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The key purpose for our service is to clinically assess and provide appropriate wheelchairs and associated equipment (posture and pressure care) to clients with a long-term mobility need, (over 6 months). The Wheelchair Service will continue to support the clients and maintain any issued equipment. Having the most appropriate mobility equipment can improve quality of life, facilitate independence, enable access into the wider community and reduce the risk of developing deformity for our clients.
The wheelchair service provides training for the community prescribers of basic wheelchairs for adult clients that are not totally wheelchair dependant. We offer specialist assessment for adult clients that are totally wheelchair dependent, all children and bariatric clients. We run a bespoke seating service for clients with complex postural needs that require made to measure / moulded seating. We are able to pressure map as part of a specialist pressure care assessment and provide a range of complex cushions. We work closely with seating companies and hold regular clinics for equipment trail or review.
Each new episode of care is completed within 18 weeks of referral and this is normally sufficient for most clients, however if something takes longer to resolve we would continue to work with the client until the clinical situation required. We accept referrals for review throughout the time the client has the equipment, and have an approved repairer contract to ensure that the wheelchairs are properly maintained while it is on issue.
We currently review all bespoke seating clients annually. We would like to offer a review service for all children and powered wheelchair users but we are currently not commissioned to do this.
Provides support and information for families and carers of people with Down's Syndrome and heart issues, specifically related to the heart but touching on other areas as affected by the medical problems.
Individual Needs Protocol at Great Ouse Primary Academy (GOPA)
• Monitor and overview progress as well as assessing the ‘whole child.’
• Whole child is assessed under:
• Cognitive and learning – this description applies to children whose learning difficulties mean that they learn at a slower pace than their peers even with appropriate differentiation. Learning difficulties covers a wide range of needs. They can be specific such as dyslexia, dyscalculia and dyspraxia or cover all areas learning.
• Social emotional and mental health difficulties – this will include disorders such as attention deficit disorder as well social and emotional difficulties which can manifest themselves in different ways.
• Communication and interaction– this will include children who have speech, language and communication needs and have difficulty in communicating with others. This also includes children for whom social interaction is difficult.
• Sensory and/or physical needs – this covers children who require special educational provision because they have a disability which prevents or hinders them from making full use of the educational facilities generally provided within a school.
• These are further assessed under the ‘Waves of Learning.’
The key purpose is to provide therapeutic support for children and young people (3 +). Play and creative arts therapy can help children to gain a better understanding of their emotions and feelings. It can help work through traumatic events, divorce, bullying, anxiety to name a few. I have a toolkit I use including art, clay, sand, puppets and music. A minimum of 12 sessions are recommended, though this depends on the level of need. Group sessions are available too.
The Visual Impairment Team is part of the Sensory & Communication Support Team (SCST). The team consists of 2 Qualified Teachers for Visually Impaired Pupils (QTVI), 4 Specialist Support Assistants (STA) and a Resources Officer/Technician.
We support children and young people who are aged 0-25, their families and staff. We visit home and educational settings in order to facilitate and monitor their access to learning.
We work with the relevant professionals and families to enable the CYP to access all aspects of the academic and social life of their educational setting. The QTVI or STA visits the CYP at agreed intervals according to need, using the National Sensory Impaired Partnership (NATSIP) eligibility criteria. The keyworker liaises with staff/ family on issues relating to the particular needs of the pupil. The team has strong links with other professionals who work with visually impaired CYP including Orthoptists, Paediatric Ophthalmologists and Mobility Officers.
Our work includes the following:
• Assessing access to the curriculum.
• The loan of specialist equipment and software as required by individual pupils.
Offering advice and support in the modification and differentiation of curricular materials.
• Providing INSET to schools/settings, (small group or whole staff), to raise awareness of the implications of teaching a pupil who has a visual impairment.
• Discussions with the pupil to ascertain and assess any problems or difficulties relating to their access to the curriculum due to a Visual Impairment.
• Discussions with parents / carers, SENCo and staff involved with the pupil
Contributing to IEPs
• Contributing to the statutory assessment process (EHCP) and Annual Reviews
• Writing reports for the school/setting, outlining observations and discussion points arising from the visit. This information will be shared with parents / carers and other professionals involved with the pupil as appropriate.
We currently run a half-termly group at the CDC for young VI children and their families.
We hold occasional ‘Leisure & Lifeskills’ sessions for CYP with severe Visual impairments who attend mainstream schools.
The Hearing Impaired Team is part of the Sensory & Communication Support Team (S&CST). We support children and young people aged 0-25, their carers /families and staff in educational settings. All Bedford Borough pre-school children diagnosed with a hearing loss are visited at home and/or in their pre-school setting in order to facilitate and monitor speech, language and communication development. In Bedford Borough’s mainstream and special schools, including the Hearing Impaired Provision, pupils who have a hearing impairment are offered support from a qualified Teacher of the Deaf (ToD). Pupils who have hearing aids/cochlear implants are seen regularly; advice is given regarding pupils who have temporary fluctuating hearing difficulties or who have a unilateral hearing loss.
The HI team aims to work with the relevant professionals and parents/carers to enable the pupil to access all aspects of the academic and social life of the educational setting. The ToD visits the pupil at agreed intervals according to need, as identified in conjunction with the National Sensory Impaired Partnership (NATSIP) eligibility criteria. The ToD. liaises with a designated member of staff on issues relating to the particular needs of the pupil. The team liaises with, refers to and receives referrals from other agencies as appropriate e.g. Speech and Language Therapy.
Role of the qualified Teacher of the Deaf
• Visits to pre-school children at home, in clinic and the educational setting
• Observation of school age pupils in class as appropriate
• Discussion with the pupil to ascertain and assess any problems of difficulties
• Discussion with the SENCo and staff involved with the pupil
• Under discussion with the SENCo, contribute to an IEP
• Contribute to the statutory assessment process and to annual reviews
• Acoustic check and maintenance of hearing aids and FM systems
• Carry out language assessments
• Offer advice on modification and differentiation of curricular materials
• Provide INSET to the school/setting, either small group or whole staff to raise awareness of the implications of a hearing loss in the classroom.
• Write a report following each visit the school/setting outlining observations and discussion points arising from the session. This may include practical advice relating to the hearing impaired pupil to be shared with all relevant staff. Any action points will be recorded. This information will be shared with parents / carers and other professionals involved with the pupil as appropriate
• Follow Local Authority Guidelines on Safeguarding Children
01234 300710 (voice & text)
The Special Needs Team is part of the Speech and Language Therapy Service and is responsible for providing a service to preschool children with complex needs (Child Development Centre) and to children who have identified speech, language and communication needs and /or eating or swallowing difficulties (dysphagia) as part of their Education, Health and Care Plan who attend mainstream and special schools within Bedford Borough.
We provide a service for children between 0-19. The Service is provided in a number of ways depending on need. The Speech and Language Therapist will assess a child’s needs using formal and /or informal assessment methods; these will include observations and discussions with key adults in the child’s life. A report will be provided following initial assessment.
We will provide information and advice to enable key adults to:
• understand the language/ communication difficulty and / or swallowing difficulty
• gain skills to support the child at home and within the educational setting (preschools/schools).
We may provide individual sessions and / or group sessions to help develop specific skills and to review progress.
We aim to work collaboratively with parents and other professionals; and to agree a care plan which reflects identified targets to support development/management of the child’s speech, language and communication skills and/or eating and swallowing skills as appropriate.
Services offered to preschool children who attend the Child Development Centre include:
• initial assessment sessions ( contributing to a multidisciplinary assessment of a child’s needs)
• ‘communicate and play group’ sessions – children are offered this course of five weekly group sessions as appropriate following initial assessment.
• Down Syndrome group sessions – 6 sessions per year; a group for parents of children between 6-18months of age; to support early introduction of strategies to facilitate speech, language and communication development.
• Drop in group review sessions (Wednesday afternoons during term time) – these sessions are for children who have had an initial assessment and /or attended communicate and play groups. Families are given an allocated appointment between 13.00 and 14.30 or can attend without an appointment between14.30 and 15.30.
• Feeding clinic - joint clinic arranged by the Speech and Language Therapist and Paediatric Dietician to manage ongoing needs of children with swallowing difficulties. Approximately 2-3 clinics every 6-8 weeks.
Services provided to children who are attending a nursery/ preschool settings who have identified SEN; and children with identified needs as part of their Education, Health and Care Plan who attend mainstream and special schools:
• Assessment and review sessions are provided within the setting.
• Liaison with parents and education staff to agree and demonstrate strategies in order to provide a consistent approach to management of a child’s language and communication needs.
• Training and specialist support to parents and staff working with children and young people in preschool settings and schools; including parent workshops; termly program of workshops for adults supporting children within settings.