Job Title: Highly Specialist Speech and Language Therapist - Dysphagia
Pay Band: Band 7
Location: Mile End Hospital
Reports to: Lead for Complex Needs and Dysphagia
Responsible to: Head of Children’s Community Therapy
The Community Children’s Speech and Language Therapy (SLT) Service sits in Specialist Community Children’s Services within the Children and Young People’s Division of Barts Health NHS Trust. It offers a community based service to the children of Tower Hamlets and is delivered predominantly in clinics, schools, pre-school settings and service users’ homes. It aims to address the communication and eating and drinking needs of the child population through the provision of universal, targeted and specialist level services. Services are commissioned by a range of commissioners including the Clinical Commissioning Group, Local Authority and Individual Schools.
The post holder is an autonomous practitioner, providing assessment, diagnosis and a variety of therapy and intervention approaches both for children with feeding difficulties at a highly specialist level. The post holder will manage a caseload of children in a community clinic setting in Tower Hamlets, including managing and supporting more junior SLTs. The caseload comprises children with complex medical and developmental needs aged 0-19 years.
Multi-disciplinary working is an integral part of all aspects of this job, as is teaching and training around the specialist areas of communication disability and complex feeding disorders. The post-holder will participate actively in the education and training of student Speech and Language Therapists and other health professionals, including medical and AHP teams.
S/he will maintain an excellent knowledge of current evidence based practice and use advanced clinical reasoning, critical thinking, reflection and analysis to ensure treatment meets the holistic needs of the child and family.
S/he will be required to communicate effectively with children, families/carers, other health care professionals, school staff and outside agencies regarding care plans. S/he will provide clinical supervision and support to less experienced colleagues both within the team and the wider service.
Compliance with Safeguarding procedures, Infection Control and Clinical and Information Governance, are essential components of the post.
What skills and experience do you need?
Qualifications and knowledge
Degree in Speech and Language Therapy
HPCP Registration and Licence to Practice
Member of RCSLT
Evidence of continuing professional development
Successful completion of specialist post-graduate dysphagia study relevant to the community setting, (e.g. accredited dysphagia course).
Good understanding of the clinical governance principles
Basic knowledge of qualitative and quantitative research approaches and the key elements to writing a research protocol
Demonstrates knowledge of HPCP code of ethics and professional conduct
Evidence of audit and research activity
At least three years post-qualification experience working within relevant fields
Experience in assessment and interventions of feeding difficulties in children aged 1-19 years, demonstrating the evidence base for these approaches.
Clinical experience within the NHS
Working with children/families from multi-cultural/multi-lingual backgrounds and working with interpreters
Experience in managing feeding difficulties in babies under the age of 12 months.
Experience in supervision of SLTs and students.
Competency in Tracheostomy management
Carrying out evidence based research projects/audit projects
Team leadership experience
Virtual eating, drinking and swallowing assessment and intervention
Good clinical skills/specialist knowledge across a wide range of dysphagia and communication difficulties
Evidence of use of initiative and ability to maintain judgement under pressure
Skills in delivering presentations and training including basic adaptations to presentation/training style for a range of audiences.
The ability to convey complex sensitive information.
Good organisational and prioritisation skills
Ability to lone work
Working knowledge of IT
Specialist knowledge of community SLT working.
Virtual dysphagia assessment and intervention
Personal and people development
Committed to personal and team development
Able to work well with and through others
Clear vision of role/commitment to specialty
Commitment to personal CPD
A desire to implement research/evidence based practice.
The ability to reflect on practice
Excellent interpersonal skills
Excellent verbal and written communication skills especially with medical, other HCPs, Social Care and Educational Staff
Good report writing skills
Good teaching skills.
Good presentation skills.
The Physical capabilities to manage and position infants and children for optimum feeding
The ability to work as part of a multidisciplinary team
Good leadership skills
Key Working Relationships
The post holder will report directly to the Lead Speech and Language Therapist for Complex Needs and Dysphagia, accountable to the Head of Children’s Community Therapy.
The post holder will work closely with colleagues in health, education and social care. S/he will have to liaise with acute services including dietetics, respiratory, gastroenterology, surgery, neurology and ENT; community services including dietetics, occupational therapy, physiotherapy, the child development team and school staff.
A considerable amount of liaison and negotiation happens with SLT services in local hospitals and specialist tertiary centres
Key result areas – Dysphagia assessment and intervention
- To demonstrate highly specialist clinical expertise in the assessment, diagnosis, treatment and management of feeding and swallowing problems for children aged 0-19 years in a community setting. To use specialist skills to make independent clinical decisions regarding diagnosis and appropriate management of these feeding difficulties.
- To demonstrate highly specialist skills in assessing the readiness for tube weaning, decision making regarding the need to progress to tube feeding and assessing the need for further investigations i.e. videofluoroscopy.
- To recognise and facilitate the need for further information and refer to other specialities to facilitate optimum and efficient client care.
- To formulate and implement individualised, innovative management and intervention plans, using clinical reasoning, critical thinking, reflection, analysis and evidence-based practice.To utilise a wide range of treatment skills and options to formulate a specialised programme of care that meets the individual needs of the child, in order that the best possible outcomes can be achieved.
- To write comprehensive reports reflecting specialist knowledge of feeding difficulties to ensure multi-agency understanding of SLT issues (including: carers, voluntary sector, health, education and social care)
For any direct queries, please contact firstname.lastname@example.org.
Bank Partners is an employment agency/employment business (as defined by the Conduct of Employment Agencies and Employment Businesses Regulations 2003) and is acting on behalf of its client in relation to this vacancy.