Highly Specialist Speech and Language Therapist - Dysphagia - London

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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

Job Purpose:

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?

Domain

Essential Criteria

Desirable Criteria

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

Experience

 

 

 

 

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

Skills

 

 

 

 

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.

Audit experience

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

 

Communication

 

 

 

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.

 

Specific requirements

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 kaylie.jianoran@bankpartners.co.uk.

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.

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