Poor language is linked to poor behaviour even in very young children. 2 in 3 language delayed 3 year olds have behaviour problems

ToTT - a sustainable approach

All schools who participated in the ToTT randomised controlled trial were offered the chance to commission in the ToTT programme during the academic year 2015-2016;

  • In Wigan and Hull, schools decided to take forward local approaches to support speech, language and communication
  • A cluster of schools in Stevenage/North Hertfordshire - from both the intervention and control groups - have commissioned ToTT;
    • For the schools in the RCT intervention group, the programme of work completed during the academic year 2015-2016 will involve further embedding, enhancing and extending the ToTT activities they implemented during the two year RCT.
    • For schools in the RCT control group, the academic year 2015-2016 will enable them to get ToTT up and running in school.


Alongside rollout of the ToTT model, work is also taking place to look at wider sustainability of the ToTT model; learning from the pilot study and the RCT will support development and refinement of the ToTT approach so that even more local communities, schools and pupils can benefit in the future.

The ToTT model and approach was originally developed and delivered by The Communication Trust, hosted within I CAN - the children's communication charity. Following successful delivery of the pilot study and RCT, delivery of ToTT as a service transferred to I CAN. I CAN's established delivery mechanisms for providing traded services and consultancy support, are enabling development and refinement of the ToTT approach to facilitate rollout of a commissioned programme for local communities and settings. To find out more about the work of I CAN, go to: www.ican.org.uk

Should you have any further questions about Talk of the Town, or if you'd like further information, please contact Theresa Redmond, TCT Professional Advisor, tredmond@thecommunicationtrust.org.uk.

Or click here to access more information about ToTT as a commissioned approach on the I CAN website.