At St Mary's Church of England Primary School in Stoke, speech and language therapist Liz Parkes is helping reception pupil Gracie sound out words that rhyme.
Liz comes to the school once a week to do one-to-one interventions like this, and to offer training and support to teachers on how to spot issues.
Around a quarter of pupils at St Mary's need some extra support with speech and language when they join reception, but with Liz's help that number is down to just a handful of pupils by Year 2.
Liz says social isolation is partly the reason for the decrease in communication skills.
"Children are increasingly spending a lot of time looking at a screen and not necessarily engaged in more meaningful interactions or developing the kind of listening skills you need when you hit nursery and reception.
"We're seeing children in reception who haven't experienced having conversations on a regular basis or aren't having a range of experiences where they're exposed to language."
