Band 7 Highly Specialist Speech and Language

6 months ago

Camden, United Kingdom Whittington Hospital NHS Trust Full time

To carry a personal caseload and/or contribute to MDT therapy package such as group therapy sessions or parent education sessions, maintaining a high level of professional competence and demonstrating highly specialist clinical expertise in the assessment, treatment and management of speech, language and communication problems associated with complex needs. To work as part of MDT to complete assessment of social communication needs via Autism Diagnostic Observation Schedule (ADOS) and/or Autism Diagnostic Interview (ADI) and have good understanding of current diagnostic framework for a range of complex needs (DSM-5 criteria) To monitor and review the progress of children on the caseload and facilitate the development or modification of packages of care/targets as appropriate using evaluation/outcome measurement tools. To work effectively as part of the MDT with clients, carers, and colleagues around individual case management, providing specialist advice, guidance and support as necessary and involving them in the planning and prioritisation of care wherever possible. To reflect on clinical practice; adequately identifying strengths & needs of clients, reviewing their response to therapy and providing evidence of expert clinical judgement including in cases which are complex and challenging.

To have completed addition training around the needs of children with dysphagia and to have at least one year experience of assessment/treatment of children with eating and drinking difficulties in order to communicate and deliver a highly effective service to children with complex needs. To be able to analyse conflicting information and provide clear guidance and detailed reports on children seen. To promote awareness about speech and language therapy in Camden. To facilitate and support nursery/schools and families in providing appropriate communication environments to develop childrens language and interaction skills.

To take a clinical lead as required within the team To demonstrate highly specialist knowledge and clinical effectiveness underpinned by current evidence-based practice and outcome measures. To make appropriate diagnoses and highly specialist clinical decisions on evidence from assessment of complex cases, including differential diagnoses. To work closely with clients, carers and families, with empathy, tact, reassurance and active listening to fully discuss assessment results, treatment options, and agree a plan of management. To communicate complex information to carers, families and members of the multi-disciplinary team/other professions, ensuring that effective communication is achieved, particularly where barriers to understanding exist.

To maintain sensitivity at all times to the emotional needs of children with special and complex needs and their carers, in particular when imparting potentially distressing information regarding the nature of the clients difficulties and implications of the same. To undertake home visits, as necessary, in compliance with Home Visiting/ Lone Working Safety Policy. To contribute to clinical teams by discussing own and others input, ensuring a well-co-ordinated care plan that reflects the holistic needs of the child and their parents/carers. To discuss diagnosis and potential outcomes with parents/carers and work collaboratively in decision making regarding referral on and intervention To deal with initial complaints sensitively, avoiding escalation where possible To demonstrate excellent communication skills.

To demonstrate skills in motivating clients and /or carers to engage in the therapeutic process. To employ counselling skills with children, carers/families with highly complex needs. To liaise regularly with Senior Management within the service and with the MDT team to agree and review effective service delivery to children and young people with complex needs. To be aware of legal requirements relating to the provision of a speech and language therapy service.

To maintain up to date and accurate case notes and write reports reflecting highly specialist knowledge, ensuring that they meet departmental standards and are in line with local Trust Policy, and RCSLT professional standards. To demonstrate knowledge of current policies and practice in the education and health sector and incorporate these into the model of working as appropriate. To attend further training as necessary to maintain and further develop the skill and knowledge required of a highly specialist SLT. To keep up to date with current clinical developments through reading, attendance at courses, meetings and Clinical Excellence Networks (CENs).

To provide training to SLTs developing a specialism in Complex Needs and those working with some children with special needs on their caseload. To manage and prioritise a specialist caseload independently, advising line manager on issues of service delivery including shortfall, service pressures etc. To contribute to multi-agency assessment procedur

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