Intensive efforts have been undertaken to improve staffing levels in speech and language therapy and occupational therapy, both at local and national level. One development has been the continued implementation of the recommendations of the report of the expert group on various health professions – developments to date include the introduction of common pay scales for the therapy professions and pay structures. There have also been changes to the career structure, including the introduction of the post of clinical specialist, and many other posts have been upgraded from basic to senior level in line with the recommendations of the expert group. Management grades have been restructured and the focus on broader management issues has increased.