Highly Specialist Speech and Language Therapist

1 month ago


Nottingham, United Kingdom Nottingham University Hospitals NHS Trust Full time

Band 7

**Main area**
- Speech & Language Therapy
- **Grade**
- Band 7
- **Contract**
- Permanent
- **Hours**
- Full time
- Part time
- Flexible working

37.5 hours per week
- **Job ref**
- 164-4772123-A**Site**
- Nottingham University Hospitals
- **Town**
- Nottingham
- **Salary**
- £41,659 - £47,672 pa pro rata
- **Salary period**
- Yearly
- **Closing**
- 06/04/2023 23:59Job overview

Thanks to an ambitious programme of investment by Nottingham University Hospitals Trust, we are looking for Speech and Language Therapists to join our ENT /HNC SLT Service. This is an exciting time to become part of our forward-looking, supportive team. If you are looking to take the next step of your career in ENT or HNC SLT, we would love to discuss how you could join us and take advantage of the considerable opportunities for specialist training and professional development alongside our clinical experts. We offer extremely flexible working patterns in a large teaching hospital.

Main duties of the job

To prioritise and manage a large and diverse caseload ensuring practice is in line with the Royal College of Speech and Language Therapists’ Position Papers and Quality Guidelines, and the HCPC professional regulations
- Demonstrate highly specialist clinical skills and decision-making in the management of complex communication and/or swallowing problems for in
- and out-patients following surgery, radiotherapy and/or chemotherapy related to HNC cancer and/or its treatment, and to non HNC patients being managed in the ENT department for a range of disorders (benign dysphagia; complex airway)
- Demonstrate highly specialist dysphagia competencies / developing competencies and clinical practice in line with RCSLT competency framework, position papers and guidelines for FEES, videofluoroscopy and tracheostomy
- Demonstrate specialist clinical skills and competencies when assessing, treating and managing communication and swallowing problems after total laryngectomy, including surgical voice restoration and alternative communication methods (with training and supervision needed)
- Demonstrate specialist clinics skills to assess and treat a range of clinical voice/vocal fold movement disorders, using and interpreting instrumental assessment procedures (endoscopic evaluation of larynx; acoustic assessments)
- To be responsible for planning, provision, monitoring and evaluation of programmes of learning and development to other professionals within specialist clinical are

Working for our organisation

The SLT ENT/HNC Service sits within the Surgery Division of Nottingham University Hospitals Trust and is a stand-alone SLT service. We benefit from strong HNC / ENT Surgical Division leadership and support at NUH as well as close links with other SLT Services within the hospital and across Nottinghamshire.

Detailed job description and main responsibilities

**Service Delivery**
- To prioritise and manage a large and diverse caseload ensuring practice is in line with the Royal College of Speech and Language Therapists’ Position Papers and Quality Guidelines, and the HCPC professional regulations.
- To develop, deliver and monitor highly specialist interventions for patients within the defined pathway, encompassing all aspects of complex diagnosis and management for effective swallowing and communication
- To independently manage and prioritise own complex caseload in a highly specialist area.
- To work collaboratively with a variety of different agencies/professionals across primary and secondary care; social services and the Voluntary sector
- To be responsible for planning, provision, monitoring and evaluation of programmes of learning and development to other professionals within specialist clinical area
- To represent the Speech and Language Therapy service at agreed forums as delegated by ENT SLT clinical lead.

**Clinical Practice**
- To independently provide a highly specialist SLT assessment, diagnosis, intervention and advice service to patients with swallowing and communication impairments within the Head and Neck/ENT pathway, as well as services to families, support staff and professionals
- To undertake, interpret, and act on findings of diagnostic assessments (endoscopic swallow clinics; Videofluoroscopy x-ray swallow clinics) in line with RCSLT competency and clinical banding
- To independently manage patients who have undergone surgical voice restoration, training patients and their carers in voice prosthesis use and care, Working mainly independently but accessing guidance from Clinical Lead as appropriate
- To take responsibility for managing patients with swallowing disorders, recognising complications of aspiration, and compromised nutrition and hydration, working closely with multi-professional agencies including primary care and palliative/end of life teams to ensure best clinical practice and patient safety.
- To be skilled in managing a range of clinical voice/vocal fold movement disorders, using and in



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