{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T17:46:19Z","timestamp":1757699179731},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2010,12,31]],"date-time":"2010-12-31T00:00:00Z","timestamp":1293753600000},"content-version":"vor","delay-in-days":1823,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp;amp; Comm Disor"],"published-print":{"date-parts":[[2006,1,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Background<\/jats:italic>: High levels of early language difficulties raise practical issues about the efficient and effective means of meeting children's needs. Persistent language difficulties place significant financial pressures on health and education services. This has led to large investment in intervention in the early years; yet, little is known about the actual and relative costs of early years provision.<\/jats:p><jats:p><jats:italic>Aims<\/jats:italic>: To profile the different costs incurred by two Early Years Centres (EYCs) partially funded by the charity I CAN and children receiving what might be termed \u2018routine\u2019 NHS speech therapy to provide an analysis of cost efficiency and equity.<\/jats:p><jats:p><jats:italic>Methods &amp; Procedures<\/jats:italic>: Costings for service provision for 91 children (mean age 2;9) were collected. The activity of staff at each site and the cost of staff allocated to services were computed. Data on other resources were also collected.<\/jats:p><jats:p><jats:italic>Outcomes &amp; Results<\/jats:italic>: The cost per child per session was on average \u00a312. Despite the longer course of intervention in the first centre (10 compared with 6 weeks), the cost of the course per child was of the same order (\u00a3245 compared with \u00a3253). The annual cost of the early years provision per child was higher relative to the costs of the NHS provision, \u00a3645 compared with \u00a3181 in one EYC (A) and \u00a3462 compared with \u00a3173 in the other (B). When the cost of standard nursery provision was factored in, the difference in annual costs was rather less, with \u00a35298 for the early years provision (EYC A) relative to \u00a34276 in the comparison group. By contrast, the annual cost of early provision rises to \u00a35926 relative to \u00a38861 in the comparison group (EYC B).<\/jats:p><jats:p><jats:italic>Conclusions<\/jats:italic>: The cost of the EYCs is relatively low and given the positive outcomes reported in the study of which this economic evaluation is a part, there is a good case for saying that they represent an efficient use of resources. The strengths and limitations of the economic evaluation are considered and the need for long\u2010term evaluations is highlighted.<\/jats:p>","DOI":"10.1080\/13682820500126643","type":"journal-article","created":{"date-parts":[[2007,7,7]],"date-time":"2007-07-07T06:10:33Z","timestamp":1183788633000},"page":"67-81","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Early Years Centres for pre\u2010school children with primary language difficulties: what do they cost, and are they cost\u2010effective?"],"prefix":"10.1111","volume":"41","author":[{"given":"J.","family":"Law","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. 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