SmallTalk Speech & Language Therapy

SmallTalk Speech & Language Therapy Children's Speech Pathologist based in Hornsby and the surrounding area. Hi! My name is Erin and I am a speech pathologist specialising in working with children.

I aim to empower parents with the skills to support their kids in becoming confident and successful communicators. I work with children who: - are not yet talking or not talking as much as expected - have trouble understanding instructions, questions and comments - have difficulty using words and sentences to effectively communicate a message - have difficulty with pronunciation of words - are stuttering My philosophy is that learning should be fun! I strive to make speech therapy enjoyable and motivating for you and your child. If you're worried about your child's communication skills, please call me for a chat about your concerns. There's also lots of information on my web site: www.smalltalkspeech.com.au.

24/02/2026
20/02/2026
12/02/2026
12/02/2026
10/02/2026
09/02/2026
04/02/2026

Many parents have asked what the ๐™๐™๐™ง๐™ž๐™ซ๐™ž๐™ฃ๐™œ ๐™†๐™ž๐™™๐™จ / ๐™‰๐™ค ๐˜พ๐™๐™ž๐™ก๐™™ ๐™‡๐™š๐™›๐™ฉ ๐˜ฝ๐™š๐™๐™ž๐™ฃ๐™™ report could mean for families.

Kids First founder, Sonja Walker, has reviewed the 80,000-word document released today and below are some of the key areas we have raised with our local MP for parliamentary discussion.

It's important to note that the intention behind the report is a positive one. Everyone wants children to get the right support earlier and to see better outcomes over time.

Weโ€™re sharing our feedback because weโ€™re concerned that some of the recommendations rely on assumptions that donโ€™t always reflect family life on the ground, and that the real-world impact for children and parents hasnโ€™t been fully considered.

๐—œ๐—ป๐—ณ๐—ผ๐—ฟ๐—บ๐—ฎ๐˜๐—ถ๐—ผ๐—ป ๐˜ƒ๐˜€ ๐—ฟ๐—ฒ๐—ฎ๐—น ๐˜€๐˜‚๐—ฝ๐—ฝ๐—ผ๐—ฟ๐˜

The report recommends increasing access to information, resources and online programs to build parent capacity.
Many parents already know what their child finds hard. Whatโ€™s often missing is time, energy and hands-on support to turn advice into real change at home, school and in the community. Online programs can be helpful, but they donโ€™t replace skilled professionals working alongside children and families over time.

๐—˜๐˜…๐—ฝ๐—ฒ๐—ฐ๐˜๐—ถ๐—ป๐—ด ๐—ฝ๐—ฎ๐—ฟ๐—ฒ๐—ป๐˜๐˜€ ๐˜๐—ผ ๐—ฑ๐—ผ ๐—บ๐—ผ๐—ฟ๐—ฒ

The report suggests that parent capacity can be expanded indefinitely through access to education and online programs.
In reality, many parents are already carrying a heavy load. Between work, siblings, appointments, school meetings and daily challenges, families are doing their best with limited reserves. Expecting parents to absorb even more responsibility without enough professional support risks burnout and could leave children without the help they need.

๐—จ๐˜€๐—ฒ ๐—ผ๐—ณ ๐—น๐—ฎ๐—ฏ๐—ฒ๐—น๐˜€ ๐—น๐—ถ๐—ธ๐—ฒ โ€œ๐—บ๐—ถ๐—น๐—ฑโ€ ๐—ผ๐—ฟ โ€œ๐—บ๐—ผ๐—ฑ๐—ฒ๐—ฟ๐—ฎ๐˜๐—ฒโ€

The report relies on terms such as โ€œmild to moderateโ€ developmental delay or autism to guide decisions.
These labels donโ€™t always match daily life, and they do not reflect clinical practice. Children described as โ€œmildโ€ can still struggle significantly with learning, friendships, behaviour, sleep, toileting or emotions. When decisions rely on labels rather than how a child functions day to day, some children miss early support at the point it could make the biggest difference.

๐—ฃ๐—ฟ๐—ฒ๐—ณ๐—ฒ๐—ฟ๐—ฒ๐—ป๐—ฐ๐—ฒ ๐—ณ๐—ผ๐—ฟ ๐—น๐—ฎ๐—ฟ๐—ด๐—ฒ ๐—ผ๐—ฟ๐—ด๐—ฎ๐—ป๐—ถ๐˜€๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐˜€

The report often refers to large Non-Government Organisations (NGOs) as the primary voice of best practice and service delivery.
Many of these organisations hold charitable status, which gives them access to funding structures, tax exemptions, grants and pilot program opportunities that smaller providers simply donโ€™t have. This allows them to trial new models, absorb financial risk and operate at scale in ways that are not possible for most local services.

However, many of these organisations no longer operate consistently within local communities. (The NGO that Sonja once served as a Board member, Lifestart, moved out of the northern beaches years ago to redirect supports to other areas of Sydney.) When this kind of thing happens, families rely heavily on smaller, local services that know their child, their school and their area, and who can respond flexibly as needs change. These relationships are built over time and are central to effective support. If local services that are dedicated to their community disappear, that trust and knowledge canโ€™t be replaced quickly or easily.

๐—™๐—ฟ๐—ฎ๐—บ๐—ถ๐—ป๐—ด ๐—ผ๐—ณ ๐—ฝ๐—ฟ๐—ถ๐˜ƒ๐—ฎ๐˜๐—ฒ ๐—ฝ๐—ฟ๐—ฎ๐—ฐ๐˜๐—ถ๐—ฐ๐—ฒ

The report implies that private or unregistered providers are more 'transactional' or higher risk than NGOs.
In reality, private practice clinicians are regulated by exactly the same professional bodies and bound by the same strict codes of conduct as NGOs. Many experienced therapists choose not to register with the NDIS because of cost and complexity, not because of poor or unethical practice. This distinction matters to families who depend on these services. We encourage the Thriving Kids committee to ask the question: 'If 92% of NDIS providers are unregistered, why is this so?'

๐— ๐—ฎ๐—ป๐—ฑ๐—ฎ๐˜๐—ผ๐—ฟ๐˜† ๐—ฟ๐—ฒ๐—ด๐—ถ๐˜€๐˜๐—ฟ๐—ฎ๐˜๐—ถ๐—ผ๐—ป

The report supports mandatory registration without clearly outlining a timeframe or how services will transition safely. There are insufficient resources in the sector to allow this to happen, even with a January 2028 floated as a 'done by date'.
If changes are introduced too quickly, some local services may be forced to close. Families wonโ€™t simply move elsewhere, because there often isnโ€™t anywhere else to go. Once local services are lost, rebuilding them is extremely difficult.

๐—”๐˜€๐˜€๐˜‚๐—บ๐—ฝ๐˜๐—ถ๐—ผ๐—ป๐˜€ ๐—ฎ๐—ฏ๐—ผ๐˜‚๐˜ ๐—ฐ๐—ถ๐˜๐˜† ๐˜€๐—ฒ๐—ฟ๐˜ƒ๐—ถ๐—ฐ๐—ฒ๐˜€

The report focuses heavily (and rightly so) on the challenges that are experienced by families living in Australia's regional and rural areas - however it also assumes that children in metropolitan areas have enough services and capacity.
City families face the same workforce shortages, waitlists and burnout as regional areas. Many parents already ration therapy or go without support because services are stretched.

๐—ช๐—ผ๐—ฟ๐—ธ๐—ณ๐—ผ๐—ฟ๐—ฐ๐—ฒ ๐—ฐ๐—ฎ๐—ฝ๐—ฎ๐—ฐ๐—ถ๐˜๐˜†

The report assumes the workforce can expand quickly to support new models of care.
Therapists take years to train, and many experienced clinicians are leaving the sector due to workload and uncertainty. New systems canโ€™t succeed unless there are enough skilled people available to deliver care.
Switching responsibility to educators, teachers and schools is not the answer to these challenges. Educators are already stretched and are not trained or resourced to provide disability-specific assessment or intervention. Expecting them to fill workforce gaps risks pushing people beyond their scope, increasing pressure in classrooms, and leaving children without the specialised support they need.

๐—ง๐—ต๐—ฒ ๐—ฏ๐—ถ๐—ด๐—ด๐—ฒ๐—ฟ ๐—ฝ๐—ถ๐—ฐ๐˜๐˜‚๐—ฟ๐—ฒ

Support for children isnโ€™t just about programs or policy frameworks. ๐—œ๐˜ ๐—น๐—ถ๐˜ƒ๐—ฒ๐˜€ ๐—ถ๐—ป ๐˜€๐—ธ๐—ถ๐—น๐—น๐—ฒ๐—ฑ ๐—ฝ๐—ฒ๐—ผ๐—ฝ๐—น๐—ฒ, ๐˜๐—ฟ๐˜‚๐˜€๐˜๐—ฒ๐—ฑ ๐—ฟ๐—ฒ๐—น๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐˜€๐—ต๐—ถ๐—ฝ๐˜€ ๐—ฎ๐—ป๐—ฑ ๐˜€๐—ฒ๐—ฟ๐˜ƒ๐—ถ๐—ฐ๐—ฒ๐˜€ ๐˜๐—ต๐—ฎ๐˜ ๐˜„๐—ฎ๐—น๐—ธ ๐—ฎ๐—น๐—ผ๐—ป๐—ด๐˜€๐—ถ๐—ฑ๐—ฒ ๐—ณ๐—ฎ๐—บ๐—ถ๐—น๐—ถ๐—ฒ๐˜€ ๐—ผ๐˜ƒ๐—ฒ๐—ฟ ๐˜๐—ถ๐—บ๐—ฒ. ๐—œ๐—ณ ๐—ฒ๐˜…๐—ถ๐˜€๐˜๐—ถ๐—ป๐—ด ๐—ฐ๐—ฎ๐—ฝ๐—ฎ๐—ฐ๐—ถ๐˜๐˜† ๐—ถ๐˜€ ๐˜„๐—ฒ๐—ฎ๐—ธ๐—ฒ๐—ป๐—ฒ๐—ฑ ๐—ผ๐—ฟ ๐—น๐—ผ๐˜€๐˜, ๐—ถ๐˜ ๐—ฐ๐—ฎ๐—ป๐—ป๐—ผ๐˜ ๐—ฏ๐—ฒ ๐—ฟ๐—ฒ๐—ฝ๐—น๐—ฎ๐—ฐ๐—ฒ๐—ฑ ๐—พ๐˜‚๐—ถ๐—ฐ๐—ธ๐—น๐˜†.

๐—™๐—ฎ๐—บ๐—ถ๐—น๐—ถ๐—ฒ๐˜€ ๐—ป๐—ฒ๐—ฒ๐—ฑ (๐—ฎ๐—ป๐—ฑ ๐—ฑ๐—ฒ๐˜€๐—ฒ๐—ฟ๐˜ƒ๐—ฒ) ๐—ฐ๐—น๐—ฎ๐—ฟ๐—ถ๐˜๐˜†, ๐—ฐ๐—ผ๐—ป๐˜๐—ถ๐—ป๐˜‚๐—ถ๐˜๐˜†, ๐—ด๐—ฒ๐—ป๐˜‚๐—ถ๐—ป๐—ฒ ๐—ฐ๐—ต๐—ผ๐—ถ๐—ฐ๐—ฒ ๐—ฎ๐—ป๐—ฑ ๐—ฎ๐—ฐ๐—ฐ๐—ฒ๐˜€๐˜€ ๐˜๐—ผ ๐—ฒ๐˜…๐—ฝ๐—ฒ๐—ฟ๐—ถ๐—ฒ๐—ป๐—ฐ๐—ฒ๐—ฑ ๐˜€๐˜‚๐—ฝ๐—ฝ๐—ผ๐—ฟ๐˜. Without careful planning, broad consultation and agreement across systems, there is a real risk that well-intentioned changes could unintentionally make things harder for the very children they aim to support.

30/01/2026

The states and federal government have signed their funding agreement. This means that thriving kids will start in October 2026.

Albanese strikes $25bn deal with states to end hospital funding battle and agrees to delay autism program

National cabinet agrees to top up payments for smaller states, bringing total hospital spending to $219bn over the next five years

โ€ข Tom McIllroy The Guardian
Fri 30 Jan 2026 12.44 AEDT

Anthony Albanese and state premiers have signed a $25bn deal to fund health and hospital services around the country, while agreeing to stem growth in the National Disability Insurance Scheme to 6% or less.

Fridayโ€™s meeting of national cabinet finalised a landmark agreement to top up payments for smaller states, bringing total federal spending for public hospitals to $219bn over the next five years.

Premiers, chief ministers and the prime minister also agreed to delay the start of a new national program providing services to children with autism and other developmental delays to October, with full implementation due to commence from 1 January 2028. N

Guardian Australia revealed this week the federal government had offered to delay the start of the Thriving Kids program by three months, in line with demands from state premiers and chief ministers.

The new program had been due to start on 1 July, but state governments had warned they were not ready to take responsibility for foundational supports for young children and a delay was necessary.

โ€œThese reforms will ensure that Australians can continue to access world-class health care as well as disability supports,โ€ Albanese said after the meeting in Sydney.

โ€œIt prioritises investment in our precious public health system, and builds on my governmentโ€™s commitment to strengthen Medicare.โ€

The health minister, Mark Butler, has called the deal the biggest increase in hospital funding โ€œin anyoneโ€™s memoryโ€.

โ€œReally, the truest truism of Australian politics is state premiers always want more from the commonwealth, particularly for their hospitals,โ€ he said.

It comes ahead of the pre-election caretaker period in South Australia, due to begin next month, before voters go to the polls in March.

Among additional sweeteners being offered before Fridayโ€™s meeting were budget funding โ€œadjustmentsโ€ to benefit smaller states, as they struggle with rising costs for health and hospital services.

Butler and Albanese had offered $23bn in new funding, part of lengthy negotiations over plans for the federal share of hospital funding to grow to 42.5% by 2030 and reach a 45% share by 2035.

An extra $2bn in federal funding would go towards speeding up hospital discharge for elderly people waiting for beds in aged care facilities. The most recent estimate suggests more than 3,000 people are waiting to transfer from hospital wards to aged care.

Labor wanted the deal signed by national cabinet before Christmas, but the emergency response to the Bondi beach terror attack upended the plans.

The introduction of Thriving Kids has sparked concern among families who use the NDIS.

Part of efforts to ease pressure on the rapidly growing budget for the national scheme, the new program will provide services for children under eight years old who have developmental delays and other low-to-moderate needs.

Support services will be delivered through schools, health clinics and community facilities. Broader changes to NDIS access rules are due to come into effect from mid-2027.

Figures from may 2025 showed children under 15 made up 43% of the more than 717,000 participants enrolled on the NDIS, but just 13% of all payments. Participants who had autism or other developmental delays as their primary disability made up half of the schemeโ€™s participants, but just 23% of total payments.

28/01/2026

I remember a bunch of years ago, a teacher telling me that the point of behaviour charts was to keep kids anxious.

Because that anxiety of being moved up a clip will stop them from 'doing the wrong thing again'. I just. Have *so* many problems with that. But I won't unpack all of that right now.

The 'wrong thing' that my rule-following kid had done was not respond to his name being called. He was working on something at the time and didn't hear.

That was enough to move him up onto orange.
And that move was enough to trigger such intense dysregulation and anxiety that my kid could hardly get back to school the next day. It broke him.

I voiced this in a meeting.
I said my kid's anxiety in response to this behaviour system was extreme.

This coordinator told me 'that's the point. He should feel anxious.'

I requested that this particular traffic light system not be used with my kid. Because it was harmful.

She told me no.
Absolutely no child could possibly be exempt from this school-wide disciplinary tool.

Holy hell.

In what universe do people think that intense anxiety leads to effective learning?

Safety is where learning happens.
It's as simple as that.

I think of that teacher often.
I hope she doesn't teach anymore.

Em

26/01/2026
28/09/2025

Address

Hornsby, NSW
2077

Opening Hours

Monday 8am - 6pm
Tuesday 8am - 6pm
Thursday 8am - 6pm
Friday 8am - 6pm

Telephone

+61405388274

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