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The Neurodiversity Hub have many workshops available for parents and carers to attend. To book a place, email hmr-ndhub@nca.nhs.uk

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Neurodiversity Hub workshop timetable Jan 2026

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Neurodiversity Hub - drops in and other support

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Neurodiversity Hub - drops in and other support

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The Neurodiversity Hub also offer drop-ins and advice calls. Please see the flyer above for days and times.

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How to access the Neurodiversity Hub January -March 2026

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Activities and games to support speech development

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Activities and games to support speech development

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Speech Activities - Speech and Language Link

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To produce clear speech a child needs to be able to hear the difference between different sounds as well as be able to make individual sounds. This is called discrimination and it is one of the most important skills your child needs to master for learning to read as well as talk.

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Speech and Language UK: Changing young lives

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Skip to content

We give families the confidence and skills to help their children. If you're concerned about your child's speech and language development, we can help.

We know that it can be hard to know where to start if you are worried about your child's development. If you think your child is having challenges with talking and understanding words, we are here to help you.

Our free resources and services can help with understanding what to look out for, how to get support and even some simple ways you can help your child at home.

Our progress checker will provide short questions you can answer to see how your baby or child is getting on with their talking and understanding of words.

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Help for families - Speech and Language UK: Changing young lives

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We give families the confidence and skills to help their children. Access our free resources and learn more about ways to encourage children's speech and language development.

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Speech and Language Link - parent portal

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Speech and Language Link - parent portal

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Parent Portal - Speech and Language Link

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Support your child’s speech and language development with expert advice, activities, and resources in our award-winning Parent Portal.

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What are Speech, Language and Communication Needs?

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What are Speech, Language and Communication Needs?

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About SLCN All About Speech, Language and Communication (SLCN)
Speech, Language and Communication Needs (SLCN for short) is the term used for children who have significant difficulties with talking, listening and/or understanding language. Confusingly, the term is often used for children whose speech, language and communication problems are caused by

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Speech and Language UK: Changing young lives

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In the UK around 20% of children speak or understand more than one language. You might hear the terms 'bilingual' or 'English as an additional language' used to talk about these children.
Will my child get confused if they hear two or more languages at home?
No. Around half the world's population speak two or more languages! Lots of studies show that children can tell the difference between different languages early on. They might do something called 'code-switching' which is when they replace a word in one language with a word from another language - so they use two languages in one sentence. It's nothing to worry about and is a normal part of bilingualism - even bilingual adults do it!
Will my child do worse at school if they hear two or more languages at home?
No. In fact, many bilingual children do better academically than children who hear and speak one language. A strong foundation in one language helps children to learn other languages, including English, better - this is helps them to do well at school.
Will my child have speech and language challenges if they hear two or more languages at home?
No. Bilingualism does not cause or contribute to speech and language challenges. However, some bilingual children will have speech and language challenges, just as children who speak only one language do. The difference is that a bilingual child with speech and language challenges will have difficulties in BOTH or ALL of their languages - not just in English.
Are some languages more useful than others?
No. Every language is important. Of course, developing English is important for children going to English-speaking schools. But research shows that when a child knows their home language, this helps their academic achievement, self-confidence, and family relationships. Later in life, it can improve their job opportunities. Importantly, it helps your child understand their culture and identity better.
What can I do to help?

Talk to your child in the language that feels the most comfortable to you. If your child learns one language well from you, it will be easier for them to learn English well too.

The more your child hears your home languages, the more they will learn your languages. Get other family members involved too.

Share your feelings, stories, and songs in your languages. Be proud of your languages and share them like a gift!

Further information:

Read our blog post clearing up some myths and presenting the facts around bilingualism.

We also have this blog post about the importance of valuing all languages.
Tiny Happy People - Bilingualism Learn more than one language PDF

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Children learning more than one language

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Children learning more than one language - Speech and Language UK: Changing young lives

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Children's ENT - What is glue ear and how is it treated?

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has been designed by the BBC and can help you to develop your child's language and communication skills, so that they get the best start for life.

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Tiny Happy People is here to help you develop your child's language skills. Explore our simple activities and play ideas and find out about babies and toddlers' amazing early development.

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Children’s language development and parenting advice - BBC Tiny Happy People

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A chatty child is a happy child, so Tiny Happy People is here to help you develop your child’s communication skills through simple interaction and play.

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Northern Care Alliance NHS Foundation Trust

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HMR Children's Speech & Language - Autism Spectrum Condition ASC Team

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HMR Children’s Speech & Language Therapy - Vocabulary Strategies for Functional Language

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HMR Children’s Speech & Language Therapy - Vocabulary Strategies for Functional Language

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Northern Care Alliance NHS Foundation Trust

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HMR Children’s Speech & Language Therapy  -  Vocabulary Strategies for Functional Language

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Identifying & Differentiating speech sounds at the end of words

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Identifying & Differentiating speech sounds at the end of words

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Northern Care Alliance NHS Foundation Trust

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Identifying & Differentiating speech sounds at the end of words

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Northern Care Alliance NHS Foundation Trust

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HMR Children's Speech and Language Disorder Team

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Northern Care Alliance NHS Foundation Trust

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HMR Children's Speech & Language Selective Mutism Team

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Northern Care Alliance NHS Foundation Trust

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HMR Children's Speech & Language - Dysfluency Team

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Glue ear is a build-up of sticky fluid in the middle part of the ear which can make it hard for your child to hear. It's really common in toddlers and preschoolers: according to the National Deaf Children's Society it affects eight out of 10 children .

It usually clears up on its own, but for some children, glue ear comes back again and again. "Because it causes mild hearing loss each time, this can cause problems with speech and language development", explains Alys. "If they're not hearing certain sounds this might make it hard for them to learn new words and sounds."

The symptoms of glue ear in children

There are a few different signs your child may have glue ear, says Alys. These include:

Temporary hearing problems

"This is a really obvious sign", says Alys. "If you're talking to your child and they are facing the other way, they might not hear you at all.

"Babies normally turn their heads when they hear a sound or voice. If they're not doing this, it might be because of glue ear."

They seem more tired or frustrated than usual

"It's tiring not being able to hear", says Alys.

Your child might be frustrated or not be able to concentrate on chatting or stories.

"They might choose activities where they don't have to talk or listen too much. Or they might not want to join in with an activity and choose to play on their own instead."

Earache or pain in their ears

Not all children with glue ear will have pain, but some will. They may also have a ringing or buzzing sound in their ears. Glue ear can be in one ear or both.

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All you need to know about glue ear in babies and toddlers

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Glue ear is a build-up of sticky fluid in the middle part of the ear which can make it hard for your child to hear. It usually clears up on its own, but for some children, glue ear comes back again and again.

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is a website supporting parents and carers of children aged 0 to 19 years. This can include leaflets and videos with information about a range of topics including speech, language, communication, feeding, toileting and sleep.

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HMR Children’s Speech & Language Therapy - Vocab strategies for vocab development

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HMR Children’s Speech & Language Therapy - Vocab strategies for vocab development

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Northern Care Alliance NHS Foundation Trust

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HMR Children’s Speech & Language Therapy  - Vocab strategies for vocab development

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Activity for identifying and differentiating speech sounds at the start of words

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Activity for identifying and differentiating speech sounds at the start of words

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Northern Care Alliance NHS Foundation Trust

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Activity for identifying and differentiating speech sounds at the start of words

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How to help your child if they have glue ear

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How to help your child if they have glue ear

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“Glue ear muffles everything and makes it hard to hear quieter sounds”

“That’s why it’s important to give your child the best chance of hearing the sounds you’re making.”

One simple way to do this is turning off the TV while you’re talking to your little one.

“This is helpful for all children’s listening and language learning, but for a child with glue ear, it’s especially important as spotting the words among background noise is even harder.”

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Make sure your child can see your mouth when you are talking.

“They will get lots of clues about what you’re saying by watching your face and how your lips move”,

“That’s why being face to face and getting down to your child’s level is really useful.”

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Dadly Does It builds on our exploratory project in neighbourhoods in Salford and in Rochdale Borough. Its aim was to find new ways and activities to improve the well-being of disadvantaged fathers and to understand whether or not this improves the well-being of their children.

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Case studies

Communities in Little Hulton in Salford, Winton in Salford, and Langley in Rochdale Borough took part in the project. In each neighbourhood, Dadly Does It focussed on 'what's strong, not what's wrong', and drew on the strengths, assets and hidden wisdom of communities.

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Dadly Does it - Spreading Positive Fatherhood

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We want to turn a developmental stage of research into launch pad for positive Fatherhood to affect more communities across Greater Manchester.

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Even though talking louder or shouting might seem like a good idea, this doesn’t actually help,

“Shouting changes the way your lips move and the sound of your voice. This then makes it harder for your child to work out what you’re saying.

"Instead, talk clearly and at an average to slow speed. You want to keep the normal ups and downs in your voice because your child will pick up on those clues from a young age. They’ll use them to work out if it’s a question or statement.”

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Not being able to hear properly might mean your child gets tired and irritated.

“Let your child decide how you play together”,

“For example, instead of a story at bedtime they might just want a cuddle while listening is hard work.”

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Help your child understand what you’re saying by keeping things short and to the point.

“If you don’t think they’re hearing all the words, stick to the key messages."

Instead of saying, ‘Look over there, it’s a big plane flying in the sky,' you could say, ‘the plane’s flying.' It doesn’t change the meaning of what you’re saying and will help your child pick out the keywords.

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Another simple way to communicate with your child is through using hand gestures or drawing pictures. It could be as simple as pointing at a toy before asking if they want to play with it or gently touching their shoulder before you start talking so they can focus on who’s talking.

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The power of pictures: How can pictures help with children's communication?

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The power of pictures: How can pictures help with children's communication?

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We scroll through the pictures on iPlayer rather than reading the names of the programmes. Road signs use symbols instead of words so we can understand them quickly. We even use the pictures on our social media to help us remember what we were doing last week, last month or last year!

So, it's no surprise that little children, who are still learning words, can really benefit from us using pictures alongside our talking.

Here are some easy ways you can incorporate images into your child's everyday routine, to help their understanding and communication.

What are we doing?

Children's understanding of language, as well as their memory, develop gradually. Spoken instructions can be too much for little ones to take in, but pictures can help.

Instead of just telling them your plan for the morning, try using a visual timetable. Take photos, print out or draw pictures of the activities you're going to do, for example 'we're going to go to the supermarket, then the park'.

Take the timetable out with you, so you can show when one job is coming to an end, and the next one is about to start.

Whenever your child starts to get bored or frustrated, bring out the timetable as well as telling them. They're more likely to understand and remember.

Where are we going?

Your child is much more likely to understand exactly where they're going if they see a photo first.

A trip to the doctors might be less scary if you show them a photo of the doctor's surgery first.

This might help them remember when they visited the doctor before and that it was ok!

Seeing a photo of friends or relatives who they haven't seen in a while might help your child feel less shy when you see them in person.

If you go to a few different parks, shops, or play centres, showing your child a photo of the one you're going to that day might help avoid disappointment later.

I can do it on my own

Children love to do things for themselves, and you can use picture timetables to help them learn important independence skills.

You can break daily routines into smaller steps for your child, with a picture for each step. For example, you can break down washing hands into four steps - wet hands, put on soap, wash hands, dry hands.

Do the steps with them the first time they use the timetable, pointing to the picture of each step as you do it.

This will help your child learn how to use it themselves in the future.

Help share special times using photos and pictures

Make the most of those photos on your phone! Take photos of the things you get up to together, then let your little one show them to family or friends who weren't there.

A photo prompts their memory and gives adults and children something to talk about together. It will also give your little one something to point to if they can't think of the words or are too shy to talk.

Children also love to look back on their own adventures. Creating a photo book of what they get up to and then looking at it together helps their memory.

When you talk about the pictures together, you're giving your child examples of short sentences they can then use to talk about their activities.

When communication is hard

Does your child get frustrated when you can't understand what they want? It's even trickier when they can't point to the thing or take you to what they want.

This is when a picture choice board can be really useful. You can use it for:

Showing pictures of places they might want to go, e.g. Grandma's house, the park, the shops, a café

Pointing to a picture for an action or game, e.g. chase me, let's play hide and seek, can I have a piggyback

Asking for a specific type of food or drink, e.g. a flavour of crisps, or a type of juice, without you getting them all out of the fridge!

Take photos of the things your child really likes and, if you can, print them out. Show only three or four options at a time. If they shake their head, you can try showing a few more photos.

Put the photos in a place in your house where your child often asks for that thing, e.g. the food choice pictures in the kitchen, the 'going out' pictures next to the front door. Then they'll be ready for you and your child to use.

When you have worked out what your child wants, even if they did it in another way, such as pointing to someone else eating the same snack, show them the photo and say, "you want some raisins?"

You're then showing them how they can use the pictures to get their messages across another time.

What's wrong?

Feelings can be overwhelming for little children. Even those who might happily chat about other people feeling sad or happy might struggle to put their own feelings into words.

Pictures for happy, sad, angry, scared, tired can be a stepping stone to helping your child understand and explain how they're feeling. You can also use them for other body sensations such as hungry, thirsty, or to point out where something hurts.

You will need to show your child how to use these pictures a few times first. Try a bit of pretend play, pointing to the pictures as you go, saying things like 'Teddy is sad! He wanted more tea'. You can also try having the pictures handy when you share a book or watch TV together.

However you use them, pictures and photos are an easy way to help your child communicate and learn new skills, so get snapping and drawing - your child will thank you for it!

Article produced with help from Alys Mathers, a Highly Specialist Speech and Language Therapist who works with children who have a wide range of speech, language and communication needs.

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The power of pictures: How can pictures help with children's communication?

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Pictures can be a great tool to help boost your child's early understanding of language. Speech & Language Therapist, Alys Mathers, shares some easy ways you can incorporate images into your child's routine, to help their communication.

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Rochdale's Looking and Listening toolkit 

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Rochdale's Looking and Listening toolkit 

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The ability to look and listen is central to all learning and forms the foundation for the development of language. It is particularly relevant to language learning as many children with communication difficulties have poor looking and listening skills.

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Phonological awareness is the ability to recognise and work with sounds in spoken language. Phonological awareness is especially important at the earliest stages of reading development when your child is around 4 years old. Early years practitioner Jamel shares his top tips for teaching children ph…

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Raising Awareness of Developmental Language Disorder (DLD) Day: #ThinkLanguage #ThinkDLD

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Speech and Language UK: Changing young lives

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This short blog clears up some myths and presents the facts about children and young people having two or more languages.

There are a few different terms used to describe children and young people with two or more languages. Mostly, these can be used interchangeably. The terms include:

' English as an additional language' or is a term used to describe children and young people who hear languages other than English at home (Department for Education, 2019).

' Languages other than English' or is another term used to describe these children and young people.

' ' is another term used in the UK to describe people who understand and/or use two or more languages (Royal College of Speech and Language Therapists, 2021).

A while ago, it wasn't unusual for some professionals to discourage parents/carers from speaking their home language to their child if it was a language other than English. There was also some confusion about whether this was good or bad practice. Now, there is lots of evidence across the world that highlights bilingualism as being an advantage to children and young people for many reasons. Despite the proof from research, there are still some myths lurking around, which we are happy to 'debunk' below!
Myth 1: Children will get confused if they hear two or more languages at home.
This isn't true. Lots of studies show that children can tell the difference between different languages early on. They might do something called 'code-switching' which is when they replace a word in one language with a word from another language - so they are effectively using two languages in the same sentence. It's nothing to worry about and is a normal part of bilingualism - even bilingual adults do it!

Myth 2: Children don't do well at school if they hear two or more languages at home .

In fact, many bilingual children do better academically than children who hear and speak one language. A strong foundation in one language helps children to learn other languages, including English, better - this helps them to do well at school.
Myth 3: Children who hear two or more languages will have speech and language challenges.
Again, not true. The Royal College of Speech and Language Therapists state that bilingualism does not cause or contribute to speech and language challenges. It's important to be aware though, that some bilingual children will have speech and language challenges, just as monolingual children do. The difference is that a bilingual child with speech and language challenges will have difficulties in BOTH or ALL of their languages - not just in English.
Myth 4: There are certain languages that are useful, and certain languages that aren't.
Every language is important. Of course, developing English is important for children going to English-speaking schools. But research shows that when a child knows their home/heritage language, this helps their academic achievement, self-confidence, and family relationships. Later in life, it can increase their employment opportunities. Importantly, it helps them understand their cultural and ethnic identity better.
What can I do to help?
We all play a role in dispelling the myths surrounding bilingualism. To help you do that, we've created some tools and resources that you can use and share for free:

A bilingualism factsheet , dispelling the myths for parents

Our EAL Key Messages , developed with Cambridge University's Bilingual Network and Royal College of Speech and Language Therapists

Watch out for an upcoming bilingualism-focused Talking with your toddler webinar by a Speech and Language Advisor.

Interested in reading more? Check out some of the articles we referenced when putting this blog together:

Byers-Heinlein, K., & Lew-Williams, C. (2013). Bilingualism in the Early Years: What the Science Says. LEARNing Landscapes , (1), 95-112. https://doi.org/10.36510/learnland.v7i1.632

Department for Education. (2019). English proficiency: pupils with English as additional language. Retrieved November 1, 2022, from https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_ data/file/868209/English_proficiency_of_EAL_pupils.pdf

Hartshorne, J. K., Tenenbaum, J. B., & Pinker, S. (2018). A critical period for second language acquisition: Evidence from 2/3 million English speakers. , , 263-277. https://doi.org/10.1016/j.cognition.2018.04.007

Royal College of Speech and Language Therapists. (2021, March 31). Bilingualism - clinical information for SLTs | RCSLT . RCSLT. https://www.rcslt.org/speech-and-language-therapy/clinical-information/bilingualism/

Weekly, R. (2020). Attitudes, beliefs and responsibility for heritage language maintenance in the UK. Current Issues in Language Planning . https://doi.org/10.1080/14664208.2018.1554324

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Myth-busting: Bilingualism / English as an additional language

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This short blog clears up some myths and presents the facts about children and young people having two or more languages. There are a few different terms used to describe children and young people with two or more languages. Mostly, these can be used interchangeably.

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Tips and resources to support your child's reading and language skills

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Tips and resources to support your child's reading and language skills

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If you have a child at Primary School, this is a great place to find out about how they are learning to read and what you can do to help at home.

Get some fresh ideas for encouraging your child's reading at home, check out our online eBook library with access to over 130 free books and find out more about how reading is taught in school.

There's also a handy guide to understanding phonics and information on the reading schemes used in schools.

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Advice on helping your child with reading. Simple ideas, top tips, activities and games to use at home. Expert advice on phonics and helping struggling readers.

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Everyday activities to develop language skills

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Everyday activities to develop language skills

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Language Activities - Speech and Language Link

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Explore fun language activities to boost your child’s communication skills at home with games and everyday routines. Perfect for ages 0-14.

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SLCN & DLD SLCN Speech, Language and Communication Needs Events There are many ways that you can help to raise funds Afasic Helpline

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Developmental Language Disorder (DLD) DLD (Developmental Language Disorder) is a relatively new term used to describe a severe ongoing difficulty with talking and/or understanding what other people say for which there is no obvious cause.

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DLD resources for schools and families - NAPLIC

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Resources for schools What is Developmental Language Disorder? This short video, ‘Schools: supporting students with DLD’, gives an insight into Developmental Language Disorder and some simple strategies. Perfect for adding […]

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The Neurodiversity Hub is a new service. It supports families and children who are neurodivergent or who have social communication differences, to work together with professionals to problem solve issues that are affecting them. It is based on needs and not a diagnosis.

The Neurodiversity Hub is a multi-agency screening, signposting, and support service.
Who is in our team?

Speech and language therapist

Paediatric neurodevelopment nurse

Neurodiversity liaison nurse

Specialist teacher

Local mental health practitioner

Team ead for the Rochdale Autism and ADHD service (RAASS)

Working hours: Monday to Friday from 8am until 4pm, excluding bank holidays.

We accept requests for help for children and young people under 19 years of age who live in Heywood, Middleton, and Rochdale. You do not need a formal diagnosis to access support from The Neurodiversity Hub.

Where appropriate, we will work with families and services to gain the evidence required to move forward with referrals for autism/ADHD assessments.

For school age children (aged 5 years and above) the Child & Adolescent Mental Health Services (CAMHS) will continue to carry out the initial and diagnostic assessment. For early years children (under the age of 5 years) the Community Paediatric Service will carry out the initial assessment and the Autism Assessment Team will carry out the diagnostic assessment.

Families and professionals can still send information to CAMHS requesting an autism assessment. However, families may be signposted to the hub if they do not feel the request is appropriate at that time.

Your Appointment - what to expect?

Screening
Once we have received a request for help we will screen the referral to support any unmet needs. We will contact families in a timely manner to discuss the support available.
Signposting
We will signpost families to appropriate teams and services available to them based on their needs. We will offer follow up support where needed to ensure that the child/young person and their family are receiving the right support by the right service at the right time.
Support
As we are a new and evolving service, we are currently developing a support offer to include a mixture of professional training, parental group workshops, group sessions for children and young people and 1:1 support. We will regularly release information regarding the workshops we have on offer such as:

Emotional regulation and behaviour support

Sleep (non-medicated issues)

Toileting

Early Communication Skills

Parental Information and Support

Anxiety

Sibling and group support for children and young people

Families may be discharged from The Neurodiversity Hub after the above has taken place. However, families can contact the team to obtain advice and support as required.

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The Neurodiversity Hub :: Northern Care Alliance

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The Neurodiversity Hub is a new service. It supports families and children who are neurodivergent or who have social communication differences, to work together with professionals to problem solve issues that are affecting them. It is based on needs and not a diagnosis.

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Selective Mutism Information & Research Association (SMIRA)

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Selective Mutism (SM) is a communication anxiety disorder. This site contains information on and support for parents, people with SM, and professionals.

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How can I develop language in a bilingual household?

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How can I develop language in a bilingual household? Speech and language therapist Monal Gajjar has the answers.

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Ashir and Kiran explain how they don’t have to make a special effort to speak in Urdu with their children - they just switch languages as they naturally would with each other.

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How family can help learn about language and culture

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Priyanka and Keyur explain how family members help their daughter learn Gujurati and about different customs.

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We are the UKs leading charity for autistic people and their families. Since 1962, we have been providing support, guidance and advice, as well as campaigning for improved rights, services and opportunities to help create a society that works for autistic people.

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DLD - Why Can't You See Me? book for children

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DLD - Why Can't You See Me? book for children

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Shelbi Annison (Author), Yogesh Mahajan (Illustrator) Format: Kindle Edition

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DLD Why Can’t You See Me?: Developmental Language Disorder 1 in 14

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DLD Why Can’t You See Me?: Developmental Language Disorder 1 in 14 eBook : Annison, Shelbi, Mahajan, Yogesh: Amazon.co.uk: Kindle Store

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Reading books to support your child's language development

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Reading books to support your child's language development

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Using books to support language development

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DLD support strategies for parents/carers

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DLD support strategies for parents/carers

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Stammering in Young Children - thanks to Airedale NHS Foundation Trust for permission to share

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Stammering in Young Children - thanks to Airedale NHS Foundation Trust for permission to share

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© 2018 - 2023 STAMMA, British Stammering Association trading as STAMMA, reg. charity no. 1089967/SC038866, reg. company no. 04297778 (England & Wales)

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HMR Children’s Speech & Language Therapy - Vocabulary strategies Word Webs 2

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HMR Children’s Speech & Language Therapy - Vocabulary strategies Word Webs 2

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Northern Care Alliance NHS Foundation Trust

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HMR Children’s Speech & Language Therapy  - Vocabulary strategies  Word Webs 2

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Find out about selective mutism, an anxiety disorder that prevents people from speaking in certain social situations.

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Support for Parents of Children with Selective Mutism

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Led by Lucy Nathanson, our team of specialist therapists supports children with selective mutism, offering tailored therapy and guidance for parents

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Lucy Nathanson is a child therapist and selective mutism specialist
(founder of https://www.confidentchildren.co.uk/ see Facebook page:
https://www.facebook.com/Confident-Children-705561972840374/) Lucy creates resources on selective mutism (SM). SM is an anxiety disorder whereby a child is unable to speak in certain situations. Lucy’s videos cover a range of topics e.g. what is selective mutism, what causes selective mutism, characteristics of selective mutism and treatment / therapy. Other Resources:
Selective mutism online training courses: https://confidentchildren.teachable.com/p/parent-essentials-helping-your-child-with-selective-mutism
https://confidentchildren.teachable.com/p/selectivemutismcoretraining Books by Lucy:
Book for the child: https://www.confidentchildren.co.uk/mynameiseliza
Book for the class: https://www.confidentchildren.co.uk/whydoesntalicetalkatschool
Understanding selective mutism: https://www.confidentchildren.co.uk/book-understanding-selective-mutism

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Ideas to support your child's language development at home

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CHAT PLAY READ booklet for families (KS1 & KS2)