Speech, language and communication support for children

4th July 2018

Nadhim Zahawi responds to a Westminster Hall debate on speech, language and communication support for children.

It is a pleasure to serve under your chairmanship, Ms Dorries.

The hon. Member for South Shields (Mrs Lewell-Buck) started well by asking us to imagine what it would feel like to be unable to communicate or explain one’s own feelings, and the hon. Member for Birmingham, Edgbaston (Preet Kaur Gill) said the same thing. I do not need to imagine that, because I was that child. I came to this country with my parents as immigrants in 1978 at the age of 11, and I could not speak English. I sat at the back of the class. Initially, my teachers thought I had learning difficulties, but within six months I had picked up the language. I guess I am the embodiment of what speech, language and communication skills can do for a young child immigrant in this country who cannot speak the language properly.

I feel, however, that the hon. Member for South Shields let herself down by politicising this debate—we have had a good debate today—and attempting to weaponise it, whereas the hon. Member for Stoke-on-Trent Central (Gareth Snell), and his colleague the hon. Member for Stoke-on-Trent North (Ruth Smeeth) in an intervention, spoke eloquently about the work being done by Stoke Speaks Out and in the opportunity area. I must say to both hon. Members that the opportunity areas are the best infrastructure I have seen, of any Government intervention, and have a real chance of working for those disadvantaged communities because they are bottom-up, with real, measurable targets and outcomes. My ambition is to ensure that we meet those targets over three years so that I can make the argument that we should keep supporting opportunity areas.

I congratulate my hon. Friend the Member for Taunton Deane (Rebecca Pow) on securing this important debate, and I am grateful for this opportunity to set out the Government’s position on supporting children and young people with special educational needs and disabilities, including those with speech, language and communication needs. I am determined to see children and young people with SLCN receive the support they need to achieve in school and in independent life.

I was pleased to be able to speak at the launch of “Bercow: Ten Years On”, and I am grateful for the work that the Royal College of Speech and Language Therapists, I CAN and, of course, Mr Speaker himself have done. It was a good coming together of all the specialists, and I put it on the record that the Government will respond formally to the report in due course. I have recently accepted an invitation from the all-party parliamentary group on speech and language difficulties to discuss how we can work together to best support children and young people with SLCN. I hope hon. Members here, and others, will join me in attending the seminar.

Our latest figures show that SLCN is the second commonest need for pupils with an educational health and care plan, with 14.3% of pupils having that need. It is also the second commonest need for those with special educational needs support, at 22%. I know that the “Bercow: Ten Years On” review reports that there is a poor understanding of SLCN and insufficient resourcing for the sector, and many colleagues have talked about that. Of course, that is neither my nor the Government’s expectation. I expect children and young people with SLCN to receive the support they need to help them fulfil their aspirations alongside their peers, and we are taking action to make that a reality.

Turning to the SEND reforms of 2014, a lot of progress has been made over the 10 years since the original Bercow review was carried out. The Government have introduced, through the Children and Families Act 2014, the biggest change to the system in a generation. The reforms are about improving the support that is available to all children and young people with SEND. We are doing that by joining up services for ages nought to 25 across education, health and social care, and by focusing on positive outcomes in education, employment, housing, health and community participation. The move to a more child-centred, multi-agency and participative education, health and care needs assessment is improving the support that is available to children and young people with SEND, including those with SLCN.

As of 31 March, over 236,000 children and young people had had their statement of SEN converted to an EHC plan, which equates to 98.4%. That is great news, but we know there is much more to do. The completion of the statutory transition period to the new system is a great achievement, but it is not the end point for the reforms. We are only part of the way to achieving our vision. The biggest issue we now have to address is changing the culture in local government, clinical commissioning groups and education settings.

Will the Minister give way?

I am short of time and I have a lot to say about this subject, so the hon. Lady will forgive me if I do not.

Supporting schools to respond to the needs of all their pupils is crucial to achieving our ultimate goal of culture change. We know that spoken language underpins the development of reading and writing, and that the quality and variety of language that pupils hear and speak is vital for developing their vocabulary, grammar, reading and writing. The national curriculum for English, which colleagues mentioned in their comments, reflects the importance of spoken language in pupils’ development across the whole curriculum. At primary level, children should be taught to ask relevant questions, to articulate and justify answers, arguments and opinions, to participate in collaborative conversation, to use spoken language to develop understanding and to speak audibly and fluently, with an increasing command of English. Teachers should ensure the continual development of pupils’ confidence and competence in spoken language and listening skills.

Having developed those resources and many others relating to other specific impairments, we are now taking a more strategic approach to better supporting the educational workforce and equipping them to deliver high-quality teaching across all types of SEN. We have recently contracted with the Whole School SEND Consortium to enable schools to identify and meet their SEND training needs, and I am delighted that the Communication Trust is part of that consortium.

Through that work, the Whole School SEND Consortium will create regional hubs across the country to bring together local SEND practitioners. The hubs will work to encourage schools to prioritise SEND within their continuous professional development and school improvement plans. The resources provide leaders, teachers and practitioners with access to information about evidence-based practice that can be effective for SEN support, including for those with SLCN.

In terms of joint work and joint commissioning at local authority level, the duty to commission services jointly is vital to the success of the SEND reforms. We recognise that unless education, health and social care partners work together, we will not see that holistic approach to a child’s progression or the positive outcomes that the system aims to achieve. Joint working is one of the best ways of managing pressures on local authority and NHS budgets. Looking for more efficient ways to work together, to share information and to avoid duplication will work in favour of professionals and families.

Some areas are demonstrating excellent joint working. Wiltshire is an example, with positive feedback on the effectiveness of its local joint commissioning arrangements. It was reported that senior officers across education, health and care worked together effectively, adopting a well-integrated and multi-agency approach to plan and deliver services to children and young people with SEND. We want to learn from those examples. The hon. Member for Stoke-on-Trent Central mentioned the evidence gathered through Stoke Speaks Out. It troubles me that that particular group of people have to keep reinventing and going back for different pots of money, rather than our looking at that evidence and beginning to scale it for the rest of the country.

One of the challenges with Stoke Speaks Out is that when it started in 2006 it had 30 staff, but in 2015 it went down to half a member of staff. Now it has gone back up to nearly 10, but its funding is being cut again. That inconsistency is not delivering for the children of Stoke-on-Trent.

I hear the hon. Lady’s point; I know she is a great champion of the project, and I pledge to her that I will look at this evidence and see what more we can do to ensure that there are consistent outcomes.

The hon. Member for Stoke-on-Trent Central talked about early years education. It is fundamental that we identify SLCN as early as possible, as we know that can have a profound impact later in life. Children who struggle with language at age five are six times less likely to reach the expected level in English at age 11 than children who have good language skills at age five, and 11 times less likely to achieve the expected level in maths. By age three, disadvantaged children are, on average, already almost a full year and a half behind their more affluent peers in their early language development. That is also why, from a social mobility perspective, the case for addressing SLCN in the early years is so important.

In our social mobility action plan, “Unlocking Talent, Fulfilling Potential”, we announced our ambition to close the word gap in the early years between disadvantaged children and their peers.

Will the Minister give way?

I will make some progress and then, as I think we might be all right on time, I will give way.

We have announced a range of measures worth more than £100 million to address word gap, including £20 million for school-led professional development for early years practitioners to support early language development, and a £5 million “what works” fund in partnership with the Education Endowment Foundation. The evidence is clear that parents have a crucial role in this area. The “Study of Early Education and Development” report showed that, aside from maternal education, the home learning environment is the single biggest influence on a child’s vocabulary at age three. We will therefore invest £5 million to trial evidence-based home learning environment programmes in the north of England.

On 1 July, we launched a £6.5 million fund and invited voluntary and community sector organisations to bid for grants to run projects that help disadvantaged families and children with additional needs, and improve children’s early language and literacy skills. Local authorities sit at the centre of a wide range of services and workforces that make a big difference to SLCN. We will work with local authorities through a peer support and challenge programme to deliver better early language outcomes for disadvantaged children, learning from the best evidence so that we can scale it. We will also publish an early years dashboard showing local authorities’ performance in early years outcomes, with a focus on disadvantaged children and early language and literacy.

We recognise the important links between a child’s early health and development and their later education outcomes. That is why we have formed a partnership with Public Health England, which my hon. Friend the Member for Taunton Deane mentioned, and the Department of Health and Social Care to improve early language outcomes for disadvantaged children. In May, Public Health England launched a call for good local practice and pathway examples. At a workshop in London today, it will set out the key components of a model speech, language and communication needs pathway built on the best evidence and experience of implementation in practice. Those resources will provide health visitors with additional tools and training to identify and support children’s SLCN, and ensure that the right support is put in place early.

Let me turn to the mental health Green Paper. Mental health was another key feature of the “Bercow: Ten Years On” report, which highlighted the links between SLCN and mental health issues and made a number of recommendations about how the proposals in the Green Paper link with SLCN provision. The Government published the Green Paper, “Transforming Children and Young People’s Mental Health Provision”, on 4 December last year. The consultation closed on 2 March and we are currently considering responses. We will issue a formal response in due course.

The Green Paper creates clear expectations about the changes every area should seek in order to improve activity on prevention, partnership working between children and young people’s mental health services and schools, and access to specialist support. As part of that, we are incentivising every school and college to train a designated senior lead for mental health to co-ordinate a whole-school approach to mental health and wellbeing. We expect the designated senior lead to liaise with speech and language therapists to ensure that children with SLCN receive the help they need.

I thank the Minister for eventually giving way. He said that I had let myself down by making this issue political. I respectfully say that he is letting me and other hon. Members down. I listed a litany of failures by this Government towards children with speech, language and communication needs, and not once—

Order. Mrs Lewell-Buck, please make an intervention, not a speech.

Sorry. Not once has the Minister responded with anything practical. All he says is, “In the future we will”. What about now? This is urgent.

I call the Minister. Please remember to leave a minute for Ms Pow to wind up the debate.

Of course, Ms Dorries.

The Department of Health and Social Care recognises the need to support children and young people with SLCN who are in the justice system. Liaison and diversion services at police stations and courts identify and assess people with vulnerabilities and refer them to the appropriate services—where appropriate, away from the justice system altogether.

 comprehensive health assessment tool care plan is undertaken for all children, setting out their needs and the provision of health services. All sites have access to the full range of comprehensive child and adolescent mental health provision for children with mental health or neuro-disability needs, including child psychiatrists and psychologists, specialist nurses, occupational therapists and speech and language therapists.

Let me address the point that was made by the hon. Member for Motherwell and Wishaw (Marion Fellows) about the devolved Scottish Government. I am more than happy to come up and learn what the Scottish Government are undertaking, and to share good practice from England.

My hon. Friend the Member for Banff and Buchan (David Duguid) mentioned the niche chromosomal deficiency 22q11.2. I am happy to discuss that with him to understand it a little better. I already work closely with my colleagues in the Department of Health and Social Care to raise the issue of practitioners treating people as statistical outliers, rather than as real children with real families, and I will take what he said on board.

I am grateful for the support right hon. and hon. Members have given this agenda. My hon. Friend the Member for Taunton Deane raised important concerns and I hope that she is happy with my update. The steps the Government have taken show the importance of SLCN, and I hope I have demonstrated that we remain firmly committed and have a real strategy, real funding and real commitment to ensure that children and young people with SLCN receive the support they need.

I thank my hon. Friend again for giving me the opportunity to speak about this subject. I look forward to seeing some colleagues who are present at the APPG on speech and language difficulties.

Hansard

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