When there's more than one thing going on.
Some children's communication is shaped by several overlapping factors at once. That calls for a genuinely individualised plan — not a standard programme stretched to fit.
What we mean by "complex"
Complex communication needs describes children whose communication is affected by a combination of factors , for example, autism alongside a physical disability, a genetic syndrome with associated language difficulty, or multiple diagnoses that each affect communication differently. These children are often the ones for whom a single, off the shelf approach genuinely doesn't fit.
How we work
We start by properly understanding the whole picture , not just the communication piece in isolation , and build a plan that accounts for physical access needs, cognitive profile, sensory considerations, and whatever other therapies and supports are already part of your child's life. Where useful, we coordinate directly with your child's other therapists and school.
What this can involve
Individualised planning
A plan built around your child's specific, combined profile — not a template.
AAC & access
Communication systems adapted for physical or sensory access needs.
Multidisciplinary coordination
Working alongside physio, OT, psychology and school.
Family support
Practical, honest guidance for families managing multiple appointments and needs.
Questions parents ask
What counts as 'complex communication needs'?+
It's an umbrella term for children whose communication is affected by more than one factor at once — for example, a child who is autistic, non-speaking, and has a physical difficulty that affects how they can access AAC. It signals that a joined-up, individualised plan is needed rather than a single, standard approach.
Do you work with children who have other diagnoses too?+
Yes — we regularly work alongside families managing multiple diagnoses (for example, autism plus a genetic condition, or a language disorder plus a physical disability) and coordinate with other therapists and services involved in your child's care.
Can you liaise with our other therapists and our child's school?+
Yes. For children with complex needs, joined-up communication between everyone involved — physio, OT, psychology, school — genuinely improves outcomes, and we build this into how we work.