Many speech and language therapy (SLT) services have limited capacity for providing school-based input. Some offer commissioned SLT input, to enhance the service provided by the UK National Health Service (NHS), giving schools the option to increase the amount and scope of SLT intervention. This two-tiered model of service provision is relatively new and has not been researched. This study investigated the experiences of schools who had commissioned input from the local SLT service, in terms of (1) describing how this was utilized and (2) exploring perceptions of its value. Semi-structured interviews were carried out with special educational needs co-ordinators (SENCos) from 11 schools and were thematically analysed using Framework Analysis. SENCos reported many positive aspects of the commissioned model, including better communication with Speech and Language Therapists (SLTs) and improved outcomes for children. SENCos felt that the numbers of children with speech, language and communication needs (SLCN) had reduced following commissioned input. Very few disadvantages of the model were identified. SLTs delivered a range of activities, including training staff and providing direct input for children. SENCos would recommend the service, and perceived the cost to be moderate. These data suggest that SENCos place a high value on SLT in schools, and welcome the opportunity to purchase additional input.

中文翻译：

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学校委托的言语和语言治疗模型

许多言语和语言治疗 (SLT) 服务提供基于学校的意见的能力有限。有些提供委托的 SLT 输入，以增强英国国民健康服务 (NHS) 提供的服务，让学校可以选择增加 SLT 干预的数量和范围。这种提供服务的两层模式相对较新，尚未进行研究。本研究调查了委托当地 SLT 服务提供意见的学校的经验，包括 (1) 描述其使用方式和 (2) 探索对其价值的看法。对来自 11 所学校的特殊教育需求协调员 (SENCos) 进行了半结构化访谈，并使用框架分析进行了专题分析。SENCos 报告了委托模型的许多积极方面，包括更好地与言语和语言治疗师 (SLT) 沟通并改善儿童的治疗效果。SENCos 认为，在接受委托输入后，有言语、语言和交流需求 (SLCN) 的儿童数量有所减少。该模型的缺点很少被发现。SLT 开展了一系列活动，包括培训员工和为儿童提供直接投入。SENCos 会推荐该服务，并认为成本适中。这些数据表明，SENCos 非常重视学校的 SLT，并欢迎有机会购买额外的投入。SLT 开展了一系列活动，包括培训员工和为儿童提供直接投入。SENCos 会推荐该服务，并认为成本适中。这些数据表明，SENCos 非常重视学校的 SLT，并欢迎有机会购买额外的投入。SLT 开展了一系列活动，包括培训员工和为儿童提供直接投入。SENCos 会推荐该服务，并认为成本适中。这些数据表明，SENCos 非常重视学校的 SLT，并欢迎有机会购买额外的投入。