ABSTRACT
Spoken language is the main medium for communication and learning in the great majority of schools. However, some children and the adults who teach them need to develop specific ways of making meaning together. St Margaret’s Residential School, Tadworth, Surrey, educates children and young people with profound and multiple learning difficulties and complex medical needs. This chapter, by teachers Anna Kilberg and Ros How, describes how adults at the school draw upon gesture and objects to enable communication to be established.
