Job summary
The post holder will provide direct clinical and operational leadership for a team of Acute SLTs working within St George's University Hospitals NHS Foundation Trust. This team provides services to General Medicine, General Surgery, Cardiothoracic, Renal, Medicine, Senior Health, Oncology, and General and Cardiothoracic Critical Care. The post holder will line manage the team members, complete appraisals, clinical supervision, oversee clinical caseload management, service development and governance. They will provide joint sessions, second opinions and highly specialist treatment and advice for patients across the acute caseload. The post holder will lead the inpatient videofluoroscopy clinic based at St Georges Hospital and the community videofluoroscopy clinic based at Queen Marys Hospital. The post holder will support the running and governance of the service and lead on staff training in videofluoroscopy across the adult SLT department..
The post holder will be expected to lead collaborative working with patients/clients, carers and with colleagues in Health, the voluntary sector and Social Services in planning and delivery of services. In particular to work with consultants/ GP's & multidisciplinary management teams within St. George's University Hospitals NHS Foundation Trust to ensure coordinated service delivery.
Main duties of the job
To independently manage highly complex clients within general medicine, surgery, critical care, and cardiothoracic caseloads independently making differential diagnosis & clinical management decisions on the basis of evidence from assessment, frequently weighing up complex clinical management decisions in the context of conflicting clinical indicators.
To develop and maintain expert clinical competence and deliver expert clinical service, through the whole SLT team, to patients in all clinical areas above
To develop and implement highly specialist Speech and Language Therapy treatment programmes within acute, providing thorough services and evaluation through clinical outcomes.
To be jointly responsible along with the critical care lead SLT for the leadership and co-ordination of intervention and management for patients in Critical Care environments (i.e. GICU, CTICU, CCU)
To be responsible for the clinical supervision of the adult speech and language therapists working in the Community Division (not those in community neuro-rehabilitation).
To demonstrate skills in motivating clients and /or carers to engage in the therapeutic process.
To develop clear unidisciplinary/multidisciplinary clinical protocols based on best practice. To demonstrate high level of clinical effectiveness by use of evidence based practice and outcome measures.
To provide specialist clinical technical skills for interpretive assessment techniques such as AAC communication
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About us
St George's University Hospitals NHS Foundation Trust provide services from two main hospitals, St George's Hospital and Queen Mary's Hospital, and two health centres, St Johns Therapy Centre, and The Nelson Centre.
With over 9,000 dedicated staff caring for patients around the clock, we are the largest healthcare provider in southwest London.
Our main site, St George's Hospital in Tooting - one of the country's principal teaching hospitals - is shared with St George's, University of London, which trains medical students and carries out advanced medical research. St George's Hospital also hosts the St George's, University of London and Kingston University Faculty of Health and Social Care Sciences, which is responsible for training a wide range of healthcare professionals from across the region.
Job description
Job responsibilities
The post holder will provide direct clinical and operational leadership for a team of Acute SLTs working within St Georges University Hospitals NHS Foundation Trust. This team provides services to General Medicine, General Surgery, Cardiothoracic, Renal, Medicine, Senior Health, Oncology, and General and Cardiothoracic Critical Care. The post holder will line manage the team members, complete appraisals, clinical supervision, oversee clinical caseload management, service development and governance. They will provide joint sessions, second opinions and highly specialist treatment and advice for patients across the acute caseload. The post holder will lead the inpatient videofluoroscopy clinic based at St Georges Hospital and the community videofluoroscopy clinic based at Queen Marys Hospital. The post holder will support the running and governance of the service and lead on staff training in videofluoroscopy across the adult SLT department..
The post holder will be expected to lead collaborative working with patients/clients, carers and with colleagues in Health, the voluntary sector and Social Services in planning and delivery of services. In particular to work with consultants/ GPs & multidisciplinary management teams within St. Georges University Hospitals NHS Foundation Trust to ensure coordinated service delivery.
To independently manage highly complex clients within general medicine, surgery, critical care, and cardiothoracic caseloads independently making differential diagnosis & clinical management decisions on the basis of evidence from assessment, frequently weighing up complex clinical management decisions in the context of conflicting clinical indicators.
To develop and maintain expert clinical competence and deliver expert clinical service, through the whole SLT team, to patients in all clinical areas above
To develop and implement highly specialist Speech and Language Therapy treatment programmes within acute, providing thorough services and evaluation through clinical outcomes.
To be jointly responsible along with the critical care lead SLT for the leadership and co-ordination of intervention and management for patients in Critical Care environments (i.e. GICU, CTICU, CCU)
To be responsible for the clinical supervision of the adult speech and language therapists working in the Community Division (not those in community neuro-rehabilitation).
To demonstrate skills in motivating clients and /or carers to engage in the therapeutic process.
To develop clear unidisciplinary/multidisciplinary clinical protocols based on best practice. To demonstrate high level of clinical effectiveness by use of evidence based practice and outcome measures.
To keep up to date with new techniques and developments for the promotion and maintenance of excellent practice in tracheostomy management, Fibre Endoscopic Evaluation of Swallowing (FEES), and Videofluoroscopy (VFS)
To provide specialist clinical technical skills for interpretive assessment techniques such as AAC communication
To have knowledge of dementia, dysphagia management (risk feeding plans) and complex communication aids/strategies
To be responsible for the leadership & co-ordination of Specialist Speech & Language therapy extended scope clinics at St Georges Hospital and Queen Marys Hospital such as VFS and FEES, liaising with other professionals and referral agencies, and providing training opportunities to other colleagues as appropriate.
To provide highly specialist advice & second opinions to more junior colleagues/other SLT professionals at a national level & others regarding the management and care of patients/clients with communication and swallowing difficulties
To advise other colleagues on a range of clinical issues and facilitate their own problem solving skills assisting with negotiation of case management in complex cases.
Job description
Job responsibilities
The post holder will provide direct clinical and operational leadership for a team of Acute SLTs working within St Georges University Hospitals NHS Foundation Trust. This team provides services to General Medicine, General Surgery, Cardiothoracic, Renal, Medicine, Senior Health, Oncology, and General and Cardiothoracic Critical Care. The post holder will line manage the team members, complete appraisals, clinical supervision, oversee clinical caseload management, service development and governance. They will provide joint sessions, second opinions and highly specialist treatment and advice for patients across the acute caseload. The post holder will lead the inpatient videofluoroscopy clinic based at St Georges Hospital and the community videofluoroscopy clinic based at Queen Marys Hospital. The post holder will support the running and governance of the service and lead on staff training in videofluoroscopy across the adult SLT department..
The post holder will be expected to lead collaborative working with patients/clients, carers and with colleagues in Health, the voluntary sector and Social Services in planning and delivery of services. In particular to work with consultants/ GPs & multidisciplinary management teams within St. Georges University Hospitals NHS Foundation Trust to ensure coordinated service delivery.
To independently manage highly complex clients within general medicine, surgery, critical care, and cardiothoracic caseloads independently making differential diagnosis & clinical management decisions on the basis of evidence from assessment, frequently weighing up complex clinical management decisions in the context of conflicting clinical indicators.
To develop and maintain expert clinical competence and deliver expert clinical service, through the whole SLT team, to patients in all clinical areas above
To develop and implement highly specialist Speech and Language Therapy treatment programmes within acute, providing thorough services and evaluation through clinical outcomes.
To be jointly responsible along with the critical care lead SLT for the leadership and co-ordination of intervention and management for patients in Critical Care environments (i.e. GICU, CTICU, CCU)
To be responsible for the clinical supervision of the adult speech and language therapists working in the Community Division (not those in community neuro-rehabilitation).
To demonstrate skills in motivating clients and /or carers to engage in the therapeutic process.
To develop clear unidisciplinary/multidisciplinary clinical protocols based on best practice. To demonstrate high level of clinical effectiveness by use of evidence based practice and outcome measures.
To keep up to date with new techniques and developments for the promotion and maintenance of excellent practice in tracheostomy management, Fibre Endoscopic Evaluation of Swallowing (FEES), and Videofluoroscopy (VFS)
To provide specialist clinical technical skills for interpretive assessment techniques such as AAC communication
To have knowledge of dementia, dysphagia management (risk feeding plans) and complex communication aids/strategies
To be responsible for the leadership & co-ordination of Specialist Speech & Language therapy extended scope clinics at St Georges Hospital and Queen Marys Hospital such as VFS and FEES, liaising with other professionals and referral agencies, and providing training opportunities to other colleagues as appropriate.
To provide highly specialist advice & second opinions to more junior colleagues/other SLT professionals at a national level & others regarding the management and care of patients/clients with communication and swallowing difficulties
To advise other colleagues on a range of clinical issues and facilitate their own problem solving skills assisting with negotiation of case management in complex cases.
Person Specification
Education/Qualifications
Essential
- Recognised speech and language therapy degree qualification or equivilent
- Health Professions Council - License to Practice
- Registered Member of RCSLT
- Evidence of successful completion of Masters degree or specialist development and training such as Advanced Dysphagia, Tracheostomy management, FEES, aphasiology
- Experiential and advanced training as evidenced by highly structured self-directed study using regular appraisal of research & evidence base for specialist clinical area.
Experience
Essential
- Significant post qualification experience of working in the field of Acute Medicine
- Assessment ,treatment and management of highly complex clients with acquired neurological communication disorders; apraxia, aphasia, cognitive communication disorder, dysarthria
- Working with clients with highly complex dysphagia including tracheostomy and ventilator dependent patients
- Coaching / developing reflective clinical practice in less experienced staff.
- Counselling in a supervisory role with staff, and rehabilitative/ supportive role with clients and carers
- Developing and delivering education and training packages.
- Advising/ providing second opinions.
- Clinical audit applying the principles of research methodology
- Undertaking appraisal and planning CPD for less experienced staff.
- Undertaking recruitment & selection for less experienced staff.
Desirable
- Leadership role within speech and language therapy
Knowledge & skills
Essential
- Good written and spoken English
- Level 4 Videofluoroscopy competency
- Experience leading videofluoroscopy clinics
- Excellent interpersonal skills - including observation, listening and empathy skills
- Negotiation and problem solving skills
- Demonstrates good analytical, concentration and reflection skills
- Good presentation skills, both written and verbal
- Ability to work in an unpredictable environment and to prioritise own workload.
- Good organisational skills
- Demonstrates ability to be a team player
- Well established knowledge of assessment tools and treatment rationales relevant to this client group with speech language and communication, and swallowing difficulties.
- Well established knowledge of a range of appropriate therapeutic interventions relevant to the above client group.
- Working knowledge of the roles of other professionals in health, social care and voluntary sector involved with this client group.
- Established knowledge of national policies and procedures in particular safeguarding children, disability discrimination act, National Service Frameworks for older people & chronic conditions, the cancer plan and the critical care standards.
- Understanding and application of the principles of clinical governance /audit within own & subordinates / others clinical practice.
Desirable
Personal attributes
Essential
- Physically fit to meet requirements of post
- Team Player
Other
Essential
- Membership of relevant SIG groups
Person Specification
Education/Qualifications
Essential
- Recognised speech and language therapy degree qualification or equivilent
- Health Professions Council - License to Practice
- Registered Member of RCSLT
- Evidence of successful completion of Masters degree or specialist development and training such as Advanced Dysphagia, Tracheostomy management, FEES, aphasiology
- Experiential and advanced training as evidenced by highly structured self-directed study using regular appraisal of research & evidence base for specialist clinical area.
Experience
Essential
- Significant post qualification experience of working in the field of Acute Medicine
- Assessment ,treatment and management of highly complex clients with acquired neurological communication disorders; apraxia, aphasia, cognitive communication disorder, dysarthria
- Working with clients with highly complex dysphagia including tracheostomy and ventilator dependent patients
- Coaching / developing reflective clinical practice in less experienced staff.
- Counselling in a supervisory role with staff, and rehabilitative/ supportive role with clients and carers
- Developing and delivering education and training packages.
- Advising/ providing second opinions.
- Clinical audit applying the principles of research methodology
- Undertaking appraisal and planning CPD for less experienced staff.
- Undertaking recruitment & selection for less experienced staff.
Desirable
- Leadership role within speech and language therapy
Knowledge & skills
Essential
- Good written and spoken English
- Level 4 Videofluoroscopy competency
- Experience leading videofluoroscopy clinics
- Excellent interpersonal skills - including observation, listening and empathy skills
- Negotiation and problem solving skills
- Demonstrates good analytical, concentration and reflection skills
- Good presentation skills, both written and verbal
- Ability to work in an unpredictable environment and to prioritise own workload.
- Good organisational skills
- Demonstrates ability to be a team player
- Well established knowledge of assessment tools and treatment rationales relevant to this client group with speech language and communication, and swallowing difficulties.
- Well established knowledge of a range of appropriate therapeutic interventions relevant to the above client group.
- Working knowledge of the roles of other professionals in health, social care and voluntary sector involved with this client group.
- Established knowledge of national policies and procedures in particular safeguarding children, disability discrimination act, National Service Frameworks for older people & chronic conditions, the cancer plan and the critical care standards.
- Understanding and application of the principles of clinical governance /audit within own & subordinates / others clinical practice.
Desirable
Personal attributes
Essential
- Physically fit to meet requirements of post
- Team Player
Other
Essential
- Membership of relevant SIG groups
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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
