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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 0-19 service works in partnership to enable children in Bedfordshire to fulfil their health potential. The service is based on delivering the Department of Health, Healthy Child Programme 0-5 & 5-19, underpinned by evidence, in a variety of settings, with a skill mixed team and a focus on families with children 0-19 years of age.
Specialist Community Public Health Nurses (Health Visitors) are specially trained in family and community health for children aged 0-5 and are key to meeting the needs of families. They are trained to deliver care within the community and family environment and on an individual level. They are skilled at spotting early issues, which may develop into risks or problems if not addressed and working with families to build on strengths and improve parenting confidence. Health Visitors will do this through leading and delivering the Healthy Child Programme (HCP) – Pregnancy and the first 5 years of life (DH, 2009) in collaboration with other health and social care partners. They are also critically, the gateway to other services which families may need for more specialist help and the delivery of the Family Nurse Partnership Programme or similar intensive support programmes for the most vulnerable.
Every family is offered a programme of screening test, immunisations, developmental reviews and information and guidance to support parenting and healthy choices so that children and families can achieve their optimum health and wellbeing.
The universal Programme for 0-5 Includes antenatal contact between 28-34 weeks pregnancy, New Birth visit 10-14 days, Maternal mood assessment 6-8 weeks postnatally, 9-12 month child assessment review and 2 year assessment review.
Interventions over and above these will be for targeted families experiencing short or long
The key objectives of the health visiting service are to:
• Improve the health and wellbeing of children and reduce inequalities in outcomes as part of an integrated approach to supporting children and families;
• Ensure a strong focus on prevention, health promotion, early identification of needs and clear packages of support;
• Ensure delivery of the HCP to all children and families, starting in the antenatal period;
• Promote secure attachment, positive maternal mental health and parenting skills using evidence based assessments and effective interventions - evidence based groups to promote parenting
• Identify and support those who need additional support and targeted interventions, for example, parents who need support with their emotional or mental health and women suffering from postnatal depression;
• Work with families on positive parenting through motivational interviewing and evidence based approaches, and to support behaviour change leading to positive lifestyle choices;
• Develop ongoing relationships and support as part of a multi-agency team where the family has complex needs e.g. a child with special educational needs or disability, or where there are identified safeguarding concerns;
• Improve services for children, families and local communities through expanding and strengthening health visiting services to respond to need at individual, community and population level.
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.
The Royal National Orthopaedic Hospital NHS Trust (RNOH) is the largest orthopaedic hospital in the UK, and is regarded as a leader in the field of orthopaedics both in the UK and world-wide.
The RNOH provides a comprehensive range of neuro-musculoskeletal health care, ranging from acute spinal injury or complex bone tumour to orthopaedic medicine and specialist rehabilitation for chronic back pain sufferers. This broad range of services is unique within the NHS.
As a national centre of excellence, the RNOH treats patients from across the country, many of whom have been referred by other hospital consultants for second opinions or for treatment of complex or rare conditions.
Patients benefit from a team of highly specialised consultants, many of whom are nationally and internationally recognised for their expertise and experience. Consultants are supported in their work by nurses, therapists and other specialist clinical staff who are trained experts in their particular fields of orthopaedic care.
The RNOH plays a major role in teaching, with 20% of all UK orthopaedic surgeons receive training here. Our teaching and clinical effectiveness are enhanced by our work in research and development and academic links with University College, London. Research departments at Stanmore include the Institute of Orthopaedics, the Centre for Disability Research and Innovation, the Institute of Human Performance and the Centre for Biomedical Engineering.
The RNOH works closely with other hospitals and trusts, with whom we have joint appointments to ensure maximum availability of specialist skills for patients. Our patients benefit from access to ASPIRE leisure centre which is located on site and hosts first-class facilities for able-bodied and disabled people.