Bolton Early Years Integrated Communication and Language Pathway
Getting More Help

Overview
More Help is support additional to that already offered in the 'Every Child', 'Getting Advice' and 'Getting Help' sections of the Pathway.
This further help is offered by other agencies who have not previously been involved with the child and family.
Criteria for accessing More Help:
A parent/carer has concerns in relation to the child’s communication and language development, and:
- Clinical judgement following New Born Observation (NBO) assessment.
- The child is under 5 years old.
- The child has accessed the WellComm intervention (an initial screen, the relevant activities from the Big Book of Ideas shared and implemented followed by a review WellComm screen) and progress is limited.
- A referral to Paediatric Speech and Language Therapy has been completed with the child being triaged to EYCLDS.
Referral guidance and accessing More Help:
If you have any queries about making a referral, please contact EYCLDS for guidance. If there are concerns regarding the child's social communication skills, again please contact EYCLDS prior to making a referral.
We want to ensure that children are receiving a level of support at the right stage of the pathway. For many children, WellComm intervention at the 'Getting Help' stage will be sufficient without needing onward referral to 'Getting More Help'. This is why we ask that evidence of WellComm intervention is included with the referral, so we can see what support has already been provided and that further support is required. In most cases this will be an initial WellComm screen, the relevant activities from the Big Book of Ideas shared and implemented, followed by a review WellComm screen no earlier than 12 weeks later. The child will have demonstrated limited progress. If this information is not included, the referral will be rejected. For exceptions, please see the SALT and EYCLDS Referral Form.
In agreement with EH team, SALT will only be accepting referrals using the referral form attached, which has been tailored to ensure the information we receive is specific and allows a thorough and consistent triage process to be followed in the service. This is to ensure that only those children and young people who need specialist level input are referred into services, and when they are accepted they are on the right pathway based on their needs, with timely input being the ultimate goal.
To access More Help, and make a referral to SALT/ EYCLDS visit: Speech and Language Therapy - Bolton NHS FT and see the 'referrals' section to download the referral form.
Contact EYCLDS
Early Years Communication and Language Development Service,
Oxford Grove Start Well Centre
Tel: 01204 33 8349
Email: eyclds@boltonft.nhs.uk
Resources
Interactive Videos
Scoring Red on a WellComm Assessment
A short video offering EYCLDS guidance when a child scores 'red' on a WellComm assessment.
The role of the Speech & Language Therapist within 'More Help'
A Bolton Start Well Speech and Language Therapist, provides an overview to the role of the Early Years Speech and Language Therapist within the 'More Help' section of the Bolton Integrated Early Years Communication and Language Pathway.
Enhancing Families
An Enhancing Families Service member from the 0-19 Service, explains how the Enhancing Families team work with Public Health Nursing to support children and families within the 'Getting More Help' section of the Bolton Early Years Integrated Communication & Language Pathway. She outlines some of the services available to children and families in Bolton.