Refer to the MPC

How to get help at the Michael Palin Centre for a child who stammers

Refer to the MPC - read about making a referral to the Michael Palin Centre and find the form you need.

Funding for assessments
Assessments for children living in the UK are charitably funded, generously supported by the Stuttering Foundation (hyperlinked)

UK parents may choose to pay privately for an assessment. Parents of children who live outside the UK are required to pay privately.

Assessments for adults living in Camden and Islington are NHS funded. Adults living elsewhere are required to pay privately.

Funding for therapy
Funding for individual therapy at MPC for children is sought from the local NHS service or paid for privately.

Charitable funding is available for group therapy for UK based children and teenagers. Children from overseas are required to pay privately.

Adults living in Camden and Islington receive NHS-funded therapy. All other adult therapy requires private funding.

CAN PARENTS, TEENAGERS OR ADULTS REFER DIRECTLY TO MPC? – yes in the following cases
1. Children, teenagers and adults of any age who live or go to school in Camden or Islington and children aged 7 to 18 years who live or go to school in Newham.
Parents of these children can refer or adults can self-refer directly to the MPC and if the child or adult requires therapy it will take place at the MPC. CLICK ON REFER TAB AT THE TOP OF THE PAGE

2. Children aged 10-14 years and their parents applying for a place on the the one-year group therapy programme (starting 8th to 12th April or 28 October to 1st November 2024)
Parents can refer directly to the MPC if they would like to explore the option of themselves and their child (aged 10 to 14;11 years old) attending the one-week 10-14s group in April or October 2024. If making this referral, please make sure that your child is expressing some interest in a group for children who stammer, and that both parents can attend (if you are a 2-parent family and you are together). The group runs Monday to Friday, 10am till 3.30pm daily and participants need to attend every day. There are four group follow up days throughout the following year. We are not able to accommodate interpreters in this group programme. Please note that we will try to book in an assessment in time for this to be considered; however we cannot guarantee a place. CLICK ON REFERRAL TAB AT THE TOP OF THE PAGE

3. Teenagers applying for a place on the 15-18s one-year group therapy programme (starting 15th to 26th July 2024)
Young people (or their parents) can refer directly to the MPC if they would like to explore the option of attending the two-week group therapy programme for young people who stammer in July 2024. If making this referral, please make sure that you are free to attend these dates. The group runs Monday to Friday, 10am till 3.30pm daily and participants need to attend every day. There are four group follow up days throughout the following year. We are not able to accommodate interpreters in this group programme. Please note that we will try to book in an assessment in time for this to be considered; however we cannot guarantee a place. CLICK ON REFER TAB AT THE TOP OF THE PAGE

4. Private (self-funded) assessment and therapy (includes non-UK residents)
Any family or adult can choose to have a private assessment and therapy. If you live outside the UK this is your only option. CLICK ON REFER TAB AT THE TOP OF THE PAGE

5. A child who has an NHS SLT who supports the referral
Your local NHS SLT may decide with you that a charitably-funded specialist assessment at the MPC might be helpful. They can make a referral for you, or you can make it yourself. We will invite your NHS SLT to an assessment with you where we will agree recommendations together. If transfer to the MPC for therapy is recommended, we can apply for funding for therapy to take place at the MPC with your NHS SLT’s agreement. CLICK ON REFER TAB AT THE TOP OF THE PAGE

6. A child who has an independent (private) SLT who supports the referral
Your independent SLT may decide with you that a charitably-funded specialist assessment at the MPC might be helpful. They can make a referral for you, or you can make it yourself. We will invite your independent SLT to an assessment with you where we will agree recommendations together that they can deliver. We are not able to apply for funding for therapy to take place at the MPC via your independent SLT. CLICK ON REFER TAB AT THE TOP OF THE PAGE

If none of the above applies to you, we recommend that you try to refer your child to your local NHS Speech and Language Therapy service. Most children can access therapy from their local NHS speech and language therapy service, and this is the best place to start. Use a search engine and search for ‘NHS speech and language therapy services for children’ in your area. Contact them and ask how to refer your child to them. While you are waiting to be seen you might like to look at our parents’ page for some ways to support your child.

If there is no local service for stammering, talk to your GP about making a referral to the MPC for your child.

If you are having trouble with getting some help for your child via your local service or GP, please call our helpline on 020 3316 8100. Please note when you make a referral, please check your emails (including your Junk folder) for emails from us.

Refer my child (Camden or Islington resident - all ages; Newham resident 7-18 years; referral to children's or teenagers' intensive groups)

    REFERRAL TYPE (required)

    CHILD OR YOUNG PERSON

    PARENT 1

    Title [e.g. Mr., Ms., Mrs., Dr., etc.]:

    PARENT 2

    Title [e.g. Mr., Ms., Mrs., Dr., etc.]:

    PARENT 3

    Title [e.g. Mr., Ms., Mrs., Dr., etc.]:

    PARENT 4

    Title [e.g. Mr., Ms., Mrs., Dr., etc.]:

    PARENTAL INVOLVEMENT

    Both parents are required to attend the consultation for children up to 16 years old.

    If your child is over 16 please tell us if you would like to have a parent session.

    I would like a parent session

    Who has parental responsibility?

    Parents' status
    TogetherSeparatedDivorced

    Would you like to attend together or separately?
    TogetherSeparately

    Please provide name(s) of other partners to be invited and enter their details in PARENT 2, 3 and/or 4 section

    SIBLINGS (names and ages). Siblings are not invited to the assessment.

    SCHOOL/NURSERY

    School name

    School address

    School post code

    School headteacher

    School telephone

    School email

    FAMILY DOCTOR

    GP name

    GP address

    GP telephone number

    GP email

    YOUR LOCAL NHS TRUST

    Name

    EMERGENCY CONTACT

    Name and number of the person we would contact if there were an emergency while you were at the Centre.

    Name

    Telephone number

    NHS SPEECH AND LANGUAGE THERAPIST

    Name

    Address

    Post code

    Telephone number

    NHS Trust

    Email address

    When seen (currently or past)

    NHS SLT Manager (to be completed by SLT)

    INDEPENDENT SPEECH AND LANGUAGE THERAPIST

    Name

    Address

    Post code

    Telephone number

    Email address

    When seen (currently or past)

    ETHNICITY

    Child (required)

    Parent 1 (required)

    Parent 2

    Parent 3

    Parent 4

    RELIGION

    Child (required)

    Parent 1 (required)

    Parent 2

    Parent 3

    Parent 4

    LANGUAGES SPOKEN

    Child

    Parent(s)

    Does your child need an interpreter? (required)
    YesNo

    Does the parent / do the parents need an interpreter? (required)
    YesNo

    STAMMERING

    Onset of stammer

    Has it changed since then?

    When do they stammer more?

    When does it happen less?

    Do you have any idea(s) about why your child started to stammer?

    Any other members of the extended family who stammer now or used to stammer?

    What does your child do when they stammer?

    How do you refer to the problem when talking to your child?

    REASON FOR REFERRAL

    Advice and guidance to support local therapyIndividual therapy at the Michael Palin CentreGroup therapy at the Michael Palin Centre (ages 10 to 18 years)

    ADDITIONAL INFORMATION

    SPEECH AND LANGUAGE ASSESSMENTS

    Please send copies of reports to:

    Administrator
    The Michael Palin Centre
    13-15 Pine Street
    London EC1R 0JG

    Previous therapy and progress

    Up-to-date language assessment (for SLT referrals)

    Additional needs (e.g. medical, social, educational, emotional)

    Other professionals involved (e.g. CAMHS, Occupational Therapy, Social Services)

    Any other information

    RESEARCH (for parents)

    Occasionally at the Michael Palin Centre we conduct research studies to investigate stammering. If you would like to receive information about research studies in which you and/or your child can participate then please indicate below. You do not have to commit or participate in any of the studies. You can withdraw from receiving this information at any time without giving any reason.

    Would you like to receive information?

    YesNo

    NAME OF REFERRER

    Contact details if different from above (name is required)

    If you would like a printed copy of your completed referral form, please hit ctrl + ‘p’ (on a PC) or cmd + ‘p’ (on a Mac) before you click submit/send.

    You will receive an automated email to confirm that your referral has been received.

    I am a parent (non-UK resident)

    If you are not a UK resident you can refer your child for a private assessment at the MPC assessment clinic. This can be attended in person or by Skype or Zoom.

    Please enquire for private assessment tariffs. Payment is required in advance.

    There is an additional fee for professional interpreting services if these are required.

    Please complete the form below:

    Refer my child for a private assessment (non-UK resident)

      REFERRAL TYPE (required)

      CHILD OR YOUNG PERSON

      PARENT 1

      Title [e.g. Mr., Ms., Mrs., Dr., etc.]:

      PARENT 2

      Title [e.g. Mr., Ms., Mrs., Dr., etc.]:

      PARENT 3

      Title [e.g. Mr., Ms., Mrs., Dr., etc.]:

      PARENT 4

      Title [e.g. Mr., Ms., Mrs., Dr., etc.]:

      PARENTAL INVOLVEMENT

      Both parents are required to attend the consultation for children up to 16 years old.

      If your child is over 16 please tell us if you would like to have a parent session.

      I would like a parent session

      Who has parental responsibility?

      Parents' status
      TogetherSeparatedDivorced

      Would you like to attend together or separately?
      TogetherSeparately

      Please provide name(s) of other partners to be invited and enter their details in PARENT 2, 3 and/or 4 section

      SIBLINGS (names and ages). Siblings are not invited to the assessment.

      SCHOOL/NURSERY

      School name

      School address

      School post code

      School headteacher

      School telephone

      School email

      FAMILY DOCTOR

      GP name

      GP address

      GP telephone number

      GP email

      YOUR LOCAL NHS TRUST

      Name

      EMERGENCY CONTACT

      Name and number of the person we would contact if there were an emergency while you were at the Centre.

      Name

      Telephone number

      NHS SPEECH AND LANGUAGE THERAPIST

      Name

      Address

      Post code

      Telephone number

      NHS Trust

      Email address

      When seen (currently or past)

      NHS SLT Manager (to be completed by SLT)

      INDEPENDENT SPEECH AND LANGUAGE THERAPIST

      Name

      Address

      Post code

      Telephone number

      Email address

      When seen (currently or past)

      ETHNICITY

      Child (required)

      Parent 1 (required)

      Parent 2

      Parent 3

      Parent 4

      RELIGION

      Child (required)

      Parent 1 (required)

      Parent 2

      Parent 3

      Parent 4

      LANGUAGES SPOKEN

      Child

      Parent(s)

      Does your child need an interpreter? (required)
      YesNo

      Does the parent / do the parents need an interpreter? (required)
      YesNo

      STAMMERING

      Onset of stammer

      Has it changed since then?

      When do they stammer more?

      When does it happen less?

      Do you have any idea(s) about why your child started to stammer?

      Any other members of the extended family who stammer now or used to stammer?

      What does your child do when they stammer?

      How do you refer to the problem when talking to your child?

      REASON FOR REFERRAL

      Advice and guidance to support local therapyIndividual therapy at the Michael Palin CentreGroup therapy at the Michael Palin Centre (ages 10 to 18 years)

      ADDITIONAL INFORMATION

      SPEECH AND LANGUAGE ASSESSMENTS

      Please send copies of reports to:

      Administrator
      The Michael Palin Centre
      13-15 Pine Street
      London EC1R 0JG

      Previous therapy and progress

      Up-to-date language assessment (for SLT referrals)

      Additional needs (e.g. medical, social, educational, emotional)

      Other professionals involved (e.g. CAMHS, Occupational Therapy, Social Services)

      Any other information

      RESEARCH (for parents)

      Occasionally at the Michael Palin Centre we conduct research studies to investigate stammering. If you would like to receive information about research studies in which you and/or your child can participate then please indicate below. You do not have to commit or participate in any of the studies. You can withdraw from receiving this information at any time without giving any reason.

      Would you like to receive information?

      YesNo

      NAME OF REFERRER

      Contact details if different from above (name is required)

      If you would like a printed copy of your completed referral form, please hit ctrl + ‘p’ (on a PC) or cmd + ‘p’ (on a Mac) before you click submit/send.

      You will receive an automated email to confirm that your referral has been received.

      I am a Speech and language therapist (UK)

      You can refer a child or young person up to 18;11 years when:

      • you want to confer about the work you are doing with a family and get advice from our specialist team.
      • you feel the family you are working with would be helped by the holistic assessment at the MPC.
      • you think that the family you are working with might be helped by therapy at the MPC and you have discussed this with your manager and a potential funding application for us will be supported.

      Please complete the form below:

      Refer a child I am working with (SLTs)

        REFERRAL TYPE (required)

        CHILD OR YOUNG PERSON

        PARENT 1

        Title [e.g. Mr., Ms., Mrs., Dr., etc.]:

        PARENT 2

        Title [e.g. Mr., Ms., Mrs., Dr., etc.]:

        PARENT 3

        Title [e.g. Mr., Ms., Mrs., Dr., etc.]:

        PARENT 4

        Title [e.g. Mr., Ms., Mrs., Dr., etc.]:

        PARENTAL INVOLVEMENT

        Both parents are required to attend the consultation for children up to 16 years old.

        If your child is over 16 please tell us if you would like to have a parent session.

        I would like a parent session

        Who has parental responsibility?

        Parents' status
        TogetherSeparatedDivorced

        Would you like to attend together or separately?
        TogetherSeparately

        Please provide name(s) of other partners to be invited and enter their details in PARENT 2, 3 and/or 4 section

        SIBLINGS (names and ages). Siblings are not invited to the assessment.

        SCHOOL/NURSERY

        School name

        School address

        School post code

        School headteacher

        School telephone

        School email

        FAMILY DOCTOR

        GP name

        GP address

        GP telephone number

        GP email

        YOUR LOCAL NHS TRUST

        Name

        EMERGENCY CONTACT

        Name and number of the person we would contact if there were an emergency while you were at the Centre.

        Name

        Telephone number

        NHS SPEECH AND LANGUAGE THERAPIST

        Name

        Address

        Post code

        Telephone number

        NHS Trust

        Email address

        When seen (currently or past)

        NHS SLT Manager (to be completed by SLT)

        INDEPENDENT SPEECH AND LANGUAGE THERAPIST

        Name

        Address

        Post code

        Telephone number

        Email address

        When seen (currently or past)

        ETHNICITY

        Child (required)

        Parent 1 (required)

        Parent 2

        Parent 3

        Parent 4

        RELIGION

        Child (required)

        Parent 1 (required)

        Parent 2

        Parent 3

        Parent 4

        LANGUAGES SPOKEN

        Child

        Parent(s)

        Does your child need an interpreter? (required)
        YesNo

        Does the parent / do the parents need an interpreter? (required)
        YesNo

        STAMMERING

        Onset of stammer

        Has it changed since then?

        When do they stammer more?

        When does it happen less?

        Do you have any idea(s) about why your child started to stammer?

        Any other members of the extended family who stammer now or used to stammer?

        What does your child do when they stammer?

        How do you refer to the problem when talking to your child?

        REASON FOR REFERRAL

        Advice and guidance to support local therapyIndividual therapy at the Michael Palin CentreGroup therapy at the Michael Palin Centre (ages 10 to 18 years)

        ADDITIONAL INFORMATION

        SPEECH AND LANGUAGE ASSESSMENTS

        Please send copies of reports to:

        Administrator
        The Michael Palin Centre
        13-15 Pine Street
        London EC1R 0JG

        Previous therapy and progress

        Up-to-date language assessment (for SLT referrals)

        Additional needs (e.g. medical, social, educational, emotional)

        Other professionals involved (e.g. CAMHS, Occupational Therapy, Social Services)

        Any other information

        RESEARCH (for parents)

        Occasionally at the Michael Palin Centre we conduct research studies to investigate stammering. If you would like to receive information about research studies in which you and/or your child can participate then please indicate below. You do not have to commit or participate in any of the studies. You can withdraw from receiving this information at any time without giving any reason.

        Would you like to receive information?

        YesNo

        NAME OF REFERRER

        Contact details if different from above (name is required)

        If you would like a printed copy of your completed referral form, please hit ctrl + ‘p’ (on a PC) or cmd + ‘p’ (on a Mac) before you click submit/send.

        You will receive an automated email to confirm that your referral has been received.

        I am a GP

        If there is no local speech and language therapy service then UK-resident families may ask you to refer directly to us for an assessment. Please send your referral, requesting an assessment for a child or young person up to 18;11 years of age to:

        The Administrator
        The Michael Palin Centre
        13-15 Pine Street
        London EC1R 0JG

        This assessment for children and young people up to 18;11 years of age will be charitably-funded by Action for Stammering Children.

        Referrals for adults

        I am an adult living in Camden or Islington

        Your assessment will be funded under an agreement that we have with Camden and Islington Commissioners. You can refer yourself by completing the online referral form:

        Adult Self-referral form

          Please fill out as much information as possible. Fields marked * are required

          Name (required)

          Date of birth (required)

          Title MrMrsMsMissDrOther

          If "other", please enter your preferred title here:

          What would you like to be called by staff at the Centre?

          Ethnicity:

          NHS no. (if known)

          Home address (required)

          Post code (required)

          Best phone number to contact you on during the day (required)

          Email (required)

          Preferred language

          Interpreter needed
          YesNo

          G.P.'s name and address [including postcode] (required)

          G.P.'s telephone number

          Emergency contact [the name and number of the person we would call in an emergency if you are at the Centre] (required)

          Do you see any other professionals for help with anything?
          YesNo

          If yes, please write down the name of the professional who you see, where you go to see them, and what you see them for.

          Do you have any health or mobility issues that we should be aware of?
          YesNo

          If yes, please write down what these are.

          Do you currently take any medication?
          YesNo

          If yes, please write down what you take and what it is for.

          Do you experience any of the following? (tick any that apply)
          Low mood or depression: NowIn the pastNeverNot sure
          Anxiety unrelated to stammering: NowIn the pastNeverNot sure

          Reason for contacting the MPC:

          A member of the Michael Palin Centre will contact you by phone or by email within the next 3 weeks to talk about your self-referral and to make an assessment appointment.

          Please write down any preferred days or times (during office hours) for staff to contact you.

          You can ask your GP to refer you if you do not wish to use the online form. Ask your GP to send the referral letter to:

          The Administrator (Referrals)
          The Michael Palin Centre
          13-15 Pine Street
          London EC1R 0JG

          I am an adult living elsewhere in London or the UK

          There is a fee of £500 for your assessment at the Centre.

          • ask your GP whether they would be prepared to refer you to the Centre. The referral letter will need to state that they will pay for your assessment, OR
          • refer yourself using the form below if you wish to pay for your assessment privately.We are not able to accept your referral unless we have a written agreement to fund your assessment, either by your GP or by yourself.

          Please complete the below form:

          Private Adults Self-referral form

            Name (required)

            Date of birth (required)

            Title (required)
            MrMrsMsMissDrOther

            If "other", please enter your preferred title here:

            What would you like to be called by staff at the Centre? (required)

            Ethnicity (required):

            NHS no. (required)

            Home address (required)

            Post code (required)

            Country (required)

            Best phone number to contact you on during the day (required)

            Email (required)

            Preferred language (required)

            Interpreter needed (required)
            YesNo

            G.P.'s name and address [including postcode] (required)

            G.P.'s telephone number (required)

            Emergency contact [the name and number of the person we would call in an emergency if you are at the Centre] (required)

            Do you see any other professionals for help with anything? (required)
            YesNo

            If yes, please write down the name of the professional who you see, where you go to see them, and what you see them for.

            Do you have any health or mobility issues that we should be aware of? (required)
            YesNo

            If yes, please write down what these are.

            Do you currently take any medication? (required)
            YesNo

            If yes, please write down what you take and what it is for.

            Do you experience any of the following? (tick any that apply)
            Low mood or depression: NowIn the pastNeverNot sure
            Anxiety unrelated to stammering: NowIn the pastNeverNot sure

            Reason for contacting the MPC:

            I understand that there is a fee to be seen privately at the Michael Palin Centre at that appointments are made only when payment is received. (required)

            A member of the Michael Palin Centre staff will contact you by phone or by email about your self-referral and how to pay for a private assessment.

            Please write down any preferred days or times (during office hours) for staff to contact you.

            THE MICHAEL PALIN CENTER HELPLINE

            Sometimes you just need someone to talk to

            HELPLINE

            Sometimes you just need someone to talk to

            Our Helpline, 020 3316 8100, is open during office hours (9am-5pm) and voicemail messages can be left when the office is closed.

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            I’m also happy for the Michael Palin Centre to call me occasionally about supporting the Centre’s work.
            Charitable donations to the Michael Palin Centre are administered by The Whittington Health Charity, Registered Charity Number 1056452 www.whittingtonhealthcharity.org. For this purpose alone, The Whittington Health Charity will also hold your details. We take your privacy seriously and will never sell or swap your details with other third parties. You can withdraw your consent to be contacted at any time by calling 020 3316 8100 or by emailing [email protected] Information about how the Trust protects personal data is set out in our privacy policy.
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