With the development of separate community and the hospital trusts in the L
ondon borough of Hackney, at a time of increasing numbers and range of refe
rrals, a number of gaps in service became apparent. The need for community
adult speech and language therapy (SLT) in Hackney was identified based on
previous studies and other relevant literature. Comparison with sen;ices lo
cally and nationally shows clearly that Hackney, in having virtually no com
munity SLT for adults, is significantly disadvantaged It was intended that
this work would result in the widest consultation and discussion by the rel
evant agencies to explore ways of meeting this need.