Speech, Language and Communication Education

Caroline Nokes Excerpts

Wednesday 19th June 2013 Westminster Hall

[Mr Buckland]

I am grateful to the hon. Lady for both those points. I will come to the concerns I share with her about Ofqual and GCSE English language in a little while, but let me deal with her first point, about early years. Often, we are talking about a pre-education setting and a health setting. I have long advocated the need for a proper, health-based assessment of speech, language and communication needs at the age of two, and I am supported by people such as Jean Gross, the communications champion. The Government are similarly committed to moving in that direction. With the increase in health visitor numbers—an extremely welcome initiative, which is already having an effect in places such as Swindon—and with extra training for health visitors and other professionals, we can start to identify a cohort of young people who, at the moment, are not being identified until early years education or, sometimes, even later.

[Caroline Nokes (Romsey and Southampton North) (Con)]

I congratulate my hon. Friend on securing this important debate. On pre-school and pre-early years, he makes an important point. A couple of constituents recently approached me with their son, who is pre-school age. As parents, they found it incredibly difficult to find the correct signposting for speech and language therapy for him. Does my hon. Friend agree that, although the increase in the number of health visitors may well help, it is imperative that they have the knowledge to allow them to refer parents and children on to the specialist help that can nip the problem in the bud and, therefore, prevent the significant problems he identified at key stage 4 and later life?

[Mr Buckland]

I entirely agree; indeed, I would go further. In Swindon, we are training staff in early years settings and children’s centres. We are training our health visitors in the skill of early identification and in the support strategies that can be put in place there and then. Despite the fact that Swindon’s child population is rapidly increasing—our population generally is increasing, and we expect it to grow from 209,000 last year to 240,000 in the next 15 years—the need for specialist referrals is staying stable. That is clearly important, because we are saving valuable resources by putting in early support to prevent issues from becoming acute and prevent the need for more specialist referrals. That is good for the child, good for the family and good for the provision of local services, at a time when resources are increasingly tight.

In that context, I am glad to commend my local authority for being flexible about the use of health and education funding, so that there is a link speech and language therapist in each mainstream school—in other words, the artificial division between sources of funding for health and education has been broken down, there is proper joint commissioning and people are intermeshed, rather than just working side by side. For example, speech and language therapists have been TUPE-ed over to the local authority, and there is a genuine coming together of services around the child. That must increasingly be the way forward for local authorities.

Let me deal briefly with the Children and Families Bill. In recent weeks and months, we have had much debate about it—I see that the hon. Member for Washington and Sunderland West (Mrs Hodgson), the shadow spokesperson, is in her place, and she joined in much of that debate in Committee and on Report last week—so I do not want to go over old ground. However, from the point of view of speech and language communication, it is important to deal with some of the concerns that remain, despite the general welcome for the Bill, and the warm welcome for the approach taken throughout Bill proceedings by the Under-Secretary of State for Education, my hon. Friend the Member for Crewe and Nantwich (Mr Timpson), who has responsibility for children and families, and for his engagement with the sector, as well as with families, children and young people who have an interest in, and passion for, this issue.

We have talked about early identification not only at pre-school level, but at the first opportunity, when the problem is identified. There are still concerns about how the Bill will ensure that the identification mechanisms will work across all phases of education. There needs to be clearer guidance across health, education and social care about how speech, language and communication needs are identified. Paragraph 11(a) of schedule 1 in the draft regulations in the indicative code of practice makes it clear that local offers must set out what speech and language therapy provision is available. That is welcome, but it would be helpful to have further clarity about how the draft regulations would ensure that those responsible for the quality and delivery of services can be held to account. The Minister has indicated that those are draft regulations and that there will be a full consultation later in the year, but today is a golden opportunity to highlight some of the work that needs to be done.

I have made the point many times to the Minister that it would be helpful to have a common framework in which local authorities could be guided to construct their offer. That would help us to have a consistency of approach to speech and language therapy. I am not asking for uniformity, but simply for a common framework within which local authorities can be guided towards best practice.

I welcome the Minister’s comments that children and young people with SEN who would not be eligible for a full education, health and care plan will continue to be tracked under the new framework, but further reassurances as to how that will function in practice would be welcome. We must avoid any compromise over the identification of the need. The imposition of a duty on health providers, which was the subject of an amendment tabled by my hon. Friend the Minister, was good news. That clearly reinforces the existing commitment in the Bill to impose a duty jointly to commission services. We had a long argument about the phrase “wholly or mainly”, and my hon. Friend the Minister is familiar with the issue. Until now, speech, language and communication needs have been identified as educational needs, and we hope that that will remain the case, and that it will be clear.

I welcome the declaration that communication and interaction are a primary need, in the draft code of practice, but there are concerns that the role of schools in SEN provision remains at the edge of the Bill; there is not a huge amount of detail about what responsibilities schools will have. That is important, bearing in mind the welcome move to the creation of academies and free schools, and the unintended consequence that that may have on long-term provision of speech and language therapy services locally. There is a tension, is there not, between the need to employ therapists on a medium or long-term basis and the short-term spending priorities of schools that must spend to budgets? Some further clarity about how academies can work collaboratively to commission services would be extremely helpful. It would regrettable if, through the welcome and admirable ethos of the new academy structure, we lost some of the long and medium-term thinking that is necessary in the commissioning of services from speech and language therapists.

My hon. Friend the Minister will, I know, update us on progress as much as he can, but I want to mention a couple of issues that I hope he will deal with. Early identification is the key to improving educational outcomes for children and young people with speech, language and communication needs, so will the Government introduce clear guidance to all health, education and social care providers on identifying those needs, to ensure that the needs of those we are dealing with—10% of the cohort—are met?

The creation of childminder agencies comes under part 4 of the Bill, but is relevant to the debate. I would welcome some clarity about how children with speech, language and communication needs will be identified and receive the support they need—particularly with respect to early years non-maintained settings.

Training has come up in some interventions, and I have already made a realistic acknowledgement of the limitations of resources. It is clear that staff knowledge of speech, language and communication needs is crucial for parents and young people with those issues. Currently, the universal work force has limited knowledge of speech, language and communication issues, and low confidence in identifying and supporting children with those difficulties—particularly hidden difficulties. However, historically, staff knowledge of speech, language and communication needs has been worryingly low.

That was demonstrated by research undertaken by Ofsted on the skills and knowledge of qualifying teachers, which identified that fewer than half had good or better skills, and concluded that

“not enough new teachers had consistent high-quality training during initial teacher education and induction to ensure that they developed good teaching skills, underpinned by a deep understanding of language development and the acquisition of literacy skills.”

Additionally, the research showed that 32%

“did not have sufficiently in-depth training in assessing pupils’ skills and knowledge in language and literacy to be able to use their judgements effectively”

for the planning of lessons and the provision of extra help. Evidence also shows that many early years staff feel inadequately equipped to help children with language delay, with more than 60% of teachers reporting that they lacked confidence in their ability to meet children’s language needs. Those are 2012 figures, so they are relevant and important. I should be grateful for further clarity about how teachers’ knowledge of speech, language and communication needs, and that of the wider education work force, is developing.