 I am likely to enjoy School less.
• My poor vocabulary means that I am twice as likely to be unemployed in
my thirties as my friends with good vocabulary.
(ICAN, 2017)
Follow us: @ehp_uk
7. A child with SLCN – their journey
I’m 14 years old.
I have poor
communication
and language
skills
• I am really behind with my literacy skills – I struggle to access all
teaching and exams.
• I find it difficult to keep up in conversations with my classmates – I have
low self-esteem and weak friendships.
• I am more likely to experience anxiety and depression.
• I am highly likely to exhibit behavioural difficulties.
(ICAN, 2017)
Follow us: @ehp_uk
8. SLCN in our Classrooms:
What are we dealing with?
• 1 in 10 children have a language difficulty. How many in each class?
• Language disorder is 7 times more prevalent than ASD.
• In areas of deprivation what percentage of children start School
without the language they need for learning?
• In Primary Schools more children have SLCN than any other special
need.
• In Secondary Schools the census data reports a fall in SLCN. Is this
true?
*The Communication Trust and ICAN (2017)
Follow us: @ehp_uk
9. Identification and Intervention for SLCN:
What’s the plan?
Universal All children
• Quality first teaching
• Communication supportive environment and
classrooms
• Increase in Teacher awareness, knowledge, and
identification
Targeted Just below age related expectations
• Evidence based interventions with small groups or
individual children
• Enhanced skills and knowledge in identifying and
supporting SLCN
• Training to support staff to implement and evaluate
interventions
Specialist Significantly below expected levels
• Individualised, specialist support for children
designed and managed by a SALT
(ICAN, 2011)
Follow us: @ehp_uk
10. Universal Approach:
Increasing identification of children with SLCN
Staff Training is invaluable. Increase awareness and knowledge of:
• Developmental milestones
• How children with SLCN present in the classroom
• Use of screening tools
Follow us: @ehp_uk
11. Identifying children with SLCN:
Staff Training Providers
• NHS SALT service
• Commissioned SALT:
• RCSLT Guidance:
https://www.rcslt.org/speech_and_language_therapy/commissioning/qual_standards_schoo
ls
• SLT for Kids: http://www.sltforkids.co.uk/
• EHP: www.ehp.org.uk
• Specialist Teachers
Follow us: @ehp_uk
12. Identifying children with SLCN:
Staff Training Providers
• ELKLAN: www.elklan.co.uk
• ICAN: http://www.ican.org.uk/What-we-do/Training.aspx
• Language for Learning: http://www.languageforlearning.co.uk/
• HANEN: www.hanen.org
• Afasic: http://www.afasic.org.uk/professionals/courses/
• ASEND: www.asend.co.uk
Follow us: @ehp_uk
13. Identifying children with SLCN:
Online Resources and Staff Training
• Talking Point
• The Communication Trust
• Inclusion Development Programme
Follow us: @ehp_uk
14. http://www.talkingpoint.org.uk/
• Ages and stages
• Progress checkers
• Free enquiry service
• Free resources:
• Primary and secondary milestone posters.
• Universally Speaking booklets. Universally Speaking is a series of booklets for
anyone who works with children and young people. The booklets show where
children should be with their communication skills at any given age.
Follow us: @ehp_uk
15. https://www.thecommunicationtrust.org.uk/resources/resources/resources-
for-practitioners/
• Beyond measure: guidance for education staff on using the reception
baseline assessment as an opportunity to identify and support children
who have SLCN, as early as possible.
• Early years, primary and secondary progression tools. The Progression Tools
aim to support teaching staff to identify children who may be struggling to
develop their speech, language and communication skills. They can also be
used to track progression of these skills over time or
following interventions.
Follow us: @ehp_uk
16. Inclusion Development Programme
http://www.idponline.org.uk/
The Inclusion Development Programme (IDP): This was developed by
the Government to equip teachers, TAs and early years staff with the
skills they need to successfully include children with SEN. There are two
modules on SLCN, one for school staff and one for those working in
early years. They can be accessed here:
Follow us: @ehp_uk
17. Identifying children with SLCN:
Screening Tools
• WellComm (6months-6years): A Speech and Language Toolkit for
Screening and Intervention in the Early Years.
• Speechlink: Provides packages to help with the identification and
intervention for KS1, KS2 and KS3.
https://www.speechlink.info/index.php
Follow us: @ehp_uk
18. Universal Approach to intervention for SLCN
• Communication friendly classrooms:
https://www.thecommunicationtrust.org.uk/resources/resources/resources-for-
practitioners/communication-friendly-checklists/
• Communication supporting classroom observation tool:
https://www.thecommunicationtrust.org.uk/media/93866/tct_bcrp_csc_final.pdf
• SLCF : The SLCF is a free professional development tool, accessible to all, which sets out
the key skills needed to support the speech, language and communication (SLC)
development of all children and young people. https://www.slcframework.org.uk/
• Elklan training: https://www.elklan.co.uk/courses/practitioners
• Word aware: Word Aware is a whole school vocabulary approach to promote vocabulary
development in children. http://thinkingtalking.co.uk/word-aware/
Follow us: @ehp_uk
20. Targeted Intervention for SLCN:
• Active Listening for Active Learning
• How to listen
• Comprehension monitoring and self-help skills
• Lego Therapy
• Social development programme
• http://thewackywarehouse.com/lego-therapy/
• Example Targets: positional and descrtiptive language, behaviour, patience,
active listening, peer interaction, problem solving, working independently.
• Makaton
• language programme using signs and symbols to help communication
Follow us: @ehp_uk
21. Targeted Intervention for SLCN:
• Narrative therapy (Becky Shanks)
• Story structure
• Story grammar
• Concepts who? Where? When? What happens? The end
• Black Sheep Press
• Pre-Teaching Vocabulary:
• Pip St John PTV : https://pipstjohn.files.wordpress.com/2016/10/pre-teaching-
vocabulary-pip-st-john-oct-2016.pdf
• Victoria Joffe
• Word Aware
• Vocabulary Enrichment Intervention Programme (KS3-4)
• Social Stories
• Support for children with ASD and pragmatic language difficulties
• Improve children’s understanding of events
• Help to understand different perspectives
• Respond appropriately when communicating
Follow us: @ehp_uk
22. Targeted Intervention for SLCN:
• Talk Boost KS1 (ICAN):
• This targeted intervention aims to support children who have language delay
to close the gap/catch up with their peers.
• The programme focuses on: Listening, Vocabulary, Sentence building,
Storytelling, Conversations.
• Training and resource needed
• http://www.ican.org.uk/talkboost
• Early Talk Boost, Talk Boost KS2 and Secondary Talk also available (see
ICAN website for more information)
Follow us: @ehp_uk
23. When to refer for specialist SALT provision?
• Dysfluency.
• Significant social communication and interaction difficulties.
• Significant/disordered speech and language difficulties.
• Selective mutism.
• Children who do not make expected progress following targeted
intervention.
Follow us: @ehp_uk
24. The secret to getting ahead is getting started!Mark Twain
• What changes could you make in your setting?
• When?
• Who?
• How?
Please discuss and share your ideas.
Follow us: @ehp_uk
27. Who am I?
• What does this picture
COMMUNICATE about who
I am?
Seamus Mannion September 2017 Follow us: @ehp_uk
28. Who am I?
• Seamus Mannion
• NASENCO, CCET, CPT3A, PGCE, BA
(Hons)
• SENCO Consultant at EHP.org.uk
•Aspiration as a child –
to drive a Fire Engine
Seamus Mannion September 2017 Follow us: @ehp_uk
29. Demonstrating the impact of Speech, Language
and Communication Needs (SLCN) interventions
We aim to enable you to:
• Have greater understanding of how widespread SLCN are in
children
• Be able to use SEND learning walks to gather evidence of impact
• Be able to use impact statements to demonstrate effective
support/ intervention, provided by LSAs, Therapists and even
yourselves (SENCOs/ Inclusion Leads)
Seamus Mannion September 2017 Follow us: @ehp_uk
30. Why highlight Communication?
Seamus Mannion September 2017 Follow us: @ehp_uk
https://www.youtube.com/watch?v=YUcgJZ6pdcE
The communication commitment
31. “He/ she
doesn’t have
a SLCN. I can
understand
what he/ she
is saying”
A YouGov poll, undertaken by The
Communication Trust, of 349 teachers
found that only 27% had received
training around speech, language and
communication and 81% felt they would
benefit from more training on this issue.
We often focus on the speech and the
language but not the
COMMUNICATION.
Seamus Mannion September 2017 Follow us: @ehp_uk
32. Some facts about SLCN in the UK
• In the UK, over 1 million children and young people – that’s 2 – 3 in
every UK classroom – have some form of long term and persistent
speech, language and communication difficulty.
• In areas of poverty, over 50% of children are starting school with
delayed communication skills.
• Only 43% of parents of 0 - 5 years olds are able to correctly identify
the stages of communication.
Source – The Communication Trust
Seamus Mannion September 2017 Follow us: @ehp_uk
33. Why is it so important to act swiftly with
children who may have SLCN?
Two thirds of 7-14
year olds with
serious behaviour
problems have
language impairment
60-90% of young
offenders have
communication
difficulties
50-90% of children
with persistent
communication
difficulties go on to
have reading
difficulties
Those with a history
of early language
impairment are at a
higher risk of mental
health problems
Children and young
people with
undetected SLCN
may be at greater
risk of exclusion
Seamus Mannion September 2017 Follow us: @ehp_uk
34. How can I use
the work of a
SALT to help
me in my job?
Q. If schools are paying for a therapist why should
we be the ones to demonstrate the effectiveness
of their impact?
A. You might need it on a daily basis.
Follow us: @ehp_uk
52. Effective use
of a Speech
and Language
Therapist
Please have a quick discussion with a partner
about the different ways you feel you could, or
already do, use a Speech and Language Therapist
in your setting.
Seamus Mannion September 2017 Follow us: @ehp_uk
53. Effective use of a Speech and Language
Therapist
Individual
assessment
1-1 therapy
Small group work eg
Social
Communication
group
To support an EHCP
referral
To support a
CAMHS/ HYMS
referral
To train staff
Environmental
assessment (eg
sensory)
To observe the
impact of training/
advice through SEND
learning walks
Seamus Mannion September 2017 Follow us: @ehp_uk
54. SEND
Learning
Walks using a
SALT
When
to
use:
To back up the report/
observations made of a student
during a lesson.
To back up the report on the
classroom environment/ sensory
needs
In conjunction with a report to
class teacher/ subject leader on
how well they are meeting the
needs of SLCN children
Seamus Mannion September 2017 Follow us: @ehp_uk
61. Follow us: @ehp_uk
Thanks for listening!
Web: www.ehp.org.uk
Phone: 0330 088 8408
Twitter: @EHP_UK
Facebook: EHPuk
Instagram: @ehp_uk
Connect with us
Editor's Notes
2/3 in each class
50% in areas of deprivation
no – SLCN is harder to identify – hidden population
Better Communication Research programme report Understanding SLCN – profiles of need and provision provides evidence for the need for universal, quality first teaching as the ‘first phase’ in a strategic approach to supporting children with SLCN. The report makes it clear that if this is in place there can be a more cost effective allocation of specialist resources at targeted and specialist levels.
https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/219622/DFE-RR247-BCRP1.pdf
Universally speaking: Provides information about what helps children learn to talk and listen, whether they are on the right track and what to do if you have concerns about any of the children you work with
WellComm - Easy to administer and score, the screening tool uses a unique traffic light system to help practitioners understand the child’s current level of speech and language and to provide a pathway for action, ensuring every child gets the support they need. Complete set £349.95
SLCF: It is a self-assessment tool which enables individuals to map out their skills, knowledge and confidence in supporting the development of these essential skills in the children and young people they work with.
The SLCF provides users with a personalised analysis of their current confidence levels and offers suggestions for next steps in continuing professional development (CPD) including training courses, reading and resources. In addition, at the Universal level, there are opportunities for practitioners to develop their learning through short interactive online activities.
How much does Talk Boost KS1 cost?
Option One
Training delivered by an I CAN Communication Advisor - Each training session costs £700 + VAT plus £350 for a Starter Kit set of training materials per training pair (teacher and teaching assistant). The training minimum is one training pair.
Option Two
We have a regional team of Licensed Tutors who deliver training. Training material Starter Kits are purchased from I CAN at a cost of £350 per training pair + the cost of the Licensed Tutor delivering your training. Prices vary for training but this option usually works out cheaper than option one. Find your local Licensed Tutor here.
Additional resources, including all of the activities made into games and the objects needed to complete Talk Boost KS1, have been made into a Toolkit costing £175. This is an optional resource. Both a Starter Kit and Toolkit can be bought together at the same time as a bundle for a discounted price of £480.