Enhancing Continuity of SLT Care for Older Adults: Integrating ICPOP and Primary Care Services to Reduce Duplication and Improve Outcomes

Abstract Background Lack of integration between Integrated Care (ICPOP) and Primary Care (PC) Speech and Language Therapy (SLT) services can result in fragmented care, service duplication, and delays in intervention. To address this, a collaborative initiative was developed in the Dublin North West area to streamline triage pathways between ICPOP and PC SLT teams. The primary aim was to improve continuity of care and ensure clients receive coordinated SLT input. A secondary aim was to support caseload management by facilitating timely transfer of suitable clients to ICPOP SLT, thereby alleviating pressure on primary care services. Methods An integrated triage process was introduced. Upon referral to ICPOP SLT, the clinician contacted the corresponding PC SLT for joint case discussion to guide individualized care decisions dependent on client status: This process is now embedded in routine service delivery. Results Between January and April 2025, 65 clients were triaged through this model: Conclusion This collaborative triage model enhanced service integration, reduced duplication, and optimised caseload management. Continued alignment and joint initiatives are recommended to improve outcomes, particularly for clients with progressive neurological conditions commonly identified through ICPOP.