& Carers

Your first appointment


Once your child has been referred to the Speech and Language therapy service and the appropriate forms have been completed an appointment will be arranged.  This first appointment is known as an initial assessment.

The First Appointment - What to Expect (initial assessment)

This initial assessment appointment will allow the Speech and Language
Therapist to assess your child’s speech and language difficulties.

What will happen at my Initial Assessment Appointment?

  • The appointment usually lasts between 45 minutes and an hour.
  • The Therapist will ask about your child’s development. Bring your parent held record if you have one.
  • It is a two-way discussion. You will be asked for your views on your child’s speech and language, and what you think is important for them. Feel free to ask any questions.
  • There will be toys for your child to play with while we talk.
  • Bring along your child’s favourite toy or book.
  • The Therapist will play with your child, or use books and pictures if he/she is older.
  • Don’t worry if your child is shy at the first appointment. We’re used to this!
  • You could bring some notes of what your child says or an audio/video clip.
  • If your child is in nursery or school, it is helpful if you seek the views of the staff on your child’s speech and language.

What will the Speech and Language Therapist look at?
Depending on why your child has been referred the Speech and Language Therapist will want to find out about some of the following areas of your child’s speech and language development:

  • their attention and listening skills
  • their understanding of words and sentences
  • the words they use
  • how they put words together
  • their speech sounds
  • their play skills
  • their social skills, eg., eye contact, taking turns
  • what their voice sounds like
  • how fluently they speak

What Happens after my Initial Assessment Appointment?
Towards the end of the appointment the Therapist will discuss her findings with you and together you will decide what should happen next. This may be a monitoring review in clinic, a school/setting visit or being listed for further therapy sessions. 

It is important that you attend your appointment.  Please let us know if you are unable to keep the appointment.  If you do not attend and do not contact us, your child will be discharged from the service and no further appointments will be sent.



Student training and what this might mean for you

Salford Royal Foundation Trust is a teaching organisation. All our clinical services are committed to the education and training of the next generation of health and social care professionals.

If you and your child use our service you may come into contact with students. Sometimes students may observe you or your child’s treatment. On other occasions they may carry out assessment or deliver treatment.

Please be assured that any information, which you share with either the student or the supervising clinician, will be treated with the strictest confidence in accordance with Salford Royal Foundation Trust's policy on confidentiality.

All assessments and interventions carried out by students are overseen by a qualified Speech and Language Therapist, so that the quality of your care will not be affected in any way. All procedures carried out by students are in accordance with the same policies and guidelines that govern qualified clinical staff.

You will always be asked for your consent for a student to be present. You have the right to refuse this request. Should you refuse consent for a student to be present or to carry out treatment, the quality of your care will not be compromised in any way.

All students working in Salford Royal Foundation Trust's have undergone health and police checks to ensure that they are suitable to work with patients.


Local Initiatives

Early Years Initiatives

Our Early years team are currently working together with the Association of Greater Manchester Authorities, this includes a rollout of language screening of children using Wellcomm tool.

School Age Initiatives

This is an area currently under development. There are a number of exciting developments to look forward to in the upcoming months in regards to how we work in schools.


 Enhanced Services initiatives

The Enhanced Speech and Language Therapy (SALT) Service offer bought-in input in schools. This might involve universal input, individual or group interventions. The Enhanced Team also support schools and staff to develop communication friendly environments and deliver training. For further information, please contact Fiona Taylor –


I have found working with the speech therapist very beneficial. She helps me to set achievable goals for the children by coming into the nursery and interacting with the children and getting to know them. She talks to us on a regular basis and updates us on what targets she would like the children to achieve next. She teaches us new strategies to use with the children which we find really useful, we try to incorporate this into everyday activities. Parent’s often comment on how much they appreciate the advice from our therapist. They also comment on how much progress their children have made since visiting her. We don’t know what we would do without her!

Anneka Williamson, Children’s Centre Practitioner

“It brought different activities to his usual routine which he enjoyed and encouraged him to participate”


“I have two children who are supported by the speech and language therapy service. The therapists have lots of patience with my children. Both Christipher and Marcus have come on a lot. Marcus now has lots more confidence and he talks much more in the classroom. Christipher isn’t as stressed anymore, his therapist has taught me exactly what to do. If I need any help, she is very easy to approach. Before I try new things with Christipher I can check with her first. The therapist knows him very well. She has worked wonders with him. Without her, I wouldn’t know what to do.”

Nicola, Mum of Christipher and Marcus

"My son Lewis has been attending speech and language for a few years. He has come on briliantly and is more confident. His speech is so much clearer now. He also enjoys the sessions. Jean gives me loads of ideas about how to continue helping him at home. He gets work sheets to take home which also he enjoys doing. Lewis has a short attention span and can find it difficult to concentrate for long, but Jean makes it very interesting for Lewis and different every session."

Tracy, Lewis

"I am Megan’s mum. Megan was identified as having speech and language difficulties when she was at primary school. Since this time she has been supported by the Education Inclusion Service Speech and Language team. This has made a huge difference to the development of Megan’s speech and language. Not only do they support Meg, they also support the staff at the school in delivering the programmes that Megan needs. The team are also there to answer any questions that I may have and will send us regular information on Megan’s target’s, what they are and if she has achieved them. Megan enjoys the sessions that she attends at school and they are delivered at times that try not to impact too greatly on her daily school life."

Hayley Robinson, Megan

EPs and SALT frequently work together during Multi agency meetings to Clarify individual concerns and strengths. We develop joint objectives, that are regularly reviewed And evaluated to improve outcomes for children and YP. Parents and teachers comment that this work is effective and helps to increase their Understanding and knowledge. Jointly we increase schools capacity, through conversations and training, to meet the needs of their pupils.

Joanne Snee- Educational Psychologist

“I couldn't be happier Grayson has come on so much in these 6 weeks. It has helped 100%. Thank you so much”

Parent of Grayson

“The service has been really helpful, the staff also been very kind and experienced. My child has learnt and developed some new communication skills and I also as the mom have known new ways to help my child through. Thanks”

Anonymous Parent

“I have not tried to phone as I am deaf. I felt like I was listened to with the use of a BSL interpreter. My son enjoyed coming into the room and playing with the toys.”

Anonymous Parent