Significance

Individuals who communicate better and more easily, will engage more in life activities and society, reducing social isolation. Individuals who are more able to speak may pursue more opportunities in their community to share about their experiences, raising awareness of the condition. Although more distant, individuals with aphasia are likely to benefit in the future from the greater knowledge learned about the barriers that clinicians face or perceive to be present, which currently limit discourse assessment and treatment being offered in the NHS. Addressing these barriers and providing education and tools will enable more routine delivery of discourse treatment across the UK.