Speech and Language Therapist

5 months ago

Plymouth, United Kingdom University Hospitals Plymouth NHS Trust Full time

Preference will be given to internal Trust staff, as well as ‘Priority’ and 'At Risk' status including NHS At Risk staff throughout Devon who are able to display recent relevant experience as dictated by the Person Specification.

This post offers an opportunity for a Band 5 therapist with basic dysphagia competencies to develop their skills in the assessment and management of communication and swallowing disorders and to gain experience of working in the acute setting in a busy District General Hospital. In this post you will have regular CPD opportunities, clinical supervision, close working with a Speech and Language Therapy assistant and frequent contact with Specialist and Highly Specialist colleagues. Applicants must hold up-to-date HPC registration.

We are a people business - where every member of staff matters and can make a difference. Patients are at the heart of everything we do. Joining University Hospitals Plymouth NHS Trust means becoming part of a team of dedicated staff, who are committed to leading the way through innovation, clinical excellence and great customer care. The Trust has great opportunities for career development in a highly progressive working environment. We offer all of this in a vibrant, modern city with a historic reputation for adventure.

To undertake a range of formal and informal assessments, as indicated by the presenting Speech Language and Communication Disorders (SLCD). This will include analysis and understanding of a range of factors, such as the use of voice, grammar, vocabulary, speech sounds, fluency, social use of language, non-verbal communication.

To assess and manage in-patients with non-complex dysphagia

To be responsible for own case notes, medical/ward case notes and report writing for a range of purposes including legal.

To pass on skills to enable other professionals and carers to agree and carry out individualised treatment programmes and advice e.g. clarifying individual patient’s levels of understanding thereby helping them give informed consent for complex procedures/life choices.

To negotiate with carers/patients and professionals around individual case diagnosis and management where others have less specialist knowledge and/or experience in relation to speech, language, communication, and dysphagia (swallowing) and differences of professional judgement can occur.

To identify, collect, analyse, and interpret case related information and data from medical notes, patients, carers and other relevant sources.

To reach differential diagnoses on the basis of evidence gathered from assessments and other sources, and with reference to theory.

To prioritise and decide on appropriate treatment/management matched to individual patient/family need from a range of options ensuring patient/carers are fully involved in the decision making process.

To be responsible for reporting findings and recommendations in the patients’ medical/ward notes, and dissemination of clinical reports to appropriate professionals and relevant others

To communicate highly complex information to patients whose ability to understand and co-operate is the primary difficulty and where a range of means and levels of communication are required e.g. gesture, symbols, sign, and demonstration, written.

To use highly developed communication and counselling skills such as reflective listening, open questioning, empathy, and reassurance when explaining highly complex and sensitive information to the full range of levels in understanding of patients and carers, where anxiety frequently acts as a barrier and cooperation is not guaranteed.

To explain highly complex and sensitive case related information to meet a range of levels of in understanding of patients and carers where anxiety and the presenting communication difficulty is a barrier, and co-operation is not guaranteed.

To demonstrate empathy and reassurance when providing patients and carers with unwelcome information that has long-term implications for lifestyle and employment e.g. communication difficulties are not likely to resolve and there are lifelong repercussions.

To monitor, recognise and evaluate subtle changes in patients’ conditions and adapt assessment and treatment programme accordingly based on clinical experience and with advice from more senior clinical colleagues.

To identify and make others aware of risk factors for impaired swallow and communication.

To assess the risk to, and vulnerability of, patients and families in relation to timing and manner of treatment and amount of information provided, i.e. where inappropriate intervention could have a negative effect e.g. advice on eating and swallowing.

To recognise the need for onward referral for specialist SLT interventions, including FEES and videofluoroscopy, or request multidisciplinary advice.

To undertake regular clinical supervision with more experienced colleagues and to reflect on practice with peers in order to raise clinical competen

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