I can suggest you to listen the radio in english, reading books and all in english. TV show without the subtitles when you have a vocabulary will train you to listen english and get new vocabulary. Find something you enjoy and do it only in english. Radio.com have a news radio open world wide. You can play a game on the NA server and set the game in english too. Then speak to a native on Team speak or by Skype. Find you a partner on iTalki.

Speaking and understanding somebody else speaking is in my opinion always the hardest part on learning a new language. The only advice I have is practice,practice and again practice. Seek any opportunity to test your theoretical knowledge in practice. It doesn't matter if you make mistakes , you will learn by your mistakes. After a while it will get easier and as you gain confidence , progress will be very fast. Most of my students were great on writing and reading , ut when it came to free speech they were afraid to make mistakes and therefore shy to speak. Look for a language partner in the community section or find a teacher . But always remember -- nobody is perfect and practice is the key to success.