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The NHS Knowledge and Library Hub connects NHS staff and learners to high quality knowledge and evidence resources in one place.

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The NHS Knowledge and Library Hub connects health cares staff and learners to high quality, NHS-funded, knowledge and evidence resources in one place, using a single search.

The 'Hub'

includes all journal articles, e-books, guidelines and evidence summary tools provided nationally and by your local NHS library team

provides seamless access to full text, as an immediate download or on request from an NHS library

avoids the less-reliable sources you might find in a general web search.

Easier access to e-journals

For seamless links, where you want them, install LibKey Nomad on your PC or laptop. Choose your library (or type NHS England) and find your links in PubMed, Google Scholar and many other sites. Or use BrowZine to browse and read the journals you have access to.

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The NHS Knowledge and Library Hub connects health cares staff and learners to high quality, NHS-funded, knowledge and evidence resources in one place, using a single search.

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Click on this link to register with us! Registered members may borrow up to 10 books at one time.

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Register - Medway NHS Knowledge and Library Services

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All Medway NHS Foundation Trust staff, students on placement at the hospital and other NHS staff working across the Medway health economy, may apply to register.

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MFT Knowledge & Library Services Website

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MFT Knowledge & Library Services Website

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Medway NHS Knowledge and Library Services (KLS)

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The Medway NHS Knowledge and Library Service KLS offers the best resources to support clinical decision making, research, and lifelong professional development.

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Click on this link to find our Literature Search Request Form, just complete this and one of our Librarians will support.

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The LKS can conduct literature searching to find the evidence you need for an informed decision.

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American Journal of Speech-Language Pathology

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American Journal of Speech-Language Pathology

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Journal of Speech, Language, and Hearing Research

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Journal of Speech, Language, and Hearing Research

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National Deaf Children’s Society | Supporting deaf children

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We are the National Deaf Children’s Society, the leading charity for deaf children and young people. We’re here to support every deaf child who needs us.

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The BSA, the UK learned society, advances knowledge, promotes learning, informs good practice, and drives positive impact in the field of audiology. Our multidisciplinary membership is open to anyone with an interest in improving the lives of adults and children with hearing and balance problems.

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The American Speech-Language-Hearing Association (ASHA) is the national professional, scientific, and credentialing association for 228,000 members and affiliates who are audiologists; speech-language pathologists; speech, language, and hearing scientists; audiology and speech-language pathology assistants; and students.

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The NICE Clinical Knowledge Summary (CKS) site is only available to users in the UK, Crown Dependencies and British Overseas Territories

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The NICE Clinical Knowledge Summary (CKS) site is only available to users in the UK, Crown Dependencies and British Overseas Territories

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The NICE Clinical Knowledge Summary (CKS) site is only available to users in the UK, Crown Dependencies and British Overseas Territories

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The NICE Clinical Knowledge Summary (CKS) site is only available to users in the UK, Crown Dependencies and British Overseas Territories

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Scenario: Child with Confirmed Cerebral Palsy

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Scenario: Child with Confirmed Cerebral Palsy

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The NICE Clinical Knowledge Summary (CKS) site is only available to users in the UK, Crown Dependencies and British Overseas Territories

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Scenario: Management of Long-Term Complications of Stroke

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Scenario: Management of Long-Term Complications of Stroke

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The NICE Clinical Knowledge Summary (CKS) site is only available to users in the UK, Crown Dependencies and British Overseas Territories

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Attention Deficit Hyperactivity Disorder: Diagnosis and Management

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Attention Deficit Hyperactivity Disorder: Diagnosis and Management

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Overview | Attention deficit hyperactivity disorder: diagnosis and management | Guidance | NICE

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This guideline covers recognising, diagnosing and managing attention deficit hyperactivity disorder (ADHD) in children, young people and adults. It aims to improve recognition and diagnosis, as well as the quality of care and support for people with ADHD

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Parkinson's Disease - Symptoms, Diagnosis and Treatment

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Parkinson's Disease - Symptoms, Diagnosis and Treatment

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Dr Delaram Safarpour, Dr Marian L. Dale, and Dr Lauren S. Talman would like to gratefully acknowledge Dr Avram Fraint, Dr Danny Bega, Dr Meredith Spindler, Dr Jayne R. Wilkinson, and Dr Andrew D. Siderowf, the previous contributors to this topic.

Disclosures

DB served on the speaker's bureau for Teva Pharmaceuticals, and ACADIA Pharmaceutical, Inc; he has received consultancy fees from US WorldMeds and grant support from the Parkinson Foundation; he was on the board of directors for Rock Steady Boxing Windy City. AF, MS, JRW, and ADS declare that they have no competing interests.

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Parkinson disease - Symptoms, diagnosis and treatment | BMJ Best Practice US

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Parkinson disease (PD) is a chronic progressive neurologic disorder characterized by the presence of bradykinesia with at least one of rest tremor or rigidity. It has an insidious, often asymmetric, onset. PD is associated with numerous, often disabling, nonmotor symptoms. Diagnosis is made clini…

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Multiple Sclerosis - Symptoms, Diagnosis and Treatment

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Multiple Sclerosis - Symptoms, Diagnosis and Treatment

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Multiple sclerosis - Symptoms, diagnosis and treatment | BMJ Best Practice US

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Multiple sclerosis (MS) is a demyelinating central nervous system condition clinically defined by two episodes of neurologic dysfunction (brain, spinal cord, or optic nerves) that are separated in space and time. Classically presents in white women, ages between 20 and 40 years, with temporary vi…

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Myalgic Encephalomyelitis (Chronic Fatigue Syndrome) - Symptoms, Diagnosis and Treatment

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Myalgic Encephalomyelitis (Chronic Fatigue Syndrome) - Symptoms, Diagnosis and Treatment

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Myalgic encephalomyelitis (Chronic fatigue syndrome) - Symptoms, diagnosis and treatment | BMJ Best Practice US

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Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a severe, multisystemic, and disabling condition. A history of post-exertional malaise (PEM), also known as post-exertional neuroimmune exhaustion (PENE), for a minimum of 6 months is considered a defining key symptom. PEM occurs when…

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Mild Traumatic Brain Injury - Symptoms, Diagnosis and Treatment

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Mild Traumatic Brain Injury - Symptoms, Diagnosis and Treatment

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The search box or navigation above will help you get back on track.

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Huntington's Disease - Symptoms, Diagnosis and Treatment

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Huntington's Disease - Symptoms, Diagnosis and Treatment

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Huntington disease - Symptoms, diagnosis and treatment | BMJ Best Practice US

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Huntington disease is an autosomal dominant neurodegenerative disorder. Often presents in midlife but may appear at any age. Clinical manifestations include chorea, cognitive decline, loss of coordination, and personality change. Depression and suicide may be comorbid events. In the absence of av…

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Assessment of Learning Difficulty and Cognitive Delay - Differentials

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Assessment of Learning Difficulty and Cognitive Delay - Differentials

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Speech and Language Impairment in Children: Evaluation, Treatment, and Prognosis

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Speech and Language Impairment in Children: Evaluation, Treatment, and Prognosis

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Speech and language impairment in children: Evaluation, treatment, and prognosis - UpToDate

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Speech and language impairment in children: Evaluation, treatment, and prognosis

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Overview of Approach to Long-Term Survivors of Head and Neck Cancer - UpToDate

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Overview of Approach to Long-Term Survivors of Head and Neck Cancer - UpToDate

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Overview of approach to long-term survivors of head and neck cancer - UpToDate

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Overview of approach to long-term survivors of head and neck cancer

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Cerebral Palsy: Overview of Management and Prognosis

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Cerebral Palsy: Overview of Management and Prognosis

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Cerebral palsy (CP) refers to a heterogeneous group of conditions involving permanent motor dysfunction that affects muscle tone, posture, and/or movement. These conditions are due to abnormalities of the developing fetal or infant brain resulting from a variety of nonprogressive causes. Although the disorder itself is not neurodegenerative, the clinical expression may change over time as the central nervous system matures. The motor impairment results in limitations in functional abilities and activity, which can vary in severity. Multiple additional symptoms often accompany the primary motor abnormalities, including altered sensation or perception, intellectual disability, communication and behavioral difficulties, seizures, and musculoskeletal complications [ 1].

An overview of the management and prognosis of CP is reviewed here. Detailed discussion of the treatment of spasticity and dystonia and orthopedic interventions in children with CP is provided in a separate topic review. (See "Cerebral palsy: Treatment of spasticity, dystonia, and associated orthopedic issues".)

The epidemiology, etiology, prevention, classification, clinical features, evaluation, and diagnosis of CP are also discussed separately:

●(See "Cerebral palsy: Epidemiology, etiology, and prevention".)

●(See "Cerebral palsy: Classification and clinical features".)

Disclaimer: This generalized information is a limited summary of diagnosis, treatment, and/or medication information. It is not meant to be comprehensive and should be used as a tool to help the user understand and/or assess potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient. It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances. Patients must speak with a health care provider for complete information about their health, medical questions, and treatment options, including any risks or benefits regarding use of medications. This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient. UpToDate, Inc. and its affiliates disclaim any warranty or liability relating to this information or the use thereof. The use of this information is governed by the Terms of Use, available at https://www.wolterskluwer.com/en/know/clinical-effectiveness-terms. 2024© UpToDate, Inc. and its affiliates and/or licensors. All rights reserved.

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Cerebral palsy: Overview of management and prognosis - UpToDate

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Cerebral palsy (CP) refers to a heterogeneous group of conditions involving permanent motor dysfunction that affects muscle tone, posture, and/or movement. These conditions are due to abnormalities of the developing fetal or infant brain resulting from a variety of nonprogressive causes.

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Expressive Language Delay ("Late Talking") in Young Children

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Expressive Language Delay ("Late Talking") in Young Children

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An overview of expressive language delay ("late talking") in young children is presented below. The etiology, evaluation, and treatment of speech and language disorders in children are discussed separately. (See "Speech and language impairment in children: Etiology" and "Speech and language impairment in children: Evaluation, treatment, and prognosis".)

The development of communication and language skills is one of the most important tasks of early childhood. It is the key to early learning and social skills, and to helping young children regulate their own behavior.

Primary care providers will see many infants and preschool-age children whose early expressive language development and communication skills do not appear to be progressing as expected ("late talkers"). Receptive language delays often coexist with expressive delays but may not be suspected by the clinician or caregivers until the child is older. (See 'Prevalence' below and 'Cautions' below.)

Some children with expressive language delay "catch up" during the preschool years ("late bloomers"), whereas others have persistent delay (see 'Natural history' below). Early evaluation can help to correctly identify late-talking children who will benefit from intervention and/or additional evaluation. The developmental, psychosocial, and family histories are particularly important. Most children with language delays have no associated medical or physical findings, but the absence of such findings should not delay referral for functional evaluation of suspected delay. (See 'Primary care evaluation' below.)

There is no universally accepted definition of "delay" in developmental conditions, and different definitions may be used for research and treatment purposes (see 'Definitions' below). Specific program eligibility requirements should not discourage clinicians from identifying children with delays, although they may affect how information about such conditions is communicated to caregivers. Even if the child does not qualify for services, awareness of a delay can lead to closer monitoring and provision of information to caregivers about ways to promote early language skills (see 'Prevention' below). All caregivers of late-talking children benefit from guidance and close monitoring of their child's early communication development. The provision of appropriate supportive services and accommodations can help children with language delay achieve their full developmental and academic potential. (See 'Management' below and 'Prognosis' below.)

Disclaimer: This generalized information is a limited summary of diagnosis, treatment, and/or medication information. It is not meant to be comprehensive and should be used as a tool to help the user understand and/or assess potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient. It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances. Patients must speak with a health care provider for complete information about their health, medical questions, and treatment options, including any risks or benefits regarding use of medications. This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient. UpToDate, Inc. and its affiliates disclaim any warranty or liability relating to this information or the use thereof. The use of this information is governed by the Terms of Use, available at https://www.wolterskluwer.com/en/know/clinical-effectiveness-terms. 2024© UpToDate, Inc. and its affiliates and/or licensors. All rights reserved.

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Expressive language delay (“late talking”) in young children - UpToDate

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Expressive language delay (“late talking”) in young children

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Emergent Literacy Including Language Development

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Emergent Literacy Including Language Development

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During their early years, children acquire knowledge and skills in informal settings that are literate behaviors, thus literacy acquisition begins long before children enter school.

This topic will review emergent literacy, including factors involved in language development.

DEFINITIONS

Emergent literacy - The American Speech-Language-Hearing Association (ASHA) defines emergent literacy as the skills that children learn during early speech and language development (beginning at birth and through the preschool years) that are important to development of literacy (reading and writing) [ 1].

The term encompasses the following principles [ 2-4]:

●Literacy development is an ongoing process

Disclaimer: This generalized information is a limited summary of diagnosis, treatment, and/or medication information. It is not meant to be comprehensive and should be used as a tool to help the user understand and/or assess potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient. It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider's examination and assessment of a patient's specific and unique circumstances. Patients must speak with a health care provider for complete information about their health, medical questions, and treatment options, including any risks or benefits regarding use of medications. This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient. UpToDate, Inc. and its affiliates disclaim any warranty or liability relating to this information or the use thereof. The use of this information is governed by the Terms of Use, available at https://www.wolterskluwer.com/en/know/clinical-effectiveness-terms. 2024© UpToDate, Inc. and its affiliates and/or licensors. All rights reserved.

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Emergent literacy including language development - UpToDate

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Emergent literacy including language development

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Aphasia: Prognosis and treatment - UpToDate

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Royal College of Speech and Language Therapists (RCSLT)

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Royal College of Speech and Language Therapists (RCSLT)

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We are the RCSLT - the professional body for SLTs in the UK, creating better lives for people with communication and swallowing needs.

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The professional body for speech and language therapy in the UK.

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Speech and Language UK: Changing young lives

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Speech and Language UK: Changing young lives

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We are Speech and Language UK - we want every child to face the future with confidence. For 1.7 million children in the UK, learning to talk and understand words feel like an impossible hurdle.