Speech and Language, Occupational Therapy, Physiotherapy; please share your views

Kirklees council have commissioned a review of some children's services in Kirklees led by Tony Parker an independent Consultant. Tony wants to make sure that the voices of parents and young people are heard as their lived experience is vital to the review and has asked PCAN to help with this. So, if your child has received (or is receiving) therapies in the last three years, please share your views with us through this survey. The therapies include:
Speech and language Therapy (including speech and language, dysphasia, specialist intensive support)
Occupational Therapy (including the new Sensory OT service)
Physiotherapy
The survey should take you 10-15 minutes to complete depending on how much you want to say! If you are a young person who wants to share your views, please feel free to complete the survey.

Many thanks as always for your time!
The PCAN TEAM

1. I am completing this survey as:

A parent/carer
A young person

2. Please state the first half of your postcode, eg. WF16

3. Do you (if you are young person) or your child (if you are a parent of carer) receive one or more of the following?

	Yes	No
Speech and Language Therapy	Speech and Language Therapy Yes	Speech and Language Therapy No
Occupational Therapy	Occupational Therapy Yes	Occupational Therapy No
Physiotherapy	Physiotherapy Yes	Physiotherapy No

4. Please indicate your age (if a young person) or the age group of your child/children who is receiving one or more or the therapies above: *

	Under 18 months	18 months – 3 years	4-6 years	7 to 11 years	12-15 years	16-19 years
Child 1	Child 1 Under 18 months	Child 1 18 months – 3 years	Child 1 4-6 years	Child 1 7 to 11 years	Child 1 12-15 years	Child 1 16-19 years
Child 2	Child 2 Under 18 months	Child 2 18 months – 3 years	Child 2 4-6 years	Child 2 7 to 11 years	Child 2 12-15 years	Child 2 16-19 years
Child 3	Child 3 Under 18 months	Child 3 18 months – 3 years	Child 3 4-6 years	Child 3 7 to 11 years	Child 3 12-15 years	Child 3 16-19 years

5. Does your child attend?

	Child 1	Child 2	Child 3
Not in education yet	Not in education yet Child 1	Not in education yet Child 2	Not in education yet Child 3
Preschool, Nursery or Child Minder	Preschool, Nursery or Child Minder Child 1	Preschool, Nursery or Child Minder Child 2	Preschool, Nursery or Child Minder Child 3
Mainstream Primary	Mainstream Primary Child 1	Mainstream Primary Child 2	Mainstream Primary Child 3
Mainstream High School	Mainstream High School Child 1	Mainstream High School Child 2	Mainstream High School Child 3
Specialist Provision	Specialist Provision Child 1	Specialist Provision Child 2	Specialist Provision Child 3
Special School	Special School Child 1	Special School Child 2	Special School Child 3
Post 16 College or Further Education	Post 16 College or Further Education Child 1	Post 16 College or Further Education Child 2	Post 16 College or Further Education Child 3
Home Education	Home Education Child 1	Home Education Child 2	Home Education Child 3
Alternative Provision eg. Ethos	Alternative Provision eg. Ethos Child 1	Alternative Provision eg. Ethos Child 2	Alternative Provision eg. Ethos Child 3
Other	Other Child 1	Other Child 2	Other Child 3

6. Where does your child receive their therapy?

7. What is working well about the therapy received? (as well as the actual therapy, you can include reports from the therapist for various purposes, eg. EHCP, regular reviews, therapist attendance at meetings, referral system, support with equipment and resources etc) *