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Reports a survey of 1990 and 1991 graduates entering the speech and language therapy profession in the UK. Questions focused on the induction and support measures received from managers. Also investigates the experiences of six new therapists in one “good practice” area, Ayrshire and Arran Health Board, with a package of support measures implemented. Results showed that new therapists were given a great deal of help and support, and valued it highly. They welcomed information on policies and practices, and there is a need for even more written information. They made successful personal adaptations to the work environment, and managers felt that they were effective overall. The study serves as a benchmark for small professions entering the NHS before reforms alter employment context. Suggests that good professional managerial practices will have to be carefully maintained.

Current policies and practices concerning speech and language therapy provision in schools are reviewed and issues which remain to be addressed are considered. A general move to cross‐sector approaches has resulted in a move to indirect therapy through assistants, and the effectiveness of this requires to be established. Funding streams for therapy differ across the UK, and despite extensive research and policy development remain somewhat unclear and vulnerable. The implications for policies on “joined up thinking” are considered.

Reports on a survey of 1990 and 1991 graduates entering the speech and language therapy profession in the UK and on the experiences of six new therapists in one “good practice” area, Ayrshire and Arran Health Board. Results show that new therapists were given a great deal of help and support from professional managers, and valued it highly. They chose posts which offered a mixed client load and good induction packages. Pre‐service training reflected work carried out in service, but all client groups had not been accessed during training. Issues relating to throughput and case‐load management required most support. They made successful personal adaptations to the work environment, and managers found them effective overall. Calculates the costs of supporting new therapists. Highlights the need to maintain professional support and discusses the potential difficulties involved in doing so in relation to NHS reforms.