The Adult AAC Service in Gloucestershire

Katherine BroomfieldSpeech and Language Therapist

May 1st 2014

A spoke revolution?

Gloucestershire Adult SLT AAC team: A model spoke?

Background

Who?

What?

How?

Gloucestershire Adult SLT AAC team: A model spoke?

Outcomes

An historical perspective

£10000

£10000 £10000

An historical perspective

1993

An historical perspective

£ £

£

Local services in Gloucestershire

South West AAC Hub

Gloucestershire

CIT

Star college

Special Schools

Adult SLT AAC team

The Gloucestershire Adult SLT AAC team

Roles and responsibilitiesAssistant Band 6 Band 7

1. Maintaining organisation of AAC room

2. Making low tech charts as requested

3. Producing crib sheets as requested

4. Cleaning equipment 5. Preparing equipment for

assessment sessions6. Preparing equipment for loan7. Logging loaned items in loan

book8. Managing and updating

database 9. Arranging for repair of

equipment10. Packing up equipment for repair11. Putting in orders for new

equipment as requested12. Checking new equipment on

arrival13. Recording new equipment on

database14. Labelling new equipment

1. Knowledge of range of AAC available in department and how to set up and programme each device.

2. Routine assessments in relation to AAC and development of low tech charts to support total communication

3. Assessment and training of patients and carers in supporting basic range of high tech AAC systems

4. Attendance at AAC training event at least once a year. (eg CM Conference or Roadshow).

5. Training of others at a local level.

6. Begin to liaise with Regional Centres attend link Therapist days.

1. Knowledge of range of AAC available in UK

2. Knowledge of programming skills required for each device or how to access it.

3. Liaison with relevant companies re new equipment

4. Liaison with Regional Centres as appropriate

5. Complex assessments based on current research/best practice.

6. Specialist interventions particularly for those with unusual, complicated or co-existing difficulties.

7. Joint working with colleagues to offer second opinion

8. Recommending equipment for purchase

9. Monitoring budget for AAC10. Teaching and training of others

at a local, regional and national level.

11. Lead in audit and research related to AAC

12. Contribution to AAC policy at a strategic and departmental level.

13. Research development.  

Basic costings

  Per 1.0wte Per Post identified

1xB7 0.4wte 43,305 17,322

1xB6 0.2 wte 36,119   7,223

1x B3 0.4 wte 21,234   8,494

Annual equipment budget 25000

Grand total 58039

Service specification

Over 18s

Gloucestershire GP

Open referral

Communication difficulty

Mon-Fri 08.30-16.30

Out of county referrals accepted

Exclusion criteria

Loan Library

Equipment budget &

loan library

Database

Support systems and equipment maintenance

Medical engineering

Information governance

Our Care Pathway• Referral – direct or within service• Assessment – Specialist and

joint• Loans:

• Low tech/high tech• demonstration, short term

and mid- term• Goal setting and review

• Short term/long term issue of devices

• Onward referral• Annual review

Loans Process

• Equipment loan information pack• Conditions of loan form• Equipment care form• Equipment loan form (2 copies)• Departmental leaflet

• Demonstration and training

• Goal setting

• 3 month review

• Annual review

Annual review

Departmental competencies and training

AAC Induction

CM roadshows, industry demos and training

CM conference, AAC networks and specialist training

Service development

SL40 groupResearch

AuditNetworks

Glos Adult

SLT AAC service

Case study 158y female with MND Demo

SL40Computer access

SL40 Scanning Connect

Referral to hub

Assessment with Smartbox

Trial with PC EyeGo

Assessment at Hub

How does the Glos spoke shape up?

Any Questions?

Thanks for listening… You can contact us on: AAC@glos-care.nhs.uk