Thread by @michellestclair

Oh no! I must have misunderstood when we'd be back! I've just put my headphones on now. getting back into it now. #NAPLIC21.

Now listening to Mary-Jo Spearey and Pippa Cotterill now. Discussing joint working in Wales. #NAPLIC21

Different professions speak different language sometimes. Important work to ensure shared understanding. They now have a well established service level agreement between SLT service and ComIT (not sure what that is - sorry). #NAPLIC21

there is a schools pathway for children with #SLCN. Three levels - universal level - support to all, communication rich environment, skilled workforce. Worked closely with all schools. SLCN self analysis tool - auditing own practice, then action plan #NAPLIC21

School based strategies to support SLC needs for all children. #NAPLIC21

Targeted level - this is for CYP with known SLCN. Interventions delivered by skills workforce in schools, involvement of parents. Looks at impact of intervention. can request for advise from the Communication Intervention team,can help with advise or targeted sessions #NAPLIC21

There can be group of individual intervention by Communication Intervention Team when needed. #NAPLIC21

Specific level - CYP with SLCN needs that require specialists intervention. SLT provides specific support and the health board gets involved to provide specialised support for children. Delivery provision at all levels delivered concurrently. #NAPLIC21

some staff in ComIT are SLTs. These prepare and deliver training. Support and advise specialist teaching assistants. Keep informed of latest research and advise. Help ensure all aspect are evidence based and best practice. Links close with health board and parents. #NAPLIC21

IT problems across different services can be a problem. ComIT SLTs do not do details assessments of a child's individuals needs. This happens within the health board SLT team. They also do not provide individual SLT therapy to children #NAPLIC21

Did not want to develop a parallel service. Other staff in ComIT - works to raise awareness, delivery in training, work with children towards targets, reduce impact on SLCN on children, working with parents. #NAPLIC21

Health board SLT service - open referrals. Can include strategies and interventions done under ComIT can be used in referrals to back up need for specialist SLT service. Referral can be at any time on the ComIT pathways for children with severe needs. @NAPLIC21

Evidence based pathways for different paths - #DevLangDis and #SSD pathways. a lot of joint work between health board SLT and ComIT - sometimes joint work but sometimes seperately. #NAPLIC21

Discussing an example now. some support in ComIT but then a referral to health board SLT service. Intervention given and targets obtains. Then discharged backed to ComIT for further support until the student had settled into secondary school. #NAPLIC21

Some children also go to specialist resource centres. Then discharged back to mainstream school with support from health board SLT, which then transitions to ComIT support in school, before going to normal support in school. #NAPLIC21

Some of the outcomes are improved communication with young people and their families, appropriate identification of children, clear pathways, reduced disputes around support provision. #NAPLIC21

Challenges - political terms and lack of commitment, two separate services (health and education), limited funding, engagement variability in school commitment, border issues (Two different Systems), now can support ages outside of mainstream schools (0-25) #NAPLIC21

Joint working - benefits outweigh the challenges! #NAPLIC21

Joint working fits into a lot of different elements of Welsh government. Now discussing an example. #NAPLIC21

the pathways for #DevLangDis and #SSD may be made available (if possible) on the @NAPLIC website. However, permissions need to checked. #NAPLIC21