How we work
If you sense something wrong with your child’s communication, we can quickly arrange an assessment and, if appropriate, devise an individual programme of therapy designed to meet your son or daughter’s needs.
We have a three stage process: initial contact, assessment with recommendations, therapy.
You can get in touch with us directly about your child either by email or phone. It is helpful for us to have as much background information as possible about your child. This will help us decide on the most appropriate form of assessment. We usually like to do this by phone. There is no charge for this.
The assessment is a collaborative process where the expertise of you, the parent, and the therapist are drawn together. Your contribution is therefore crucial to enable us to gain a comprehensive picture of your child. Our aim is to ascertain your child’s strengths and weaknesses in order to advise on his/her therapy and educational needs as appropriate.
A number of assessments will be carried out, including parent interviews, so that we can get a full understanding of how your child responds in other environments.
The assessment will include:
- A discussion on your expectations of the assessment and any issues relating to your child’s development.
- An informal observation of your child through play or conversation.
- During assessment we are looking at the whole child and that includes taking into account learning skills, attention control, emotional development, physical development, sensory processing and independence skills as well as speech, language, social communication and play skills. Sometimes we recommend assessment with other professionals.
- Where relevant, and with your permission, we may video or audio record a part or whole of the session with your child. This is a vital tool in both in diagnosis and in therapy.
There are two levels of assessment
An informal assessment £95
This is takes about an hour. Following this you will receive
- Verbal feedback and advice
- A short written evaluation (if needed)
- Recommendations for further action
It may be that we need more information, so we may need to arrange further sessions with your agreement.
Detailed assessment £350
Often where your child has more complex needs we will need to carry out a more thorough investigation. This can last between 2-3 hours. It may take place over 2 sessions although further sessions (e.g. school/ home visits) may be necessary at an additional cost. The time is spent with the child and parent or teacher. The fee also includes detailed analysis of any formal assessments, language samples and observations carried out at the assessment session. We will discuss our findings with you. You will have a written evaluation of our findings including recommendations and any resources that may be relevant.
The detailed assessment will include
- Informal assessment through play, conversation, observation, and structured tasks
- Standardised and non- standardised assessment procedures where appropriate
- Parent questionnaire and discussion
- Liaison with other professionals involved
- Analysis of assessment
- Detailed report including evaluation and recommendations
- Target setting
- Written programme/advice
- Any appropriate resources to accompany activities recommended (these may be charged separately
- Additional meetings can be arranged to discuss findings in detail if requested, but these may be chargeable
Where required, the programme of therapy will start following agreement of the recommendations. A standard therapy session normally lasts between 45 minutes and 1 hour. This includes time spent with the child and parents or teachers. The fee also includes time spent outside the consultation in
- Session planning
- liaising with parents and professionals and
- record keeping.
It is often recommended that as part of your child’s plan we need to provide additional services to direct 1:1 sessions e.g.
- written therapy programmes
- training sessions for teaching staff
- face to face meetings
- onward referral letters
- provide specific resources
Any items such as these will be charged separately, but will be agreed with you in advance. It is often difficult to estimate the exact number of sessions of therapy that will be necessary. It is our usual practice to offer a pre-agreed number of treatment sessions, with an opportunity to review management options with you at the end of that period. Parents are free to withdraw a child from therapy at any time. Equally, if we feel that therapy is, at any time, not being effective, then we will discuss this with you and may recommend that we stop.
Short Reports/Detailed letters/Programmes
In certain circumstances (e.g. complex cases) detailed assessments may last longer, or further assessment sessions may be recommended (e.g. a school or nursery visit). Additional hours spent are charged and will always be discussed with the parent/carer in advance.
Attendance at Case Conferences, Multi-Disciplinary Meetings and Other Related Discussions
This will be charged at £65 for the first hour (or part hour), plus travel (see below).
An hour is usually sufficient time but if the session takes considerably longer then an additional pro rata charge may be incurred.
Teachers often request school/nursery visits. Such visits are only made with parental agreement. These will be charged at £65 for the first hour (or part hour) plus travel. Once again, an hour is usually sufficient time, but if the session takes considerably longer an additional pro rata charge may be incurred as above. Therapy can be undertaken in school or at home on a regular basis but there may be an additional mileage charge. Where home/school activities are provided, it is the responsibility of the parents/carers to ensure that the therapy materials are sent back on the appropriate day, and for informing us if their child will be absent from school.
Parents/carers are encouraged to come to school-based sessions by arrangement with school. They can also telephone us to discuss progress and/or any concerns or queries they may have. We are often working away from our base during the day, but any messages left will be responded to as soon as possible.
We do offer specialist assessments and interventions in
- SCERTS (Social Communication, Emotional Regulation and Transactional Support)
The cost of these specialist assessments start at £350. Any additional review sessions will be charged at our standard rate.
We do also provide Autism assessment and diagnosis with our partners. These are charged at a separate rate.
We try to keep costs as low as possible. An assessment for Autism can cost in the region of £1,000, but can be more depending on the number of sessions needed and if any travel costs are incurred.
If you would like more information on the cost of these services please contact us.
Talks, workshops and training sessions for groups of parents and professionals can be arranged. These are charged at the hourly rate of £65 pro rata. Additional charges at the same rate will be made for time taken in preparation and the provision of handouts etc.
Travel is charged at 45p per mile. Round trip distances over 20 miles for domiciliary, school and other visits away from the company base may incur an additional time charge pro rata based on the hourly rate.
|Initial phone call
|Initial consultation screen
|Detailed/specialist assessment and recommendations
||£65 (45mins- 1hour)
||Part sessions (30 mins) £45
|Detailed reports (e.g. EHCP)
||Therapy in school/staff guidance/curriculum support/ EHC support – cost to be agreed depending on recommendations
|Joint sessions (2 therapists for 1 child)
||Fees based on hourly rate but will vary depending on nature of the group
From time to time ‘The Talking House Ltd’ may update these Terms to clarify our practices or to reflect new or different practices, such as when we add new features, and we reserve the right in its sole discretion to modify and/or make changes to these Terms at any time. If we make any material change to these Terms, we will notify you using prominent means such as by email notice sent to the email address specified in the details you provide for us. Modifications will become effective on the day they are posted unless stated otherwise.
Your continued use of our services after changes become effective means that you accept those changes. We advise that you visit the website regularly to ensure you are aware of the latest version of the Terms, as any revised Terms will supersede all previous Terms.
We will invoice you monthly. Invoices are usually sent via email but can be sent by post if you prefer. Reports should be paid on receipt of the relevant report and invoice. Payment is expected within 30 days of the date of the invoice.
Payments can be made via online banking or by cheque. We prefer not to take cash unless specifically arranged in advance regarding collection. We don’t have card payment facilities. If your payment method fails or your account is past due, then we may collect fees owed using other collection mechanisms. This may include charging other payment methods on file with us and/or retaining collection agencies and legal counsel. We may also suspend any services pending resolution of any amounts due by you to ‘The Talking House Ltd’.
Parents/carers using private health insurance are responsible for settling the invoice and claiming from the insurer concerned. It is advisable to check the level and nature of your cover with the insurer before agreeing to therapy.
If you have difficulties in meeting the cost of therapy, then please talk to us. We have a number of options available including a small numbers of free places from time to time.
Cheques should be made payable to… “The Talking House Ltd”
Our team take great pride in their work and we limit the numbers of clients we see in a day in order to prepare properly and provide the best quality care. We know that life can get difficult sometimes – cars break down, children get sick, important travel commitments crop up at short notice and we will aim to reschedule appointments where possible.
A minimum of 24 hours notice of cancellation of appointments is required.
Please contact us via phone or email and please make sure that we have confirmed your notification.
Frequent missed appointments or late cancellations are very likely to interfere with the effectiveness of therapy and quality of care so we may discuss with you alternative solutions or postponing intervention.
(a) If you fail to attend, cancel or seek to reschedule an appointment with less than one days notice:
(i) you will be liable to pay us the fee; and
(ii) if you have already paid us part or all of the fee, we can’t offer a refund for such appointment except, at our sole discretion, in exceptional circumstances.
(b) If you fail to attend two or more appointments, we reserve the right to discharge you and/or any child under your care from our service without notice.
If we need to cancel an appointment for any reason, we may do so at any time before the appointment is scheduled to begin. We don’t expect this to happen except in exceptional circumstances, and we’ll refund any fees you’ve paid us for the appointment, or offer you a choice of alternative dates for the appointment, but we can’t be liable to compensate you for any other expenses you’ve incurred in connection with the appointment. We will make every effort to notify you of cancellations, but we can’t guarantee this, especially when an appointment is cancelled at short notice (e.g. if your speech and language therapist is ill).
Liaison and sharing information
It is important for your child’s care that liaison with other professionals involved with his/her learning and development is carried out. All reports will be sent to the parents or carers who have initiated the assessment for them to distribute. Permission will be sought for ‘The Talking House Ltd’ to keep informed other professionals involved in your child’s care and development.
Our professional standards require good liaison and it is good practice, where both an independent and an NHS therapist are involved, for them to work together collaboratively to maximise opportunities for effective therapy to take place. This is also true where there are other professionals involved as well. We are always happy to discuss this policy and any related concerns with parents. Video and audio recording is an important part of Speech and Language Therapy as a means of assessment and also for particular intervention techniques. At times it is also necessary to share this information with other professionals. Please note that your consent (on behalf of yourself or your child) to be recorded in connection with our services will be asked for. The recordings will form part of you or your child’s health records and will be held subject to the terms of our Data Protection Policy.
The Talking House Ltd strives for high quality in offered therapy and resources, and believes all information in therapy, programs and down-loads should be based on sound scientific data and principles. All information supplied by members of The Talking House team is believed to be accurate, but no warranties, express or implied, are made. The Talking House Ltd. is not responsible for the validity or accuracy of any material or ideas presented by other individuals, groups or companies linked to this site.
Therapy, programmes and ideas from The Talking House Ltd. are designed to inform, and/or to facilitate in improving aspects of communication. Unfortunately, some communication difficulties, diseases or disorders do not respond well to treatment and recovery can be slow or not happen at all. In some instances, communication can deteriorate further over time. The programmes, activities, ideas and information offered by The Talking House Ltd. may not lead to a cure or a guarantee that the communication difficulty will improve. The Talking House Ltd. is also not responsible for therapy and/or programmes being carried out incorrectly by other people.
The Talking House Ltd. reserves the right to terminate, suspend, modify, or delete, at our sole discretion, any (a) Submitted Website Content, Company Content, Courses, or any Service
By using Our Services or communicating with The Talking House Ltd., you agree that The Talking House Ltd. may communicate with you electronically regarding security, privacy, and administrative issues relating to your use of the services or these terms. If The Talking House Ltd. learns of a security system’s breach, we may attempt to notify you electronically by posting a notice through the website or sending an email to you. You may have a legal right to receive this notice in writing. To receive free written notice of a security breach (or to withdraw your consent from receiving electronic notice), please write to firstname.lastname@example.org. Notice will be deemed given twenty-four hours after e-mail is sent, unless the sending party is notified that the e-mail address is invalid. Alternatively, The Talking House Ltd. may give you legal notice by mail to a postal address, if provided by you through your use any of the services. In such case, notice will be deemed given three days after the date of mailing.
You have the right to terminate therapy at any time. We aim to provide the best quality care. If you believe that you have not been provided a service delivered with an appropriate level of care and skill, then please contact Julie Anstey.
All our therapists are registered to practice with the Health and Care Professions Council (HCPC). This means that we conform to professional clinical standards as determined by the HCPC. A copy of the standards is available to download from HCPC website (click here to link).
Please discuss any complaints or concerns that you may have with me, Julie Anstey, in the first instance. If we are unable to resolve the difficulty, then please write to:
Association of Speech and Language Therapists in Independent Practice.
c/o WSS Coleheath
Princes Risborough HP27 0SZ
You may also contact the Health and Care Professions Council at
Park House, 184 Kennington Park Road
London, SE11 4BU
Phone: 020 7840 9814
Fax: 020 7582 4874
Before an initial consultation, parents or carers will be asked to sign, and return to me, a declaration indicating that they have read, understood and agree to the terms and conditions.
Julie Anstey MSc, BSc (Hons), regHCPC, certRCSLT, MASLTIP
The Talking House Limited
Royal College of Speech and Language Therapists Membership no. RC0010222
HCPC number: SL06971