The Royal College of Speech and Language Therapists - The ......Kerr and his deputy Rhona Brankin. In Wales, the Assembly Minister for Health and Social Services remains Dr Brian Gibbons,

The official magazine of the Royal College of Speech & Language Therapists

1945-2005

Celebrating 60 years

What you’re saying about the CPD log

front JUNE 05 rcslt 1/6/05 11:18 am Page 1

Country councillor for Wales

The country councillors:

■ lead the development of appropriate local

structures to reflect members’ interests;

■ set up communication networks to enable

information to be efficiently and rapidly

distributed;

■ meet with regional representatives, at least

annually;

■ report and advise the RCSLT council on

matters concerning the membership;

■ liaise with the chairs of the boards;

■ attend four council meetings a year;

and

■ as a trustee of RCSLT, contribute to its overall

strategic direction.

The RCSLT Wales country councillor is for the

period from the 2005 RCSLT annual

general meeting to 2007.

The councillor for education andworkforce development

This is a casual vacancy starting from the date of

appointment and ending at the 2006

RCSLT AGM.

Consider standing for this post if you are involved in

SLT education and are keen to

take a key role in the development of a strategy for pre-

and post registration

education and quality assurance arrangements.

Responsibilities include:

■ chairing the education and workforce

development board;

■ reporting to council on the work of the

board;

■ developing, with the board, an annual

strategic framework and work programme;

■ taking account of and incorporating

national policy directives affecting

education and workforce planning into the

strategic framework; and

■ working with the Health Professions

Council

For more information about either of the above, email: [email protected] or tel: 020 7378 3001.The deadline for receipt of applications is 1 July 2005.

There are still two great opportunities for you to take part on the RCSLT Council

RCSLT council vacancies

RCSLT_JUNE_ IFC 1/6/05 11:21 am Page 22

Royal College of Speechand Language Therapists2 White Hart Yard, London SE1 1NX

Telephone: 020 7378 1200email: [email protected]: www.rcslt.org

President George Cox

Senior LifeVice President Sir Sigmund Sternberg

Vice Presidents Simon Hughes MPBaroness JayBaroness Michie

Chair Sue Roulstone

Deputy Chair Rosalind Gray Rogers

Hon Treasurer Gill Stevenson

ProfessionalDirector Kamini Gadhok

Editor Steven Harulow

Deputy Editor Annie Faulkner

MarketingOfficer Sandra Burke

Publisher TG Scott(A division of McMillan-Scott plc)

Design Courts Design Ltd

Disclaimer:The bulletin is the monthly magazine of the Royal College of Speech and LanguageTherapists.The views expressed in the bulletinare not necessarily the views of the College.

Publication does not imply endorsement.Publication of advertisements in the bulletin isnot an endorsement of the advertiser or of theproducts and services advertised.

C O N T E N T S

COVER STORY:

What you’re sayingabout the CPD logSee this month’s Supplement

June 2005 • Issue 638

Picture: Getty Images

4 Editorial and letters

6 News: The 2005 Speechmark Bursary;Important news for SLT returners; HPC unveils new look website; Improving support for newly-qualified practitioners, exploring the SLT role in videofluoroscopy and more

10 Professional issues Key messages from the March 2005 RCSLT Council meeting

12 Sara Gourlay, Victoria Joffe and Abigail Levin describe a clinic that focuses intervention for children with speech impairments on psycholinguistic profiling

13 The 2004 RCSLT Bulletin and Supplement index

18 Lynne Clark and Sue McGowan explain why SLTs should be cautious about relying solely on blue dye to test for aspiration

20 Liz O’Connell and Pauline Haggarty reflect on the success of their joint intervention with a young man with significant communication difficulties and autism

22 Obituary: Bevé Hornsby, MBE

24 Any questionsYour chance to ask your colleagues and share your knowledge

25 Reviews The latest books and products reviewed by specialist SLTs

26 Specific Interest Groups The latest meetings and events around the UK

RCSLT_JUNE_ Contents p3 1/6/05 11:25 am Page 1

bulletin June 2005 www.rcslt.org4

editor ia l & let ters

L E T T E R SBulletin thrives on your letters and emails

Write to the editor, RCSLT, 2 White Hart Yard, London SE1 1NX

email: [email protected] include your postal address and telephone number

Letters may be edited for publication

(250 words maximum)

An era passesSome readers will have received a letter

recently in which Colin Whurr

announced that Whurr Publishers has

been acquired by the firm John Wiley.

This news signifies the passing of an

era in which many SLTs have been

actively involved.

As one of his early authors, I

remember meeting Colin to discuss the

possibility of a subject for a forthcoming

book. This was at a time when members

of our profession did not find it easy to

interest larger publishers in our subject.

Colin was positive and encouraging

and, because of his wide experience in

the field, was able to offer constructive

ideas on how to proceed. Throughout

AfC is a poor compromiseMy personal perception of Agenda for

Change (AfC) is very different to that of

the correspondent in April’s Bulletin

(‘Look at the bigger picture’, p5).

Rather than interpret the AfC process

and the reaction of the SLT profession as

being ‘insular’, I have perceived the

whole process as dealing a blow for

equality, especially for women.

AfC is directed at the mainly female

dominated professions of the NHS.

Rather than bring salary levels across the

board up to the commensurate levels of

the speech and language therapy

profession after our hard-won equality

case, the government has chosen AfC

which brings all salaries down to a

common level. There can be no further

cases such as the equal pay case because

the AfC process has made salaries and

gradings ‘fairer’.

Whether this would have been

different if the other professions in the

health service had been more pro-active

I don’t know. I am pleased our small

profession has chosen to fight this and

make its presence felt.

It is rumoured that clinical

psychologists are starting on band 8:

aren’t we supposed to be equal with

them?

I have also heard that many people

from other areas of the NHS, including

clerical and allied health professionals,

are actually losing out on their

bandings.

Speech and language therapists are

not the victims here at all. We have

fought hard for our profession and are

continuing to do so in negotiating our

bandings in the matching process.

Victims of the AfC process are those

who have blindly accepted it without

fully understanding the bigger picture

and the long-term implications for the

NHS as a whole. I agree that we have to

do the best for the greatest number of

people. Unfortunately, AfC is a very

poor compromise that will not achieve

this.

Amanda MozleyHead SLT, Chelsea and WestminsterHospital

It is always a little daunting after a

general election for organisations that

work with government. Even when, as is

the case this year, the same political

party gets back in power, there are

inevitable ministerial re-shuffles that

result in new faces, new personalities

and possible changes of policy.After last May’s election we say goodbye to John

Reid and welcome Patricia Hewitt as Secretary of

State for Health in England. Likewise, Jane Kennedy

replaces John Hutton as Minister of State for

Health and Beverley Hughes replaces Margaret

Hodge as the new Children’s Minister.

In Scotland, the health team is still led by

Minister for Health and Community Care Andy

Kerr and his deputy Rhona Brankin. In Wales, the

Assembly Minister for Health and Social Services

remains Dr Brian Gibbons, and in Northern

Ireland, at the time of writing, the Minister for

Health and Social Affairs is Shaun Woodward.

What will changes of personnel mean for speech

and language therapy across health and education

in the UK? Obviously, it is too early to tell whether

they will result in further new challenges for the

profession, but rest assured the RCSLT is already

working on your behalf to build relationships with

the new and existing key players to raise the profile

of SLTs and their clients and further cement the

College’s status as a valuable partner for

government.

We are featuring an index of the entire contents

of the 2004 Bulletins and Supplements in the centre

section of this month’s magazine. It is testament to

the increase in the RCSLT’s activity and the ability

of the Bulletin team to bring you more news and

features, that we’ve had trouble squeezing it all in to

four pages. If anyone has difficulty reading the tight

text, please note, the index is also available on the

RCSLT website in the Bulletin section. Visit:

www.rcslt.org

Steven Harulow

Bulletin editor

email: [email protected]

New faces, new challenges?

RCSLT_JUNE_Editorial p4-5 1/6/05 11:37 am Page 4

www.rcslt.org June 2005 bulletin 5

editor ia l & let ters

L E T T E R S c o n t i n u e d

the years he has remained accessible with a

personal interest in his many authors.

From those early days, the firm has

grown and has widened its remit while

retaining a predominant emphasis on

books that reflect a caring theme.

For some years, Whurr also published

the then British Journal of Disorders of

Communication (later European Journal of

Disorders of Communication).

This was on very generous terms at a

time when College finances were dire.

I am writing this letter to express my, and

I’m sure many others, appreciation of

Colin’s work in promoting our profession’s

academic achievements.

Good wishes go to him and to his wife

Renata, though it is doubtful that his

retirement will remain as such for very

long.

Margaret EdwardsRetired RCSLT member and pastRCSLT Chair

Towards joint target settingWe read the letter in February’s Bulletin

(‘Holistic intervention’, pp5-6) and the

author’s search to understand the ‘dialects

of education and health’ struck a chord.

We are SLTs working in mainstream

schools and feel we have struggled with

many of the issues raised.

Our response as SLTs has been to try to

learn ‘education speak’, so that advice and

programmes given may be more easily

implemented in school settings.

This is easier said than done, but at

present we are working on a project to try

to mesh ‘education speak’ with ‘SLT speak’.

We have taken the government’s P-level

targets, which differentiate the national

curriculum for those children who became

trapped in the ‘working towards level 1’

bracket. We are using a commercial product

called B-Squared, which effectively further

differentiates the P-levels into tiny

developmental steps and uses this format to

work with our education collegues.

Together with a teaching team, we use B-

Squared to assess a child’s current level of

functioning and set targets. As SLTs we then

provide activities and programmes to

support the targets identified. The same

format can then be used to evaluate

progress and set new targets.

Using the P-level information helps

teachers see that our SLT targets are

relevant to the national curriculum, and

using the B-Squared interpretation of the P-

levels helps teachers keep targets within an

appropriate developmental framework.

Feedback has been generally positive and

we are now working on a website to

provide activities to support individual

targets as expressed in B-Squared. Our aim

is that the site will enable teaching and SLT

collegues to download relevant language

programmes after joint target setting

meetings. Visit: www.commtap.org

Lorna Lloyd, Neil ThompsonTower Hamlets PCT

RCSLT_JUNE_Editorial p4-5 1/6/05 11:37 am Page 5


news

The Health Professions Council

(HPC) suspended its rules for

returners (see box) on 14 April and

has decided to review them in the

light of feedback on the difficulties of

finding supervised placements over

30 and 60 days.

This has implications for

returners:

The requirement to work under

supervised practice for 30 or 60 days

before applying for registration has

been suspended.

You can apply immediately for

registration using the HPC re-

admission form.

This may have implications for your employment status. If you are

working on a voluntary basis, talk to your supervisor about whether

there are funds to employ you as an SLT once you are registered. If

you are working as an assistant, you will need to re-negotiate your

contract once you are registered.

All HPC-registered health professionals are expected to meet

standards of proficiency (SoPs), which equate to the ‘threshold

Important news for SLT returnerscompetence’ expected of a newly

qualified practitioner. The RCSLT is

advising returners to continue to

undertake supervised practice (period to

be agreed with their supervisor) and to

apply for their registration once they feel

they can meet the SoPs and practise

safely, lawfully and effectively.

The RCSLT is also advising

supervisors and returners to use either

the checklist of competencies for newly-

qualified therapists (available from

RCSLT) as a guide, or, if they are

undertaking distance learning courses,

to use the HPC’s standards of

proficiency action plan.

Both will provide a framework for reviewing competencies and help

returners and supervisors to decide whether or not competencies have

been met.

The HPC will publish a consultation document asking for

comments on the former rules, and suggestions for improvements.

Once the consultation document is published, the RCSLT will let you

know how you can take part. Visit: www.hpc-uk.org

HPC requirements for therapistsreturning to practice (under review asof 14 April 2005)

SLTs who have been out of practice for:

Less than two years: Required to renew their registration without further study or supervision

Between two and five years: Undertake 30 days supervised practice plus additional study to meet the standards of proficiency

Five years or more: Undertake 60 days supervised practice plus additional study to meet the standards of proficiency

Linda Nixon joined the RCSLT policy team on 5 May, as cover for Clare

Coles while Clare is on maternity leave.

As policy lead, Linda (pictured) will take over Clare’s portfolio, which

includes RCSLT advisers, ENT modernisation, intermediaries, mental

capacity and older people.

Previously, Linda has worked as speech and language therapy manager

at St Mary’s NHS Trust in London.

“I’m looking forward to my new role,” Linda told the Bulletin. “It’s

going to be very interesting getting a wider perspective on speech and

language therapy work in relation to the national policy agenda.”

To contact Linda, tel: 0207 378 3013 or email: [email protected]

HPC unveils newlook websiteThe Health Professions Council (HPC) has redesigned its

website to make accessing information about the council easier.

The site contains all the latest HPC news and events, HPC

publications, and information about HPC registration.

The dedicated speech and language therapy page contains

links to the HPC’s standards of proficiency and standards of

conduct performance and ethics; and a register of programmes,

qualifications, institutions and tests of competence approved

under the Health Professions Order, 2001.

The site also allows employers and members of the public to

check the HPC registration status of any allied health

professional.

The HPC has designed

the site in accordance

guidelines laid down by

the Web Accessibility

Initiative and the Royal

National Institute for the

Blind.

Visit: www.hpc-uk.org

Linda joins the RCSLT policy team

RCSLT_JUNE_news p6-7 1/6/05 11:40 am Page 1


news

N E W S I N B R I E F

Leading practice awardsThe Health Foundation (HF) wants to

fund individuals with ideas for research

projects that will make a direct

difference to the quality of patient care

or the health of the population.The HF’s

Leading Practice Through Research awards

are open to mid-career professionals

from health-related backgrounds and

will enable individuals to take time out

of their daily roles to pursue a particular

research interest while developing their

leadership skills. Entries close 4 August

2005.Visit: www.health.org.uk

Caribbean contributionsA new Department of Health project will

celebrate the contribution made by

people from the Caribbean

Commonwealth in the early years of the

NHS.The emphasis will be on people

telling their own stories about their

experiences and commitment between

1948 and 1969.The project will publish

oral histories and images later in the

year.To submit your story or to be

involved in the project contact Sugar

Media, email: [email protected]

Easy to swallowRecipes from some of the world’s top

chefs, including Antony Worral

Thompson, Jill Dupleix, Lesley Waters,

Nigella Lawson, Raymond Blanc and

Sophie Grigson, feature on a new

website for people with chewing and

swallowing problems. Put together by

Claire Wade, who herself has myalgic

encephalomyelitis, the site covers

everything from soups to smoothies.

Visit: www.easytoswallow.co.uk

Just say no to sweetsThe British Dental Health Foundation has

hit out at a government website for

encouraging teachers to ‘bribe pupils

with sweets’ as a reward for good

behaviour.The BDHF says it was shocked

and appalled to find the popular

Teachernet site is providing advice that

could potentially lead to thousands of

children suffering with decayed teeth.

The Allied Health Professions Federation (AHPF) has produced

a new document setting out the opportunities for allied health

professionals (AHPs) arising out of Supporting people with long

term conditions – an NHS and social care model to support local

innovation and integration, and the National Service Framework

for Long-term Conditions.

Working Differently: The role of allied health professionals in the

treatment and management of long-term conditions positions new

initiatives in the context of policy development across health

and social care systems.

The document also gives examples of the good practice

already being led by AHPs in areas such as mental health,

tertiary neurology, learning disability and transition, and autism.

Contact AHPF executive secretary Karen Wells to obtain your copy of Working Differently, tel 020 8768

1226 or email: [email protected]

Working differently in long-term care

The bursary started in 1994, when it was

known as the Winslow Press Award. Since

then it has generated much interest among

SLTs wishing to further their professional

knowledge overseas, and has helped fund

trips to a variety of destinations including

India, New Zealand, Hong Kong and Kenya.

The award is open to RCSLT members who

have held uninterrupted College membership

of for at least two years and provides SLTs

with a unique opportunity to liaise with

international colleagues and to share

knowledge and experiences. On their return

the award winner must submit a report for

publication on the work they have

undertaken.

For further information and an application

pack contact Glenn Palmer, tel: 020 7378 3003

or email: [email protected]. Submit

your entry for the 2005 award by 2 September

2005. Past winners are not eligible to re-apply.

The RCSLT is grateful for the support given

by Speechmark Publishing Ltd over the years.

The SpeechmarkBursary2005It’s time to announce details of this year’s £1,000

Speechmark Bursary towards the funding of

overseas research visits or project work

Speech and language therapist Nigel Miller has been

named Pembrokeshire and Derwen NHS Trust

employee of the year.

Nigel is head of speech and language therapy

services across the trust’s mental health and learning

disabilities service division, head of therapies for

learning disabilities, clinical services manager for the

Llanelli locality and carries a case load of 30 clients

as an SLT.

Nigel said, “I am honoured to receive the award

and must thank the speech and language therapy

teams across the trust for their enduring support.

“I am grateful for the acknowledgement of the

work I have done as head of therapies, as a member

of the learning disabilities service and as part of the

planning team encouraging service user involvement

in the development of their services.

“Particular thanks must go to the learning

disabilities service senior management team, the

various service user groups and to Mark Alison, head

of nursing, who initially nominated me.”

Nigel wins recognitionfor his therapy work

Nigel (centre) receives his award from Lynette George, trust chair,and Frank O’Sullivan, chief executive



news

Improving support for newly-qualified practitioners

Newly-qualified practitioners (NQPs) currently enter the ‘supervised

section’ of RCSLT membership when they graduate and are expected

to complete approximately one year in a clinical setting under

supervision before being accepted as autonomous clinicians and

transferred to full membership.

The new competency-based framework replaces the current

guidance within Communicating Quality 2 (RCSLT, 1996) on the

transition to full clinical autonomy. It sets out a balanced set of clear

expectations and standards and can be used to support learning and

development in the first year of practice and as evidence of readiness

to transfer to full RCSLT membership.

The framework, piloted during 2003-2004 and evaluated by NQPs

and their supervising therapists across the UK, was produced as part

of the RCSLT’s competencies project and encompasses areas of

competence that a therapist would be expected to develop in the first

12-18 months of practice. The competencies are grouped under eight

headings and link with the core dimensions and others listed in the

NHS Knowledge and Skills Framework (KSF) to reflect current

thinking within the health service (Department of Health, 2004).

The completed framework may be useful to inform the NHS KSF

foundation gateway review at the end of the first year of employment.

The competencies are broad enough to fit with local policies and

practice. Extra competencies can also be added to reflect the nature of

particular work settings.

Before recommending a NQP for transfer to full RCSLT

membership, a manager should be satisfied they are competent and

ready to work autonomously. It is unlikely that an SLT will have met

the requirements in less than 12 months, but should have done so

within two years. This timeframe is given as a guide and may vary

according to the individual.

The framework will be phased in during 2005-2006 with the aim

that all those qualifying in 2006 will be using it during their first year

of practice.

Jenny Pigram

RCSLT Policy Lead

References:Department of Health. The NHS Knowledge and Skills Framework (NHS KSF) and theDevelopment Review Process. 2004. Available online: www.dh.gov.ukRCSLT. Communicating Quality 2. London: RCSLT, 1996More details about the development of the framework will feature in the July Bulletin.

The RCSLT is launching a new competency-based framework for newly-qualified practitioners

It’s speech and languagetherapy award timeDon’t forget to get your posters for the SLT and SLTAof the year awards

The competition, run by the RCSLT as part of its 2005 diamond jubilee celebrations, will

recognise the amazing work of therapists and assistants in the many settings in which

they work.

The College is inviting clients and users of speech and language therapy services and

their families to nominate their therapist or assistant for special recognition.

Recognising the varied communication abilities of

speech and language therapy clients, we will accept

nominations in a number of formats: by email, letter,

signs, video or audiotape

An A3 poster is available by contacting Vivien

Robinson, tel: 0207 378 3002 or email:

[email protected]. An A4-sized version of the

award poster is available from: www.rcslt.org

The closing date for nominations is 29 July. The

RCSLT feels it is only right that representatives of

speech and language therapy service users should

judge the award and a committee will sit during the

summer to select the shortlisted finalists.

Finalists will attend a gala award presentation on 10

October at a prestigious central London location.

RCSLT Bulletin

readers can win

a free copy of

Stroke Care: a

practical manual.

Written by

Rowan

Harwood,

Farhad Huwez

and Dawn Good, the manual follows the

pathway of care of a stroke patient from

initial diagnosis through to rehabilitation.

Stroke Care was tested in stoke unit and is

designed for all members of the stroke team.

To win your free copy, simply send your

name and address to Sandra Burke, 2 White

Hart Yard, London SE1 1NX.

Entries close 15 July 2005.

Bulletin free book draw



news

N E W S I N B R I E F

Talk Hearing websiteA new website promises to offer deaf

people and those with loss of hearing

free information, guidance and support.

Launched during National Deaf

Awareness Week, 2-8 May, Talk Hearing

provides a support and information

service for family members and friends

“whose lives are touched by deafness or

a loss of hearing”. Visit:

www.talkhearing.com

Managing MNDNew developments and the latest

thinking on managing motor neurone

disease (MND) will be the subjects of an

MND Association study day in

Birmingham on 23 June. Leading health

and social care professionals will present

talks on a range of subjects, including

ventilatory support, cognitive problems,

ethics and multidisciplinary team

working. For further information contact

Pam Aston, tel: 01604 611845 or email:

[email protected]

Impacting on world healthThe first international AHP Conference

will take place in Edinburgh on 9-10

June. Health Improvement – Allied Health

Professions Impacting on World Health,

will include topics on nutritional health,

wellbeing in old age, healthy lifestyles,

work rehabilitation, palliative care, foot

health and mental wellbeing.Visit:

www.conventionmanagement.co.uk for

details

Conference money availableThe British Aphasiology Society (BAS)

support fund is offering up to £400 to

help members attend conferences.

Although priority is given to presenters,

funding is available whether or not you

are presenting work.The fund is only

open to people who have been BAS

members for at least a year and those

who have previously received support

may not re-apply for at least two years.

The deadline for applications is 15 July.

Visit: www.bas.org.uk

Exploring the SLT role invideofluoroscopy

In March 2004, Catherine Dunnet, head of North

Glasgow’s speech and language therapy service, gave

a presentation on the extended role of SLTs in

conducting videofluoroscopy (VF), as part of

RCSLT and Modernisation Agency’s Action on ENT

Conference.

This highlighted the model of service where an

SLT-led VF clinic runs weekly, developed in Glasgow

in 1997 by Catherine and Cameron Sellars. Other

presentations considered SLT-led voice and

fibreoptic endoscopic examination of swallowing

(FEES) clinics.

As a result of feedback from the day, the RCSLT

commissioned workshop leaders to form working

parties to develop guidelines for SLTs working in

these areas.

The VF group consists of Catherine and Cameron

from North Glasgow, Kim Clarke from Northwick

Park Hospital and Stephanie Allen, currently

seconded to London’s St George’s Hospital. The

group has also benefited greatly from the

involvement of Professor Clive Bartram, the recently

retired Head of Radiology at Northwick Park

Hospital.

It became clear that, in contrast to SLT-led voice

and FEES clinics, which are relatively new areas of

extended practice for SLTs, therapists at all stages of

their career and with varying levels of experience

run VF clinics.

For this reason, writing guidelines and gaining

consensus could be considerably more problematic.

The group is focusing on establishing training for

expert level practitioners in VF. Once a cohort of

experts has participated in a course designed around

democratic and consensual discussion, the intention

will be to use this group to develop the guidelines.

The working party has developed a three-day

course, approved by RCSLT and the Royal College of

Radiologists. This will include medico-legal aspects,

contributions from ENT, neurology and gastroen-

terology, referral pathways, interpretation of case

studies and business case development.

Access to the course will be by application, with

an emphasis on selecting participants with

considerable expertise in VF. Participants will

submit a business plan for local service development

and attend annual update/re-accreditation days.

An important feature of the course will be to

develop improved consensus in VF terminology and

interpretation. Data from case study interpretation

during the course and from follow up days will be

used to add to the literature on inter- and intra-

rater reliability.

The course will run at Northwick Park Hospital

from 7-9 September and at Glasgow Royal

Infirmary from 2-4 November. The first follow-up

day will be on 1 February 2006 in London.

Email: [email protected]

for details.

The latest developments in the evolution of the extend the role of SLTs in conducting videofluoroscopy

An important feature of the VF course will be to develop improved consensus in terminology and interpretation

Pict

ure

:Sam

Tan

ner



Profess ional I ssues

News from the RCSLTCouncil

Induction for new councillors

At the meeting, Council approved a proposal

for an annual induction day for all new

councillors prior to the first meeting of

council in the College year. This will probably

take place the day before the December

council meeting. The day will end with a late

afternoon session to update existing

councillors and a social evening to enable all

councillors to meet.

Council also welcomed a draft plan for an

induction programme for new council

members and incoming board and

committee members. As part of the induction

process, documentation will be sent out in

pre-nomination packs, and subsequently in

orientation packs for new council members

and new board/committee members. RCSLT

deputy chair Rosalind Rogers and secretariat

manager Bridget Ramsay will present the

plan for the induction day to the council in

July.

Council/board vacancies

Council received an oral report on the

current council vacancies and considered

recommendations for approval from the

committees/boards. Details of all current

vacancies can be found on the inside front

covers of the May and June Bulletins.

The Finance Committee has two vacancies.

Council approved an application from Ruth

Nieuwenhuis, lecturer/practitioner at

University of Wales Institute Cardiff, for

membership of the Professional Development

Board. Ruth’s application demonstrated that

she would fit the remit both as a member

from Wales and as an academic. There was

still a vacancy for a member from Northern

Ireland and Ros Wilson, councillor for

Ireland, agreed to continue to advertise this

via her links.

The RCSLT Council held its latest meeting at the RCSLT headquarters on

16 March 2005. Here, Bulletin outlines the key messages to arise from the meeting

The 2005 RCSLT study day and AGM

This year’s study day and annual general

meeting will take place at the Royal College

of Surgeons in London on 11 October.

Council agreed to the theme, The

Communication Context, proposed by RCSLT

Chair Sue Roulstone. The focus of the day

will include work with adults, individuals

with learning difficulties and children.

Council also agreed to open up the day to

other professions and this will be feature in

the study day advertising. Sue Roulstone,

Professional Development Board chair Celia

Todd, England Councillor Chris Heron and

Bridget Ramsay have formed a working

group to take the planning of the day

forward.

Diamond jubilee special honours

Council discussed the terms and categories of

any special awards to be granted in honour of

the diamond jubilee and agreed to two

awards, for the SLT and SLTA of the year.

Clients will nominate their therapist and

assistants for the award and a panel of service

users will select the finalists. Council also

heard that the RCSLT head of

communications, Steven Harulow, had

approached the This Morning television

programme with a view to increasing media

exposure. They have expressed some interest

in being involved.

Professional indemnity insurance

RCSLT honorary treasurer Gill Stevenson

reported to the council that legal defence

costs were covered by the RCSLT’s

professional indemnity insurance. She also

highlighted that it is necessary for members

to inform the RCSLT prior to making a

claim. Members are liable for the first £250 of

any claim. Council agreed that the RCSLT

will circulate the four pages of the insurance

document to certified members, probably in

the form of a separate mail-out and on the

password-protected section of the RCSLT

website. The Bulletin will feature an article

highlighting the work undertaken.

The workforce planning project

Workforce planning project manager

Stephanie Ticehurst, who was in the process

of gathering information from across the

four countries, presented a report on the

project to date. Council noted that the

guidelines needed to be owned by the

workforce planners, federations and

managers. Council also agreed that the

management board would act as the steering

group for this project and that Stephanie

would attend the next board meeting.

The RCSLT as a union

In his councillor for England report, Chris

Heron informed Council that he had received

10 replies from members in favour of an

RCSLT union. Council agreed that RCSLT

CEO Kamini Gadhok will make further

enquiries as to what would be involved in

such a move. An article on the issue will

appear in the Bulletin later in the year.

Education and workforce development

board

Council received a report of the meeting of

the Education and Workforce Development

Board (EWDB) held on 2 February 2005.

Rosalind Rogers, acting EWDB chair, noted

that although the board recommended to

Council that an assistant/technical instructor

be appointed to the EWDB, she felt that the

overall composition of the board was not

appropriate for the topics within its remit.

She hoped to make a thorough review of the



Profess ional I ssues

board’s constitution, working with the

incoming chair, to try to get a better balance

of knowledge and expertise.

HPC registration

Council received a letter from the Health

Professions Council (HPC) concerning

speech and language therapy registration. The

HPC agreed that qualifications which were

approved under previous statutory

legislation, be retrospectively approved as

acceptable qualifications for entry to the SLT

register. Sue Roulstone, as chair, thanked

Sylvia Stirling, senior policy lead for

education, for her hard work and persistence

in bringing this issue to a satisfactory

conclusion.

The RCSLT directory

Council agreed that there is a need to consult

with members with regard to a CD Rom and

the data required from members to replace

the membership directory. The country

The key messages from the March 2005 RCSLT Council

group includes Sue Roulstone, Anna van der

Gaag, Anne Whateley, Ruth Nieuwenhuis,

Rosalind Rogers and Lynda Pennington.

Council also agreed that a meeting between

the chairs of the Education Committee,

Professional Development Board, Council

and the CEO be established to agree the

process for reviewing the future of the

Education Committee.

The RCSLT Conference 2006

The 2006 Conference will take place in

Belfast on 10-12 May. Council received a

report from the Conference Planning

Committee.

Discussions are on-going with Taylor and

Francis concerning the publication of the

proceedings, the length, circulation and guest

editor. Papers will be disseminated for peer

review. Two keynote speakers have been

invited and a call for papers has been

advertised in the April May and June

Bulletins.

councillors and Management Board will use

their networks to discover what information

needed to be captured and what information

should be available and when.

Professional Development Board

Council agreed the recommendation from

the board that the newly-qualified

practitioners’ framework would be discussed

for adoption at the July Council meeting

once there had been adjustments reflecting

closer links to the knowledge skills

framework.

Council approved the board’s

recommendation that a small cross-board

working group be set up to develop a detailed

plan with costings to align all the work

underway on the continuing professional

development process, proposals for the

implementation of the Clinical Guidelines,

Communicating Quality 3 and filling gaps in

the evidence base through research and

development. Suggested membership of the

There will be new induction programmes to welcome all council and board members

There are advertisements for vacancies for the RCSLT council (see the inside front cover of the May and June Bulletins for details)

The 2005 RCSLT study day and annual general meeting will take place on 11 October at the Royal College of Surgeons in London. The study day title is

The Communication Context and is open to all multidisciplinary colleagues

Council has approved the RCSLT Diamond Jubilee SLT and SLTA of the year award. Don’t forget to obtain your copies of the nomination posters. See page 8 for details.

Speech and language therapy managers: encourage your staff (both therapists and assistants) to join the RCSLT.

The newly-qualified therapist framework is almost ready for publication. See page 8 for more details.

Details of the RCSLT’s public liability insurance will be sent to RCSLT members together with an article in the Bulletins later in the year.

The replacement for the RCSLT Directory: the country councillors and Management Board are using their networks to

discover what information needs to be captured and what information should be available and when.

The RCSLT CEO will investigate the costs and other implications of establishing the RCSLT as a union. Details will be published later in the year.

The closing date for papers for Realising the vision, the RCSLT Conference 2006, is 30 June. See this month’s outside back cover for details.

The conference will take place in Belfast on 10,11 and 12 of May 2006.

The printed version of the RCSLT Clinical Guidelines is now available. Visit: www.speechmark.net for details of how to order copies

For more information on the RCSLT Council’s activities visit www.rcslt.org



feature SPEECH IMPAIRMENT IN CHILDREN

Speech impairment inchildren: a psycholinguisticapproach

We have been running a clinic for children

with moderate to severe speech impairments

since February 2004. The clinic is based

within the Compass Centre for Clinical

Education and Teaching in the Department

of Language and Communication Science at

City University. We invited SLTs in the local

PCTs to refer children between the ages of

three and five with moderate to severe speech

impairments. There have been 13 referrals to

date, and 11 children have been accepted for

the clinic.

We offer once-weekly one-and-a-half hour

sessions during the academic terms. The

sessions consist of a mix of group activities

and one-to-one assessment in the first

instance, followed by intervention. Sara

Gourlay and Abigail Levin run the clinic

assisted by students from the pre-registration

programmes.

The clinic aims to provide:

■ a psycholinguistic profile on each child

assessed;

■ focused intervention based on that data;

■ detailed reports for parents, SLTs, teachers

and other interested professionals;

■ data for future research; and

■ student clinical placements.

What is the psycholinguisticapproach?Psycholinguistics refers to the interface

between the study of psychology and

linguistics and has led to the development of

a means of describing and explaining the

processes underlying language reception and

production. Stackhouse and Wells (1997)

have been instrumental in using a psycholin-

guistic approach to help define and describe

speech impairments. They have developed

psycholinguistic profiling as a clinical tool: a

relatively recent addition to the SLTs’

test battery.

The psycholinguistic model identifies

different levels of speech processing for

assessment that may break down

independently of each other and provides

insight into the underlying

speech deficit for intervention (Stackhouse

and Wells, 1997; 2001).

The speech processing chain is central to

this approach. This is viewed as ‘all the

skills included in understanding and

producing speech, including peripheral skills

such as articulatory ability and hearing’

(Stackhouse and Wells, 1997, p8). Their

model consists of:

■ speech input processing for spoken

information received via auditory (and

visual) channels. This involves

perception, recognition and

discrimination of the speech signal;

■ a store of word knowledge in the form

of lexical representations; and

■ speech output processing, including

retrieval from storage, selection of an

appropriate motor programme and its

translation into a spoken form.

The psycholinguistic profile aims to identify

the level of breakdown in the speech

processing chain using a series of specific

assessment tasks that have different

processing demands along the input and

output paths. The completed profile describes

the speech impairment, provides insight into

the underlying nature of the impairment

and forms the basis of an intervention plan.

Children with speech impairments often have

associated literacy problems frequently

rooted in impaired phonological awareness

(Stackhouse and Wells, 1997). The

relationship between speech and literacy is

complex and is not yet fully understood,

but it is clear that for many children with

speech impairments the two are

interdependent. Mapping both speech and

pre-literacy tasks onto the psycholinguistic

profile makes explicit the skills common to

both.

The psycholinguistic approach asa clinical toolThe psycholinguistic approach to

phonological impairment has been of great

interest to paediatric SLTs, and Baker et al

(2001) reported it to be increasingly used by

SLTs managing speech impairment.

However, its use as a routine clinical tool

for diagnosis and intervention in community

clinics is less clear. Informal anecdotal reports

suggest that while therapists are aware the

psycholinguistic approach exists, it is not

routinely used as the standard speech

assessment in community clinics.

In a nationwide survey investigating the

most frequently used assessment tools in

assessing speech impairments, only one of

the 98 respondents cited the psycholinguistic

battery as a commonly used tool (Joffe and

Pring, in preparation).

The most frequently used assessment tool

(83 of 98 respondents) was the South

Tyneside Assessment of Phonology (STAP)

(Armstrong and Ainley, 1988).

Sara Gourlay, Victoria Joffe and Abigail Levin describe a clinic that aims to provide detailed assessment and focused intervention for children with speech impairments, based on psycholinguistic profiling

RCSLT_JUNE_feature p12 +17 1/6/05 12:20 pm Page 2


We recognise that time limitations make

the STAP a more realistic option. It can be

argued, however, that for the more complex

speech impaired child, data from this

screening measure will be insufficient at

identifying the underlying level of

breakdown.

Why is the speech processing profile, a

potentially useful clinical tool, not being

used? Potential reasons include:

■ the lack of standardisation and normative

data of many of the tasks at each level

of the profile;

■ the absence of set materials and stimuli

for the set tasks;

■ the quantity of tasks required for

completion of the profile and the time

constraints faced by the clinician; and

■ the difficulties clinicians may have in

interpreting the findings from the profile

and relating them to specific targets for

intervention.

The profession is already addressing some of

these issues. Vance et al (2004), for example,

have published normative data for speech

production skills in children of three to seven

years of age. At the Compass Centre we will

also be addressing these points. We are

collecting normative data for some of the

tasks on the profile and are investigating

which tasks provide the most essential

information about a child’s speech

performance.

We are using both the psycholinguistic

profile and other more traditional

standardised speech assessments to explore

what extra diagnostic benefits are gained

from adopting psycholinguistic profiling. We

will explore the validity of tasks used to

assess performance at each level on the

speech profile.

We are looking very carefully at the

number of assessments required to complete

a diagnostically useful psycholinguistic

profile.

For each child we see at the clinic, we

complete a detailed psycholinguistic profile

using standardised and non-standardised

tools. We are using the results to form the

rationale for our intervention. We will be

exploring:

■ the appropriateness of the profiling for

the pre-school speech impaired child;

■ its contribution to the evaluation process;

■ a consideration of the time the profile

takes to be completed and analysed in

featureSPEECH IMPAIRMENT IN CHILDREN

Sara Gourlay, Victoria Joffe, Abigail LevinSLTs, The Compass Centre, Department ofLanguage and Communication Science, CityUniversity, Londonemail: [email protected]

References:Armstrong S, Ainley M. South Tyneside Assessment ofPhonology. UK: STASS Publications, 1988.Baker E, et al. Psycholinguistic models of speechdevelopment and their application to clinical practice.Journal of Speech, Language and Hearing Research 2001; 44,685-702.Joffe VL, Pring T (in preparation). Treating children withexpressive phonological problems: A survey of clinical practice.City University.Stackhouse J,Wells B. Children’s speech and literacydifficulties: A psycholinguistic framework. London:Whurr,1977.Stackhouse J,Wells B. Children’s speech and literacydifficulties 2: Identification and intervention. London:Whurr,2001.Vance M, Stackhouse J,Well B. Speech-production skills inchildren aged 3-7 years. International Journal of Languageand Communication Disorders, 2004; 1-20.

The psycholinguistic profile aims to identify the level ofbreakdown in the speech processing chain

relation to its overall benefit; and

■ its utility as a means for targeting focused

intervention.

The feedback we have had to date from SLTs,

parents, children, teachers and students

has been very encouraging. Speech and

language therapists are interested in the

psycholinguistic profile and in its clinical

applications. At the Compass Centre we are

able to invest the time needed to undertake

detailed profiling. Parents and children

have reported the experience to be positive,

educational and supportive. Preliminary

data suggest that the children have made

advances in their speech and phonological

awareness skills. Teachers have been interested

in our findings and keen to incorporate

elements into their teaching. Therapists have

also reported that they find the detailed

reports useful in the future management of

children’s needs.

Students have found the placement

challenging and have expressed difficulties in

understanding and using the psycholinguistic

processing profile. However, it has encouraged

their analytical thinking, giving them the

opportunity to assess clients comprehensively.

It has also helped them to develop

intervention based on sound rationales.

Importantly, they have felt at the cutting edge

of assessment and intervention approaches

currently available to our profession.

We welcome approaches from PCTs or SLTs

keen to develop their interest in the

psycholinguistic approach to the intervention

of speech impaired children and are

offering a training day on 7 July 2005. We are

also accepting appropriate referrals from SLTs

for children between the ages of three to five

years with moderate to severe speech

impairments.

For referrals or requests for visits to the

Compass Centre or to book places on the

training day, contact clinical administrator

Bethan Lewis, tel: 020 7040 8288.

For further information contact: Sara,

Victoria or Abigail, tel: 020 7040 5060.

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INDEX

Aarons, Maureen, Social Skills Programmes - An Integrated Approach From Early Yearsto Adolescence, Jan 2004 issue 621, p21

Action on ENT programme, July 2004 Mid-month Supplement issue 627, p2acute care see critical careadministration and office support

MK software support initiatives, April 2004 issue 624, p5NHS National IT programmes, April 2004 issue 624, p6

Adult-Child Interaction (ACI) therapyearly years community clinics, June 2004 issue 626, p10-12programmes for foundation classes, April 2004 issue 624, p8-9

Afasic online survey, Dec 2004 Mid-month Supplement issue 632, p2ageing, Conference on typical and atypical processes, July 2004 issue 627, p7Agenda for Change (AfC)

Amicus perspectives, June 2004 issue 626, p5, April 2004 issue 624, p7EI (early implementers) managers’ experience, Sept 2004 issue 629, p7EI (early implementers), June 2004 issue 626, p5; August 2004 issue 628, p7job description guidelines, August 2004 issue 628, p4job profiles approval, Jan 2004 issue 621, p3letters, Feb 2004 issue 622, p18-19; April 2004 issue 624, p16; August 2004 issue628, p4-5; Sept 2004 issue 629, p4; Nov 2004 issue 631, p5;pay implications, June 2004 issue 626, p5, Feb 2004 issue 622, p6; Feb 2004 issue622, p18-19Radio 4’s You and Yours programme, July 2004 issue 627, p5RCSLT members vote, July 2004 Mid-month Supplement issue 627, p1Scottish e-petition, Sept 2004 issue 629, p4; Dec 2004 issue 632, p5second ballot considerations, August 2004 issue 628, p7second ballot outcome, Dec 2004 issue 632, p7

AHPF see Allied Health Professions Federation (AHPF)airline compensation win, July 2004 issue 627, p6Aitkens, Stuart, Personal Communication Passports, August 2004 issue 628, p18Allied Health Professionals

London-based support service, August 2004 issue 628, p10‘outstanding professionals’ awards, Oct 2004 issue 630, p7

Allied Health Professions Federation (AHPF), Jan 2004 issue 621, p4New Generations project (AHP), June 2004 issue 626, p19

alternative and augmentative communication (AAC),implementation in schools, August 2004 issue 628, p16-17

Altwood School (Maidenhead), Sept 2004 issue 629, p8America, Mutual Recognition Agreement, Nov 2004 issue 631, p19Amicus

and Agenda for Change (AfC), April 2004 issue 624, p7membership issues, Feb 2004 issue 622, p6

Anglo-Russian project, July 2004 issue 627, p8Anti-Bullying Alliance, Sept 2004 issue 629, p8aphasia

audit tools for service feedback, Oct 2004 issue 630, p14-15inclusion in NHS induction programmes, August 2004 Supplement issue 628, p3information accessibility projects, Oct 2004 issue 630, p12-13a personal account of recovery, Jan 2004 issue 621, p5processing names and proper nouns, Oct 2004 issue 630, p22RCSLT reading lists, April 2004 issue 624, p7Speakability raising awareness campaign, April 2004 issue 624, p4supported conversation in acute settings, Jan 2004 issue 621, p14-15

Aphasiology special issue: Quality of life in aphasia (Worrall and Holland), May 2004issue 625, p16

archives see RCSLT college archivesARMED (Assistants’ Regional Meetings and Education Days), Jan 2004 issue 621, p24Armstrong, Linda, RCSLT 2004 Honours, Dec 2004 issue 632, p10ASLTIP (Association of SLTs in Independent Practice)

AGM, Nov 2004 issue 631, p8CD-ROM information resource, June 2004 issue 626, p3

Asperger’s syndrome, The Curious Incident of the Dog in the Night-Time, March 2004issue 623, p3; March 2004 issue 623, p18

Asperger’s syndrome in Adolescence (Holliday Willey), July 2004 issue 627, p18aspiration, and head and neck cancer care, Nov 2004 issue 631, p22assistants see SLT assistantsassistive technology database, July 2004 issue 627, p6Assistive Technology Forum, position paper, Oct 2004 issue 630, p11Attenborough, Liz, Television is here to stay, May 2004 issue 625, p7audiology, Bristol University degree training, Sept 2004 Mid-month Supplement issue

629, p2audit

Healthcare Commission (HC) responsibilities, May 2004 issue 625, p6see also clinical audit

auditory information processing research, Belfast City Hospital,August 2004 issue 628, p6auditory processing disorder (APD)

letters, June 2004 issue 626, p16SLT management issues, Sept 2004 issue 629, p12-13

Australiachildren’s mental health services, June 2004 issue 626, p14-15IALP Congress, July 2004 issue 627, p6MACS caseload management approach, Feb 2004 issue 622, p8-9Mutual Recognition Agreement, Nov 2004 issue 631, p19speech pathology research, Sept 2004 issue 629, p6

autismawareness week, Feb 2004 issue 622, p3characteristics of young males, Nov 2004 issue 631, p22DH funding for NAS, July 2004 issue 627, p8 and diet, Dec 2004 issue 632, p6fundraising ventures, April 2004 issue 624, p3joint care approaches (SLT and OT), August 2004 issue 628, p12-13 and MMR, Oct 2004 issue 630, p22NAS website launch, May 2004 issue 625, p3purpose built college (Beechwood), Nov 2004 issue 631, p6research into causes, August 2004 issue 628, p7summer school communication programmes, June 2004 issue 626, p8-9and vitamin A, April 2004 issue 624, p6

Autism Specific Interactive Learning Software Packages, Oct 2004 issue 630, p11

Bagnall, Annie, Evaluating the Beckman oral motor programme, Nov 2004 Supplementissue 631, p3

Baldwin, Sylvia, Selective Mutism in Children (2nd ed), Dec 2004 issue 632, p25Ball, Prof. Martin, RCSLT 2004 Honorary Fellowships, Dec 2004 issue 632, p11Bannatyne, Susan, The Herald, Nov 2004 issue 631, p5Barnes, Colin, Conference report, July 2004 issue 627, p7

Barnes, Sarah, Less a teacher: more an equal, April 2004 issue 624, p10-11Basic Verbs, reviews, Sept 2004 issue 629, p5Bath Institute of Medical Engineering’s voice pad, May 2004 issue 625, p6BBC programmes

and child language development, Nov 2004 issue 631, p6see also radio and media ‘appearances’

Beck, Dr. Janet, RCSLT 2004 Fellowships, Dec 2004 issue 632, p11Beckman oral motor programme, evaluation, Nov 2004 Supplement issue 631, p3Beechwood College, purpose built autism college, Nov 2004 issue 631, p6Begg, Thia, Issues of access, July 2004 issue 627, p12-13benchmarking, RCSLT guidance, Dec 2004 issue 632, p6Bexley Care Trust communication services, AHP awards ceremony, Oct 2004 issue

630, p7Beyond Stammering: the McGuire programme for getting good at the sport of speaking

(McGuire),Jan 2004 issue 621, p21; March 2004 issue 623, p21

Bichard report, SLT implications, July 2004 Mid-month Supplement issue 627, p2bilingual language clients

key treatment considerations, March 2004 issue 623, p14-15learning issues, Jan 2004 issue 621, p7special interest support group, May 2004 issue 625, p19website, June 2004 issue 626, p4

Black, Sharon, Learning from experience, May 2004 issue 625, p14-15Blake, Julia, on radio, Oct 2004 issue 630, p7Bochner, Sandra, Child Language Development, Learning to Talk, June 2004 626, p17Bogdashina, Olga, Sensory perceptual issues in autism and Asperger’s syndrome, Nov

2004 issue 631, p18Borrelli, Merida, Dysphagia Screening, A Training Resource Pack, Sept 2004 629, p18Bosanquet, Annabel, Good food for the brain, May 2004 issue 625, p10-11Bousangue, Nancy, The Teddy Bear Express, April 2004 issue 624, p15Bradford SLT Positive Action Training Scheme, June 2004 issue 626, p3brain implants, PABI auditory brainstem electrodes, March 2004 issue 623, p6brain injury helpline, August 2004 issue 628, p8The Brain Injury Workbook, Exercises for Cognitive Rehabilitation (Powell and Malia),

Sept 2004 issue 629, p18Breaking the silence report (Newcastle upon Tyne), Feb 2004 issue 622, p6Bright Futures website, Nov 2004 issue 631, p8Bristol SLT Research Unit, speech-screening tool development, Sept 2004 issue 629, p6Bristol UniversityAudiology degree Sept 2004, Mid-month Supplement issue 629, p2autism research, August 2004 issue 628, p7British Association for Counselling and Psychotherapy, online information service

launch, Oct 2004 issue 630, p6British Geriatrics Society conference, Oct 2004 issue 630, p11British Medical Journal, patient rights legislation, May 2004 issue 625, p6British Stammering Association (BSA), CD-ROM school resource, Jan 2004 issue 621,

p6 Bryan, KarenGiving vulnerable witnesses a voice, March 2004 issue 623, p16-17University of Surrey young offenders communications research, August 2004 issue628, p20

Buckhurst, Sue, Oct 2004 Mid-month Supplement issue 630, p2Buckley, Sue, Speech and Language Intervention in Down Syndrome, May 2004 issue

625, p16building guidelines, and private finance initiatives (PFIs), March 2004 issue 623, p20Bulletin changes

advertising rates, June 2004 issue 626, p20inclusion of supplement magazine, July 2004 Supplement issue 627, p1; July 2004issue 627, p4new features and layout, June 2004 issue 626, p2

bullying, advice campaigns, Sept 2004 issue 629, p8Bunning, Karen, Speech and language therapy intervention: frameworks and processes,

Nov 2004 issue 631, p18

Calderdale and Huddersfield NHS Trust, SLT Charter Mark award, Dec 2004Supplement issue 632, p2

Calderdale Royal Hospital, enteral feeding guidelines, July 2004 Supplement 627, p2call centre workers, Oct 2004 issue 630, p7cancer care

aspiration problems, Nov 2004 issue 631, p22head and neck care project collaborations, Oct 2004 issue 630, p21Kay’s swallowing workstation, July 2004 issue 627, p14-15training places, Sept 2004 Mid-month Supplement issue 629, p2

Cardiff, intensive interaction projects, April 2004 issue 624, p10-11Carding, Prof. Paul, in the media, Oct 2004 issue 630, p7carer abuse, protecting vulnerable adults, Nov 2004 issue 631, p6Carr, Amanda, Fees and feasibility, July 2004 issue 627, p10-11Carter, Christine, The Language Tree, August 2004 issue 628, p11Cartmail, Gail

Activity intensifies as second Agenda for Change ballot draws near, August 2004 issue628, p7Rogue matching must end, June 2004 issue 626, p5Where is Amicus going on AfC? April 2004 issue 624, p7

caseload managementdiversity and research implications, July 2004 issue 627, p20letters, April 2004 issue 624, p16MACS approach outline, Feb 2004 issue 622, p8-9MACS waiting list initiative, Feb 2004 issue 622, p10-11

Centre for Brain Injury Rehabilitation, Expressions, Illustrating the Experience of Adults,Oct 2004 issue 630, p18

Centre for Integrated Healthcare Research (CIHR), Director’s appointment, Oct 2004issue 630, p7

cerebral palsy, research fund availability, June 2004 issue 626, p4CHAIN (contacts, help, advice and information network), July 2004 issue 627, p22Challenging aphasia therapies, broadening the discourse and extending the boundaries

(Buchan), Dec 2004 issue 632, p25Chambers, Wendy, Stroke support, Oct 2004 issue 630, p16Chandler, Ruth, Making the most of what you have, Feb 2004 issue 622, p10-11Chan, Sally, Implementing AAC in Schools, August 2004 issue 628, p16-17Charlie who couldn’t say his name (Fahy), Oct 2004 issue 630, p6Charter Mark awards, Calderdale and Huddersfield SLT services, Dec 2004 Supplement

issue 632, p2Chatterbox Challenge, Nov 2004 Supplement issue 631, p2Chatterton, Sarah, Take your partners, June 2004 issue 626, p12-13Cherriman, Lesley, Commuter life: Falklands’ style, August 2004 Mid-month Supplement

issue 628, p3child advocacy services, Welsh National Assembly, August 2004 issue 628, p8child education

AAC implementation in schools, August 2004 issue 628, p16-17special needs inclusion policies, July 2004 issue 627, p4, June 2004 issue 626, p6Step by Step school (East Sussex), Sept 2004 issue 629, p6summer school autism communication programmes, June 2004 issue 626, p8-9

Child Language Development, Learning to Talk (Bochner and Jones), June 2004 issue626, p17

The Child in Mind: a child protection handbook (Barker and Hodes), March 2004 issue623, p6

child protectionDept. of Health manual, August 2004 issue 628, p6Healthcare Commission assessment tool, May 2004 issue 625, p4non-accidental head injuries, Oct 2004 issue 630, p22NSPCC report on disabled children, Jan 2004 issue 621, p5

childcare allowances for NHS students, June 2004 issue 626, p2children’s services, SLTs’ role in future developments, Oct 2004 issue 630, p4, Oct 2004

issue 630, p8-10China, language development workshops, August 2004 issue 628, p11Chingford Aphasia Club, Sept 2004 issue 629, p7Christopher Place, integrated child-centred workshops, July 2004 issue 627, p9City and Hackney, new integrated SLT services, June 2004 issue 626, p3City University

review of SLT services (2003), June 2004 issue 626, p3widening diversity strategy, March 2004 issue 623, p12-13

Clarke, Jo, Hope you can see what I’m saying, Nov 2004 issue 631, p10-11Clarke, Kim

SLTs - our role in critical care, Jan 2004 issue 621, p10-11What are you doing to promote patient safety, Dec 2004 issue 632, p20-21

Clarkson, KatrinaEvening Standard NHS Champion Awards, Nov 2004 issue 631, p5Good food for the brain, May 2004 issue 625, p10-11

Cleft Lip and Palate Association (CLAPA), silver jubilee celebrations, July 2004 issue627, p6

Cline, Tony, Selective Mutism in Children (2nd ed), Dec 2004 issue 632, p25clinical audit, head and neck cancer treatment differences, June 2004 issue 626, p4Clinical Guidelines (RCSLT), online availability, April 2004 issue 624, p3clinical innovation

Small Talk voicepads, May 2004 issue 625, p6Sternberg Awards, March 2004 issue 623, p22, June 2004 issue 626, p6-7

clinical research see clinical audit; health researchcochlear implants, auditory information processing research, August 2004 issue 628,

p6 Code, Prof. Chris, June 2004 issue 626, p4RCSLT 2004 Fellowships, Dec 2004 issue 632, p10

ColourCards: Basic Verbs (Speechmark), June 2004 issue 626, p17Comins, Jayne, on voice abuse at football matches, July 2004 issue 627, p6Commonwealth Fund, Harkness fellowships, August 2004 Supplement issue 628, p2Communicating Disability in Ageing (Worrall and Hickson), April 2004 issue 624, p15Communicating with Pictures and Symbols, Collected Papers from AAC in Practice

(Wilson), Oct 2004 issue 630, p18Communicating Quality 2

revision project, March 2004 issue 623, p23roadshow arrangements, April 2004 issue 624, p19

Communicating Quality 3debate, July 2004 issue 627, p22SLT involvement, Sept 2004 issue 629, p20

communication aidsBath Institute of Medical Engineering’s voice pad, May 2004 issue 625, p6GoTalk9, May 2004 issue 625, p8-9making information accessible project, Oct 2004 issue 630, p12-13

communication skills training, Adult-Child Interaction (ACI) therapy, April 2004 issue624, p8-9; June 2004 issue 626, p10-12

Community Care (Delayed Discharge) Act (2004), impact on hospital discharge, Feb2004 issue 622, p6

computer control systems, Iriscom, Jan 2004 issue 621, p5confidentiality, Every Child Matters privacy concerns, Jan 2004 issue 621, p5congenital problems, vocal cord fusion, Jan 2004 issue 621, p6consultant career paths, conference, Feb 2004 issue 622, p3Contact a Family charity, new website, Oct 2004 issue 630, p11continuing professional development (CPD)

editorial, Feb 2004 issue 622, p4; Dec 2004 issue 632, p4guidance for log completion, Dec 2004 issue 632, p13-16HPC standards, Oct 2004 issue 630, p6and KSF, Dec 2004 issue 632, p4-5

conversation analysis methodology, Sheffield University, Oct 2004 issue 630, p6Coombes, Kay, RCSLT 2004 Honours, Dec 2004 issue 632, p10Cooper, Janet, Downing Street reception, Nov 2004 issue 631, p8Cottrell, Sophie, Supporting conversation, providing information, Oct 2004 issue 630,

p12-13Council for Healthcare Regulatory Excellence (CHRE), August 2004 Mid-month

Supplement issue 628, p2Council for the Regulation of Healthcare Professionals see Council for Healthcare

Regulatory Excellence (CHRE)Countess of Wessex see HRH Countess of WessexCox, George, as RCSLT president, Nov 2004 issue 631, p6criminal checks for NHS staff, Dec 2004 issue 632, p8criminal justice system and SLTs, letters, Nov 2004 issue 631, p4critical care

RCSLT conference, August 2004 Mid-month Supplement issue 628, p2RCSLT study day, Feb 2004 issue 622, p21; Nov 2004 Mid-month Supplement issue

631, p1SLT role, Jan 2004 issue 621, p10-11; Nov 2004 Mid-month Supplement issue 631, p1critical reflection

letters, April 2004 issue 624, p16personal experiences, Feb 2004 issue 622, p2

Cummings, Dr. Louise, Pragmatics: a multidisciplinary perspective, Sept 2004Supplement issue 629, p2

The Curious Incident of the Dog in the Night-Time (Haddon)wins prize, March 2004 issue 623, p3

data protection, Every Child Matters privacy concerns, Jan 2004 issue 621, p5Davidson, Liz Ann, A joint pathway to improving care, August 2004 issue 628, p12-13Davies, Alex, Supporting conversation, providing information, Oct 2004 630, p12-13De Montfort University, MA Applied Health Studies, April 2004 issue 624, p4deaf children, new protocol for early years development, August 2004 issue 628, p10Defeating Deafness, League of Friends centre, May 2004 issue 625, p4Delamain, Catherine, Speaking, Listening and Understanding, April 2004 issue 624, p15;

May 2004 issue 625, p4dementia care workshops, May 2004 issue 625, p4

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IndexDemystifying the autistic experience: a humanistic introduction for parents, caregivers and

educators (Stillman), Dec 2004 issue 632, p24Department of Health (DH)

child protection manual, August 2004 issue 628, p6Choosing Health? and SLT responses, April 2004 issue 624, p4HPC regulation of healthcare staff, August 2004 Supplement issue 628, p1recruitment drives, April 2004 issue 624, p5website changes, April 2004 issue 624, p4; Nov 2004 issue 631, p6

diets see nutritionDisability Discrimination Act

part 3 compliance, April 2004 issue 624, p6You can make a difference (DH), Nov 2004 issue 631, p8

diversity issuesBradford SLT Positive Action Training Scheme, June 2004 issue 626, p3fast-tracking ethnic minority staff, April 2004 issue 624, p5flexible SLT training admissions policies, Nov 2004 issue 631, p15RCSLT strategy launch, Sept 2004 Mid-month Supplement issue 629, p1RCSLT workshops, March 2004 issue 623, p8-9working with bilingual clients, March 2004 issue 623, p14-15

doctor associates, University of Birmingham courses, March 2004 issue 623, p6Dodd, Ellie, Choice matters, May 2004 issue 625, p12-13Downing Street receptions, Nov 2004 issue 631, p8Duckworth, Martin, RCSLT 2004 Fellowships, Dec 2004 issue 632, p10dysfluency archives, Sept 2004 issue 629, p6

see also stammeringdysphagia

competencies consensus project, August 2004 Mid-month Supplement issue 628,p1; Oct 2004 issue 630, p4; Dec 2004 issue 632, p8and learning disability, April 2004 issue 624, p4; Dec 2004 issue 632, p18-19letters, Jan 2004 issue 621, p20; Feb 2004 issue 622, p18; March 2004 issue 623, p20;Oct 2004 issue 630, p4and mental illness, July 2004 issue 627, p16-17, August 2004 issue 628, p6research forums, July 2004 issue 627, p4Shaker technique, July 2004 issue 627, p14-15undergraduate SLT courses, April 2004 issue 624, p13-14

VitalStim electrotherapy, June 2004 issue 626, p3dysphagia research forum, letters, July 2004 issue 627, p4Dysphagia Screening, A Training Resource Pack (Rodriguez and Borrelli), Sept 2004

issue 629, p18

early intervention programmes, closure of Wilstaar, Sept 2004 issue 629, p14-15Early Support Pilot Programme (ESPP), Feb 2004 issue 622, p22

new protocol for development standards, August 2004 issue 628, p10education issues see child education; inclusion policies (special needs children);

training and educationEdwards, Michelle, volunteering experience, Dec 2004 Mid-month Supplement issue

632, p3Eggett, Alyson, A joint pathway to improving care, August 2004 issue 628, p12-13E-groups, Jan 2004 issue 621, p23

new communication networks, Feb 2004 issue 622, p21corrections, March 2004 issue 623, p2

EI (early [AfC] implementers), August 2004 issue 628, p7Amicus responses to matching, June 2004 issue 626, p5managers share experience, Sept 2004 issue 629, p7

Eisenstadt, Naomi, on Sure Start and SLT, July 2004 issue 627, p7elderly healthcare services

dementia care workshops, May 2004 issue 625, p4joint working implementation, Oct 2004 issue 630, p11National Service Frameworks (NSFs), July 2004 issue 627, p5see also National Workforce Competence Framework for Older People

Elton, Mary, Supporting vulnerable communities, Sept 2004 issue 629, p16-17emergency services, access via videotechnology, April 2004 issue 624, p4Enderby, Prof. Pam, Equal pay and Agenda for Change, Feb 2004 issue 622, p6endoscopy equipment sterilisation, August 2004 Supplement issue 628, p2endoscopy services, RCSLT policy statement, Nov 2004 issue 631, p21Engaging with Quality programme (Health Foundation), Sept 2004 issue 629, p21ENT services

future developments, March 2004 issue 623, p22London conference and workshops, May 2004 issue 625, p3; Sept 2004 Supplementissue 629, p2modernisation and transition strategies, Sept 2004 Supplement issue 629, p2

enteral feeding guidelines, July 2004 Supplement issue 627, p2letters, Nov 2004 issue 631, p4

ethicsliving wills and right to treatment ruling, Sept 2004 issue 629, p6Research Governance Framework for Health and Social Care, Jan 2004 621, p7

ethnicity see diversity issueseuthanasia, legality issues and living wills, Sept 2004 Supplement issue 629, p3Evans, Enid, obituary, Nov 2004 issue 631, p21Everard, Rachel, Radio 4’s ‘Women’s Hour’ programme, Nov 2004 issue 631, p5Every Child Matters (DfES 2003), June 2004 issue 626, p14-15

data privacy concerns, Jan 2004 issue 621, p5evidence-based practice

implications of diverse caseloads on research, July 2004 issue 627, p20letters, March 2004 issue 623, p20-21

Expressions, Illustrating the Experience of Adults (Centre for Brain InjuryRehabilitation), Oct 2004 issue 630, p18

Extence, Helen et al, To deflate or not to deflate? Feb 2004 issue 622, p15-16

Face Former therapy, August 2004 issue 628, p10facial surgery research, August 2004 issue 628, p8Fahy, Davene, Charlie who couldn’t say his name, Oct 2004 issue 630, p6Fain Lehman, Jill, From Goals to Data and Back Again, August 2004 issue 628, p18Faulkner, Annie

Foundations for success, Jan 2004 issue 621, p8-9What do speech and language therapists do? March 2004 issue 623, p10-11

FEES (fibreoptic endoscopic evaluation of swallowing), July 2004 issue 627, p10-11Felson Buchan, Judith, Challenging aphasia therapies, Dec 2004 issue 632, p25Flatley, Susan, The Teddy Bear Express, April 2004 issue 624, p15flood damage, RCSLT HQ, May 2004 issue 625, p2Ford, John, An innovative approach to support, Feb 2004 issue 622, p22Ford, Sylvia, More meaningful and measurable therapy, July 2004 issue 627, p14-15foundation degrees, joint RCSLT/AHPs statement, Dec 2004 Mid-month Supplement

issue 632, p1foundation trusts, Jan 2004 issue 621, p8-9first ten hospitals, May 2004 issue 625, p4Fowler, Fiona, Assistants: the NVQ challenge, Nov 2004 issue 631, p14Fransman, Denny, Loud and Clear, Jan 2004 issue 621, p16-17Fraser, Caroline

A new look for Bulletin, July 2004 issue 627, p4Lecture will celebrate founders and pioneers, May 2004 issue 625, p18Mutual Recognition Agreement, Nov 2004 issue 631, p19RCSLT retirement, Nov 2004 issue 631, p4, Sept 2004 issue 629, p22

Frenchay Communication Aid Centre (CAC), public access website, Oct 2004 Mid-

month Supplement issue 630, p3Frenchay Hospital’s SLT Research Unit, implications of diverse caseloads, July 2004

issue 627, p20Fresh thinking: smarter working conference, March 2004 issue 623, p6From Goals to Data and Back Again, Adding Backbone to Developmental Intervention

for Children with Autism (Fain Lehman and Klaw), August 2004 issue 628, p18Frost, Jo, Risk management and clinical placements, Dec 2004 issue 632, p17Froude, Jenny, Making Sense in Sign: a lifeline for a deaf child, Feb 2004 issue 622, p20

Gadhok, Kaminion AfC (letters), Feb 2004 issue 622, p18-19AfC and Radio 4’s You and Yours programme, July 2004 issue 627, p5Agenda for Change: the story continues, June 2004 issue 626, p5joins NPfIT, July 2004 issue 627, p21Towards greater diversity, March 2004 issue 623, p8-9

Garcia Winner, Michelle, Thinking About You, Thinking About Me, March 2004 issue623, p18

Gardiner, Fiona, Stroke support, Oct 2004 issue 630, p16Gardner, Hilary, conversation analysis methodology initiatives, Oct 2004 issue 630, p6Gareth Gates, and McGuire programmes, June 2004 issue 626, p16gastro-oesophageal reflux, Nov 2004 issue 631, p16-17gastrostomy protocols, letters, Sept 2004 issue 629, p5Geldard, Clare, I CAN accreditation has its rewards, April 2004 issue 624, p20gender and speech problems, July 2004 issue 627, p5George, Gill, on Agenda for Change, Feb 2004 issue 622, p6; June 2004 issue 626, p5Gibson, Alison, Take your partners, June 2004 issue 626, p12-13Gittens, Tessa, Social Skills Programmes - An Integrated Approach From Early Years to

Adolescence, Jan 2004 issue 621, p21Glennie, Evelyn, Christopher Place opening, Nov 2004 issue 631, p8Godden, Jennie

A useful resource for SLT managers, April 2004 issue 624, p2RCSLT management, Dec 2004 issue 632, p6GoTalk9 communication aid, May 2004 issue 625, p8-9Gould, Lisa, To deflate or not to deflate, Feb 2004 issue 622, p15-16Grace, Andrew, RCSLT 2004 Honorary Fellowships, Dec 2004 issue 632, p11Greenwood, Richard, Handbook of Neurological Rehabilitation, July 2004 issue 627, p18Grist, Eileen, Signposting the pathways to speech aids, Oct 2004 Mid-month

Supplement issue 630, p3group work, storytelling with severe learning difficulties, Feb 2004 issue 622, p13-14Grove, Nicola

And they all lived..., Feb 2004 issue 622, p13-14Baby signing: the view from the sceptics, Nov 2004 issue 631, p12-13

Guernseyrecruitment debate, Nov 2004 issue 631, p8SLT service developments, Jan 2004 issue 621, p3; April 2004 issue 624, p3

Haddon, Mark, The Curious Incident of the Dog in the Night-Time, March 2004 issue623, p18

Handbook of Neurological Rehabilitation (Greenwood), July 2004 issue 627, p18Hardy, Carol, SLTs - our role in critical care, Jan 2004 issue 621, p10-11Harris, Frances, What next for early intervention? Sept 2004 issue 629, p14-15Harris, Susan, SLT assistants: ARMED and ready for action, Jan 2004 issue 621, p24Hartley, Kim, in the media, Oct 2004 issue 630, p7Harulow, Steven

Agenda for Change fills the Bulletin postbag, August 2004 issue 628, p4Children’s forum looks forward to the future, Oct 2004 issue 630, p4Diversity matters, March 2004 issue 623, p2Getting to grips with continuing professional development, Dec 2004 issue 632, p4How are your stress levels? Sept 2004 issue 629, p4In with the new, Nov 2004 issue 631, p4The role of SLTs in NHS modernisation, May 2004 issue 625, p2What next for children’s services? Oct 2004 issue 630, p8-10Your new look Bulletin, June 2004 issue 626, p2Your new look Supplement, July 2004 Supplement issue 627, p1

Harvie, Suzanne, Supporting vulnerable communities, Sept 2004 issue 629, p16-17Hawley, Prof. Mark, RCSLT 2004 Honorary Fellowships, Dec 2004 issue 632, p11Hayon, Karen, Foundation talking, April 2004 issue 624, p8-9Hayton, Nicola, Objects of reference: invaluable tools, May 2004 issue 625, p8-9head injuries

non-accidental in children, Oct 2004 issue 630, p22patient partnerships, June 2004 issue 626, p12-13

Head Injury-a practical guide (Powell), Dec 2004 issue 632, p24head and neck cancer care

and aspiration, Nov 2004 issue 631, p22CSC-IP advisory group, Oct 2004 issue 630, p21

Headway, brain injury helpline, August 2004 issue 628, p8Health Foundation, Engaging with Quality programme, Sept 2004 issue 629, p21Health Professions Council see HPC (Health Professions Council)health research

auditory information processing, August 2004 issue 628, p6autism causes at Bristol University, August 2004 issue 628, p7cerebral palsy fund availability, June 2004 issue 626, p4communication problems among young offenders, August 2004 issue 628, p20dysphagia in mental illness, August 2004 issue 628, p8ESRC funding initiatives, April 2004 issue 624, p4facial surgery treatment regimes, August 2004 issue 628, p8HF’s competitive awards scheme, Dec 2004 issue 632, p8HSA Charitable Trust Scholarships Awards, August 2004 issue 628, p21implications of diverse caseloads, July 2004 issue 627, p20stroke rehabilitation bursaries, Dec 2004 issue 632, p6UK dysphagia support forums, July 2004 issue 627, p4

health and safety, Seven steps to patient safety (NPSA), Jan 2004 issue 621, p27Health and Safety Executive, survey on workplace stress, Sept 2004 issue 629, p4Health and Social Care Awards, application procedures, April 2004 issue 624, p7‘health tourism’, NHS entitlement changes, Feb 2004 issue 622, p4Healthcare Commission (HC)

public consultation, Dec 2004 issue 632, p6replaces CHI and NCSC, May 2004 issue 625, p6

Healthcare IT Effectiveness Awardsapplication procedures, June 2004 issue 626, p3Milton Keynes SLT administration support, April 2004 issue 624, p5

hearing aids, ReSoundAir digital device, Feb 2004 issue 622, p4hearing loss, newborn screening projects, Feb 2004 issue 622, p3Help your child to talk leaflet (RCSLT), Jan 2004 issue 621, p4Heron, Chris, appointment as RCSLT England Councillor, Oct 2004 issue 630, p19Hickson, Louise, Communicating Disability in Ageing, April 2004 issue 624, p15Hilari, Katerina, Intensive therapy for Parkinson’s disease, Oct 2004 Supplement 630, p3Holland, Audrey, Aphasiology special issue, May 2004 issue 625, p16Holliday Willey, Liane, Asperger’s Syndrome in Adolescence, July 2004 issue 627, p18Hope Hospital Stroke Services (Salford), BUPA award, Dec 2004 issue 632, p9hospice movement, SLT service developments, Jan 2004 issue 621, p12-13hospital discharge, Community Care (Delayed Discharge) Act (2004), Feb 2004 622, p6housing issues, tenants disability charter, Oct 2004 issue 630, p6HPC (Health Professions Council)

CPD standards, Oct 2004 issue 630, p6DH regulation of healthcare staff, August 2004 Supplement issue 628, p1operating department practitioners, Dec 2004 issue 632, p8qualifications and titles regulation, May 2004 issue 625, p5return to practice requirements, Feb 2004 issue 622, p5; May 2004 issue 625, p20SLT assistant registration, April 2004 issue 624, p6; August 2004 Supplement 628, p1SLTs leaving register, March 2004 issue 623, p3training and education standards, May 2004 issue 625, p3

Hramtzov, Heather (Melvill), obituary, Jan 2004 issue 621, p23HRH Countess of Wessex

Moor House School, August 2004 issue 628, p6Northwick Park Hospital visit, June 2004 issue 626, p6-7; July 2004 issue 627, p6opens Talking Point website, Sept 2004 issue 629, p6

HRT and hearing loss, April 2004 issue 624, p3HSA Charitable Trust Scholarships Awards, August 2004 issue 628, p21Hunt, Jenny, Working with children’s voice disorders, July 2004 issue 627, p18Hyde, Alyson, Two heads are better than one, July 2004 Supplement issue 627, p3

I CANaccreditation and support packages, April 2004 issue 624, p20Chatterbox Challenge, Nov 2004 Supplement issue 631, p2fundraising, Feb 2004 issue 622, p4new online information service, Sept 2004 issue 629, p6

ICT (inclusive consultancy training) directory and special needs, Feb 2004 622, p4IFCI: Inpatient Functional Communication Interview (O’Halloran et al), Dec 2004 issue

632, p25inclusion policies (special needs children), June 2004 issue 626, p6

letters, July 2004 issue 627, p4; Sept 2004 issue 629, p4Ofsted report, Nov 2004 Supplement issue 631, p1SLT implications, Sept 2004 issue 629, p8Step by Step school (East Sussex) faces prosecution, Sept 2004 issue 629, p6

Inclusive Fitness Initiatives (IFI), official launch, Nov 2004 Mid-month Supplementissue 631 p2

The Independentallied health professions diversity issues, July 2004 issue 627, p6SLT as a career, June 2004 issue 626, p16

India, SLT link-up schemes, Jan 2004 issue 621, p19infection control

children’s MRSA rates, May 2004 issue 625, p6endoscopy equipment sterilisation, August 2004 Supplement issue 628, p2

Information, Referral and Tracking project, confidentiality issues, Jan 2004 621, p5intensive interaction projects, adult clients with learning disabilities, April 2004 issue

624, p10-11Interact Reading Service, and stroke recovery, May 2004 issue 625, p10-11‘Intermediate Care Futures’ initiative, Nov 2004 issue 631, p6International Journal of Language and Communication Disorders (IJLCD), editorship

changes, June 2004 issue 626, p4Internet, broadband services, Oct 2004 issue 630, p6Ireland

MACS framework service delivery system, Feb 2004 issue 622, p12Patmar stammering therapies, April 2004 issue 624, p12RCSLT Country Councillors, May 2004 issue 625, p19

iris recognition softwareIriscom computer control systems, Jan 2004 issue 621, p5Iriscom website update, Feb 2004 issue 622, p2

IT initiativesaward for Milton Keynes SLT services, April 2004 issue 624, p5Making IT Happen (DH), April 2004 issue 624, p6

Jackson, Jacqui, Multicoloured Mayhem, Sept 2004 issue 629, p18James, Liz, Why not adult learning disabilities? August 2004 issue 628, p14-15James, Shirley, Collaborating in head and neck cancer care, Oct 2004 issue 630, p21Jansson lectures, May 2004 issue 625, p18job sharing, personal experiences, July 2004 Mid-month Supplement issue 627, p3Johnson, Maggie, The Selective Mutism Resource Manual, July 2004 issue 627, p9joint service initiatives, South Tyneside, August 2004 issue 628, p12-13Jones, Claire, SLT modernisation role takes off, July 2004 Mid-month Supplement 627, p2Jones, Jane, Child Language Development, Learning to Talk, June 2004 issue 626, p17Jones, Julie, Fees and feasibility, July 2004 issue 627, p10-11Jones, Laura, An Indian summer, Jan 2004 issue 621, p19Jones, Sally, Giving vulnerable witnesses a voice, March 2004 issue 623, p16-17Jones, Sian, The Risk and Benefits of SLT, Feb 2004 issue 622, p17-18Jordan, Ian,Visual perceptual problems and speech/language deficits, Dec 2004

Supplement issue 632, p2

Kander, Kirubashni, SLTs and children’s mental health, June 2004 issue 626, p14-15Kay’s swallowing workstation, July 2004 issue 627, p14-15Keeping Children Safe (DfES 2003), June 2004 issue 626, p14-15Kindell, Jackie, New roles for SLTs in mental health?, Sept 2004 Mid-month Supplement

issue 629, p3Klaw, Rebecca, From Goals to Data and Back Again, August 2004 issue 628, p18Kluth, Palua, “You’re Going To Love This Kid!”, August 2004 issue 628, p18Knowledge and Skills Framework (KSF) and CPD, letters, Dec 2004 issue 632, p4-5Kramer, Sarah, New roles for SLTs in mental health?, Sept 2004 Mid-month Supplement

issue 629, p3KSF see Knowledge and Skills Framework (KSF) and CPD

language developmentAdult-Child Interaction (ACI) therapy, April 2004 issue 624, p8-9; June 2004 issue626, p10-12categorisation in deaf children, March 2004 issue 623, p7effects of television, Feb 2004 issue 622, p4; May 2004 issue 625, p7new BBC programme initiatives, Nov 2004 issue 631, p6objects-of-reference systems, May 2004 issue 625, p8-9signing with normally-developing babies, Nov 2004 issue 631, p10-11; Nov 2004issue 631, p12-13SLI conference findings (University of West of England), Oct 2004 Supplementissue 630, p2Talk To Your Baby campaign, May 2004 issue 625, p7; Nov 2004 Mid-monthSupplement issue 631 p2and visual perceptual problems, Dec 2004 Supplement issue 632, p2Widgit Rebus Symbol books, August 2004 issue 628, p7

Language Instruction for Students with Disabilities (Polloway, Smith and Miller), May2004 issue 625, p16

language ‘tree’, workshops in China, August 2004 issue 628, p11Law, Prof. James, CIHR Director, Oct 2004 issue 630, p7learning disabilities

adult hearing services, Jan 2004 issue 621, p16-18adult SLT services, August 2004 issue 628, p14-15; August 2004 issue 628, p21dysphagia and patient safety, Dec 2004 issue 632, p18-19dysphagia as risk factor, April 2004 issue 624, p4focus week highlights (Scotland), August, 2004 Mid-month Supplement 628, p2

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INDEXintensive interaction projects for adults, April 2004 issue 624, p10-11and premature babies, Nov 2004 issue 631, p22and psychotherapy services, May 2004 issue 625, p6religious needs support initiatives, July 2004 issue 627, p5risk analysis of consent, Feb 2004 issue 622, p17-18role of SLT assistants, May 2004 issue 625, p12-13SIG conference, Dec 2004 Mid-month Supplement issue 632, p2SLT adult services, August 2004 issue 628, p14-15

lesbian and gay service users, Unison/RCN guidance, Sept 2004 Supplement 629, p2letters

Agenda for Change (AfC), Feb 2004 issue 622, p18-19; April 2004 issue 624, p16;Sept 2004 issue 629, p4; Nov 2004 issue 631, p5auditory processing disorder (APD), June 2004 issue 626, p16Cardiff AGM, Jan 2004 issue 621, p20caseload management, April 2004 issue 624, p16contacting other SLT assistants, June 2004 issue 626, p16criminal justice system and SLTs, Nov 2004 issue 631, p4dysphagia, Jan 2004 issue 621, p20; Feb 2004 issue 622, p18; July 2004 issue 627, p4;Oct 2004 issue 630, p4enteral feeding guidelines, Nov 2004 issue 631, p4evidence-based practice, March 2004 issue 623, p20-1; May 2004 issue 625, p17gastrostomy protocols, Sept 2004 issue 629, p5inclusion policies, July 2004 issue 627, p4; Sept 2004 issue 629, p4inclusive AfC, Nov 2004 issue 631, p5Knowledge and Skills Framework (KSF) and CPD, Dec 2004 issue 632, p4-5McGuire stammering programmes, March 2004 issue 623, p20new building guidelines, March 2004 issue 623, p20new funding models, Nov 2004 issue 631, p4Retirement Network, Dec 2004 issue 632, p4reviews of Basic Verbs, Sept 2004 issue 629, p5speech disability survey (north east UK), June 2004 issue 626, p16tongue-tie surgery, Jan 2004 issue 621, p20; March 2004 issue 623, p20; May 2004issue 625, p17trip to Cuba, Oct 2004 issue 630, p5war time tales, Oct 2004 issue 630, p5

library information services, UCL access to specialist SLT, June 2004 issue 626, p4; July2004 issue 627, p8

Linklater, Jonathon, On both sides of the stammering fence, April 2004 issue 624, p12living wills, Sept 2004 Supplement issue 629, p3

right to treatment ruling, Sept 2004 issue 629, p6Lochbar Stroke Education Programme, Oct 2004 issue 630, p16

McCormick, Barry, Paediatric Audiology 0-5 Years, Oct 2004 issue 630, p18McGowan, Sue, SLTs - our role in critical care, Jan 2004 issue 621, p10-11McGuire programme

Gareth Gates as instructor, June 2004 issue 626, p16letters, March 2004 issue 623, p20

McGuire, Dave, Beyond Stammering: the McGuire programme for getting good at thesport of speaking, Jan 2004 issue 621, p21

McInally, Karen, How clean is that endoscope?, August 2004 Supplement issue 628, p2Macmillan SLTs

rehabilitation team (St. Mary’s Hospital), Oct 2004 Supplement issue 630, p2St. George’s Hospital, July 2004 Supplement issue 627, p2

McNeil, Claire, wins Sternberg Awards, Nov 2004 issue 631, p20MACS (Maroondah Approach to Caseload Management) service delivery system, Feb

2004 issue 622, p8-9; Oct 2004 issue 630, p11Ireland, Feb 2004 issue 622, p12waiting list initiatives, Feb 2004 issue 622, p10-11

Madhani, Nita, Attracting students from ethnic communities, March 2004 623, p12-13Making IT Happen (DH), April 2004 issue 624, p6Making Sense in Sign: a lifeline for a deaf child (Froude), Feb 2004 issue 622, p20Malia, Kit, The Brain Injury Workbook, Exercises for Cognitive Rehabilitation, Sept 2004

issue 629, p18March, Dorothy, obituary, March 2004 issue 623, p21Marks, Helen, Gastro-oesophageal reflux: a sensory-motor problem?, Nov ‘04 631, p16-17Marks, Lizzy, Reflecting reality, April 2004 issue 624, p13-14Martyn, Prue (Hobson), obituary, April 2004 issue 624, p17Matta, Basil, Tracheostomy: A Multiprofessional Handbook, August 2004 issue 628, p10mealtimes and language development, Nov 2004 Mid-month Supplement issue 631 p2media see SLTs in the mediamedical training, two-year doctor’s associate course, March 2004 issue 623, p6medico-legal issues, RCSLT AGM conference, Sept 2004 issue 629, p20mental capacity bill, SLT implications, Dec 2004 Supplement issue 632, p1mental health

children’s services in Australia, June 2004 issue 626, p14-15legislation, April 2004 issue 624, p3new roles for SLTs, Sept 2004 Mid-month Supplement issue 629, p3online BACP service, Oct 2004 issue 630, p6

Mental Health Alliance, and Mental Health Act reforms, April 2004 issue 624, p3mental illness, and dysphagia, July 2004 issue 627, p16-17; August 2004 issue 628, p6Merner, Bronwen, Giving people with aphasia their say, Oct 2004 issue 630, p14-15Messenger, Melinda, Nov 2004 Supplement issue 631, p2Millar, Sally, Personal Communication Passports, August 2004 issue 628, p18Miller, Lynda, Language Instruction for Students with Disabilities, May 2004 625, p16Milton Keynes SLT services, Healthcare IT Effectiveness awards, April 2004 624, p5Mistry, Mita

Summertime learning, June 2004 issue 626, p8-9Summertime learning addendum, July 2004 issue 627, p8

MMR (measles, mumps and rubella) and autism, Oct 2004 issue 630, p22Modford-Bevan POKIT Play Observation Kit, Feb 2004 issue 622, p20Moir, Diana, nominated for The Guardian award, Nov 2004 Supplement issue 631, p2Money, Della, Why not adult learning disabilities?, August 2004 issue 628, p14-15Moor House School, August 2004 issue 628, p6Moore, Prof. Dave, Further research confirms Phenomena’s capabilities, Oct 2004 Mid-

month Supplement issue 630, p2Morgan, Derinda, Evaluating the Beckman oral motor programme, Nov 2004

Supplement issue 631, p3Mould, Helen, A workforce for all cultures, Nov 2004 issue 631, p15MRSA rates, rise in child infections, May 2004 issue 625, p6Multicoloured Mayhem (Jackson), Sept 2004 issue 629, p18multiple sclerosis (MS)

NICE guidelines, Jan 2004 issue 621, p5and voice variation, Dec 2004 issue 632, p12

Mungur, Raj, Choice matters, May 2004 issue 625, p12-13

narrative skill development, storytelling with severe learning difficulties, Feb 2004 issue622, p13-14

National Autistic SocietyDH funding for Social Skills programme, July 2004 issue 627, p8see also autism

national occupational standards, competencies framework for dysphagia, August 2004Mid-month Supplement issue 628, p1; Sept 2004 Supplement issue 629, p1

National Patient Safety Agency (NPSA)

dysphagia and learning disability, Dec 2004 issue 632, p18-19e-learning initiative, Sept 2004 issue 629, p6promoting culture of safety, Dec 2004 issue 632, p20-1SLT Clinical Speciality Adviser for Learning Disabilities, May 2004 issue 625, p5

National Service Frameworks (NSFs)for children, young people and maternity services, Nov 2004 issue 631, p7for Older People, July 2004 issue 627, p5

National Workforce Competence Framework for Older People, August 2004 Mid-month Supplement issue 628, p1; Sept 2004 Supplement issue 629, p1

new buildings, guidelines, March 2004 issue 623, p20New Generations project (AHP), June 2004 issue 626, p19newborn screening programmes, Feb 2004 issue 622, p3NHS Alliance, CHAIN (contacts, help, advice and information network), July 2004

issue 627, p22NHS audit and inspection, Healthcare Commission responsibilities, May 2004 issue

625, p6NHS changes, foundation trusts, Jan 2004 issue 621, p8-9NHS Confederation, on pay and conditions, August 2004 issue 628, p10NHS electronic library, Jan 2004 issue 621, p7NHS Job Fair (Uxbridge), Nov 2004 Supplement issue 631, p2NHS Modernisation Agency initiatives

ENT services and SLT, May 2004 issue 625, p3role of SLTs, May 2004 issue 625, p2

NHS pension review, Sept 2004 issue 629, p6NHS performance targets, and quality standards, April 2004 issue 624, p3NHS University

CHAIN (contacts, help, advice and information network), July 2004 issue 627, p22u-i free helpline service, April 2004 issue 624, p6

NMAP (Nursing, Midwifery and Allied Health Professions) gateway launch, May 2004issue 625, p5

Not ‘just’ a friend (Unison/RCN), Sept 2004 Supplement issue 629, p2NPSA see National Patient Safety Agency (NPSA)nursery rhymes video release, August 2004 issue 628, p6nursing role, in dysphagia management, Feb 2004 issue 622, p18nutrition

gluten-free diets and autism, Dec 2004 issue 632, p6omega-3/6 oils and autism, April 2004 issue 624, p6; Dec 2004 issue 632, p6

obituariesDorothy March, March 2004 issue 623, p21Enid Evans, Nov 2004 issue 631, p21Heather Hramtzov (Melvill), Jan 2004 issue 621, p23Prue Martyn (Hobson), April 2004 issue 624, p17Sandra Robertson, Dec 2004 issue 632, p22-3Susan Roche, April 2004 issue 624, p17

objects-of-reference communication development systems, May 2004 issue 625, p8-9O’Hare, Dr. Anne, RCSLT 2004 Honorary Fellowships, Dec 2004 issue 632, p11omega-3/6 oils and autism, April 2004 issue 624, p6; Dec 2004 issue 632, p6one-stop-shops, Sunderland advice and treatment services, August 2004 issue 628, p6Open University, SLT assistants’ foundation degree, Sept 2004 issue 629, p21Open4All campaign, April 2004 issue 624, p6orthoscopics systems, and speech/language problems, Dec 2004 Supplement 632, p2overseas

Falkland Islands SLT contract work, August 2004 Mid-month Supplement issue628, p3India work experience, Jan 2004 issue 621, p19language development workshops in China, August 2004 issue 628, p11professional associations’ agreement, May 2004 issue 625, p20RCSLT guidance on interview questions, Dec 2004 issue 632, p6Speechmark Bursary, May 2004 issue 625, p19trip to Cuba, Oct 2004 issue 630, p5VSO challenges for SLTs, July 2004 Supplement issue 627, p3Whizz-Kids Himalayan trek, August 2004 issue 628, p10

PABI (penetrating electrode auditory brainstem implant) advancements, March 2004issue 623, p6

Paediatric Audiology 0-5 Years (McCormick), Oct 2004 issue 630, p18Page, Fiona

MACS-imising caseload management, Feb 2004 issue 622, p8-9Reflections on MACS, Oct 2004 issue 630, p11

palliative careAHPs role in Scotland, Oct 2004 Mid-month Supplement issue 630, p2Macmillan services, July 2004 Supplement issue 627, p2, Oct 2004 Supplement issue630, p2SIGs, July 2004 issue 627, p5SLT service development, Jan 2004 issue 621, p12-13; Oct 2004 Supplement issue630, p2

Panton, Theresa, Aphasia takes centre stage in NHS induction production, August2004 Supplement issue 628, p3

parent and child support groupsChatterbox vulnerable communities group, Sept 2004 issue 629, p16-17see also Sure Start

Park, Clare, I’m an SLT ... get me out of here! March 2004 issue 623, p24Parkinson’s disease, intensive therapy programmes, Oct 2004 Supplement issue 630, p3partnership working

funding models, Nov 2004 issue 631, p4Pathways Project (Yarrow Housing/Hammersmith and Fulham LDT), March 2004issue 623, p7May 2004 issue 625, p12-13patient-focused initiatives, June 2004 issue 626, p12-13see also joint service initiatives

Pathways Project (Yarrow Housing/Hammersmith and Fulham LDT), March 2004issue 623, p7; May 2004 issue 625, p12-13

patient consentliving wills and right to treatment, Sept 2004 issue 629, p6risk analysis and learning disabilities, Feb 2004 issue 622, p17-18

patient group directions (PGDs), SLTs and drug administration, July 2004 627, p21patient information

NHS digital TV, Feb 2004 issue 622, p3NHS toolkits, Feb 2004 issue 622, p3

patient partnerships, head injury services, June 2004 issue 626, p12-13patient rights, parental wishes and patient consent issues, May 2004 issue 625, p6patient safety, Jan 2004 issue 621, p27

see also National Patient Safety Agency (NPSA)Patmar stammering course, April 2004 issue 624, p12Paton, Gillian, Issues of access, July 2004 issue 627, p12-13Patterson, Aileen, RCSLT 2004 Honours, Dec 2004 issue 632, p10pay and conditions

foundation trust implications, Jan 2004 issue 621, p8-9gender influences, July 2004 issue 627, p5new NHS body, August 2004 issue 628, p10NHS pension review, Sept 2004 issue 629, p6see also Agenda for Change (AfC)

Personal Communication Passports (Millar and Aitkins) August 2004 issue 628, p18

Pertile, JoMACS-imising caseload management, Feb 2004 issue 622, p8-9Reflections on MACS, Oct 2004 issue 630, p11

‘Phoneme Factory’ therapy software, Sept 2004 Mid-month Supplement issue 629, p2phonological awareness (PA), and early literacy, Dec 2004 issue 632, p12phonological therapy, new software initiatives, Sept 2004 Mid-month Supplement 629, p2‘Phonomena’ language training game update, Oct 2004 Mid-month Supplement 630, p2Pickering, Carol, Making the most of what you have, Feb 2004 issue 622, p10-11plastic surgery

APPS partnerships, March 2004 issue 623, p6burns workshops, Sept 2004 issue 629, p8

Pocket ColourCards - How’s Teddy? (Speechmark), Nov 2004 issue 631, p18POKIT Play Observation Kit (Mogford-Bevan), Feb 2004 issue 622, p20Polloway, Edward, Language Instruction for Students with Disabilities, May 2004 625, p16Powell, Trevor

The Brain Injury Workbook, Exercises for Cognitive Rehabilitation, Sept 2004 629, p18Head Injury - a practical guide, Dec 2004 issue 632, p24

Pragmatics: a multidisciplinary perspective (Cummings), Sept 2004 Supplement 629, p2premature babies, and learning disability, Nov 2004 issue 631, p22prescribing, patient group directions (PGDs) and SLTs, July 2004 issue 627, p21Pring, Dr. Tim

Intensive therapy for Parkinson’s disease, Oct 2004 Supplement issue 630, p3RCSLT 2004 Honorary Fellowships, Dec 2004 issue 632, p11

private finance initiatives (PFIs), new building guidelines, March 2004 issue 623, p20professional education and training see training and educationprofessional evaluation, letters, March 2004 issue 623, p20-21professional issues

A Time to Pause 2005 conference agendas, Sept 2004 issue 629, p8Agenda for Change (AfC) profiles, Jan 2004 issue 621, p3Choosing Health? (DH) and SLT responses, April 2004 issue 624, p4critical care competencies and staffing, Jan 2004 issue 621, p10-11; Feb 2004 622, p21Early Support Pilot Programme (ESPP), Feb 2004 issue 622, p22Mutual Recognition Agreement, Nov 2004 issue 631, p19New Generations project (AHP), June 2004 issue 626, p19patient group directions (PGDs) and SLTs, July 2004 issue 627, p21RCSLT competencies project, Jan 2004 issue 621, p26-7‘return to practice’ HPC requirements, Feb 2004 issue 622, p5SLT recruitment and retention survey, Sept 2004 issue 629, p9-11

see also RCSLT managementProgressive Supranuclear Palsy Association, Under the Magnolia Tree cookery book,

August 2004 Mid-month Supplement issue 628, p2Protection of Vulnerable Adults (POVA) scheme, Nov 2004 issue 631, p6psychotherapy services, and learning disability needs, May 2004 issue 625, p6public attitudes, Breaking the silence report, Feb 2004 issue 622, p6public health, DH Choosing Health? document, April 2004 issue 624, p4

Quality Assurance Agency (QAA), education review work, May 2004 issue 625, p4Queen Margaret University College (QMUC), new graduate diploma, March 2004

issue 623, p3

Radford, Kaye, Dec 2004 Mid-month Supplement issue 632, p2Collaborating in head and neck cancer care Oct 2004 issue 630, p21

Radio 4’s You and Yours programme, Agenda for Change (AfC), July 2004 627, p5Radio 4’s ‘Women’s Hour’ programme, Nov 2004 issue 631, p5radio and media ‘appearances’, July 2004 issue 627, p5; Oct 2004 issue 630, p7; Nov

2004 issue 631, p5RCSLT 2004 Honours, Dec 2004 issue 632, p10-11RCSLT

A Time to Pause 2005 conference, Sept 2004 issue 629, p8; Dec 2004 issue 632, p8Accredited Service Scheme awards, August 2004 issue 628, p22adult SLT learning disability services, August 2004 issue 628, p21Anglo-Russian project, July 2004 issue 627, p8aphasia guidelines and reading lists, April 2004 issue 624, p7clinical competencies project, Jan 2004 issue 621, p26-7Clinical Guidelines online, April 2004 issue 624, p3critical care conference, August 2004 Mid-month Supplement issue 628, p2dementia care workshops, May 2004 issue 625, p4diversity strategy, Sept 2004 Mid-month Supplement issue 629, p1diversity workshops, March 2004 issue 623, p8-9dysphagia competencies consensus project, August 2004 Mid-month Supplementissue 628, p1; Oct 2004 issue 630, p4; Dec 2004 issue 632, p8endoscopy service guidelines, Nov 2004 issue 631, p21ENT service developments, May 2004 issue 625, p3feedback on Agenda for Change (AfC), June 2004 issue 626, p5forum on future of SLT in children’s services, August 2004 issue 628, p21Founder Member and Pioneers Memorial Lecture May 2004 issue 625, p18honour nominees, March 2004 issue 623, p22HPC regulation of healthcare staff, August 2004 Supplement issue 628, p1medico-legal issues, Sept 2004 issue 629, p20National Service Frameworks (NSFs) for children, Nov 2004 issue 631, p7online Clinical Guidelines, April 2004 issue 624, p3professional guidelines and standards publications, March 2004 issue 623, p23;April 2004 issue 624, p19; July 2004 issue 627, p22‘return to practice’ HPC requirements, Feb 2004 issue 622, p5; May 2004 625, p20SLTs’ role in children’s services, Oct 2004 issue 630, p4; Oct 2004 issue 630, p8-10student prize awards, Nov 2004 issue 631, p20

RCSLT college archivesRadio 4 interview, May 2004 issue 625, p17re-opening, Jan 2004 issue 621, p7

RCSLT management2004 AGM address, Dec 2004 Supplement issue 632, p32004 Honours, Dec 2004 issue 632, p10-11adviser role recruitment, April 2004 issue 624, p18board appointments, Jan 2004 issue 621, p24board objectives, Dec 2004 issue 632, p6Council election vacancies, April 2004 issue 624, p19Country Councillors responsibilities, May 2004 issue 625, p19Deputy Chair appointment, August 2004 Supplement issue 628, p2EGM and CPD discussion day, Nov 2004 Mid-month Supplement issue 631 p2England Councillor appointment, Oct 2004 issue 630, p19Mutual Recognition Agreement, Nov 2004 issue 631, p19new managers information pack, June 2004 issue 626, p4non-NHS involvement on board, Jan 2004 issue 621, p24outpost recruitment opportunities, April 2004 issue 624, p18policy team vacancy, July 2004 issue 627, p21Professional Development Officer appointment, August 2004 Supplement issue628, p2RCSLT president appointment, Nov 2004 issue 631, p6retirement of Caroline Fraser, Sept 2004 issue 629, p22; Nov 2004 issue 631, p4workforce planning manager recruitment, Oct 2004 Mid-month Supplement issue630, p1see also Ireland; Scotland; Wales

RCSLT membership, June 2004 issue 626, p3, Oct 2004 issue 630, p6, Nov 2004 issue631, p8

INDEX?? 1/6/05 11:46 am Page 5

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Indexsubscriptions, March 2004 issue 623, p2see also return to practice schemes

recruitmentcriminal checks for NHS staff, Dec 2004 issue 632, p8NHS Job Fair (Uxbridge), Nov 2004 Supplement issue 631, p2SLT survey, Sept 2004 issue 629, p9-11see also RCSLT membership; return to practice schemes

reflective practiceeditorial, Feb 2004 issue 622, p2letters, April 2004 issue 624, p16

refresher up-dating courses, May 2004 issue 625, p20refugees, Mayor of London’s report on child support, May 2004 issue 625, p3Regan, Julie, Dysphagia in mental illness, July 2004 issue 627, p16-17religious needs, learning disability support initiatives, July 2004 issue 627, p5research see clinical innovation; evidence-based practice; health researchResearch Governance Framework for Health and Social Care, ethics, Jan 2004 621, p7ReSoundAir digital hearing device, Feb 2004 issue 622, p4resuscitation rights, March 2004 issue 623, p6Retirement Network, letters, Dec 2004 issue 632, p4return to practice schemes

HPC requirements, Feb 2004 issue 622 p5; May 2004 issue 625, p20refresher up-dating courses, May 2004 issue 625, p20Welsh Assembly bursaries and packages, August 2004 issue 628, p22see also recruitment

Richards, Hannah, Welcome on board, Feb 2004 issue 622, p12risk management, and clinical placements, Dec 2004 issue 632, p17RNID (Royal National Institute for Deaf People)

NHS audiology services tribute, August 2004 issue 628, p8NHS healthcare problems survey, May 2004 issue 625, p6

Robertson, Sandra, obituary, Dec 2004 issue 632, p22-3Roche, Susan, obituary, April 2004 issue 624, p17Rodriguez, Lucy, Dysphagia Screening, A Training Resource Pack, Sept 2004 629, p18Roe, Justin

Macmillan rehabilitation team, Oct 2004 Supplement issue 630, p2Towards the end of life, Jan 2004 issue 621, p12-13

Rogers, Sue, Television is here to stay, May 2004 issue 625, p7Rondal, Jean, Speech and Language Intervention in Down Syndrome, May 2004 625, p16Rossiter, Debby

Reflecting reality, April 2004 issue 624, p13-14Survey reveals encouraging trends, Sept 2004 issue 629, p9-11

Roulstone, SueA time for change, Jan 2004 issue 621, p2Learning through critical reflection, Feb 2004 issue 622, p2RCSLT AGM address, Dec 2004 Supplement issue 632, p3as RCSLT Chair, Oct 2004 issue 630, p17; Nov 2004 issue 631, p4as RCSLT Deputy Chair, August 2004 Supplement issue 628, p2

Royal College of Physicians, stroke services report, Oct 2004 Supplement issue 630, p1RTE National Symphony Orchestra, A Stroke of Genius, Sept 2004 Mid-month

Supplement issue 629, p2Russell, Claudia, Tracheostomy: A Multiprofessional Handbook, August 2004 628, p10Russia, Anglo-Russian project, July 2004 issue 627, p8

scholarship awards, May 2004 issue 625, p18schools see child education; inclusion policies (special needs children)Science Museum, online resources, August 2004 issue 628, p8Scotland

AfC E-petition, Sept 2004 issue 629, p4; Dec 2004 issue 632, p5AHPs role in palliative care, Oct 2004 Mid-month Supplement issue 630, p2Education (Additional Support for Learning) Bill, Jan 2004 issue 621, p4innovation development support, March 2004 issue 623, p3Learning Disability Week highlights, August 2004 Mid-month Supplement 628, p2North East SLT difficulties, Feb 2004 issue 622, p4Parliament questions on communication impairment, August 2004 issue 628, p9RCSLT country councillors, May 2004 issue 625, p19; Nov 2004 Mid-monthSupplement issue 631, p2RCSLT membership, May 2004 issue 625, p3SLT and political debate, Nov 2004 issue 631, p9videofluoroscopy accessibility issues, July 2004 issue 627, p12-13

Scraptoft College (Leicester), reunion, Jan 2004 issue 621, p5Sedgefield PCT, local SLT initiatives, April 2004 issue 624, p3; June 2004 issue 626, p6-

7; July 2004 Supplement issue 627, p2selective mutism, new resources, Dec 2004 issue 632, p9Selective Mutism in Children (2nd ed) (Cline and Baldwin), Dec 2004 issue 632, p25The Selective Mutism Resource Manual (Johnson and Wintgens), July 2004 627, p9Sensory Perceptual issues in autism and Asperger Syndrome (Bogdashina), Nov 2004

issue 631, p18Seven steps to patient safety (NPSA), Jan 2004 issue 621, p27Shaker technique, July 2004 issue 627, p14-15Shale, Alison, Beyond common sense, Jan 2004 issue 621, p14-15Sheffield University, conversation analysis methodology initiatives, Oct 2004 630, p6Shoard, Marion, A survival guide to later life, Dec 2004 issue 632, p24-5Sign a Song (Hands for Talking), Dec 2004 issue 632, p24Signalong sign supporting system, video release, August 2004 issue 628, p6signing

launch of new service (Tees Valley/County Durham), Dec 2004 issue 632, p6link to deafness, June 2004 issue 626, p4use with normally-developing babies, Nov 2004 issue 631, p10-11; Nov 2004 issue631, p12-13

SIGs (special interest support groups)for bilingual adult services, May 2004 issue 625, p19palliative and supportive care, July 2004 issue 627, p5Specific Learning Difficulties conference, Dec 2004 Mid-month Supplement 632, p2workshops and notices, August 2004 issue 628, p23

single assessment process (SAP) website, Feb 2004 issue 622, p3Skills for Daily Living: personal safety, review, Jan 2004 issue 621, p21Slater, Alyson, Working with children’s voice disorders, July 2004 issue 627, p18Slattery, Mark, Living Wills: a question of choice, Sept 2004 Supplement issue 629, p3SLI see specific language impairmentSLT assistants

foundation degrees, Sept 2004 issue 629, p21; Dec 2004 Mid-month Supplementissue 632, p1HPC regulations, April 2004 issue 624, p6; August 2004 Supplement issue 628, p1letters, June 2004 issue 626, p16NVQ challenge, Nov 2004 issue 631, p14Open University foundation degree, Sept 2004 issue 629, p21RCSLT associate membership schemes, August 2004 issue 628, p22regional study days, Jan 2004 issue 621, p24role with learning disabled clients, May 2004 issue 625, p12-13support groups, March 2004 issue 623, p22

SLT education issues see training and educationSLT innovations see clinical innovationSLT recruitment and retention survey, Sept 2004 issue 629, p9-11

see also recruitment; return to practice schemesSLTs in the media Nov 2004 issue 631, p5, Oct 2004 issue 630, p7

Radio 4’s You and Yours programme July 2004 issue 627, p5

Small Talk device, Bath Institute of Medical Engineering’s voicepad, May 2004 625, p6Smith, Anita, SLTs - our role in critical care, Jan 2004 issue 621, p10-11Smith, Caroline, Writing and Developing Social Stories, Practical Interventions in

Autism, June 2004 issue 626, p17Smith, Mary, RCSLT 2004 Honours, Dec 2004 issue 632, p10Smith, Tom, Language Instruction for Students with Disabilities, May 2004 625, p16Social Skills Programmes - An Integrated Approach From Early Years to Adolescence

(Aarons and Gittens), Jan 2004 issue 621, p21Soham murder report, SLT implications, July 2004 Mid-Month Supplement 627, p2South Korea, linguistic ‘corrective’ surgery, Feb 2004 issue 622, p3South Tyneside, joint service initiatives, August 2004 issue 628, p12-13Sowman, Rebecca, Dysphagia in mental illness, July 2004 issue 627, p16-17Speakability, aphasia, awareness, campaign, April 2004 issue 624, p4Speaking up for Justice report (1998), role of SLTs, Jan 2004 issue 621, p6Speaking, Listening and Understanding: Games for Young Children (Delamain and

Spring), April 2004 issue 624, p15Education Resources Award, May 2004 issue 625, p4

special educational needs (SEN) provision, Dec 2004 issue 632, p8special interest support groups see SIGs (special interest support groups)special needs inclusion policies see inclusion policies (special needs children)specific language impairment (SLI), 2004 conference findings, Oct 2004 Supplement

issue 630, p2Specific Learning Difficulties (SIG) conference, Dec 2004 Mid-month Supplement 632, p2speech disability

letters, June 2004 issue 626, p16social implications, Feb 2004 issue 622, p6

Speech and Language Intervention in Down’s Syndrome (Rondal and Buckley), May2004 issue 625, p16

Speech and Language therapy intervention: frameworks and processes (Bunning), Nov2004 issue 631, p18

Speech motor control in normal and disordered speech (Massen et al), Dec 2004 issue632, p24

Speechmark books, Pocket ColourCards - How’s Teddy?, Nov 2004 issue 631, p18Speechmark Bursary

call for submissions, August 2004 issue 628, p22professional knowledge overseas opportunities, May 2004 issue 625, p19

Spring, Jill, Speaking, Listening and Understanding, April 2004 issue 624, p15; May 2004issue 625, p4

stammeringBSA CD-ROM school resource, Jan 2004 issue 621, p6dysfluency annual conference (Oxford), Sept 2004 issue 629, p8McGuire programmes, Jan 2004 issue 621, p21; March 2004 issue 623, p20Patmar stammering course, April 2004 issue 624, p12University of London archive research facility, Sept 2004 issue 629, p6

Sternberg Awards, March 2004 issue 623, p22; June 2004 issue 626, p6-7past winners, June 2004 issue 626, p6-7Swindon Fluency Pack wins, Nov 2004 issue 631, p20

Stillman, William, Demystifying the autistic experience, Dec 2004 issue 632, p24Stirling, Sylvia, To whom it may concern, May 2004 issue 625, p20Storytracks, narrative skill development with severe learning difficulties, Feb 2004 issue

622, p13-14Stow, Carol, Meeting the bilingual challenge, March 2004 issue 623, p14-15stress

Health and Safety Executive survey, Sept 2004 issue 629, p4teenage ‘virtual’ support services, Sept 2004 issue 629, p8

Stroke Association, website update, Dec 2004 Supplement issue 632, p2Stroke Awareness Week, Oct 2004 issue 630, p6A Stroke of Genius (Sutton), Jan 2004 issue 621, p5stroke rehabilitation

BUPA award, Dec 2004 issue 632, p9electrotherapy swallowing stimulation, June 2004 issue 626, p3Interact Reading Service, May 2004 issue 625, p10-11Lochbar Stroke Education Programme, Oct 2004 issue 630, p16music and creativity symposium, Sept 2004 Mid-month Supplement issue 629, p2North Western University stroke study, Jan 2004 issue 621, p7personal accounts of brainstem stroke, May 2004 issue 625, p14-15RCP guidelines, August 2004 issue 628, p8RCP report, Oct 2004 Supplement issue 630, p1research bursaries, Dec 2004 issue 632, p6videofluoroscopy vs. LR radiographs, July 2004 issue 627, p12-13see also aphasia

Strong, Allyson, A workforce for all cultures, Nov 2004 issue 631, p15Stroud, Alison, on cervical auscultation, Oct 2004 Mid-month Supplement 630, p2Sunderland advice and treatment services, August 2004 issue 628, p6supported conversation with aphasia (SCA), Jan 2004 issue 621, p14-15Supporting Communication Disorders: a handbook for teachers and teaching assistants

(Thompson), March 2004 issue 623, p18Sure Start

awards ceremonies, August 2004 issue 628, p9Starting Early scheme, May 2004 issue 625, p4see also parent and child support groups

surgerySouth Korea linguistic ‘corrective’ procedures, Feb 2004 issue 622, p3‘tongue-tie’, Jan 2004 issue 621, p20for vocal cord fusion, Jan 2004 issue 621, p6

A survival guide to later life (Shoard), Dec 2004 issue 632, p24-5Sutton, Mick, A Stroke of Genius, Jan 2004 issue 621, p5Swain, John (Controversial Issues in a Disabling Society), Feb 2004 issue 622, p20

Talk To Your Baby campaign, Nov 2004 Mid-month Supplement issue 631 p2and television, May 2004 issue 625, p7

Talking Pointprops and devices, Oct 2004 issue 630, p12-13website launch, Sept 2004 issue 629, p6

Tapper, Lynne, Talking about Typetalk, Jan 2004 issue 621, p28The Teddy Bear Express - Phonological Development Programme (Bousangue and

Flatley), April 2004 issue 624, p15television

hospital purchases, May 2004 issue 625, p3NHS digital information services, Feb 2004 issue 622, p3role in language development, Feb 2004 issue 622, p4; May 2004 issue 625, p7SLT advisory role in soap drama, March 2004 issue 623, p24

The Test Granada TV programme, Nov 2004 issue 631, p5Thinking About You, Thinking About Me: philosophy and strategies for facilitating the

development of perspective taking for students with social cognitive deficits (GarciaWinner), March 2004 issue 623, p18

Thompson, Gill, Supporting Communication Disorders: a handbook for teachers andteaching assistants, March 2004 issue 623, p18

Thomson, Coralie, on working with volunteers, Dec 2004 Mid-month Supplementissue 632, p3

Thurman, Sue, Drive the SLT agenda for adults with learning disabilities, August 2004issue 628, p21

A Time to Pause 2005 conference, Dec 2004 issue 632, p8agenda Sept 2004 issue 629, p8

Titterington, Jill, auditory information processing research, August 2004 issue 628, p6tongue-tie surgery, letters, Jan 2004 issue 621, p20; March 2004 issue 623, p20; May

2004 issue 625, p17Tracheostomy: A Multiprofessional Handbook (Russell and Matta), August 2004 issue

628, p10; Oct 2004 issue 630, p11tracheostomy tube management, Feb 2004 issue 622, p15-16training and education

audiology degrees, Sept 2004 Mid-month Supplement issue 629, p2cancer care, Sept 2004 Mid-month Supplement issue 629, p2childcare allowances for NHS students, June 2004 issue 626, p2clinical placements and risk management, Dec 2004 issue 632, p17flexible admissions policies, Nov 2004 issue 631, p15foundation degrees, Dec 2004 Mid-month Supplement issue 632, p1HPC standards, May 2004 issue 625, p3HSA/RCSLT scholarships, May 2004 issue 625, p18; August 2004 issue 628, p21new graduate diploma (QMUC), March 2004 issue 623, p3NHS University free helpline service, April 2004 issue 624, p6Quality Assurance Agency (QAA) review, May 2004 issue 625, p4RCSLT student prize awards, Nov 2004 issue 631, p20RCSLT workforce development representation, Sept 2004 issue 629, p21refresher courses May 2004 issue 625, p20SLT assistants NVQ challenge Nov 2004 issue 631, p14SLT assistants Open University foundation degree, Sept 2004 issue 629, p21SLT assistants regional study days, Jan 2004 issue 621, p24undergraduate dysphagia courses, April 2004 issue 624, p13-14war time experiences, Oct 2004 issue 630, p5and widening diversity strategies, March 2004 issue 623, p12-13

Treharne, Dilys, Auditory processing: beyond audiology, Sept 2004 issue 629, p12-13Tripoliti, Elina, Intensive therapy for Parkinson’s disease, Oct 2004 Supplement 630, p3Typadi, Evi, Foundation talking, April 2004 issue 624, p8-9Typetalk (RNID), Jan 2004 issue 621, p28

University of Birmingham, two-year doctor’s associate course, March 2004 623, p6University College London (UCL)

Centre for Human Communication, July 2004 issue 627, p6SLT library information services, June 2004 issue 626, p4; July 2004 issue 627, p8

University of London, stammering archive research facility, Sept 2004 issue 629, p6University of Reading, child language laboratory opening, March 2004 issue 623, p7University of Surrey, identifying communication problems amongst young offenders,

August 2004 issue 628, p20University of West of England, SLI conference findings, Oct 2004 Supplement 630, p2Uxbridge NHS Job Fair, Nov 2004 Supplement issue 631, p2

video use, communication skills training, June 2004 issue 626, p11videofluoroscopy services, accessibility issues, July 2004 issue 627, p12-13videophone technology

booth networks, March 2004 issue 623, p6emergency services access, April 2004 issue 624, p4

violence in the workplace, training initiative, Jan 2004 issue 621, p7visual perceptual problems, and speech/language deficits, Dec 2004 Supplement 632, p2voicepads, Bath Institute of Medical Engineering’s portable device, May 2004 625, p6volunteering experience, Dec 2004 Mid-month Supplement issue 632, p3VSO, new challenges for SLTs, July 2004 Supplement issue 627, p3

waiting list initiativesMACS approach, Feb 2004 issue 622, p10-11Sedgefield SLT initiatives, June 2004 issue 626, p6-7

WalesRCSLT annual meeting, Nov 2004 issue 631, p6return to practice schemes, August 2004 issue 628, p22SLT service delivery plans, Dec 2004 issue 632, p7

Wallace, Louisa, Two heads are better than one, July 2004 Mid-month Supplement issue627, p3

Wallace, Sarah, Fees and feasibility, July 2004 issue 627, p10-11Walsh, Irene, Dysphagia in mental illness, July 2004 issue 627, p16-17Watson, Francis, Learning disabilities and dysphagia: the patient safety agenda, Dec 2004

issue 632, p18-19websites

Babyworld, April 2004 issue 624, p6bilingual language services, June 2004 issue 626, p4inaccessibility concerns, June 2004 issue 626, p4NAS launch, May 2004 issue 625, p3NHSU learning and development support, April 2004 issue 624, p6NMAP gateway launch, May 2004 issue 625, p5single assessment process (SAP), Feb 2004 issue 622, p3Stroke Association, Dec 2004 Supplement issue 632, p2

What to do if you’re worried a child is being abused (DH), August 2004 issue 628, p6Whitworth, Linda, The Language Tree, August 2004 issue 628, p11Whizz-Kids, Himalayan trek, August 2004 issue 628, p10Widgit Rebus Symbol books, August 2004 issue 628, p7Wight, Richard, RCSLT 2004 Honorary Fellowships, Dec 2004 issue 632, p11Williamson, Graham, radio ‘appearances’, Oct 2004 issue 630, p7Williamson, Kathleen, The RCSLT competencies project, Jan 2004 issue 621, p26-7Willson, Pam, To deflate or not to deflate, Feb 2004 issue 622, p15-16Wilson, Allan, Communicating with Pictures and Symbols, Collected Papers from AAC in

Practice, Oct 2004 issue 630, p18Wilstaar early intervention programme closure, July 2004 issue 627, p6; Sept 2004 issue

629, p14-15Wintgens, Alison, The Selective Mutism Resource Manual, July 2004 issue 627, p9witness support initiatives

intermediary pilot project, Jan 2004 issue 621, p6SLTs as intermediaries, March 2004 issue 623, p16-17

Wolffram, Dijana, SLTs - our role in critical care, Jan 2004 issue 621, p10-11Work Experience - Building the Future of the Team (NHS Careers), August 2004issue 628, p10

Working with children’s voice disorders (Hunt and Slater), July 2004 issue 627, p18workload definitions, RCSLT guidance, Dec 2004 issue 632, p6Worrall, Linda

Aphasiology special issue, May 2004 issue 625, p16Communicating Disability in Ageing, April 2004 issue 624, p15

Wren,Yvonne, Software will assist phonological therapy, Sept 2004 Mid-monthSupplement issue 629, p2

Writing and Developing Social Stories, Practical Interventions in Autism (Smith), June2004 issue 626, p17

Yarrow Housing, Pathways to Communication project, March 2004 issue 623, p7; May2004 issue 625, p12-13

young offenders, identifying speech and communication problems, August 2004 628, p20“You’re Going To Love This Kid!” (Kluth), August 2004 issue 628, p1820

INDEX?? 1/6/05 11:46 am Page 6


feature DYSPHAGIA

The perils of theblue dye test

During the past three decades, SLTs have been

using blue dye tests (BDT) to assess for

aspiration in patients with a tracheostomy.

Initially, a BDT was devised as method for

the ‘detection of aspiration’ of saliva and

gastric contents by placing four drops of 1%

solution of Evans blue dye on the tongue

(Cameron et al, 1973). The presence of blue

dye in suctioned secretions indicated the

presence of aspiration.

In the mid 1990s, the test developed

further into the modified Evans blue dye test

(MEBDT) (Thompson-Henry Braddock,

1995).

Here, food and liquid was mixed with

blue dye and evidence of dye in suctioned

secretions presumed aspiration of oral intake.

Currently, SLTs use blue dye testing as an

adjunct to a clinical package of swallowing

assessment materials. This includes bedside

assessment, fibreoptic endoscopic evaluation

of swallowing (FEES) and videofluoroscopy

(VFS).

The dye (approx 1ml) is placed neat

or diluted under or on top of the patient’s

tongue to assess for the aspiration of saliva,

or mixed with food and drink to assess for

aspiration of oral intake.

In some areas, physiotherapists or nurses

use blue dye to screen for reduced airway

protection in order to refer appropriate

patients to speech and language therapy.

Advantages of the BDT have been cited as

‘quick’, ‘easy’, ‘cheap’, ‘timely’ and ‘easily

accessible to acutely ill and ventilated

patients’.

However, there have been three areas of

concern about the use of BDTs. Numerous

papers challenge the sensitivity and specificity

of the BDT to detect aspiration.

The aim of blue dye testing has also been

questioned and there have been reports that

blue dye may be toxic when used in enteral

feeds.

AccuracyThe sensitivity of the BDT to detect

aspiration, ie how good it is at picking up

people who aspirate, ranges from 80%

(O’Neil-Pirozzi et al, 2003) to 38% (Peruzzi

et al, 2001) when compared to aspiration

evidenced on VFS.

Therefore, the BDT alone to detect for

aspiration can yield false results.

Donzelli et al (2001) noted that the

MEBDT failed to identify aspiration of trace

amounts on suctioning.

Although difficulties with research design

and methodology in these papers must be

noted, these reports have led SLTs to question

the accuracy of the BDT.

Other variables may also be significant in

determining the safety of swallow function.

For example, O`Neil-Pirozzi et al (2003)

observed that certain tracheostomy tube

conditions (such as a deflated cuff, speaking

valves and a puree consistency) were

associated with more reliable results for

aspiration detection than others.

The aim of blue dye tests?Cameron’s original BDT (1973) claimed to be

a method of `detection` of aspiration and

not a diagnostic tool for the presence of

dysphagia, as it is often now regarded.

Blue dye tests have been used to help detect

aspiration in two situations: where there is

aspiration of saliva for the purpose of

weaning from the inflated cuff and

tracheostomy, and where there is aspiration

of food and liquid in order to start oral

intake once airway protection with saliva has

been established.

An assumption should not be made that

the result of a BDT with saliva correlates with

swallow function for food and liquid.

Interpreting the BDT result for saliva or

food and liquid requires careful consideration

of other clinical information, eg level of

arousal, presence of oromotor weakness,

delayed trigger and weak laryngeal elevation.

Blue dye toxicityA Health Devices Alert issued in the US

(2003) warned of reports of toxicity,

including death, associated with the use of

FD&C Blue No.1 in enteral feeding solutions

(the same blue dye that can be bought in

supermarkets).

In these cases, blue dye was added to

enteral feeds to help in the detection and/or

monitoring of pulmonary aspiration in

patients being fed by an enteral feeding tube.

However, a causal relationship between

systemic absorption of FD&C Blue No 1 and

life-threatening patient outcomes has not

been definitively established (although both

patients involved were noted to be septic with

poor gastro-intestinal absorption).

There have also been no reports of toxicity

associated with the general use of blue dye in

foods, either from America or from the UK

Food Standards Agency.

This colour is permitted under the Colours

in Food Regulations in a range of foods,

including complete formulae for use under

medical supervision at a maximum level of

Lynne Clark and Sue McGowan explain why SLTs should be cautious about relying solely on blue dye to test for aspiration

RCSLT_JUNE_feature p18-19 1/6/05 11:48 am Page 2


50mg/kg bodyweight/day.

The amount of blue dye used in most

BDTs is several drops (approximately 1mg),

well below the acceptable daily intake

recommended. FD&C Blue No.1 is not the

same as methylene blue: it is thought that

methylene blue has similar if not greater

toxicity potential than Blue No.1. Additional

concerns regarding storage and

contamination have also been highlighted

(File et al, 2003).

These issues have led SLTs to be cautious

about relying on BDTs alone to assess for

aspiration. Instead, they use a range of

featureDYSPHAGIA

Lynne Clark – Acute Specialist SLTKing’s College Hospitalemail: [email protected]

Sue McGowan – Clinical Specialist SLTNational Hospital for Neurology andNeurosurgery, Londonemail: [email protected]

References:Cameron J, et al. Aspiration in patients with tracheostomies.Surgery Gynaecology and Obstetrics 1973; 136:68-70.Enteral feeding solution: patient deaths reported from useof FD&C Blue No. 1. Health Devices Alerts 2003. 27, A46:Enteral Feeding Kits 911-677. Available online www.cfsan.fda.gov/~dms/col-ltr2.htmlFile,Tan,Thompson in: Swigert N. Blue dye in the evaluationof dysphagia: is it safe? ASHA leader online at:www.asha.org/about/publications/leader-online/archives/2003/q1/030318a.htmO’Neil-Pirozzi TM, et al. Simultaneous modified bariumswallow and blue dye tests: A determination of the accuracyof blue dye test aspiration findings. Dysphagia 2003; 18, 32-38.Peruzzi WT, Logemann JA, Currie D, Moen SG. Assessment ofaspiration in patients with tracheotomies: Comparison of thebedside coloured dye assessment with videofluoroscopicexamination. Respiratory Care 2001; 46:3, 243-247.Thompson-Henry S, Braddock B.The modified Evan’s blue dyeprocedure fails to detect aspiration in the tracheostomisedpatient. five case reports. Dysphagia 1995; 10, 172-174.

Acknowledgements:With acknowledgement to comments from SLTs on theRCSLT Critical Care Working Group

diagnostic methods and

multidisciplinary discussion

about the aim of the assessment

and its predicted advantages and

disadvantages, particularly if the

test is being repeated. In this

way, clinical bedside assessment

and/or instrumental tools, in

addition to multidisciplinary

perceptions, are applied to the

knowledge of the patient’s

medical history, status and

clinical aims.

BLUE DYE TEST RECOMMENDATIONS

■ SLTs should seek local guidance with medical and multidisciplinary teams on the use of blue dye given orally in swallow assessments (particularly in patients with specific risks, such as septic patients with or without poor gastrointestinal absorption). Further reading on this topic can befound in an American Speech-Hearing-Language Association leader article by Nancy B Swigert: Blue dye in the evaluation of dysphagia:Is it safe? (There are currently no sensitivity and specificity studies regarding the suggested use of Ribena as an alternative.)

■ If BDTs are used, ensure your department has clear policies and procedures that comply with local risk management, health and safety guidelines as well as outlining quantities to be given.

■ Continue to use bedside assessments and instrumental measures where possible to consider all aspects of the swallow physiology. Consider whether a BDT is really necessary.

■ Be clear why the information is needed. Is it aspiration of saliva for the purpose of weaning from the inflated cuff and tracheostomy? Or is it aspiration of food and liquid in order to start oral intake once airway protection with saliva has been established?

■ Educate other professionals who may be screening for aspiration regarding the issues:

• If blue dye is seen aspiration has taken place, but if blue dye is not seen, caution is required (increase likelihood of picking up aspiration by tracking the colour of suctioned secretions for 24 hours).

• Outline reasons why the BDT may be inaccurate, for example reduced oral transfer of dye, absent trigger, weak motor response, residue in pharyngeal recesses, and obstruction above the tracheostomy.

• Stress the importance of the concept of a ‘screen’ versus full formal assessment such as that achieved in VFS or FEES.

■ Encourage research into use of the BDT versus the MEBDT and the impact of single variables such as cuff status, type of ventilatory support, use of speaking valves and different consistencies to see if specificity and sensitivity can be increased.

■ Encourage research into the sensitivity and specificity of alternative methods of detection (such as close monitoring of suctioning requirements and colour of suctioned tracheal secretions and the significance of aspiration).



feature STAMMERING AND AUTISM

Treating stammeringand autism: thechallenges

Martin (not his real name) was referred to

the department in early 2002, aged 15-and-a-

half years due to concerns about his non-

fluent speech.

There was a concern at his initial

appointment that he was experiencing

significant difficulties with social interaction

and communication, in addition to

stammering.

It was clear that as well as an opinion on

Martin’s dysfluency; an opinion regarding his

potential autistic spectrum disorder (ASD)

was necessary.

After assessment and discussion with his

family, it was evident that Martin’s potential

ASD presented as more of a clinical risk than

his stammering.

He was subsequently fast-tracked for

assessment by the community autism team

and was diagnosed with autism.

The main focus for intervention was to

support him in his mainstream secondary

school. Stammering intervention was felt to

be inappropriate at this stage despite the

family’s concerns.

Approximately 18 months after the initial

appointment, family circumstances changed

and Martin’s uncle became his main carer.

He asked whether we were now able to

manage Martin’s stammering, as Martin was

becoming increasingly anxious about his

communication/speech difficulties.

As therapists specialising in stammering

(myself) and ASD (Pauline) respectively, we

were unaware of any literature dealing with

stammering and autism that would guide our

clinical decision making.

We decided to write about our experiences,

to share information with therapists who

may be dealing with a similar client.

Martin’s ASD/language features included:

■ overuse of learned phrases;

■ very academic vocabulary and sentence

construction, eg “I believe I have

difficulty in automatically articulating a

sentence”, “…that epitomises my

philosophy of a good teacher”;

■ verboseness, and frequent use of

circumlocution, with no word-finding

difficulties evident;

■ high levels of redundant language,

resulting in listener confusion;

■ a received pronunciation accent, not in

keeping with the local area where he had

always lived;

■ a softly spoken, quiet voice;

■ very poor eye contact; and

■ great difficulty answering a direct

question.

Martin’s dysfluency features included:

■ rapid rate of speech, telescoping

polysyllabic words;

■ overuse of interjections and fillers;

■ frequent part-word repetitions;

■ tense blocking;

■ unintelligible speech;

■ whole body tension; and

■ avoidance behaviours.

After assessment, we both felt Martin was

putting pressure on himself to produce

complex sentences and this, coupled with his

fluency difficulties, was resulting in extremely

poor communication and unintelligible

speech, also making him present as very

different from his peers.

It was difficult to separate his autism from

his stammer as they were impacting on each

other.

We met Martin’s uncle to outline our

concerns and to discuss how to proceed. We

were both unsure of Martin’s level of

awareness and self-monitoring skills, which

were crucial if he was to change any aspects

of his language and communication/fluency.

We realised we would have to be very open

and explicit with Martin about this and the

impact it was having on his ability to interact

with people, and how he was perceived.

Our concerns were that this would have a

negative effect on his self-esteem, that he

would be unable to change any of his

behaviours, and be unable to transfer any

gains made outside a clinic setting.

Although he agreed with our concerns,

Martin’s uncle persuaded us to provide a

block of therapy on a trial basis.

We agreed that the two main factors that

significantly impeded Martin’s

communication were his speech rate and

complex language use. The long-term goals

were to get Martin to:

1. Reduce speech rate, leading to increased

intelligibility and reduced stammering.

2. Develop self-monitoring skills.

3. Increase his confidence in

Fifteen-year-old Martin presented with significant communication difficulties andautism. Liz O’Connell and Pauline Haggarty reflect on the success of their jointintervention



communication contexts and reduce

avoidance behaviours.

4. Reduce his level of complex language and

introduce more colloquial language use.

5. Reduce his level of learned phrases and

redundant language.

6. Answer direct questions more succinctly.

7. Transfer aims 4-6 into his written

language (which reflected his verbal

output).

This was to be carried out over 10 sessions,

some with one therapist and others jointly.

Pauline agreed to focus on the

language/communication/interaction aspects,

and I agreed to address Martin’s speech rate,

and his fear of speaking situations.

Outcomes

Speech rate

Initially, Martin was unable to identify that

his own speech rate was very rapid and could

not discriminate accurately the model of

slow-normal-fast.

However, towards the end of the block of

therapy, he was able to discriminate the

model 100% accurately, and his own speech

rate approximately 70% of the time.

In terms of producing a slower rate of

speech, Martin was able to slow down in easy,

structured speaking tasks, eg single

words/short phrases/sentence level.

However, he found it difficult to control

this in less structured tasks, eg conversation,

and required more modelling and

prompting.

When we asked him to simultaneously

simplify his language and reduce his rate in

spontaneous speech, he said that he couldn’t

do it, and that it was easier for him to focus

on one aim at a time.

Self-monitoring

After discussion with Martin about the very

formal aspects of his language use, and after

banning certain words from his vocabulary,

he quickly took on these points and stopped

using certain words.

He began to self-correct, without

prompting, very early on in the block, and his

uncle reported that this was also happening

at home.

Avoidance reduction

Martin initially had no awareness of being

anxious when speaking. However, as the

featureSTAMMERING AND AUTISM

Liz O’Connell – SLT, Dysfluency clinicalleadPauline Haggarty – SLT, Autistic spectrumdisorder clinical leadNHS Greater Glasgow, Yorkhill DivisionEmail: [email protected]

block progressed he began to admit to being

nervous in some specific situations.

His comfort zone was restricted to the

home environment and close family, and he

relied heavily on his uncle to initiate and

mediate for him.

After discussion, we produced a hierarchy

of difficult situations and strategies to

explore, such as role play, rehearsal and

breaking each task down into easier steps.

The intention was that this should have

been worked through over several

weeks/months. However, Martin eagerly

completed them all within a fortnight. He was

able to transfer his newly-found confidence

into a wider context: telephoning a college for

course information, going into a restaurant

and placing an order, going on a bus and

asking for his fare.

Reduced level of complex language

We focused on encouraging Martin to be

more succinct in his responses and to reduce

his word output, including using non-verbal

responses.

As he often used the phrase “I believe...”, we

explained that this indicated his opinion,

rather than a fact. For example: What colour

is your jacket? Martin: I believe it is black.

Lots of prompting and asking Martin to

reword what he was saying began to have a

positive impact on his conversation and

language output.

We encouraged him to watch the television

news with his uncle, and to note the

difference between the newsreader’s formal

style when reading the news, as opposed to

the less formal style (banter) when talking to

their colleagues. This helped him understand

the point we were making about context and

flexibility in communication/interaction.

During the sessions, and as Martin began

to modify and adapt his language style, his

sense of humour became more apparent.

His uncle reported that he had stopped

asking set questions in certain situations,

conversation became less of a chore and both

reported that they were enjoying each other’s

company.

The experience was a huge learning curve

for both of us. Despite our initial fears, we

learned that this young person could change,

and so could we in our attitude towards

treatment for young people with an ASD and

dysfluency.

While we don’t believe this would work for

all such pupils, we do think that the following

factors were crucial for Martin’s success:

Support from home: Martin’s uncle was

completely committed to his therapy, while

accepting our concerns. Tasks were carried

out in between appointments, and he came

up with ideas himself to support Martin.

Self-monitoring skills: Martin developed

these skills, and began to self-correct quite

spontaneously. Once behaviours were made

explicit he understood what he had to change,

and was very motivated to do so.

The change in circumstances: Martin’s

uncle had recently become his main carer, and

had a good longstanding relationship with

him. He was understanding of his difficulties

and willing to address these in a supportive

manner.

At the end of his block, because he was

leaving school, we discharged Martin from

the paediatric SLT service, and referred him to

adult services.

We thought that his thank you card

summarised how far he had come and the

progress he had made, “Thank you both. Your

efforts to improve my speech and

colloquialisms have been appreciated to no

end.”



OBITUARY

Professor Bevé Hornsby, MBE1915 – 2004

Bevé Hornsby was a distinguished SLT,

psychologist and educator who played

a pioneering role in the understanding

of dyslexia both in the UK and abroad.

Through her writing, professional practice

and teacher training she brought many of the

problems of people with dyslexia to

recognition, and her work stimulated many

developments in the field of dyslexia

education.

The RCSLT awarded Bevé a Fellowship in

1988 and her many contributions to dyslexia

were honoured publicly by the award of an

MBE in 1997.

Bevé was born in 1915 in Camberley,

Surrey. Although she showed academic

progress at school she chose not to further

her education at this stage in her life. Rather,

Bevé was a student member of the corps de

ballet in the Vic Wells Ballet Company, drove

ambulances during World War II, held a

pilot’s licence and was a qualified ballroom

dancing teacher. She was also the mother of

four children.

It was not until Bevé reached 50 that she

began training as a speech therapist at the

Kingdom Ward School in London. She

qualified in 1969 and took up her first post at

the ‘Word Blind Clinic’ at St Bartholomew’s

Hospital. Only two years later she was

appointed head of the clinic, which soon

expanded and became renowned as the Barts

Dyslexia Clinic.

During her Barts’ years, Bevé continued

her professional education, gaining a master’s

degree from the universities of London and

Bangor and a PhD on the ‘Lateralisation of

language areas in dyslexia’. After ‘retiring’

from Barts at the age of 65, Bevé set up the

Hornsby International Dyslexia Centre where

she and her team continued to offer teacher

training courses and professional services to

children and adults with dyslexia.

Convinced of the need to teach children to

read using multi-sensory techniques from the

outset, she founded Hornsby House School

in 1988 to offer a programme of highly

structured multi-sensory education to

typically-developing children, alongside

children at risk of developing reading

difficulties.

Throughout her professional life, Bevé was

undoubtedly a mover and shaker; she loved

to take on new challenges

and was never put off by

red tape or what others

might consider

insurmountable obstacles.

She was a hard taskmaster

yet at the same time a great

enabler, and all of those

who worked with her

benefitted from her

warmth, loyalty and

generosity of spirit. She

gave of herself in all she did,

and that was great deal.

Together with

Overcoming Dyslexia (1983)

and Dyslexics I have known

or reaching for the stars

(2001), she has left the field

with innumerable

workbooks and other

resources for the teaching of

written language.

Notwithstanding all of

this, Bevé’s lasting legacy is

without doubt the book she

wrote with Frula Shear,

Alpha to Omega (first

published in 1974) that has

been used as a handbook by

generations of teachers and

dyslexia therapists.

Bevé worked relentlessly

up until the end of her life

and continued to inspire those who shared

her vision to help children and adults

overcome the problems of dyslexia. She was

for all who knew her the most wonderful role

model with an unremitting passion to better

the lives of all those who had failed to learn

to read. She leaves three sons and a daughter.

Professor Maggie Snowling

University of York, former Principal of the

Department of Human Communication

Sciences, University College London

RCSLT_JUNE_OBITUARY p22-23 1/6/05 11:51 am Page 2


OBITUARY

first got to know Bevé in the early 1970s through our joint

connection with St Bartholomew’s Hospital. She had

already achieved some kind of record by starting her speech

therapy training at the Kingdom Ward College at the unusually

advanced age of 50.

After qualifying in 1969, she went to work at what was then

called the Word Blind Centre under the direction of Maisie Holt,

an interesting psychologist who was pioneering work in this

country with ‘word blind’ (dyslexic) children.

Two years later and with the name changed to the Dyslexia

Clinic, Bevé took over from Maisie. She also took on every

possible training course available, including Aylett Cox and

Lucius Waites’ Alphabetic Phonics course in Dallas. This was the

inspiration behind the book that made her name, Alpha to

Omega, titled by her husband Jack and dedicated to him after his

untimely death before its publication in 1974.

Co-authored with fellow Barts therapist Frula Shear, this

remedial programme in compact form has stood the test of time.

It is a classic work and a lasting monument to her far-sighted

perception of how to provide a manageable remedial

programme at a time when dyslexia was far from being

universally acknowledged. Many in the world of education were

still denying that it actually existed.

Bevé had distilled and combined the multi-sensory approach

of the Gillingham-Stillman based Alphabetic Phonics with an

SLT’s understanding of developmental linguistics. In 1973, she

acquired an MSc in Human Communication at the University of

London and set up teacher-training courses at Barts. Five years

later, Tim Miles recalls how unassumingly the now very

experienced Bevé took her place as a student on the MEd course

at Bangor, where her book was one of the texts on the syllabus. A

doctorate in human communication followed at the University

of London.

In 1983, having retired from the Dyslexia Clinic, Bevé

transferred her courses to the newly opened Hornsby

International Dyslexia Centre (HIDC) in Wandsworth and

during this year published her book Overcoming Dyslexia.

When Fairley House opened its doors in London in 1982 as

the first independent school aimed to support children with

specific learning difficulties (SpLD/dyslexia), most of the

teaching staff had the additional qualification of training in

SpLD that had been provided at Barts, and subsequently at the

HIDC. The Helen Arkell Dyslexia Centre at Parsons Green was

also training teachers at this time.

Bevé was a friend and regular visitor to Fairley House, always

interested in developments at this new educational concept took

root and steadily proved the value of a structured, systematic,

cumulative and multi-sensory approach to reading and spelling.

In 1988, Hornsby House School was launched with the aim of

catering not just for those at risk of specific learning difficulties

but also for children with no learning problems. Bevé firmly

believed that multi-sensory approaches to literacy were the best

for any child.

That same year she was elected Fellow of the College of

Speech and Language Therapists, an honour she cherished.

There was an even bigger party in 1997 when she was awarded

the MBE for services to dyslexia.

Bevé never retired. Her book Dyslexics I have known or reach

for the stars was published in 2001. Miraculously she managed to

fit in time to clock up thousands of flight miles over the years

crossing continents on lecture tours, as well as lecturing up and

down the country at home. Many of her colleagues and trainees

have reported the respect that they have received in far-flung

parts of the world when they have let their connection with Bevé

be known. To the end she was a regular and revered presence at

conferences and gatherings in London and beyond. She never

stopped wanting to learn.

A late starter with unflagging energy and will power, Bevé has

been an inspiration to women who have stopped work to have

their families and who later want to pick up their old career or

find a new one.

In all the years I knew her, I never once heard Bevé speak

unkindly of anyone. She had an extraordinary ability to inspire

loyalty and affection. She was warm and funny and potential

opponents found her difficult to resist once she had decided on a

particular course of action.

Bevé will be sorely missed by her children and her

grandchildren, and by her countless friends and former

colleagues. But she will not be forgotten. Her legacy lives on in

so many ways and this year – sadly, too late for her to see – her

own organisation will merge with the Dyslexia Institute,

something that had been one of her dreams. She was a legend in

her lifetime, and it continues.

Daphne Hamilton-Fairley, OBE

Founder and former Principal of Fairley House School

Grateful acknowledgements:

To Gilda Deterding, FRCSLT, Deputy Head, Fairley House School, Professor Tim Miles, University of Bangor, andProfessor Maggie Snowling, University of York, former Principal of the Department of Human Communication Sciences,University College London.

A personal tribute to Bevé HornsbyI

RCSLT_JUNE_OBITUARY p22-23 1/6/05 11:51 am Page 3


ask your co l leagues

Any Questions?Want some information? Why not ask your colleagues?

Email your brief query to [email protected]. RCSLT also holds a database of clinical advisers who maybe able to help. Contact the information department, tel: 0207 378 3012.

New SLI SIGIs anyone interested in setting up an SLI SIG for London?

Stephen Parsons

T E L : 020 7683 4262

Good practice guidelinesHas anyone developed a care pathway or good practice

guidelines for supporting smooth transition from children

in special schools to adult SLT services? Have you used focus

groups or patient stories to gain users’ views in service

development?

Louise Wilkinson

T E L : 01706 233037

E M A I L : [email protected]

Stroke unit issuesAre any SLTs working in a dedicated acute stroke unit (or

combined acute/rehabilitation unit) interested in

discussing common issues, eg SLT staffing, MDT training,

pathways etc?

Mariane Morse

T E L : 0191 233 6161 x27415


Digital recordingDoes anybody use a digital recording system in their

videofluoroscopy clinics?

Claire Harrison

T E L : 0118 9877134


Tape recorder alternativesHas anyone found a practical alternative to traditional tape

recorders?

Jane MacInnes

T E L : 01546 604923


Discharge criteriaAre any SLTs using prioritisation/discharge criteria

successfully in schools for children with severe learning

difficulties?

Nicola Smith

T E L : 01273 267 337


Adolescent assessmentDoes anyone know of any narrative assessment tools or age-

appropriate story building resources to use with adolescents?

We are also keen to contact other therapists working with

this age group, particularly with young offenders/in mental

health.

Tamsin Milner, Fiona Korn

T E L : 0161 6071949


Special care baby protocolsHave you written or had access to NICU and SCBU

protocols on positioning, handling and feeding using

neurodevelopment care/NIDCAP?

Joanne Robinson

T E L : 02476 246215


Medication and dysphagiaHas anyone devised a protocol for administering medication

to patients with dysphagia? We are trying to include tube-fed

patients and those on a modified diet.

Faye Parsons


Severe muscle tension dysphoniaMy client has had five years of severe muscle tension

dysphonia prior to referral and has not maintained mild

improvement gained in voice therapy. An acquaintance told

me of a psychiatrist giving an injection that relaxed her

client so that a normal voice was produced within the initial

consultation. Has anyone else heard of this?

Sherri Jackson

T E L : 0141 639 3422


Paediatric dysphagiaDoes anyone have a robust method of screening community

referrals to prioritise them? How long do clients have to wait

for an appointment for high, medium and low

priorities?

Lisa Brown

T E L : 01543 500 110


RCSLT_JUNE_any Qs p24 1/6/05 11:52 am Page 19

The final chapter bravely suggests ways of

improving the learning status of clinical

education and educators. Many of these

ideas are already in practice, but it is useful

to have them set out as clearly as they are

here.

So well have the authors addressed their

subject, and so carefully have they

considered differences across countries in

terminology and the organisation of

education of SLTs, that this book will be of

value to a wide range of educators and

students. It also has relevance for other

health professions, and is highly

recommended.

SARAH SIMPSON – Lecturer in Professional

Studies, University College London


book reviews

Clinical Education in Speech-Language Pathology Lindy McAllister, Michelle LincolnWhurr, 2004£19.50ISBN: 1-86156-310-8

B O O K O F T H E M O N T H

Book ReviewsTeaching Handwriting Readingand Spelling Skills (THRASS)Alan Davies, Denyse Ritchie2003£136

THRASS resources include

charts, a manual with

photocopiable sections, a

raps and sequences CD, an

interactive CD ROM, a dictionary and

phoneme/grapheme cards.The multi-sensory

format includes music, speech and a visual

map for the auditory spelling system of

English.

Learners progress at their own rate,

building up meaningful libraries of words.

Groups can use the resources to reinforce

particular sound patterns. There is no

vocabulary restriction and THRASS’s

flexibility allows it to be used with dyspraxia

and symbol programmes and total

communication systems. The additional

motor cueing is a valuable adjunct to signing

systems and links with the work of OTs,

especially through the handwriting

component.

The inclusion of analysis, synthesis,

sequencing, sound identification, vowel

contrast work and minimal pair exercises

facilitates auditory training, processing and

phonological awareness. Auditory and verbal

dyspraxia work supports literacy

development.

The alphabet is taught in manageable

chunks using rhythm and pattern. The raps

are memorable and the pictures used will not

date quickly. Colour coding and cross-

referencing allow easy access between

components. The package can be used

inclusively with all children: it is easily

personalised and can be used equally well for

home programmes. We found the package

easy to adapt as a therapy resource as well as

for its designated user group.

CYNTHIA POLLARD, Principal Specialist SLT,

SANDY BURBACH, SHEILA PATERSON,

Specialist SLTs, Edington and Shapwick School

(Specific Learning Difficulties), Somerset

The Development of Autism: ASelf-Regulatory PerspectiveThomas L WhitmanJessica Kingsley, 2004£15.95ISBN: 1-84310-735-X

This book is aimed at

parents, teachers,

healthcare professionals,

researchers and

students. The first three chapters provide an

introduction to autism and there are

useful sections on its history and the

difficulties in defining and diagnosing across

the spectrum.

Whitman outlines the interrelated

characteristics of autism and their

implications for behaviour. Following this he

presents a range of theories with research

summaries. In chapter four he develops his

theory on the development of self-regulatory

behaviour and examines the interaction of

multiple causes over the lifespan. A summary

of educational and biomedical interventions

illustrates the range of programmes used

with this group.

Whitman indicates those therapies where

there is little research evidence to support

treatment, which parents may find helpful.

Parents and professionals may also find the

chapter on family stress and coping helpful in

dealing with a diagnosis, searching for

services and the changes in family roles.

The book ends with a summary of the key

issues involved in assessment and

intervention and the main areas for further

research.

Whether Whitman’s theory is a useful

addition to our knowledge about autism will

depend on its ability to guide assessment,

support intervention and predict change.

Meanwhile, the book is an accessible, up-to-

date summary of the current state of the

art in autistic spectrum disorder.

CAROLYN ANDERSON – Senior lecturer,

University of Strathclyde

R E A D A B I L I T Y:*****

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This is a ‘must read’ for anyone interested in

the education and training of SLT

students. A pivotal theme of the book is

that learning is a life-long process in which

students and educators should reciprocate.

In the first chapter the authors cite

literature, supported by evidence from their

own research and personal experience, to

propose goals, models and stages of

professional development that apply to both

students and educators. The subsequent

chapters focus on practice.

Although ideas develop from one chapter

to the next, each chapter can be read in

isolation as introductions set the scene and

guide the reader. Useful learning exercises,

vignettes, checklists and appendices

punctuate the chapters, and headings and

sub-headings indicate key points.

Correction: In Anne Elliott’s review of TalkaboutRelationships by Alex Kelly (Bulletin, March 2005)we refer to ‘the authors’ when there is onlyone.The error occurred during subediting.

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Speci f i c Interest Group not ices

National SIG in Disorders of Fluency (UKRI16)6 June, 9.30 - 4.30pmWorking with people who stutter with Downssyndrome or learning disability, Monica Bray, Leeds Metropolitan University and DanielHunter, Rochdale PCTQueen Margaret University College, EdinburghMembers free/non-members or membersrenewing £20/students £10Contact: Jane Fry, tel: 020 7530 4238, email:[email protected] to book

London SIG Bilingualism (L2)7 June, 9 - 4.30pmParent child interaction therapy – Answer for all ourdiverse early families? Includes seminars,workshops, and personal perspectives on the use ofvarious parent/child interaction models, andworking with diverse familiesUniversity College London Dept of HumanCommunication Science, Chandler House, 2 Wakefield St, London, WC1N 1PFSLTs £10/assistants and students £5 (includestea/coffee)Contact Amita Raval, tel: 020 8349 7064/7063 orSunita Shah: [email protected]

SIG Hearing Impairment (Scotland) (S5)10 June, 9.30 - 4.15pmParental anxiety – breaking bad news, KarenWilliamson, audiologist, NHS Highland;Setting up hearing screening protocols – workinggroups; AGM and business meetingColumba Hotel, Ness Walk, InvernessMembers £30/non-members £35/students £25(lunch included)Contact Liz Fairweather, SIG Secretary, tel: 01337830398, email: [email protected]

Lancashire Dysphagia SIG (N27)14 June, 12 - 4.30pm (lunch included from midday)Recent developments in instrumentation indysphagia assessment, plus a short AGM,speakers include Sarah Wallace“Basic”, Eccles New Road, SalfordMembers free/non-members £5 (includes lunch).Annual membership/joining fee £10 (pay on day)Contact Liz Jones, tel: 01704 383763, email:[email protected]

SIG in AAC (Central Region) C1616 June, 10 - 3.30pmMultisensory Impairment, led by Liz Hodges,Lecturer in Deafblindness, University ofBirmingham. Plus other contributorsSeminar Room, Oxford Centre for Enablement,Nuffield Orthopaedic Hospital, Windmill Road, Headington, OxfordMembers £5/non-members £10 (includes lunch)Contact Anne Williams, tel: 01872 358708 /358739, email:[email protected]

SIG Learning Disabilities (Scotland) (S1)17 June, 9.30 - 3.30pmAccessible informationTalking Mats: the evidence, speakers Joan Murphyand Lois Cameron; Using Talking Mats: personalperspectives, various speakers; The problem with

leaflets, Susan Munro; Show and tell discussiongroups – Please bring examples of accessibleinformation to shareThe Dunblane Centre, Stirling Road, DunblaneFK16 9EYCost: £15 incl. lunchContact: Susan Munro, tel: 01382 346005 oremail: [email protected]

SIG: Kent Learning Disability (E29)(changed from sig.in.ld@kent) 21 June, 1.30pmFollow up and feedback from the story telling course,SIG membersDanecourt School, Hotel Road, Gillingham, KentME8 6AAMembers free/non members £5Contact Lee Bennetts, tel: 01634 312884, email:[email protected]

SIG Early Communication, Scotland (S3)21 June, 9.30 - 4.15pm Visual impairment: assessment, diagnosis,management, Professor Dutton, consultant ophthalmologist; Visual impairment from the SLT’sperspective, Gillian Callander, Shona Gillespie;Working with children with dual sensoryimpairment, Fiona JarvisTerraces Hotel, StirlingCost £20Contact Liz Lawson, tel: 01389 817006, email:[email protected]

SLTs Working in Mainstream Schools - SIG(South East Region) (E14)22 June, 9 - 4.30pmAGM until 10am; Colourful semantics in amainstream setting: a psycholinguistic approach forchildren with language disorders, Alison BryanRCSLT Headquarters, 2 White Hart Yard, London,SE1 1NXMembers/non-members £20 (tea/coffee provided)Contact Maureen Jarvis/Emma Doyle, tel: 0208442 6305

North West Mainstream Schools SIG (N17) 29 June, 2 - 5pm Sharing training packages and commenting on theirusefulnessMembers free/non-members £3Timperley Health Centre, Grove Lane, Timperley,CheshireContact Maureen Beals, tel: 01704 383742

National Head and Neck Oncology SIG (UKRI 10)4 July, 9.30 - 4.15pmSupportive and palliative care study day, includesJustin Roe, MacMillan palliative care SLT; CandyCooley, palliative care development manager; DrVincent Crosby, consultant in palliative medicine;Kate Young and Holly Froud, specialist head andneck SLTsPostgraduate Centre, Queen’s Medical Centre,Nottingham NG7 2UHMembers free/non-members £10/students £5(includes lunch)Contact Katherine Behenna/Jackie Farmer, tel:0115 970 9221, email:[email protected]

SIG Disorders of Fluency (West Midlands) C4

5 July, 1.30 - 4pmAGM; main speaker dysfluency therapist and BSAproject worker Karen AllenThe Lyng Centre for Health and Social Inclusion,Frank Fisher Way, West BromwichFree to membersContact Barbara Moseley Harris (chair), The GlebeCentre, Glebe Street, Wellington, Telford TF1 1JP, tel: 01952 522700

Lancashire SIG for ASD (N35)6 July, 1.30 - 4pmMusical interaction – course feedback, LouiseStevens and Susan BarberCaxton Road, Preston, LancsMembers free/fee for the year £10Contact: Louise Stevens, Secretary, Slyne Road,Lancaster, tel: 01524 386113

Oxford Voice and Laryngectomy SIG E31 6 July, 9.30 - 4.30AM:The singing voice, practical workshop withJanice Chapman; 12.30: demonstration of theServox digital artificial larynxPM: Care of the patient receiving radiotherapy,Michelle Maxwell, Radiotherapy Specialist Nurse;Nutritional aspects of head and neck cancer,Alison Howard, Senior DieticianWitts Lecture Theatre, Radcliffe Infirmary, Oxford.Members free; non-members £15 Contact Elaine or Penny, tel: 01604 545737 oremail: [email protected]

Speech and Language Difficulties inSecondary Education SIG (C19)7 July, 2-5pmResources for secondary age students – come andshare your favourites. Also a display from HarcourtAssessments. Includes brief AGM during last 20minutesCallow Park, Derby Road, Wirksworth, DerbyshireDE4 4BNContact Carol Reffin, SIG Secretary, Children’sSpeech and Language Therapy, Prince Philip House, Malabar Road, Leicester, tel: 01162954670. Map and directions available

Adult Learning Disability – Central Region SIG(C12) 12 July, 10 - 4pmAM: High level language/mild learning disability,Emma Lane/Alison Wyatt, SLTs; PM:Discussion on revision of CQ3CREST Training Room, Woodfield House, BewdleyRoad, Kidderminster, Worcs DY11 6RLMembers free/non-members £10Contact Jackie Hartley, tel: 01562 746947, email:[email protected]

To advertise your RCSLT-registered SIG event

for free send your notice by email only in the

following format:

Name of group and registration number, Date

and time of event, Address of event, Title of

event and speakers, Costs, Contact details

Details may be edited

Send to: [email protected] by the beginning

of the month before publication. For example,

by Monday 6 June 2005 for the July Bulletin.


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Documents

The Royal College of Speech and Language Therapists - The ......Kerr and his deputy Rhona Brankin. In Wales, the Assembly Minister for Health and Social Services remains Dr Brian Gibbons,