This service provides a tertiary level second opinion service, specialising in the diagnostic assessment and treatment of complex speech sound disorders. The team has particular expertise in Developmental Verbal Dyspraxia (DVD), also known as Childhood Apraxia of Speech (CAS).  The Nuffield Dyspraxia Programme Assessment and the treatment approach are used in our assessments and therapy. 

We do not offer an assessment of ASD, ADHD, Developmental Language Disorder, Global Developmental Delay / Disorder, cleft lip and palate, sensorineural hearing loss or stammering.

Clinical services provided:  

  1. Assessment: Children are seen in the multidisciplinary Paediatric Speech Clinic, for a joint assessment with a consultant doctor and a speech and language therapist.  After the assessment a joint report is generated and we liaise with the child’s local speech and language therapist. According to need, some children will be offered a review appointment after the initial assessment and some may be offered treatment at our centre. 
  2. Treatment: A specialist, time – limited service is provided with the aim of supporting the local speech and language therapist to meet the child’s needs. We also offer “diagnostic therapy” to explore the child’s speech difficulties in greater detail. It is important to note that primary responsibility for therapy provision remains with the local service. 

We provide:
•    Weekly, individual therapy sessions
•    Individual Intensive Therapy Courses – for 5 consecutive sessions, offered during the school holidays. 

Therapy sessions are tailor-made for each child and the therapy approaches include:
•    Nuffield Dyspraxia Programme
•    Ultrasound Therapy 
•    Electropalatography (EPG)
 

General enquiries

Service management

Address

Level 2
Royal National Ear, Nose, Throat and Dental Hospital
47-49 Huntley Street
London
WC1E 6DG

Other referral information

The Developmental Speech Disorders Team provides a tertiary level second opinion service for the assessment and treatment of complex speech sound disorders. The team has particular expertise in the evaluation of Developmental Verbal Dyspraxia (DVD) or Childhood Apraxia of Speech (CAS).

 

Clinical Services Provided:  

1. Assessment: Children are seen in the multidisciplinary Nuffield Paediatric Speech Clinic, for a  joint assessment with a consultant doctor and a speech and language therapist.

After the assessment a joint report is generated and we liaise with the child’s local speech and language therapist.

According to need, some children will be offered a review appointment after the initial assessment and some may be offered treatment at our centre.

2. Treatment: A specialist, time – limited service is provided with the aim of supporting the local speech and language therapist to meet the child’s needs.

We also offer “diagnostic therapy” to explore the child’s speech difficulties in greater detail.

Therapy does not replace the local provision and the primary responsibility of therapy remains with the child’s local speech and language therapy service.

We provide:

  • Weekly, individual therapy sessions
  • Individual Intensive Therapy Courses – for 5 consecutive sessions, offered during the school holidays.

Therapy is tailor – made to the individual child’s assessment profile and the focus of therapy is to explore effective, evidence-based intervention strategies for the individual child.

Therapy approaches which inform our practice include:

The Nuffield Dyspraxia Programme (NDP3),

Ultrasound Therapy

Rapid Syllable Transition Treatment (ReST)

Dynamic Temporal and Tactile Cueing (DTTC)

Electropalatography (EPG).

 

The assessments take place within the multidisciplinary Nuffield Paediatric Speech Clinic.

This tertiary specialist assessment clinic is run by a consultant paediatric audiovestibular specialist doctor and a speech and language therapist.

After the assessment a joint report is generated and we liaise with the child’s local speech and language therapist.

According to need, some children may be invited for a review. Some others may be offered a course of treatment.

A specialist, time limited therapy service is provided. Therapy does not replace the local provision and the primary responsibility of therapy remains with the child’s local speech and language therapy service.

Therapy is tailor – made to the individual child’s assessment profile and the focus of therapy is to explore effective, evidence-based intervention strategies for the individual child.

Therapy approaches which inform our practice include:

The Nuffield Dyspraxia Programme (NDP3),

Ultrasound Therapy

Rapid Syllable Transition Treatment (ReST)

Dynamic Temporal and Tactile Cueing (DTTC)

Electropalatography (EPG).

Referral address

Medical Services
RNENT&EDH
250 Euston Road
London NW1 2PG
 

The following websites provide information on Developmental Verbal Dyspraxia or Childhood Apraxia of Speech.

Apraxia Kids: www.apraxia-kids.org

Royal College of Speech and Language Therapists’ Policy Statement on Developmental Verbal Dyspraxia: https://www.ndp3.org/documents/rcslt2011dvdPolicyStatement.pdf