Two pilot sites within the Trust:-  (1)  Speech and Language Therapy for Children with Downs Syndrome.  The link is from the Mencap Nursery to the child's home. The parents can observe the therapist working with the child, and record the sessions. The therapist can also arrange a virtual visit and work with the family when they are carrying out the home treatment programme.  (2)   Intensive Homecare for Adults who are totally dependent on care staff for all functional activities.  These clients have chosen home care rather than nursing home. They have complex needs, are alone for long periods of time and require intensive therapy input and detailed care package provision.