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Age 5+ Clinical sales pitch

Age 5+ Clinical sales pitch. AAC & physical/learning disability. AAC - Alternative and Augmentative Communication. Prevalence. The amount of people aged 15-19 years needing AAC has increased 70% from 1998-2008. 0.05% (6,200) children/young people need high tech AAC in the UK. Current policy.

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Age 5+ Clinical sales pitch

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  1. Age 5+ Clinical sales pitch AAC & physical/learning disability

  2. AAC - Alternative and Augmentative Communication

  3. Prevalence • The amount of people aged 15-19 years needing AAC has increased 70% from 1998-2008. • 0.05% (6,200) children/young people need high tech AAC in the UK.

  4. Current policy • Service provision is variable • Funding is split jointly between the health and education services. • Service pathway - spoke and hub model of service delivery

  5. Current Issues • 85-90% of SLT teams have no SLT with AAC competence • There is no statutory body governing the provision of AAC devices • 30% of AAC devices go unused • 73% reported AAC devices breaking down with 14% waiting over a month for a replacement

  6. Why we need funding • Bercow report (2008) found that the needs of children requiring AAC devices were not consistently being met. • The cost of a full assessment for a high-tech AAC device is £2,500. • AAC devices have a 5 year lifespan before needing to be replaced • Managing an AAC device (including purchasing it) costs approximately £4,000 per system

  7. Funding part 2 • More money is currently spent on loan banks than provision. • The NHS is required to set aside £14,000,000 for AAC services from its yearly budget (OCC, 2011). - However, progression of technology has outstripped current NHS budgets • AAC commissioning needs improve to meet needs and be more sustainable

  8. AAC - Key documents/Websites Scope and the ‘no voice, no choice’ campaign Communication Matters/ISSAC http://www.communicationmatters.org.uk/sites/default/files/downloads/standards/aac_quality_standard_for_commissioners_sept_2011.pdf Office of the Communciation Champion - http://www.communicationmatters.org.uk/sites/default/files/downloads/standards/AAC_Service_Specification_final_comm_champion_oct_2011.pdf http://www.communicationmatters.org.uk/sites/default/files/downloads/standards/AAC_Report_Final_comm_champion_nov_2011.pdf Augmentative and Alternative Communication (AAC) Services Standards (Version 1.2) August 2012 British Society of Rehabilitation Medicine (2000) ‘Electronic Assistive Technology’:http://www.bsrm.co.uk/Publications/EATabstract.pdf

  9. SLCN resulting from physical & learning disabilities

  10. Definitions • Learning Disabilities • Physical disabilities • Co-morbidities • Severity

  11. Needs • 89% of people with learning difficulties need speech and language therapy intervention (Bradshaw, 2007) • Variable SLT intervention. • However there are some common areas of difficulty within this client group • Potential risks of not intervening • Needs not currently met by mainstream NHS services (Mencap, 2007)

  12. Current provision- health • Raising awareness • Identifying key priority areas • Good practise guidance

  13. Current Provision - Education • “Speech and Language therapy should be treated as a special educational provision if it ‘educates or trains’ children.” Children and families bill, 2013. • Statement of Special Educational Needs • Soon to be called Education Health Care (EHC) plans).

  14. The Need For Funding • There will be negative implications if communication support is not available to these individuals - CQ3(2006) • Funding will support SLT developments which can help individuals with these difficulties: • Training • High quality personalised therapy. • Research

  15. Responsible bodies should ensure that disabled students are not substantially disadvantaged compared to non-disadvantaged peers Special Educational Needs and Disability Act (2001) • LEAs in England and Wales must provide an accessibility plan for people with SEN needs to ensure participation considering the child’s preferences Equality Act, 2010 • Communication is vital to participation in life International Communication Project 2014

  16. Key Documents • Disability discrimination act (1995) • Special Educational Needs and Disability act 2001 • Come on in - CDC, 2004 • Childrens act 1989 • Convention on the rights of persons with disabilities (1989). • Conventions on the rights of the child (1989). • Human rights act (1998) • Parent Participation improving services for disabled children (2004) • Every child Matters (2003)

  17. Useful links • http://www.afasic.org.uk/2013/12/success-speech-and-language-therapy-will-remain-an-educational-provision/ • Goswami, U (2008) Mental Capital and Wellbeing: Making the most of ourselves in the 21st century • Learning difficulties: Future challenges. Government office for science. Retrieved 19/3/14 from http://www.bis.gov.uk/assets/foresight/docs/mental-capital/learning_difficulties.pdf • http://www.mencap.org.uk/sites/default/files/documents/Mencaps%20Education%20Policy.pdf • http://www.rcslt.org/speech_and_language_therapy/commissioning/learning_disabilities_plus_intro

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