The growing challenge of accessing Speech and Language Therapy in London
By Emma O’Dwyer, Speech and Language Therapist & IBCLC
Baby Speak | Speech and Language Therapy, Harley Street, London
Recent coverage in MyLondon and This Is Local London has brought much-needed attention to the growing challenges families face in accessing speech and language therapy (SLT) across the capital.
The reports highlighted how changes to local authority contracts in Croydon left some children without consistent support, reflecting a wider, nationwide concern about delays in therapy provision.
At Baby Speak, we see first-hand how vital early, consistent speech therapy is for a child’s communication, confidence, and learning.
Why Consistent Speech Therapy Matters
Children with speech, language and communication needs (SLCN) depend on regular input to develop the skills they need to learn, express themselves, and connect with others.
Without consistent therapy, children may start to withdraw socially and fall behind at school. Research by Speech and Language UK (2024) found that children with untreated SLCN are:
Six times more likely to fall behind in English
Eleven times more likely to fall behind in Maths by age 11
Twice as likely to experience unemployment as adults
These figures highlight just how much communication skills influence not only academic progress, but also emotional wellbeing, relationships, and long-term life opportunities.
Early Intervention Makes a Lasting Difference
Speech and language therapy is most effective when introduced early. Supporting children during the key developmental window from birth to school age helps lay the foundation for communication, learning, and social understanding.
Early therapy can:
Strengthen listening and attention skills
Improve confidence and reduce frustration
Support social interaction and emotional regulation
Set children up for success in school and beyond
If you’re worried about your child’s communication, it’s always best to seek advice early. Even brief parent coaching or a single consultation can give you strategies to help your child progress at home.
A Growing Need Across London
As discussed in MyLondon and This Is Local London, therapists across the city are reporting the same pattern:
More referrals than ever before
Greater complexity in children’s communication needs
Longer waiting times for local NHS services
These pressures stem from a national shortage of speech and language therapists, increasing recognition of neurodiverse communication profiles (such as Autism and ADHD), and the impact of Covid-19 on children’s early social experiences.
As a result, many families are waiting months for support, even when their child’s needs are clearly identified or supported by an Education, Health and Care Plan (EHCP).
How Private Speech Therapy Can Bridge the Gap
At Baby Speak, we work closely with families and referrers to ensure that children don’t miss critical therapy windows. Our team of experienced paediatric SLTs provides home-based and online speech and language therapy across North, West, Central, and East London.
Private therapy can:
Provide immediate access to specialist support
Offer personalised, goal-focused sessions
Include parent coaching for continuity at home
Complement NHS and school-based input
Our approach is always evidence-based and family-centred, helping children thrive while easing the pressure on overstretched public services.
Supporting Families Across London
At Baby Speak, we understand the stress that comes when your child’s support is delayed. Our goal is to make therapy accessible, responsive, and collaborative, empowering parents and helping children reach their full potential.
If you’d like to find out how we can help, visit our Services page or make a booking request today.
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Emma O’Dwyer
Speech and Language Therapist, IBCLC Lactation Consultant and Founder of Baby Speak