Fears over cuts to front-line speech and language therapy (SLT) services have been voiced by England's departing communication champion Jean Gross.
This follows a number of significant losses at a number of local special educational needs teams, including in Northumberland where the number of SEN advisory teachers has reduced by half, and in Central Bedfordshire where the entire learning support team has been lost.
These loses have been experienced alongside budget cuts, according to the report Two years on: final report of the Communication Champion for children, which was released in January.
Director of The Communication Trust Anita Kerwin-Nye welcomed the report, but warned that speech, language and communication services were vulnerable.
"Huge churn is being felt in the education and health system with for example the growth of academies and changes to SEN provision," she said.
The Trust's next five year strategy includes plans to focus on supporting primary and secondary schools to meet the needs of children with speech, language and communication needs, she added.
The publication of the report follows concerns raised by charity the NSPCC that young peoples' services and family services are at risk of cuts at a local authority level last month.