Nursing home staff are at the forefront of coping with swallowing and commu
nication disorders. Our study, which is ongoing, collates information on th
e existing knowledge of such staff and demonstrates how their understanding
can be increased by speech and language therapists' input. Twenty nursing
homes agreed to participate in training (91% uptake). To date 16 nursing ho
mes (113 staff) have completed training in swallowing and eight nursing hom
es (47 staff) in communication problems. Questionnaires were completed befo
re and after training. There was a highly significant improvement after tra
ining.