Our aim is to provide a high quality, specialist service for adults with acquired communication and swallowing difficulties.
We assess and treat individuals with speech, language, voice and swallowing disorders; working closely with a range of other professions and agencies.
Speech and language therapists work with a wide range of clients. This can include adults with communication and/or swallowing problems following an acquired illness (stroke) or a progressive illness (Parkinson’s disease, multiple sclerosis, dementia), critical care, palliative care, voice problems, head and neck cancer, and stammering.
Yes - there is open referral for communication and swallowing problems. For some swallowing or voice problems, we may need additional information from your doctor.
Opening Times
Normal hours are between 8:30am and 5:00pm, depending on the clinics.
You should allow approximately one hour for your first appointment. This may be a telephone call, a virtual or a face to face appointment. Your speech and language therapist will assess the nature of the difficulty and discuss the findings of the assessment. They will offer you any immediate advice and strategies that may help. They may either discharge you (and send a report to your GP/medical physician) or offer you a follow up appointment. They may either confirm a follow up date or leave this open for you to arrange if needed. For some communication or swallowing difficulties, we may offer you a programme of treatment.
Treatment may be offered on an individual or group basis. It may be virtual or face to face.
If therapy is appropriate, it is usually offered in a block (e.g. 4-6 sessions). At the end of a course of therapy a joint decision will be made with you regarding further treatment, review or discharge.
You are welcome to bring a relative or friend along with you for support if you wish. This can be really useful if they are likely to be supporting your day-to-day communication or swallowing difficulties.
You can contact us on:
Email: CTMUHB_SALT_Adult@wales.nhs.uk
Phone: 01443 443443 ext 72547
Twitter / X account: @cwmtaf_speech
0:00 we're a team of speech and language
0:01 therapists we work without lots alone
0:03 disabilities in very Hayward middles in
0:05 Rochdale Alderman Stockport we support
0:08 people with communication communication
0:11 is central to everything it is much more
0:14 than simply a two-way exchange of
0:16 information it is how we connect with
0:18 the world and forms the basis of our
0:21 relationships with others we'd like to
0:23 share with you our 5 top tips for
0:25 communicating with people with learning
0:27 disabilities tip number 1 think about
0:32 the language you use use easy words and
0:35 short sentences you might need to
0:38 explain what some words mean tip number
0:40 two check that the person understands
0:44 you could ask them to explain it back to
0:47 you in their own words and you may need
0:50 to repeat information more than once tip
0:53 number three follow the person's lead
0:56 and go at their pace you may need to
1:00 speak more slowly and use pauses make
1:04 sure you give the person time to process
1:06 information and respond the use of
1:09 nonverbal communication is particularly
1:12 important it gives meaning to the words
1:14 think about facial expression body
1:17 language and tone of voice when
1:20 communicating with the person being a
1:23 good communicator is listening to the
1:24 person it's valuing them and respect in
1:27 all forms of communication
1:33 to speak in doesn't mean they can't
1:35 communicate
0:01 hello hello so Sarah do you want to tell
0:10 us a little bit about you my name is
0:14 Sarah and I'm 20 20 want to come on your
0:27 fingers 28 yeah 28 I had a stroke at
0:40 school when I was 18 when I was in my
0:46 English class I was supposed to be speaking a line and so I realized
0:57 straight well I didn't actually realize but all of my friends and my teacher realized because I couldn't talk at all
1:06 I didn't realize that I had a strike I was thinking I was just tired because it
1:14 was um the first part of the day but I
1:22 went to the hospital straightaway and were you conscious I was kind of out of
1:32 consciousness or at the time and I can't really remember what happened when I was in the hospital but you couldn't swallow
1:41 you couldn't walk and you had weakness down one side and what was your speech
1:50 like after your stroke um so I couldn't say anything my parents bought me a
2:01 magazine and I realized straight away that I can read because it was all of
2:09 the words but just goggle D Guk I could just just see the pictures
2:17 because I couldn't say anything I couldn't say oh I can't read but also
2:25 that all of the doctors were talking to
2:34 me saying could you sit down or stand up or raise your by today and I just
2:43 couldn't understand what they were talking about I wanted to help but I
2:51 just said everything really was not working so it was a severe stroke and you're in hospital for five months
2:59 hospital and we have a lot of people now think you're better and how do you feel about that when people say you're better
3:08 well if you've seen this video you've seen that I as things that I can't do or
3:15 if it's it's difficult but your speech is very good isn't it so I my speech was really bad order had
3:26 my stroke what I said I couldn't say anything and then I could say yes and no
3:34 but all of the time I wanted to say yes but I said no so it was very confusing
3:42 for me but also all of the people like my family and friends that was hard and
3:50 it was quite a long journey with lots of speech therapy and and we did these videos the first one was nine months
3:57 after your stroke was met yeah the first video was really hard couldn't really
4:06 say much and even though I said you know numbers is still difficult it was so
4:12 much worse at the start and my speech is actually I think they're the best thing
4:20 that I've changed a lot are to my stroke and because I've been working me
4:26 hard because I did speech therapy but you know I can't read and write
4:35 very well I have apps in my phone and my
4:41 computer so if I want to text my friend
4:46 I have my app and because most beaches reasonably good after the stroke that I
4:56 can just say what I want to say and it converts it to it like a text and I used
5:08 that every day and the same with my computer so if I want to have in emails
5:13 I do the same thing really it's it's really hard and there was like artemus
5:23 rate there was days that I was very upset and maybe not angry but just
5:29 thinking I'm alone so I was in school but it was like I'm
5:40 in college so I was almost going to do my exams and then I was going to uni so
5:48 a lot of my friends went to uni and I was stuck on my own and I didn't do much
5:55 and that was maybe the worst time um because I didn't know what's gonna
6:04 happen with my life now because I was thinking I was gonna go to uni I would study what I wanted which was biology
6:13 and I would have a job after and then I would have a nice boyfriend I would have
6:24 kids with and I will be married I could have a house and I that was that was
6:34 that was gonna be when I had my stroke everything changed
6:41 and I was like well what am I gonna do I can't speak I can't read and write and I
6:49 could walk again so that was good but well and I was lost
6:57 and what do you think helped you because a lot of those things that you wanted to achieve you have achieved now so what do
7:05 you think worked for you so speech therapy was the first thing
7:12 that would helped me a lot say my speech was a bit better so when I
7:19 was at school I was working in the
7:23 weekend at a food shop and they phoned
7:35 me after my stroke a lot saying are you alright is there anything that they can do for a year I think it was a year that
7:46 it was just too difficult and so they were just talking to my parents and they
7:53 said you know I was you know better but you know then you know it's not the right time but it was a time maybe a
8:02 year that we went and face-to-face you
8:09 were talking because what I was doing before my stroke was very need to talk
8:16 to the customers and numbers and things like that that I can't do now and so I
8:23 was like well I can't do the job that I had before so they were very very nice
8:31 and they said we can have a different job that's a bit better for my situation
8:38 and I could have another kind of a person working with me just if there's
8:44 anything that I needed help or - so kind of just support me
8:50 and I had a name and also it said that I
8:56 had a stroke so they were really really really good and then after you worked
9:05 there for a while you felt like you could maybe do something different yes
9:10 so I contact my old teacher the same
9:19 school the one that I had my stray cat and said I like biology and I was going
9:26 to study the Uni is there anything that
9:32 I can do volunteering and to do with a
9:37 Balaji science so I was working still in
9:44 the supermarket but also working I think two days a week not it was not a full
9:53 day but it was something something that I liked and something practical which I
10:03 can do but also talking to people which was challenging but also that I was kind
10:11 of out and talking to people and that was really nice it was like I was a
10:20 normal person again which was and that gave me the confidence to apply for
10:27 other jobs and what do you do now so I well I'm not a scientist but I'm
10:38 kind of an I know
10:46 a senior technician made difficult words
11:00 like me yeah and you're working in cancer research aren't you what yes my cancer treatment
11:09 yes it's real treatment it's not no researchers actually help the cancer it's very interesting you like you
11:16 thinking it's something that I would would be doing maybe after I went to uni maybe maybe
11:26 more higher up maybe but it's been a very long struggle but I think the point
11:35 is that it's something that I wanted to do and I've been able to do it I think
11:41 also that um before my stroke I was not driving and when I was doing speech
11:48 therapy one of my goals was having some
11:56 things to do with driving because I
12:00 wanted to pass my driving test also now
12:09 you have a boyfriend you bought a house together you've come a very long way haven't you but it hasn't been easy and
12:18 people don't always know that you have aphasia they don't know that you've had a stroke you don't always tell them I
12:25 don't say it straightaway I think when I want to talk about it I
12:33 will and I'm not shy about it if people want to talk to me about it um but I
12:41 don't want to say it straightaway I had a stroke because I want to feel
12:48 like I am a normal being and on my am I don't want to feel like this is dairy
12:56 you had a stroke you're different and I think yes it's it's hard and
13:06 people think that I'm shy which I'm not
13:11 but I think you know I'm me and say my
13:18 boyfriend didn't know me before he's
13:23 really really good he really helps me um when I bought the house which is almost
13:32 two years ago that we bought the house um there was a lot of things that I couldn't do my phoning up people and and
13:41 he's really being amazing but I think the important thing that
13:50 even if there's difficulty with the
13:55 strike and aphasia I think if you have goals you can do it
14:04 it's been more challenging but you can do it it yeah and you've done a lot of
14:11 work raising awareness you've been on television here and radio and in a reality program and you've visited
14:19 people in hospital we run our support group for people with aphasia say you're still doing a lot of work to try and
14:25 raise awareness yeah it's always raising awareness and people still think that
14:33 young people can't have strokes so it's important to let people know that I mean people listening to this
14:41 that the conference will know that too and it can happen to anybody of any age but they when we did the videos that
14:50 we've done every year now we did it because we couldn't see lots of videos
14:59 people that have aphasia and and we didn't really realize that people want
15:07 to watch our videos because I think anything that exciting but I think the point is that people want to
15:14 watch it and like I always said you know I'm one person or stroke and aphasia are
15:22 different and I want to know that there's other people doing it because
15:29 then if more people what watch people's different straight enough easier that
15:39 that they would understand that what it's like because people like normal
15:46 people which I think I'm normal as well but they understand more people are not
15:55 going to be shy and not talk to people like strangers it will be just a normal
16:02 thing and and then people would be not so because there are so many people with aphasia and all don't people need to
16:11 know about it in yeah and so we're doing this video for the conference that's
16:19 happening in Australia yeah and you've been to Australia a few time something new because your sister lives there I mean before that when we went yeah we
16:28 won't know once before you love it that ain't me and hopefully going next Christmas yes I'm I wish I was there
16:35 with you Tim yeah thank you another time thank you okay
0:01 what is voice and message banking about eight in ten people with motor neurone
0:07 disease MND develop difficulties with speech and communication if your speech
0:14 is affected communication aids can help get your message across communication aids can be very simple like pen and
0:23 paper or alphabet boards or they can be computer-based some use voices to speak
0:31 the text you enter some people choose to use the voices that come with the communication aid but it may be possible
Chapter 2: Some people choose to use the voices that come with the communication aid
0:39 to use a version of your own voice instead of the voices on offer recording your voice to create this version is
0:47 known as voice banking you record lots of random phrases from a voice banking
0:53 provider to bank your voice these recordings are then split into small pieces so you can create sentences as
1:02 needed on your communication aid if you decide to Bank your voice it is best
1:11 done as soon as possible after diagnosis as your speech may become less clear and the less your speech is affected when
1:18 recording the better the results if your voice is seriously affected by M&D voice
1:25 banking may not be suitable but a family member or friend with a similar accent could bank their voice for you if this
1:34 feels right for you both recording the phrases can take many weeks to complete and may be quite
1:41 tiring voice banking technology is improving but it cannot make your created voice sound exactly the same as
1:49 your natural speech it will sound like you but timing pitch and tone may be quite robotic for
1:59 example when someone says can I have my coat please it would sound like this
2:06 after voice banking can I have my coat police if you want certain phrases spoken in your natural voice you can
2:15 record these to use directly on a communication aid which is known as message banking you can use a
2:22 combination of voice banking and message banking if wished message banking can be useful to store things you often say or
2:31 personal messages such as I love you or a bedtime story for a child or simply
2:38 the sound of your laugh this can take less time than voice banking and can include more personality or emotion as
2:46 these messages will sound exactly the way you recorded them you can Bank messages on any device that can record
2:54 sound clips but apps are also available and can be used for the communication aid different voice banking services are
3:02 available these varying costs and how many phrases you need to record your speech and language therapist may be
Chapter 3: Your speech and language therapist may be able to provide information about voice and message banking services.
3:09 able to provide information about voice and message banking services they may also be able to loan equipment to help
3:16 you with recording you will need a computer or laptop with access to the Internet a USB headset microphone and a
3:26 quiet place with no background noise if your speech and language therapist is unable to advise or help with equipment
3:33 contact our helpline mnd connect our helpline team can also provide guidance on speech and communication difficulties
3:42 with mnd and how to apply for financial support to help bank your voice anyone with MND living in England Wales or
Chapter 4: Speech and communication difficulties with MND • How to apply for financial support to help bank your voice
Chapter 5: Anyone with MND living in England, Wales or Northern Ireland can apply for an MND Association voice banking support grant
3:51 Northern Ireland can apply for an mnd association voice banking support grant mnd connect Oh 8
4:00 o8 802 6-2 6-2 MND connect at MMD
4:07 Association org or visit our web site at www.imtcva.org
0:02 amén
0:25 no no no sí rey
0:38 y claro eso lo hice