Multidisciplinary Team

Speech and Language Therapy

Speech and Language Therapy is provided by the Bexley Team from Oxleas NHS Trust.

Our SLT team includes two SLTs and an intervention TA Hind who is coached and trained by SLT team. SLT team is provided by Marlborough School for 5.5 days to provide Universal, targeted and Specialist support. Our SaLT team supports students at both our sites on Marlborough Park Avenue and Marlborough Legacy at Chislehurst and Sidcup Grammar School.

The dysphagia team also provides assessments and guidance for pupils with eating and drinking difficulties.

Universal Support	Targeted Support	Specialist Support
Universal Support is available to all students Training on approaches relevant to all students. Training opportunities offered to both school staff and parents/carers Environmental audits and adaptions to the environment which will benefit all students Supporting teaching staff to integrate suggested strategies/ideas into their daily learning offer and to review the impact Termly meetings between the SaLT and class teacher to agree communication goals in line with Education, Health and Care Plan (EHCP) outcomes and priorities for the student. Universal support may be offered by a therapist or an assistant and is delivered throughout each day by the school team	Targeted Support can be direct or indirect. It is most often led by the school. There is a specific focus/goal which is being worked towards. Targeted support can be: Direct therapy (1:1, paired, group or whole class) focused on identified communication needs such as understanding of language, use of language (spoken or via an alternative communication system), speech sounds, stammering, social understanding and interaction etc Informal assessment with follow up advice Observation and advice Referral to and work with other services including Local Authority Services and tertiary services Training (and coaching) on approaches relevant to a specific student/group of students. Training opportunities offered to both school staff and parents/carers	Specialist Support can be direct or indirect. It may be led by a therapist or an assistant. There is a specific focus/goal which is being worked towards and generally the focus is on the needs of one student. This includes the activities listed under “targeted” plus those described below; Contribution to PLPs/Wellbeing Plans Contribution to annual reviews and other reports requested Bespoke training or attendance at meetings relating to one specific student Development of communication systems, communication passports/profiles All CYP are open to SLT for specialist input. The number of hours required is outlined in Section F of their Education, Health and Care Plan (EHCP).

Universal Support

Targeted Support

Specialist Support

Universal Support is available to all students Training on approaches relevant to all students.

Training opportunities offered to both school staff and parents/carers
Environmental audits and adaptions to the environment which will benefit all students
Supporting teaching staff to integrate suggested strategies/ideas into their daily learning offer and to review the impact
Termly meetings between the SaLT and class teacher to agree communication goals in line with Education, Health and Care Plan (EHCP) outcomes and priorities for the student.

Universal support may be offered by a therapist or an assistant and is delivered throughout each day by the school team

Targeted Support can be direct or indirect. It is most often led by the school. There is a specific focus/goal which is being worked towards. Targeted support can be:

Direct therapy (1:1, paired, group or whole class) focused on identified communication needs such as understanding of language, use of language (spoken or via an alternative communication system), speech sounds, stammering, social understanding and interaction etc
Informal assessment with follow up advice
Observation and advice
Referral to and work with other services including Local Authority Services and tertiary services
Training (and coaching) on approaches relevant to a specific student/group of students. Training opportunities offered to both school staff and parents/carers

Specialist Support can be direct or indirect. It may be led by a therapist or an assistant. There is a specific focus/goal which is being worked towards and generally the focus is on the needs of one student.

This includes the activities listed under “targeted” plus those described below;

Contribution to PLPs/Wellbeing Plans
Contribution to annual reviews and other reports requested
Bespoke training or attendance at meetings relating to one specific student
Development of communication systems, communication passports/profiles

All CYP are open to SLT for specialist input. The number of hours required is outlined in Section F of their Education, Health and Care Plan (EHCP).

If you would like to speak to a therapist, please contact them through the school or email them at oxl-tr.BexleySCS-SPA@nhs.net or telephone 0203 004 0092.

Physiotherapy

Physiotherapy is provided by the Bexley Team from Oxleas NHS Trust.

The current school Physiotherapist is Lesley Hopkins. She provides a service to students who have difficulties with gross motor skills limiting their functional independence. Her work is centred on the needs of the student, thereby maximising the ability of the individual, and enabling them to reach their full potential.

Lesley assesses, reviews, writes physiotherapy programs, and co-ordinates equipment and orthosis’ for students that require them and communicates regularly with parents/carers

She works closely with the MOVE team to develop functional programs to help maximize the child’s level of functional independence.

If you would like to speak to a therapist, please contact them through the school or email them at oxl-tr.bexleyscs-spa@nhs.net or telephone 0203 004 0092.

Occupational Therapy

Occupational Therapy is provided by the Bexley Team from Oxleas NHS Trust.

The current school OT is Comfort. Occupational Therapy enables young people to maximise their independence in everyday activities, such as, feeding themselves. At Marlborough School the Occupational Therapist focuses on specialist seating to enable the student to participate in class activities. The Occupational Therapists also review student's abilities to be independent in daily activities, e.g feeding and toileting. They will recommend equipment and techniques where necessary. If a student needs an upper limb splint, they will be referred to the splinting service at Acorns Children's Centre.

If you would like to speak to a therapist, please contact them through the school or email them at oxl-tr.bexleyscs-spa@nhs.net or telephone 0203 004 0092.

In addition, we also buy in one day of private OT from Lotus Children's OT, from Diana. Diana supports students with sensory needs, embeds interventions such as Fun with Foods, and leads staff CPD.

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Music Therapy

In Janaury 2025, a music therapist from Nordoff Robins joined our MDT.

Multidisciplinary Team

Learning