Swallowing · Feeding · Communication

Expert care for infants and children with feeding and swallowing difficulties

Compassionate, home-based support grounded in clinical experience.

At Little Swallows, your child is supported by a paediatric speech and language therapist and International Board Certified Lactation Consultant with extensive acute hospital experience. I understand the full spectrum of feeding and swallowing needs, from typical developmental concerns to medically complex presentations. For children with complex medical conditions, I also provide specialist assessment and support for speech and voice, including cleft palate and vocal nodules. Together with families, I work to create safe, comfortable, and confident mealtimes so children can grow and thrive.

  • Feeding & swallowing
  • Cleft palate & voice
  • Lactation (IBCLC)
  • Home visits & telehealth
What families can expect

Guidance, coaching, and collaboration at every step

Personalised, child-centred care from a specialist who understands the full picture of feeding and swallowing.

Personalised, child-centred care

Every child is unique. I take time to understand your child’s history, strengths, and challenges so that support is truly tailored to their needs.

A calm, comfortable assessment in your home

Sessions take place where your child feels most at ease. This allows me to observe natural feeding patterns and provide guidance that fits your family’s routines.

Clear, compassionate guidance

You’ll receive practical strategies, explanations you can trust, and space to ask all your questions. My goal is to help you feel confident, informed, and supported.

Holistic expertise

My training spans paediatric speech and language therapy and lactation consulting, alongside years of acute hospital experience. That means I can look at feeding, swallowing, speech, and voice together, including support for cleft palate, vocal nodules, tube weaning, and other medically complex conditions.

Ongoing support that grows with your child

Whether you’re managing typical developmental feeding concerns or navigating medically complex presentations, I work alongside your family to support safe feeding and positive mealtime experiences over time.

About

About Little Swallows

Empowering families navigating paediatric feeding and swallowing challenges with compassionate, personalised care.

Little Swallows bridges the gap between hospital-based services and everyday family life. By meeting families where they are, right in their own homes, I can build goals and strategies that respect each child’s unique story, abilities, and pace. My experience runs from typical developmental feeding through to medically complex conditions like dysphagia, cleft palate, and voice and upper airway issues, and I work closely with families to support safe, confident, and positive mealtimes.

  • Child-led, responsive feeding practices
  • Respectful collaboration with caregivers
  • Evidence-based assessment and intervention
  • Commitment to cultural safety and inclusivity

Meet Jess

Jess is a paediatric speech and language therapist and International Board Certified Lactation Consultant with over 10 years of experience supporting infants and children with feeding, swallowing, and medically complex needs. She has worked across Australia, New Zealand, Vietnam, and now the United Kingdom.

Throughout her career, Jess has worked in tertiary acute hospital settings including surgical Level 3 neonatal intensive care units (NICUs), paediatric intensive care units (PICUs), hospital-based cleft and voice services, and community-based paediatric teams. She is currently the Principal Acute Paediatric SLT at St George’s Hospital, London. Jess holds specialist competencies in neonatal and tracheostomy feeding. She is trained in advanced swallowing assessments, including Videofluoroscopic Swallow Studies (VFSS) and Fibreoptic Endoscopic Evaluation of Swallowing (FEES), and understands when these investigations are needed, ensuring families receive appropriate referrals through the NHS or specialist services.

She partners closely with families to bring calm, confidence, and playful curiosity to every feeding milestone, combining clinical expertise with compassionate, personalised care.

Services

Tailored support for every feeding journey

Every child and family is unique, so services are personalised to meet your needs. Sessions can be delivered in your home or via telehealth, with flexible scheduling to fit your family’s routine.

Paediatric Feeding & Swallowing Support

Support for infants and children with typical feeding challenges or medically complex swallowing difficulties, including dysphagia. We assess feeding patterns, oral-motor skills, and swallowing safety, and provide practical strategies to help your child eat and drink safely.

Medically Complex Cases

Expert support for children with NICU or PICU backgrounds, tracheostomies, or other medical conditions. This includes guidance for safe feeding, swallowing, and growth, as well as coordination with medical teams to ensure comprehensive care.

Cleft & Voice Support

Hospital-based cleft and voice service experience informs home and telehealth guidance. For children with cleft palate, vocal nodules, or other medically complex voice issues, we provide assessment, management strategies, and referrals to specialist services when needed.

Lactation & Breastfeeding Support

Jess is an International Board Certified Lactation Consultant (IBCLC), supporting families with breastfeeding challenges, latch, milk supply, and integrating feeding plans for infants with swallowing difficulties.

Home & Telehealth Services

Sessions are flexible and family-centred, conducted either in your home or online. This approach ensures assessments and strategies are realistic, practical, and personalised for your child’s daily routines.

Pricing

Pricing

Transparent pricing for in-home and telehealth sessions. Every plan is tailored to your child and family, with flexible scheduling to suit your routine.

Initial Feeding & Swallowing, Speech, or Voice Assessment

60–75 min

In-home

£150

Telehealth

£110

Comprehensive evaluation, includes written plan & family guidance

Follow-Up Feeding & Swallowing Session

45–60 min

In-home

£120

Telehealth

£80

Review progress, update strategies, ongoing support

Lactation / Breastfeeding Support (IBCLC)

60 min

In-home

£120

Telehealth

£120

Breastfeeding guidance, latch, milk supply, integrated feeding plans

Home Program / Consultation Review

Flexible

In-home

£80

Telehealth

£80

Written program review, phone/email support, or plan adjustments

Your support can be as short or as long as you need, whether that’s a single focused session or a few visits for specialist guidance. I tailor every plan to your child and family, so please get in touch to arrange a consultation or ask any questions.

FAQ

Frequently asked questions

Answers to some of the questions families ask most often. If there’s anything else you’d like to know, please get in touch.

What ages do you work with?

I support infants, toddlers, and children of all ages, from newborns with feeding difficulties to school-aged children with swallowing or medically complex needs.

What types of feeding and swallowing difficulties do you treat?

I work with a wide range of issues, including breastfeeding challenges, bottle feeding, picky eating, dysphagia, feeding after surgery, and medically complex cases.

Do you offer speech and voice therapy?

Yes, for children with medically complex conditions such as cleft palate or vocal nodules.

Can I book a VFSS or FEES assessment privately?

I am trained in VFSS (Videofluoroscopic Swallow Studies) and FEES (Fibreoptic Endoscopic Evaluation of Swallowing) and understand when these assessments are needed, but they are typically performed in hospital settings and I do not currently offer these privately. I can guide families on referrals to appropriate NHS or specialist services.

Where are sessions held?

Sessions can be conducted in your home or via secure telehealth. Home visits allow me to see your child in their natural environment and tailor strategies to your routines.

How long does a session last, and how many sessions will we need?

Sessions are usually 45–60 minutes. The number of sessions depends on your child’s needs, goals, and progress, which we review regularly.

How do I get started?

You can get in touch via the online form, email, or phone. We’ll arrange an initial consultation to discuss your child’s needs, history, and goals.

Do you work with referrals from hospitals or GPs?

Yes, I welcome referrals from healthcare professionals and also work directly with families seeking private support.

Do you work with speech and language needs unrelated to feeding or medical conditions?

My focus is on feeding, swallowing, and medically complex speech or voice issues. If your child has broader speech, language, or communication needs, I can guide you to a specialist who can provide the most appropriate support.

Still have a question? I’m always happy to talk it through.

Contact

Contact

Ready to talk about how I can support your child’s feeding journey? Get in touch to arrange a consultation or to ask any questions about how I work.

Get in touch

jess@littleswallowstherapy.com

Home visits across central London (zones 1–2), with secure telehealth available more widely.

  • Flexible appointment times to fit busy family schedules
  • Written summaries and plans provided after sessions
  • Happy to collaborate with your existing care team
  • Referrals welcome from hospitals and GPs

Where I work

Home visits across central London (zones 1–2), with secure telehealth available more widely. Please mention your area when you enquire so I can confirm availability.

Send an enquiry

The quickest way to get started is the online enquiry form. Share a little about your child and what you’d like support with, and I’ll be in touch to arrange a consultation. It helps to include:

  • Your child’s age
  • A short summary of your feeding or swallowing concerns
  • Whether you’d prefer a home visit or telehealth
  • Any existing medical teams or referrals involved

I aim to reply within two business days.