Job summary The Adult Speech and Language Therapy Service, based at East Ham Care Centre, Newham, provides assessment, treatment and management to a wide range of adult clients with acquired communication and / or swallowing difficulties in a community setting. The caseload is varied, and includes adults over 18 years of age, with acquired speech, language and swallowing difficulties secondary to, for example; dementia, other mental health conditions, respiratory conditions, cancer, palliative and end of life care. The post holder will: Use and continue to develop specialist skills and knowledge in the management of adults with acquired communication and swallowing disorders in a community setting. Independently manage a large, complex and diverse clinical caseload, working closely with community colleagues across East London NHS Foundation Trust, and acute colleagues across Barts Health NHS Trust. Act as link speech and language therapist to SLT and MDT colleagues within the local acute Trust, other ELFT services and external agencies, such as the multidisciplinary rapid response service, which focuses on preventing avoidable admissions to hospital, and the extended primary care teams, who aim to keep people at home where possible to improve the quality of people's lives. Provide a service that takes account of the needs of clients from a range of ethnic and linguistic backgrounds. Main duties of the job 1. To provide specialist assessment, therapy, management and evaluation to a group of clients with disorders of communication and swallowing secondary to an acquired condition and / or mental health diagnosis, working in the most appropriate setting on an individual or group basis. 2. To independently manage and prioritise a clinical caseload of adults with a diverse range of communication and swallowing difficulties. 3. To work jointly with colleagues and multidisciplinary team members, making referrals to other professionals when required. 4. To assess, treat and evaluate therapy to clients with acquired dysphagia and dysphagia secondary to a mental health diagnosis with support from senior colleagues as required. 5. To refer clients for videofluoroscopy with support from senior colleagues as required. 6. To provide advice and support to clients, carers and volunteers on communication and swallowing difficulties. 7. To develop and evaluate training for clients, carers, and a range of professionals on communication and swallowing difficulties, and the role of speech and language therapy. 8. To provide support and supervision to speech and language therapy students. 9. To contribute and participate in service development projects, audit, QI projects. About us Our mission is to make a positive difference to people's lives by improving the quality of life for all we serve. Our values are: We Care, We Respect, We are Inclusive - so we are looking for people who live and breathe these qualities when supporting service users and carers, and in their relationships with colleagues in the Trust and our partner organisations. Details Date posted 07 July 2025 Pay scheme Agenda for change Band Band 6 Salary £42,939 to £50,697 a year PA Contract Fixed term Duration 12 months Working pattern Full-time Reference number 363-CHN7179452-A Job locations EHCC Shrewsbury Road London E7 8QP Job description Job responsibilities MAIN DUTIES AND RESPONSIBILITIES Patient Care To screen, assess, diagnose, develop and implement specialist speech and language therapy treatment for clients. To write reports reflecting specialist knowledge. To provide appropriate specialist intervention and evaluate outcomes. To provide advice to others regarding the management and care of patients/clients with communication and/or feeding and swallowing difficulties. To ensure that patients are involved in the planning and prioritisation of their care plans wherever possible To demonstrate negotiation skills. To demonstrate clinical effectiveness by use of evidence-based practice and outcome measures. This requires maintaining knowledge of current research and agreed best practice in working in the field of specialism. To adapt practice to meet individual patients circumstances, including due regard for cultural and linguistic differences To demonstrate skills in dealing with complex issues to generate appropriate strategies for caseload management. To develop ideas of innovative practice in working in the promotion and development of adult clients communication skills in specialist area. To adhere to inter-agency child protection and vulnerable adults policies. To provide a service which takes account of the needs of clients from a range of cultural and linguistic backgrounds Clinical To independently manage and prioritise own complex caseload. To contribute to monitoring and evaluating own specialist service delivery and provide progress reports as necessary. To be accountable for own professional action and recognise own professional boundaries, seeking advice as appropriate. To work within defined departmental and national protocols/policies and professional code of conduct. To work independently, accessing appraisal within an Individual Performance Framework at pre-determined intervals. To reflect on clients communication and to identify appropriate strategies to facilitate and enhance communicative effectiveness. To negotiate with carers, clients and others around individual case management To recognise potential breakdown and conflict when it occurs and seek advice and support to resolve as appropriate. To use specialist knowledge to inform sound clinical judgements/decision-making for case management. To make a differential diagnosis on the basis of evidence from assessment, seeking advice as appropriate. To develop clear care plans based on best practice. To demonstrate the ability to reflect on practice with peers and mentors and identify own strengths and development needs. To adapt practice to meet individual patient/client circumstances. To participate in any service planning required to provide service cover in the event of staff absences. To plan, deliver and evaluate training (formal and informal), tailoring training to the needs of course participants. Administration To maintain up to date and accurate case notes and write reports in line with the Royal College of Speech and Language Therapists (RCSLT) professional standards as well as local trust policies. To adhere to Trust and departmental policies and procedures to protect the confidentiality of information about clients and colleagues at all times. To share information with others, observing data protection guidelines. To gather and update activity data accurately and regularly, ensuring the provision of such information promptly within local Trust guidelines. To assist in defining and collating data for the purposes of service monitoring and clinical governance activities. To contribute to, develop and maintain a store of specialist information and resources accessible to Speech and Language Therapy colleagues. Performance and Quality To use specialist knowledge to inform service/policy developments as appropriate. To liaise with other specialist Speech and Language Therapists working in specialist area both regionally and nationally through the Special Interest Group network. To take a role in creating, developing and updating care pathways for specific clinical issues, within the SLT service. To participate in the development of care protocols/packages relating to specialist area in liaison with senior colleagues to improve patient care. To advise line manager on issues of service delivery including shortfall, service pressures, change in demand etc. To assist with the identification of training needs within the team. To assume delegated tasks as requested by line manager, including participation in a wide range of working groups and policy development groups, chairing where required. To liaise with relevant professional staff in Health, Education and Social Services and contribute to interagency/multi-disciplinary team building and policy development. To be aware of, adhere to and implement service and team plans and policies. To participate in projects aiming to promote the Speech and Language Therapy profession and service. To participate in and develop innovations in areas of risk management, quality standards-setting and clinical effectiveness. To participate in departmental research and clinical governance/audit projects, taking a lead role where appropriate to area of specialism. To collect, provide and evaluate research data as required. Financial and Physical Resources To monitor stock levels in own service area and request new equipment as appropriate. To be responsible for the security, care and maintenance of equipment ensuring standards of infection control and safety are maintained including equipment loaned to clients. Job description Job responsibilities MAIN DUTIES AND RESPONSIBILITIES Patient Care To screen, assess, diagnose, develop and implement specialist speech and language therapy treatment for clients. To write reports reflecting specialist knowledge. To provide appropriate specialist intervention and evaluate outcomes. To provide advice to others regarding the management and care of patients/clients with communication and/or feeding and swallowing difficulties. To ensure that patients are involved in the planning and prioritisation of their care plans wherever possible To demonstrate negotiation skills. To demonstrate clinical effectiveness by use of evidence-based practice and outcome measures. This requires maintaining knowledge of current research and agreed best practice in working in the field of specialism. To adapt practice to meet individual patients circumstances, including due regard for cultural and linguistic differences To demonstrate skills in dealing with complex issues to generate appropriate strategies for caseload management. To develop ideas of innovative practice in working in the promotion and development of adult clients communication skills in specialist area. To adhere to inter-agency child protection and vulnerable adults policies. To provide a service which takes account of the needs of clients from a range of cultural and linguistic backgrounds Clinical To independently manage and prioritise own complex caseload. To contribute to monitoring and evaluating own specialist service delivery and provide progress reports as necessary. To be accountable for own professional action and recognise own professional boundaries, seeking advice as appropriate. To work within defined departmental and national protocols/policies and professional code of conduct. To work independently, accessing appraisal within an Individual Performance Framework at pre-determined intervals. To reflect on clients communication and to identify appropriate strategies to facilitate and enhance communicative effectiveness. To negotiate with carers, clients and others around individual case management To recognise potential breakdown and conflict when it occurs and seek advice and support to resolve as appropriate. To use specialist knowledge to inform sound clinical judgements/decision-making for case management. To make a differential diagnosis on the basis of evidence from assessment, seeking advice as appropriate. To develop clear care plans based on best practice. To demonstrate the ability to reflect on practice with peers and mentors and identify own strengths and development needs. To adapt practice to meet individual patient/client circumstances. To participate in any service planning required to provide service cover in the event of staff absences. To plan, deliver and evaluate training (formal and informal), tailoring training to the needs of course participants. Administration To maintain up to date and accurate case notes and write reports in line with the Royal College of Speech and Language Therapists (RCSLT) professional standards as well as local trust policies. To adhere to Trust and departmental policies and procedures to protect the confidentiality of information about clients and colleagues at all times. To share information with others, observing data protection guidelines. To gather and update activity data accurately and regularly, ensuring the provision of such information promptly within local Trust guidelines. To assist in defining and collating data for the purposes of service monitoring and clinical governance activities. To contribute to, develop and maintain a store of specialist information and resources accessible to Speech and Language Therapy colleagues. Performance and Quality To use specialist knowledge to inform service/policy developments as appropriate. To liaise with other specialist Speech and Language Therapists working in specialist area both regionally and nationally through the Special Interest Group network. To take a role in creating, developing and updating care pathways for specific clinical issues, within the SLT service. To participate in the development of care protocols/packages relating to specialist area in liaison with senior colleagues to improve patient care. To advise line manager on issues of service delivery including shortfall, service pressures, change in demand etc. To assist with the identification of training needs within the team. To assume delegated tasks as requested by line manager, including participation in a wide range of working groups and policy development groups, chairing where required. To liaise with relevant professional staff in Health, Education and Social Services and contribute to interagency/multi-disciplinary team building and policy development. To be aware of, adhere to and implement service and team plans and policies. To participate in projects aiming to promote the Speech and Language Therapy profession and service. To participate in and develop innovations in areas of risk management, quality standards-setting and clinical effectiveness. To participate in departmental research and clinical governance/audit projects, taking a lead role where appropriate to area of specialism. To collect, provide and evaluate research data as required. Financial and Physical Resources To monitor stock levels in own service area and request new equipment as appropriate. To be responsible for the security, care and maintenance of equipment ensuring standards of infection control and safety are maintained including equipment loaned to clients. Person Specification Education / Qualification/ Training Essential Recognised Speech and Language Therapy degree qualification or equivalent Health Professions Council - License to Practice. Registered Member of Royal College of Speech and Language Therapists. Desirable Evidence of successful completion of specialist short courses. Membership of relevant Special Interest Groups / Clinical Excellence Networks. Experience Essential Experience of independently managing clients with dysphagia. Post-registration experience of working with adults with acquired communication and swallowing difficulties. Experience of teaching / education (planning, delivering and evaluating training to others). Experience of working successfully within a multidisciplinary team. Desirable Experience of working in a community setting. Experience of use and interpretation of video-fluoroscopy swallow assessment. Experience of assessment for and use of alternative and augmentative communication systems. Experience of supervising less experienced staff and SLT students. Knowledge and Skills Essential Excellent interpersonal skills, including observation, listening and empathy skills. Negotiation and problem solving skills. Demonstrates good analytical and reflection skills. Good presentation skills, both written and verbal, including ability to write clear and concise reports. Good organisational and prioritisation skills. Demonstrates ability to be a good team member Awareness of the roles of other professionals relevant to the client group. Person Specification Education / Qualification/ Training Essential Recognised Speech and Language Therapy degree qualification or equivalent Health Professions Council - License to Practice. Registered Member of Royal College of Speech and Language Therapists. Desirable Evidence of successful completion of specialist short courses. Membership of relevant Special Interest Groups / Clinical Excellence Networks. Experience Essential Experience of independently managing clients with dysphagia. Post-registration experience of working with adults with acquired communication and swallowing difficulties. Experience of teaching / education (planning, delivering and evaluating training to others). Experience of working successfully within a multidisciplinary team. Desirable Experience of working in a community setting. Experience of use and interpretation of video-fluoroscopy swallow assessment. Experience of assessment for and use of alternative and augmentative communication systems. Experience of supervising less experienced staff and SLT students. Knowledge and Skills Essential Excellent interpersonal skills, including observation, listening and empathy skills. Negotiation and problem solving skills. Demonstrates good analytical and reflection skills. Good presentation skills, both written and verbal, including ability to write clear and concise reports. Good organisational and prioritisation skills. Demonstrates ability to be a good team member Awareness of the roles of other professionals relevant to the client group. Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) . From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) . UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service Check This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions. Certificate of Sponsorship Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) . From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) . UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Employer details Employer name East London NHS Foundation Trust Address EHCC Shrewsbury Road London E7 8QP Employer's website https://www.elft.nhs.uk/ (Opens in a new tab) Employer details Employer name East London NHS Foundation Trust Address EHCC Shrewsbury Road London E7 8QP Employer's website https://www.elft.nhs.uk/ (Opens in a new tab). Location : EHCC, Shrewsbury Road, E7 8QP London, United Kingdom
