Highly Specialist Speech and Language Therapist ENT

Job description

Job responsibilities

Please note : Candidates should familiarise themselves with the separate job description and person specification for this role and make specific reference to these in their application

Key job responsibilities

Service Delivery

1. To prioritise and manage a large and diverse caseload ensuring practice is in line with the Royal College of Speech and Language Therapists Position Papers and Quality Guidelines, and the HCPC professional regulations.

2. To develop, deliver and monitor highly specialist interventions for patients within the defined pathway, encompassing all aspects of complex diagnosis and management for effective swallowing and communication

3. To independently manage and prioritise own complex caseload in a highly specialist area.

4. To work collaboratively with a variety of different agencies/professionals across primary and secondary care; social services and the Voluntary sector

5. To be responsible for planning, provision, monitoring and evaluation of programmes of learning and development to other professionals within specialist clinical area

6. To represent the Speech and Language Therapy service at agreed forums as delegated by ENT SLT clinical lead

Clinical Practice

1. To independently provide a highly specialist SLT assessment, diagnosis, intervention and advice service to patients with voice, swallowing and communication impairments within the ENT pathways, as well as services to families, support staff and professionals

2. To undertake, interpret, and act on findings of diagnostic assessments (EEL; FEES; Videofloroscopy x-ray swallow) in line with RCSLT competency and clinical banding

3. To provide clinical opinion and recommendations for complex patients in joint ENT Consultant /SLT outpatient-clinics, including joint voice clinics, neuro-laryngology clinics, and complex airway clinics, with access to regular supervision from pathway leads

4. To be skilled in managing a range of clinical voice/vocal fold movement disorders; using and interpreting instrumental assessment procedures (endoscopic evaluation of larynx; acoustic assessments); clinical evaluation scales and outcome measures; and with an established knowledge of a broad range of therapeutic interventions related to the specialist client group including direct and indirect voice therapy, counselling approaches, and laryngeal manipulation.

5. To take responsibility for managing patients with swallowing disorders, recognising complications of aspiration, and compromised nutrition and hydration, working closely with multi-professional agencies including primary care and palliative/end of life teams to ensure best clinical practice and patient safety

6. To develop skills in the assessment and management of complex surgical airway patients including voice and swallowing assessment and management pre-and post surgery, with access to supervision from pathway leads

Clinical Leadership

1. Provide clinical training and supervision to junior SLT staff, SLT students and SLT assistant/technical instructor.

2. To delegate to assistant SLT, administrative and nursing staff.

3. To identify and contribute to team objectives reflecting local and national health and social care priorities

4. To implement national and local policy relevant to specialist clinical area, ensuring service is consistent with these, and contributing to strategic planning

Clinical Governance

1. To monitor and assess clinical competencies of junior staff and assistants within the clinical specialism

2. To maintain a highly specialised knowledge base within particular clinical expertise

3. Identify and minimise risk in order to enable safe working practices, advising the Pathway Lead and Head of Service of any concerns, includes maintaining pathway risk register, medical devices register etc

4. To contribute to the clinical governance activities of the NUH ENT/HNC Service including reporting from incidents, near misses, complaints

5. To proactively contribute to regional or national clinical excellence networks, either uni professional RCSLT groups or multi professional agencies

Research, and Learning & Development

1. To ensure service delivery in delegated lead area is underpinned by available research evidence

2. To be responsible for the development, provision and evaluation of programmes of learning and development for speech and language therapy staff including provision and/or coordination of student placements, mentoring and/or supervision of junior staff and assistants.

3. As a requirement of the post undertake research and/or audit in accordance with the needs of the trust and the profession, contributing to the growing body of local and national evidence

4. To demonstrate own continuing professional development

Person Specification

Professional Registration

Essential

• Member of RCSLT
• Registered with HCPC

Experience

Essential

• significant experience of working with specialist caseload using a range of appropriate therapeutic and assessment tools
• o Recent experience of working in an acute setting with high throughput and high volume caseload
• oExperience of working in multi-disciplinary and multi-agency teams
• oEvidence of attendance at post-graduate training and short courses in clinical area to achieve competencies in line with RCLST position statements eg SVR;FEES; tracheostomy
• oEvidence of strong commitment to team and partnership working, and leadership skills
• oWell-established knowledge of a broad range of assessments relevant to specialist client group and extensive knowledge of a range of appropriate specialist therapeutic interventions
• Recent experience of working with dysphagia and competent in line with RCSLT banding
• Recent experience of working jointly in outpatient consultant clinics

Desirable

• oExperience/skills as FEES practitioner as demonstrated through RCSLT competencies
• oExperience /skills of tracheostomy as demonstrated by RCLST competencies
• oExperience /skills of VFSS as demonstrated by RCLST competencies
• oExperience of planning, provision, monitoring and evaluation of programmes of learning and development to other professionals within specialist area
• Experience/skills of EEL assessments as demonstrated through RCSLT competencies

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

Nottingham University Hospitals NHS Trusts

Address

Nottingham University Hospitals

Derby Road

Nottingham

NG72UH

Employer's website

https://www.nuh.nhs.uk/ (Opens in a new tab)