TALK RePaiRs

TALK RePaiRs
    Children's Speech & Language Therapy in East London & Mid-West Essex


HOW WE WORK    + Terms & Conditions  - correct as of: 10/4/13


A Partnership with Parents

Initial Assessments

Therapy Appointments

Review Appointments

Written Reports

Consent & Confidentiality

Fees

Timing of Payment

Cancellation

Concurrent NHS Therapy

Liability




A Partnership with Parents

Parents usually know their child better than anyone else does. When their knowledge is put together with the particular expertise of the therapist, a powerful team is formed to (i) work out the nature of the child’s speech, language and communication difficulties, (ii) find the best ways to help the child’s speech, language and communication develop, by designing strategies that work for the individual child, taking into account their needs, interests and motivations.


Communication is a natural part of everyday life. Speech & language therapy for children usually works best if strategies to help are made part of the child’s daily family life. This needs to happen in a way that’s realistic and manageable for parents too – for example, for 5 to 10 minutes every day. This approach is not only particularly effective but also delivers best value for money.


At TALK RePaiRs, therefore, we believe in working in partnership with parents as the most efficient and effective way to ensure that children's speech, language and communication develop to their maximum potential as quickly as possible.




Initial Assessments

An initial assessment is usually the first step. The purpose is to establish the child's speech, language & communication abilities and the nature & extent of any speech, language & communication needs.


An initial assessment usually takes 60 – 90 minutes. This may vary however according to the child's needs.


If your child is aged under 5 years, and this will be their first encounter with the therapist, it can be a good idea to make a few preparations before the therapist arrives. If possible, ensure that the child is playing with toys they like in the room where the assessment is to place. Ideally the TV/radio/music should be off, or the volume should be at a very low level.


The child's parent(s) will be asked to give written consent to the assessment (a form will be provided by the therapist). The parent(s) must remain present throughout the assessment and they may be asked to participate.


The first part of the assessment consists of discussing parents' concerns and taking background information (case history).


The second part consists of direct assessment of the child. This can take a variety of forms depending on the age, abilities and needs of the individual child. It usually involves one or more of the following:

  • observation of play (alone &/or with others) – mainly for children aged under 5 years;

  • informal and formal assessment activities


The final part consists of

  • discussion of what the assessment has shown

  • advice

  • recommendations.




Therapy Appointments

The purposes of therapy appointments are:

  • to work with the parent & child to develop activities which help the child's speech, language & communication skills improve;

  • to help the parent feel more confident at continuing these activities with the child without the therapist present;

  • to help the child gain confidence in their speech, language & communication abilities.


Therapy appointments usually take place once per week with each one taking between 30 - 60 minutes , varying according to what is needed at the particular point in the therapy process.


The parent(s) must remain present throughout therapy appointments and they will usually be asked to participate.


Therapy appointments consist of:

  • activities carried out with the child by the therapist &/or activities carried out with the child by the parent, under the therapist's guidance

  • Setting appropriate & achievable targets

  • Setting & reviewing 'homework'


Some therapy appointments may include the making of video recordings of the parent and child where this directly assists the therapeutic process. If video recordings are to be made, the purpose will be explained and written consent obtained beforehand.


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Review Appointments

The purpose of a review appointment is to re-assess a child's speech, language & communication abilities and needs either following a course of therapy, or (less commonly) simply after the passage of time following an initial assessment. A review appointment establishes how a child's speech, language & communication abilities & needs have changed since the initial assessment, and what further intervention, if any, is needed.


A review appointment usually takes 30 – 60 minutes. This may vary however according to the child's needs.


The parent(s) must remain present throughout the assessment and they may be asked to participate.


The first part of the assessment consists of discussing parents' current views/concerns.


The second part consists of direct assessment of the child. This will often include similar assessment techniques to those used in the initial assessment but may include others depending on the child's needs.


The final part consists of

  • discussion of what the assessment has shown

  • updated advice

  • updated recommendations about next steps


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Written Reports

Written reports are provided on request at an extra fee. A standard report is usually a single side of A4 or less in length (including personal details). If a more detailed report is required, this must be requested BEFORE the assessment takes place.


Reports will usually be posted 1st class within 7 days of receipt of payment.


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Consent & Confidentiality

At the beginning of the first appointment, you will be asked to give written consent for the assessment to take place & written records to be made. If therapy and/or use of video is required, you will also be asked to give separate written consent. Any written records & video recordings made are confidential and available only to you (on request), the therapist and the therapist’s supervisor if appropriate.  Written records may be scanned and stored electronically in a secure manner.



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Fees


(1) By Type of Appointment & Postcode


Postcode

Initial

Assessment

Therapy

Appointment

Review

Appointment

IG2

£120

£70

£90

IG1, IG3, IG4, IG5, IG6, RM6

£120

£70

£90

E7, E11, E12, E18, IG7, IG8, IG9, IG11, RM1, RM5, RM7, RM8

£120

£70

£90

E4, E6, E10, E13, E15, E17, IG10,

RM2, RM4, RM9, RM10

£120

£70

£90

E3, E5, E9, E14, E16, RM3, RM11, RM12, SE10

£120

£70

£90

CM5, CM14, CM16, E1, E2, E8, N9, N15, N16, N17, N18, RM13, SE3, SE7, SE8, SE13

£130

£80

£100

CM13, CM15, CM18, CM19, EC1, EC2, EC3, EC4, N1, N5, N13, N21, N22, RM14, RM15, RM16, RM17, RM19, RM20, SE9, SE12, SE16, SE18

£140

£90

£110

CM4, CM11, CM12, CM17, CM20, DA15, DA16, N4, N7, N8, RM18, WC1, WC2

£150

£100

£120



(2) Additional Services


A4 Summary Report of Initial Assessment Findings

£50

Detailed Report of Assessment Findings

£120

Nursery/School Visits

initial assessment price + £20

Telephone call lasting more than 5 minutes

£1 per minute (including first 5 minutes)


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Timing of Payment

Payment for appointment sessions & nursery/school visits must be made in advance either in cash at the beginning of the first session or by BACS transfer at least 24 hours in advance. 


For therapy appointments, a least 4 appointments must be booked and paid for in advance.  If a booking is made for fewer than 4 appointments, these will be charged as review appointments.


A specific timeslot for any appointment may be reserved only if it has been paid for in advance.  However, if a verbal agreement without payment has been made with TALK RePaiRs for a specific appointment date & time, TALK RePaiRs will endeavour to honour this agreement.  


Payment for reports must be made in advance.


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Cancellation.

If you need to cancel an appointment session, please let the therapist know as soon as possible. Fees are determined according to how far in advance of the scheduled appointment the therapist receives notification of the cancellation – see table below:

More than 1 week in advance

No fee payable

24 hours - 1 week in advance

Half fee payable

Less than 24 hours in advance

Full fee payable

Fees outstanding from a cancelled appointment session must be settled before any further appointment session. If any fees remain outstanding 24 hours before a further session is scheduled, the scheduled session will be cancelled and no more sessions will be arranged until the outstanding fee has been paid.


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Concurrent NHS Therapy

When a child is receiving NHS-based speech and language therapy as well as independent speech and language therapy, it is good professional practice for the different therapists to talk with each other and share information to ensure that the child receives the best possible treatment. If a child is receiving NHS-based speech and language therapy, their parents should discuss this with the independent therapist, including any concerns they may have about information being shared.


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Liability

Advice is given in good faith based on many years of experience in the field of speech, language and communication needs. Neither TALK RePaiRs Ltd nor Ed Hooke can be held liable for any loss, damage, injury, liability, cost or expense of any nature whatsoever arising out of the use of the information/advice provided either written, verbally or published on any website (whether direct, indirect or consequential).


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Copyright  © 2013  Talk Repairs Ltd     www.talkrepairs.co.uk