Principal Speech and Language Therapist

3 weeks ago

Oxford, United Kingdom Oxford University Hospitals NHS Foundation Trust Full time

The successful person in post will join the experienced, friendly, and friendly Adult Speech and Language Therapy Team. Collectively, the SLT team works across a broad range of both inpatient and outpatient areas across the Trust sites, including Stroke, Neurosciences, Head and Neck Cancer, General Inpatients, Critical Care, Upper Airways, and Voice/ENT workstreams. The Team also works closely with wider SLT services both within the Trust and the wider Buckinghamshire, Oxfordshire and Berkshire West Integrated Care System (BOB ICS).

The post holder will be the Principal Speech and Language Therapist for ENT/Voice, Head and Neck, and Upper Airways SLT services at Oxford University Hospitals Trust. They will have the responsibility for providing focussed clinical leadership and direct patient care across these workstreams, and work in conjunction with the SLT Service Manager to coordinate and deliver these services to a high standard.

The ambition for this post is to develop and grow staff in these workstreams into a cross-site team, supporting patients referred primarily by Ear, Nose and Throat (ENT), Clinical Oncology and Oral and Maxillofacial Surgery (OMFS) and Respiratory services across John Radcliffe Hospital, Churchill Hospital, and Horton Hospital sites. These patients may include adult inpatients, radiotherapy pathways and outpatients with head and neck (H&N) cancers, thyroid, benign ENT, upper airway, maxillofacial and voice disorders.

The post holder will work within Therapies CSU, and report into the Adult SLT Service Manager post, who similarly supports Adult SLT Services across the Trust.

Oxford University Hospitals NHS Foundation Trust is one of the largest NHS teaching trusts in the country. It provides a wide range of general and specialist clinical services and is a base for medical education, training and research.

The Trust comprises four hospitals - the John Radcliffe Hospital, Churchill Hospital and Nuffield Orthopaedic Centre in Headington and the Horton General Hospital in Banbury.

Our values, standards and behaviours define the quality of clinical care we offer and the professional relationships we make with our patients, colleagues and the wider community. We call this Delivering Compassionate Excellence and its focus is on our values of compassion, respect, learning, delivery, improvement and excellence. These values put patients at the heart of what we do and underpin the quality healthcare we would like for ourselves or a member of our family. Watch how we set out to deliver compassionate excellence via the OUH YouTube channel.

CLINICAL

1. To coordinate and deliver highly specialist SLT care relevant across the clinical specialism areas, at any point in their treatment journey. This includes assessment, diagnosis, and management of complex communication and swallowing problems, using advanced technical skills and knowledge acquired through significant postgraduate education and experience.

2. Contribution to Trust instrumental dysphagia services for both inpatient and outpatient procedures (i.e. VFS, FEES).

3. Assessment and management of patients with tracheostomies, playing a vital role in the weaning and discharge process for inpatients, and supporting Trust developments in managing long term tracheostomy in the outpatient setting e.g. via Tracheostomy Management Group

4. Management of communication and swallowing problems for patients with disease processes of the head and neck (both malignant and benign). This may include H&N cancer patients undergoing radiotherapy (requiring pre-treatment counselling and pre-habilitation; on-treat intervention; and rehabilitation at early and late-stage recovery), or H&N cancer patients undergoing surgical management.

5. Comprehensive management of communication, voice, stoma care and swallowing in laryngectomy patients.

6. Responsibility for the coordination and management of the surgical voice restoration (SVR) service. This involves fitting voice prosthesis, prosthesis care, assisting with surgical placement and leading on management of complex cases.

7. Assessment and management of adult clients with voice disorders arising from a wide variety of aetiologies. This may involve the use and interpretation of nasendoscopy and videostroboscopy procedures, and objective assessments such as laryngograph and acoustic analysis.

8. Assessment and management of adult clients with upper airway disorders resulting from a wide variety of respiratory aetiologies. This includes advanced knowledge of assessment methods for respiratory symptoms, advanced knowledge of laryngeal airway control techniques. In addition, the use and interpretation of continuous laryngoscopy and provocation testing, and the ability to respond appropriately during patient respiratory distress.

9. To demonstrate expert knowledge and use of high and low technology communication aids with patients in a range of settings

10. To write comprehensive reports reflectin

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