Auditory Verbal Therapy

Kirith Entwistle Excerpts

Tuesday 21st January 2025 Westminster Hall

[Kirith Entwistle (Bolton North East) (Lab)]

It is a pleasure to serve under your chairship, Mr Western. I congratulate my hon. Friend the Member for Washington and Gateshead South (Mrs Hodgson) on securing this important debate. We come together today with a shared purpose to champion equity, opportunity and the unshakeable belief that every child deserves the best possible start in life. This debate is about more than a single policy; it is about ensuring that no family feels left behind when it comes to their deaf children’s future.

Some 65% of deaf children complete their first year of school without achieving a good level of development. That is not just a statistic: it is a rallying cry that demands urgent action. Why is this happening? The National Deaf Children’s Society offers a stark insight: we are failing to assess and invest in the right primary support mechanisms for each deaf child. That failure is a systemic one and strikes at the most crucial time, the early years, when the foundations of language and communication are laid.

The Deafness Resource Centre is clear that early childhood development is deeply social and emotional, thriving on successful interactions with caregivers. By failing to provide tailored support to deaf children, we risk leaving many feeling isolated, frustrated and deprived of the sense of belonging that every child deserves. I am deeply grateful that one such primary support mechanism, auditory verbal therapy, is being recognised here today. I am deeply grateful that one such primary support mechanism, auditory verbal therapy, is being recognised here today. For so many families it is truly transformative—the proof is here in this room—and I commend my hon. Friend for her unwavering commitment to improving its provision.

Let us be clear, auditory verbal therapy is not a silver bullet. There is no one-size-fits-all solution. Every deaf child is unique, and so are their needs. Auditory verbal therapy is incredibly important, but I want to take a moment to emphasise the importance of addressing each child’s needs, case by case. Picture this: a deaf child in a deaf family, thriving in a sign-first environment where British Sign Language nurtures heartfelt, seamless connections with their loved ones. Now imagine another child, their confidence flourishing through intensive auditory verbal therapy. Both scenarios are valid and beautiful. What truly matters is meeting the unique needs of each child, guided by expert assessment.

Bolton Deaf Society, located in my constituency, is a charity I am deeply proud to represent and support in Parliament. Its work serves as a beacon of hope and heritage for deaf children and their families. It champions deaf culture, celebrates British Sign Language and recognises that oral communication is not, and should never need to be, for everyone. Although auditory verbal therapy can be life-changing, there are many in the deaf, deafened and hard-of-hearing community in Bolton who would not choose it, even if it were readily available. For some families auditory verbal therapy is tied to the medical model of disability, a framing that implies hearing loss as something to fix, potentially sidelining deaf culture, identity and pride. For other families, like many we have heard about today, that is not the case.

For the families in Bolton who are seeking auditory verbal therapy for their child, I wholeheartedly agree with my hon. Friend the Member for Washington and Gateshead South that we must urgently train more specialist practitioners to extend access. In Bolton alone, there are more than 300 deaf children; across the north-west, that number rises to 6,000, yet there are just five certified auditory verbal therapists in our region. Right now, as my hon. Friend mentioned, a postcode lottery determines whether a family can access the support that their child needs. That is not equity or fairness; it is a failure that we must urgently address. Deaf children in Bolton deserve better.

I strongly urge the Minister to expand access to AVT across the north-west. More than that, I urge him to expand access to primary support mechanisms across the board. Success lies in providing a well-funded, comprehensive, holistic system of support, ensuring that every child can thrive in a way that fits them best. I sincerely hope the Minister agrees.