Abstract
Commissioners of speech and language therapy services are requiring more explicit information to inform purchasing decisions. The Royal College of Speech and Language Therapists in the United Kingdom commissioned work to identify the needs of commissioners and supply core information to support managers of speech and language therapy services in the tendering process.
This paper details issues of importance to commissioners including the nature of dysarthria, its impact and epidemiology, the nature of speech and language therapy, and consideration of different modes of service provision and evidence.
The literature review undertaken was unique in that it searched not only for evidence-based practice but also for papers that would have an influence on purchasing decisions. The synthesis for the provision of dysarthria services is provided.