Monitoring/ Auditing Criteria: to assess guideline implementation or adherence to recommendations.

Acquire the a full history from the patient or parents

· Exclude other causes of speech difficulty

· Prescribe the proper assessment

· Consider managing the defective speech mechanism according to the patient’s needs

· Give advice on how to monitor improvement

All clinicians should be aware and informed to consider the following:

· Red Flags that need urgent referral for Assessment/ Management must be taken into consideration.

· For Assessment it is crucial to perform a detailed history/ clinical examination as a minimum patient assessment

· Management should be targeted towards treating the defective speech mechanism and to improve intelligibility of speech.