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Speech & Language Therapist - Leamington Community Stroke Team

5 months ago


Warwick, United Kingdom South Warwickshire University NHS Foundation Trust Full time

Job summary

Do you want to develop an interest in working with stroke patients across their rehabilitation journey?

This exciting post provides the opportunity to develop your clinical skills with communication and swallowing disorders as a result of stroke, as part of a regional stroke service.

The post holder will form part of a Speech & Language therapy team and will be responsible for providing interventions as a result of a stroke. The post holder will be given the opportunity to work across the community and appropriate training to achieve dysphagia competencies will be offered.

In this post, you will be working alongside other Allied Health Professional's and rehabilitation assistants. Your role will be to help provide timely and targeted assessment and treatment to patients in their own home in line with national stroke guidelines.

The post holder must have access to a car.

The team also closely network with a large countywide adult SLT service working in inpatient and outpatient settings and hold regular team meetings.

We are looking for someone who shares our enthusiasm for patient centred care and is a real team player and more importantly shares a passion for working with people. Excellent communication skills, flexibility, good time management and organisational skills are essential for this post.

You will receive ongoing support through appraisal, supervision and regular team meetings plus access to in-house training.

Main duties of the job

The post holder works as an independent practitioner to provide a speech and language therapy service to patients out in the community, both within the stroke pathway in South Warwickshire and with a general community caseload of acquired communication and swallowing disorders.

The post sits both within a dedicated stroke SLT team, which is part of the wider stroke multidisciplinary team and a community team.

The role requires the postholder to see patients in hospital and domiciliary settings: assessing, diagnosing and treating a range of acquired communication and swallowing disorders.

About us

Come and join a Trust rated Outstanding by the CQC. South Warwickshire University NHS Foundation Trust have been rated as outstanding following our latest inspection by the CQC and we are recruiting new staff to come and help us improve even further. In addition our staff survey results have placed us 4th in the country for recommended place to work.

We provide services across Warwickshire and beyond ranging from Hospitals in Warwick, Stratford-Upon-Avon, Royal Leamington Spa and Shipston-on Stour to Community Services across the county. We are a progressive, expanding organisation with great ambition around improving quality, integrating pathways and delivering high levels of productivity.

Our values can be summed up in one sentence. We are 'Trusted to provide safe, inclusive, effective and compassionate care'. Throughout the recruitment process you will be asked to think about how you demonstrate these values and how they impact on your work. It doesn't matter what role you do, whether it is patient facing or not, we are all working in the same way with our values at the core.

Job description

Job responsibilities

To prioritise and manage own caseload independently.

To provide specialist speech and language therapy assessments for clients referred based upon the appropriate use, interpretation and integration of complex data from a variety of sources including standardised assessment, self-report measures, direct and indirect structured observations and semi-structured interviews with clients, family members and others involved in the clients care. This involves a high level of preparation, concentration and analytical skills.

To assess and ascribe a level of risk for dysphagic clients.

To formulate and implement management plans for the treatment and/or management of a clients speech and swallowing disorders, based upon an appropriate conceptual framework of the clients difficulties, and employing methods based upon evidence of efficacy.

To assess and ascribe a level of risk using adjuncts to the bedside assessment, which require technical skill cervical auscultation, pulse oximetry etc.

To communicate in a skilled and sensitive manner, information concerning the assessment, and intervention for clients under their care to both multidisciplinary teams and other, non-professional carers. This will encompass written documentation (SLT notes, med notes, specialist reports etc).

To agree options in collaboration with all those involved, in order to implement the individuals management plan which may include any combination of the following:

Therapeutic intervention with adults either individually or in groups.

Therapeutic intervention with carers either individually or in groups.

Directly supporting others in carrying out individual programmes.

Providing advice on specific strategies to employ in the home and other settings.

Negotiation with client or carer in order to identify and monitor SMART goals.

To identify and refer on to other specialists as appropriate (eg. ENT, videofluoroscopy etc).

To use negotiation skills in the management of conflict across a range of situations. To negotiate various roles to be taken in order to execute intervention plans effectively.

To maintain sensitivity at all times to emotional needs of client/carer when imparting distressing information.

To use skills in motivating clients and/or carers to engage in the therapeutic process.

To frequently demonstrate empathy sensitivity and understanding with clients, carers and families. To treat them with respect and dignity at all times.

To provide specialist communication assessment and intervention in order to identify and support a clients ability to manage their own affairs, with an acquired communication difficulty. To work with the multidisciplinary team in order to achieve this.

To regularly communicate highly complex and specialised information to others through written reports and face to face discussion matching communication style and content to the needs of the receiver.

To be involved in the planning for, and the delivery of education programmes for other professionals.

To be aware of Government papers and initiatives relating to Stroke ( RCP Stroke guidelines 2nd Ed, NSF for Older people).

To adapt assessment and intervention to meet individual clients circumstances, with regards to cultural and linguistic differences. To support and advise the multidisciplinary team in this area.

To interact daily with families and clients who have recently experienced extremely traumatic events and who face an uncertain future.

To engage in regular conversation with clients addressing highly emotive issues, necessitating use of counselling skills to facilitate psychological adjustment to a dramatic change in their self-perception and quality of life.

To provide statistical information on own caseload, including activity and clinical effectiveness measures.

To participate in audit activities in the team, including SSNAP for stroke patients, and participate in audit both in the wider speech and language therapy service, and within multidisciplinary teams.

To participate in research in SLT team, SLT department or multidisciplinary teams.

To utilise theory, evidence based literature and research to support evidence based practice in individual work and work with other team members.

To provide advice, consultation and training packages for staff working with the client group across a range of agencies and setting, where appropriate.

To provide advice, consultation and support for carers, and other non-professionals.

To assist in the support of students from other professional groups as appropriate.

To provide observation sessions for prospective SLT students.

To participate in clinical training for SLT students, and act as a mentor for Band 5 therapists as required.

Person Specification

Qualifications

Essential

Speech & Language Therapy degree Registered Member of Royal College of Speech & Language Therapists HCPC Registration Post graduate dysphagia qualification Evidence of completion of ongoing professional development including specialist short courses related to adults with swallowing/communication disorders

Experience

Essential

Over 2 years of adult acquired neurology experience post registration Experience of assessment, diagnosis and treatment with dysphagia Experience of working with acquired complex communication disorders

Desirable

Experience of working with UKRoc or SSNAP data

Skills

Essential

Broad knowledge of neurological conditions particularly stroke Knowledge of relevant national and local policies Knowledge of current good practice in assessment and treatment of dysphagia Knowledge of range of published, standardised communication assessments

Personal Qualities

Essential

Strong team player Well-developed communication skills and ability to match communication style to context Good time management skills and ability to work flexibly Awareness of own limitations and ability to reflect on own practise Ability to work independently and demonstrate initiative

Other

Desirable

Car driver/owner