Band 5/6 Speech and Language Therapist

Clinical Responsibilities To take shared responsibility for a designated caseload of adults (supported by a band 6 and/or band 7 therapist) with acquired communication and swallowing disorders, predominantly as a result of an acquired neurological condition such as stroke, ABI or a progressive neurological condition; becoming independent with assessing, diagnosing and treating disorders in adults as part of a multidisciplinary team. To support patients (and their families) in managing their condition. To use a range of evidence-based assessment tools in the assessment of communication and swallowing disorders. To provide therapeutic intervention with patients, either individually or in groups as best meets the needs of the patient Identify indicators of potential associated medical conditions and refer to other specialists or professionals as appropriate. To undertake training to achieve RCSLT competencies in the assessment, diagnosis, and treatment of swallowing disorders (dysphagia) To refer patients appropriately for instrumental evaluation of their swallow where appropriate e.g. FEES, Videofluoroscopy Use non-verbal communication skills to recognise the emotional needs of the client/carer and maintain sensitivity at all times, particularly when imparting potentially distressing information. Use negotiation skills in the management of conflict across a range of situations. To use developed interpersonal skills to assess clients own goals where communication ability is a significant barrier Provide expert facilitation of clients communication with others to ensure that they are central to the process Play a pivotal role in ensuring effective joint working for clients with communication difficulties. To use developed skills in motivating clients and their carers to engage with the therapeutic process, particularly when co-existing apathy or lack of initiation exist. Demonstrate clinical effectiveness by use of evidence-based practice and outcome measures. To work with the AAC specialist SLT to provide appropriate support with communication where indicated. Communicate complex information, regarding communication and/or eating or swallowing, to patients, relatives and other professionals through written reports, programs and face to face discussion, matching communication style and content to the needs of the situation, including where there may be barriers to understanding. Adapt practice to meet individual client circumstances including due regard for culture, social and linguistic difficulties. To maintain up to date and accurate case-notes in line with SWFT and RCSLT professional standards. To maintain clinical and non-clinical standards and work within the policy frameworks laid down (e.g. NHS, Trust, Professional, Health Care Professionals Council, Royal College of Speech & Language Therapists, relevant government policies etc.) To participate in team, professional and personal development activities and promote commitment to continuous development and improvement.

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