Communication delay at 27-30 month review, Glasgow City, 2013-2015SSLMR SIMD

Children living in the areas of the city with higher levels of deprivation   were more likely to be assessed as having communication delay than those in the least deprived deciles.


The health visitor asks parents if their child can say 50 words from a list of common words.  This list is presented to the parent on a sheet of paper for identification. Having less than 32 words is suggestive of communication delay.  

 SIMD – Scottish Index of Multiple Deprivation provides a relative measure of deprivation based on indicators from 7 domains – income, employment, health, education, access, housing, crime. The index identifies multiple deprivation for 6505 small areas (datazones) across Scotland.  There have been four versions of SIMD to date. The initial index of 2004 (SIMD 2004) has been revised three times in 2006 (SIMD 2006), 2009 (SIMD 2009) and 2012 (SIMD 2012).  For more information go to the SIMD site.

Deprivation deciles -  the term ‘deprivation decile’ is used to represent 10% of a population with a particular level of deprivation. Thus, the most deprived decile equates to the most deprived 10% within a population, while the least deprived decile represents the 10% of a population living in the least deprived circumstances.