When a child struggles with speech and language
- Mable Green
- 1 day ago
- 2 min read

When a child struggles with speech and/or language, it can affect learning, friendships, behaviour and confidence. Early support is key to their success in education and life.
In September 2023, the Department of Education and NHS England funded a screening initiative to assess the needs for early years Speech therapy. The Early Language Support for Every Child (ELSEC) programme's interim report, published in July 2023, showed a shocking level of need.
Analysis suggested that 6 in 10 children who received universal screening had speech and language needs.
As of July 2023, ELSEC had reached 17,000 children across 600 nurseries and Primary schools, delivering universal interventions; 4,600 benefited fromtargeted support.
Speech and Language UK - The Early Language Support for Every Child (ELSEC)
Here are some issues that children have when speech and language is delayed
🏫 At School
📚 1. Learning & Academics
Language is the foundation of learning. If a child has difficulty understanding or using language, they may struggle with:
Following instructions
Understanding new vocabulary
Reading comprehension
Writing sentences and stories
Answering questions
Learning new concepts
Even maths can be hard — because word problems rely heavily on language.
A child might look like they’re not paying attention… when actually, they just didn’t understand what was said.
🗣️ 2. Speaking in Class
If speech sounds are unclear or the child stutters:
They may avoid answering questions
Other children may struggle to understand them
They may feel embarrassed or anxious about speaking
Over time, this can chip away at confidence.
👥 3. Friendships & Social Skills
Language is how children:
Join games
Negotiate rules
Tell jokes
Solve conflicts
If they can’t express themselves clearly or understand social cues, they may:
Be left out
Misunderstand others
Get frustrated
Be seen as “bossy,” “shy,” or “naughty”
Sometimes behaviour is communication in disguise.
🏠 At Home
😤 1. Frustration & Meltdowns
When a child can’t explain what they want, how they feel, or what happened at school, frustration builds fast.
This can look like:
Tantrums
Shouting
Withdrawing
Saying “I don’t know” to everything
It’s often not defiance — it’s difficulty.
💬 2. Family Relationships
Parents might notice:
Conversations feel one-sided
The child struggles to retell events
Homework becomes stressful
Siblings “speak for them”
That can affect independence and self-esteem.
Long-Term Impact (If Unsupported)
Without support, speech and language difficulties can affect:
Literacy
Academic achievement
Mental health
Confidence
Employment opportunities later in life
But here’s the hopeful part: Early support makes a huge difference.



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