11/10/2026
This is so important
"Communication is not a therapy activity. It is a fundamental part of being human. And the people supporting it should never be an afterthought."
An EHCP is worth very little if the provision isn't actually delivered. I am increasingly frustrated by the number of families on my caseload who have fought for an EHCP, secured excellent provision in Section F, and then discovered there is nobody available to deliver it.
As Speech and Language Therapists, we cannot work in isolation. Communication happens 24/7, not just during a therapy session. We need skilled tutors, support workers and mentors who understand communication, autism, AAC, sensory differences and the importance of relationships. Yet recruitment and oversight seem woefully inadequate.
There are companies offering these services, but too often the people recruited have little experience of working with children who do not use spoken language, communicate differently or need support with personal care.
Worse still, I hear of individuals who appear to regard these children as difficult or burdensome. These children are not the problem. The lack of understanding and appropriate support is. Many of the children I work with communicate in extraordinary, creative and marvellous ways. They may not speak, but they notice EVERYTHING. The sigh. The facial expression. The impatience. The body language that says someone doesn't really want to be there.
Never confuse an inability to speak with an inability to understand.
We can write the most detailed EHCPs, specify excellent SLT provision and develop carefully considered communication programmes. But without skilled, compassionate people to implement them, they remain words on paper.
Meanwhile, parents are left trying to deliver an entire educational and therapeutic programme themselves. We need better recruitment, meaningful training, specialist supervision and accountability. Above all, we need people who genuinely value these children, rather than simply tolerate them.
Communication is not a therapy activity. It is a fundamental part of being human. And the people supporting it should never be an afterthought.