Clinic Team first appointment

The service will let you know which team is most appropriate for your child to see at their first appointment.

Your child's speech, language and communication skills will be assessed by the speech and language therapist. This might be through a combination of formal or informal assessment, observation, and discussion with parents and others involved with the child or young person, such as teachers and child minders.

Once a referral is received and accepted, the following happens:

  • We ask the parents to contact the service within two weeks to arrange a suitable date and time for the appointment
  • Once contact with the service has been made a suitable appointment will be offered within six weeks of the referral being accepted
  • The appointment will be confirmed in writing and parents will be sent a case history form and patient registration form to complete and bring with them to the appointment.
  • After the appointment, a report is written including the findings and outcomes from the appointment and a care plan, target and strategy.

If parents do not contact the service to arrange an appointment within two weeks, the child is discharged and a letter is sent to the parent and the referrer to let them know. Similarly, your child will be discharged, if you do not attend the appointment and do not contact us to let us know you can't make it.

If you cannot attend the appointment or require an interpreter, please contact the CITS advice line on 01895 488200 or email and we can rearrange the appointment to another date and time and/or book an interpreter.

Where will my child be seen?

Children will be seen at a Small Talk Triage Assessment at a children’s centre or they can be seen at a local clinic instead. This depends on if an interpreter is needed or if the child needs a quiet environment for the assessment. This can be discussed when you contact the service.

What happens at the Small Talk Triage Assessment session?

At this sessions, we will assess your child in a friendly and fun environment. Your child will not be aware that they are being assessed. Please bring the completed patient registration form and case history that you would have been sent to you prior to the appointment. The therapist will discuss these with you at the assessment.

What can I expect at the assessment?

You can expect the assessment to run as follows

  • You and your child will be given a chance to settle and feel at ease. Thereafter, activities set up for you and your child. There may also be other families in your assessment
  • The therapist will talk to you about your child's general development, discuss why your child has been referred, how they communicate with you and other people and any concerns you have
  • The therapist will observe your child playing and may join in, if your child is happy for them to do so
  • In the observation, the therapist will assess what your child understands and is saying through play and then discuss that with you
  • The therapist may use books and pictures with your child, as part of the assessment.

Once the assessment is finished, the therapist assess and explain what they think would be the best therapy for your child. You will also be given a chance to put forward your views. The next steps will then be agreed. This will be your child's care plan.

Parents are expected to be heavily involved in their child's therapy because they are with them everyday. The therapist will give you ideas of what you can do at home to help your child. It is important that you follow this advice and start to make the small changes that are suggested because it will really help develop their child's speech and language skills.

Initial assessment report

After the assessment, the speech and language therapist will write a report. This report will contain the following information:

  • Your child's current speech, language and communication needs
  • A description of what will happen next (the care plan)
  • Advice on how you can help your child at home until the next therapy sessions.

This report will be sent to:

  • You, the parents
  • Your GP
  • The person who referred your child to the team
  • Your child's nursery or school
  • Any other professional working with your child.

We will ask for your permission before sending the report to the nursery/school and other professionals. It will be important for the nursery/school to receive this report so that they can follow the same activities for your child at school.

Contact details:

Address: Children’s Integrated Therapy Service (CITS) Lines are open Monday to Friday (excluding bank holidays) 9am to 5pm
Phone: 01895 488 200

Tell us, we're listening

  • If you would like to give feedback about the Speech and Language Therapy Service, please visit our feedback page or call Patient Support Services on 0300 0134799.

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