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Information from the London Borough of Sutton

Health - Adult Community Speech and Language Therapy (ACSLT)

Record details

Name of service
Adult Community Speech and Language Therapy (ACSLT) (NHS) (provided by Sutton and Merton Community Services, part of the Royal Marsden NHS Foundation Trust)
Universal, Targeted or Specialist
The service is specialist, as we have Speech and Language Therapists within the team who are experienced in working with specific conditions and client groups
Type of service
• The Adult Community Speech and Language Therapy Department provides a service to young people and adults aged 18 and over. Assessment, treatment and/or advice on managing conditions may be provided to clients with communication, speech, language, eating, drinking and swallowing difficulties
• The team works closely with other community services (e.g. Social Services) to provide a multi-disciplinary approach to rehabilitation
SEND achievement aims
• Our team works across Sutton (and Merton)
• We aim to improve quality of life (and use approaches that are evidence-based) and aim to empower our clients through education
• We work in partnership with clients, their carers, professionals and other stakeholders. We help clients become as independent as they can in self managing their condition/s, and to improve their recovery and wellbeing
• Our aim is to tailor our advice to each individual client, taking into consideration their preferences, lifestyle, and social factors
Location and delivery
• We provide outpatient clinics including in Sutton at Jubilee Health Centre (Wallington), and at The Wilson Hospital (Mitcham)
• We also provide a home visiting service to individuals who are housebound, including young people and adults with complex needs and those who live in care homes
Adult Community Speech and Language Therapy Department
Wilson Hospital
Cranmer Road

Journey Planner

Target service users
• Our service provides assessment, diagnosis and treatment for young people and adults with a range of acquired speech, language, cognitive and swallowing difficulties
• Clients with communication or swallowing difficulties arising from stroke, progressive neurological disorders, dementia, head injury or respiratory difficulties are eligible for referral to our service
• Clients with communication, speech and/or language difficulties that are likely a result of their learning disability, should be referred to the Merton Team for People with Learning Disabilities & Complex Needs (telephone 020 8545 4430)
• Young people or adults with Learning Disabilities who have eating, drinking and swallowing difficulties should be referred to the Dysphagia Team for Adults with Learning Disabilities (see: for referral form)
• Individuals with stammering difficulties should be referred to The Stammering Service (Telephone 0208 544 2059)
• Individuals with a difficulty using their voice should be referred to the Specialist Voice Service at St Helier Hospital on 0208 296 2476 (only after they have had an ENT assessment, as requested by their GP or specialist)
• Individuals with difficulties due to a neurological cause who require intervention from more than one discipline (e.g. Speech and Language Therapy and Occupational Therapy and/or Physiotherapy), should be referred to the Community Neuro Therapy Team (see for information and referral form)
• We work with clients who are referred by any individual (and individuals can even refer themselves)
• Adults must be registered with a GP practice which is in Merton or Sutton. (This means that clients can still use the service if they don’t live in Sutton as long as their GP practice is in either Merton or Sutton)
SEND accessibility
• Clinics are accessible to wheelchairs or other specialist seating, and we offer home visits to individuals who are housebound• The service will book and use interpreters for languages other than English (including British Sign Language)
• The Adult Community Speech and Language Therapy service is open from Monday to Friday, between 8.30 am to 16:30 hours
• Clinic and home visits are offered at times to suit each individual
• Clinic appointment times depend on the preferred location of a clinic
• A service is provided during school holidays
• Clients are typically provided a service until set goals are met, or the individual is able to self manage their condition
How to access service

A referral is required in order to start using the Adult Community Speech and Language Therapy service. Referrals can be made by any individual (and individuals can even refer themselves). If your GP does not refer you to our service, a member of our team may contact your GP to obtain specialist information on your medical history. A referral form is available for our service here.  At the bottom of the last page of the referral form are details as to how to return it.

When we receive the referral we check to see:

  • Does the young person have a GP in Merton or Sutton?
  • Are they aged 18 years or over
  • The individual meets our referral criteria (see section 6) – if they do not meet the above, we will make recommendations to the referrer regarding alternative services which may be of benefit or other sources of information

The service will write to your GP, and we will also let you know if we are accepting the referral or not. If we accept the referral, we will send you a letter inviting you (or possibly someone on your behalf) to phone to book a clinic appointment. On some occasions the service may contact you directly to book an appointment

Evaluation of service
• All individuals being provided a service by the Adult Community Speech and Language Therapy team will have assessment or treatment goals, which are discussed at the start of. Goals can be flexible and are reviewed to check they are still appropriate. We then assess goal outcomes following a treatment period to see if the set goals have been achieved
• We report how many clients achieve their goals to GP commissioning groups who commission and fund our service. In this way we are always making sure that what we do is actually making a difference to the people with work with
Quality assurance
All Speech and Language Therapy clinicians receive regular clinical and management supervision. Each member of the team is responsible to a Clinical Lead who regularly monitors their work. Clinical Leads offer support and advice, and other specialist members of the team can be asked to provide second opinions and additional clinical support.

All staff are required by the Health and Care Professions Council (HCPC) to update their skills and practice throughout the year.

All staff work to clinical standards as laid down by our professional organisation, The Royal College of Speech and Language Therapists (RCSLT) and also need to comply with all the clinical policies and procedures set out by the Royal Marsden NHS Foundation Trust.

The Care Quality Commission can review the service provided by the Royal Marsden NHS Foundation Trust, including our Department.
Developing information
We carry out service evaluations at least once a year to make sure our service users are happy with the service provided. We report the results of these surveys back to GP clinical commissioning groups, who commission and fund our service.

We also invite informal feedback following individual sessions with clients.
SEND staffing
The Adult Community Speech and Language Therapy Service has four staff who provide a service to clients.

All Speech and Language Therapists hold a qualification that allows them to be registered with the Health and Care Professions Council (HCPC). Clinicians usually complete an undergraduate or postgraduate degree.Some clinicians are specialists in a certain areas (e.g. individuals with facial weakness or swallowing difficulties) and more experienced clinicians help and advise other members of the team.

There is a Clinical Lead who is responsible for the day-to-day running of the clinical teams
As the Service is provided by the National Health Service, it is free at the point of delivery.
To contact the Adult Community Speech and Language Therapy Department:

Telephone Number: 020 3458 5555, Fax Number: 020 345 85 888
Email address:

Any concerns should be discussed with the Department or treating clinician in the first instance. If you are unsatisfied with the response received, or wish to complain about the service, please contact the Patient Advice and Liaison Service (PALS) at the Royal Marsden Hospital: freephone 0800 783 7176

Compliments can be sent to the Adult Community Speech and Language Therapy Department at the Wilson Hospital, Cranmer Road, Mitcham, CR4 4TP.