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Paediatric Speech and Language Therapist

NHS

Job Description

Job summary

Totus Neurorehabilitation is a growing community neurorehabilitation service providing brain injury rehabilitation and cognitive assessments throughout the South West of England and South Wales. We provide neurorehabilitation to children and young people across a broad developmental range, following acquired brain injury or neurological illness.

We are looking for an enthusiastic and committed Speech and Language Therapist to join our team.

We are funded on a case-by-case basis through individual funding packages (eg exceptional healthcare funding, CHC funding). As such the post holder is contracted to individual clients and the working hours will be based on the individual clients requirements. This post would best suit a practitioner working part time in the NHS looking for one or two additional cases a week.

As the post covers a large geographical area, we require you to hold a full UK driving licence, have access to a car for business purposes and are able to travel long distances for appointments. Travel time is paid at half the clinical rate. You will also working from home and will need a confidential space to do online sessions and meetings when needed.

This is an Associate position which means the applicant is self-employed and contracted to the client. You will be required to register as a sole trader with the HMRC and submit your own tax return yearly. The applicant requires their own indemnity insurance, DBS certificate, and registration with the ICO.

Main duties of the job

The post holder will be part of an interdisciplinary paediatric neurorehabilitation team (including Physiotherapists, Psychologists, and Occupational Therapists) providing evidence-based brain injury rehabilitation for children and young people in their homes, education settings, community environments, or outpatient clinics.

You will manage your own caseload within the wider team and work across systems throughout each childs rehabilitation journey collaborating closely with families, schools, case managers, and statutory services to ensure coordinated, child-centred care.

You will have experience in working with clients who have neurological presentations and cognitive deficits, experience of working within complex psychosocial systems, and the confidence engage with the multidisciplinary team in complex case formulation. The post is suitable for experienced clinicians.

About us

Totus is a complete neurorehabilitation service, bringing together expert clinicians to support people following acquired brain injury, neurological illness or complex physical trauma. Our multidisciplinary team includes specialists in neuropsychology, occupational therapy, physiotherapy, speech and language therapy, dietetics, and MS support services. We work closely with case managers, solicitors, families and support teams to deliver coordinated, person-centred rehabilitation that maximises each individuals potential. Our values are based in patient-led rehabilitation, with a community focus, funded on transparent communication, evidence based treatment, and sustainability of the rehabilitation model. All aimed to promote the quality of life of our clients and their supporters.

Job responsibilities

JOB DESCRIPTION

Paediatric Specialist Speech and Language Therapist Community Neurorehabilitation

Location: Community-based eg. client homes, clinics, remote work, South West England and South Wales

Hours: Based on the clients individual funding

Reports to: Totus Neurorehabilitation Ltd Directors

Accountable to: Totus Neurorehabilitation Ltd Directors

Job SummaryThe post holder will have their working base at home and will provide Speech and Language Therapy assessment and rehabilitation services to children and young people with acquired and traumatic brain injury and neurological conditions, in the clients own homes, school/college settings, in the community, or at a designated clinic room.The post holder will work in an inter-service context across several systems, including the child, family and wider caregiving network, case managers, legal services, allied health professionals both within and external to Totus, and with the NHS, education services and statutory agencies. The post holder will be supported by the Totus Neurorehabilitation Ltd Directors to provide a high-quality, specialist Speech and Language Therapy service to children and adolescents with neurological conditions (e.g., traumatic/acquired brain injury, stroke, long-term neurological conditions) as part of a community-based multidisciplinary team.The post holder will work with autonomy to assess and treat clients with complex needs, using developmentally informed practice to support communication, cognitive-communication skills, swallowing safety where appropriate, and participation in daily routines, school engagement, social interaction, play, and transitions. Support for vocational or further-education communication needs may be relevant for older adolescents and young adults.Key ResponsibilitiesKnowledge and Training

The post holder is required to hold a degree in Speech and Language Therapy.

The post holder must be registered as a Speech and Language Therapist with the Health Care Professions Council and be a member of RCSLT.

The post holder must undertake the mandatory Continuing Professional Development hours specified by the RCSLT/HCPC, and must seek and obtain supervision from senior professional colleagues, in order to maintain advanced specialist skills.

Clinical Duties

Manage a defined caseload of children and young people with complex speech, language, communication and cognitive-communication needs arising from neurological conditions.

Conduct detailed and developmentally appropriate assessments using formal and informal tools, play-based assessment, observation and parent/teacher reports.

Develop and deliver personalised, evidence-based treatment plans that support participation at home, school and in the community.

Evaluate outcomes using recognised measures and adjust therapy accordingly.

Provide therapy across settings including the childs home, nursery/school/college, community environments and remotely where appropriate.

Support children, families and education staff with communication strategies, cognitive-communication approaches, andwhere relevantpaediatric dysphagia management.

Complete risk assessments relevant to home, school and community contexts, ensuring appropriate safety measures are in place.

Provide education, modelling and coaching to parents/carers, school teams and support staff on the childs needs and recommended strategies.

Write comprehensive and clear reports to summarise needs, progress and recommendations, including input for EHCPs where appropriate.

Write detailed goal plans alongside the MDT that reflect child-centred, family-centred and education-relevant outcomes.

Communication Skills

Skills in communicating sensitive and distressing information to children, parents and families are required.

Ability to summarise and interpret highly complex and sensitive information and produce concise, accessible reports for families, schools and external agencies.

IT skills to use online systems, Microsoft Word, Excel, Access, Gmail, literature search engines and cloud-based software.

Multidisciplinary Working

Contribute to regular MDT case reviews and collaborative goal setting.

Work collaboratively with OTs, PTs, Psychologists, dieticians, Case Managers, Carers, Support Workers, and Education professionals.

Liaise with GPs, case managers, CAMHS, families, carers, and other external agencies.

Supervision, Training and Support

Offer advice and second opinions on complex cases within scope of competence.

Deliver training to MDT colleagues, school staff, and external stakeholders when appropriate.

Participate in peer review, clinical supervision, and reflective practice.

Clinical Governance and Service Development

Ensure all practice complies with professional guidelines.

Maintain high-quality, accurate clinical records in line with HCPC and RCSLT standards.

Participate in data collection for quality improvement.

Notify the Totus Directors on the requirement and development of clinical protocols and pathways.

Follow all clinical policies including safeguarding, risk, and infection control policies.

Identify and report risks or safeguarding concerns appropriately.

Key Relationships

Clients and their families/carers

Multidisciplinary team e.g., OTs, PTs, Psychologists, Nurses

Schools, SENCOs, GPs, Community Paediatrics, CAMHS, social care, Case Managers, Solicitors and voluntary agencies

Working Conditions The post holder will work primarily from home but will be required to visit childrens homes and education settings to conduct assessments and interventions. Clinic rooms may also be used where appropriate. The post holder will be required to drive for up to 1.5 hours at a time and often up to 4 hours in a day. There is a frequent requirement for VDU and computer use depending on service demands. The post holder is required to concentrate intensely for prolonged periods during individual assessments, family interviews and school observations, sometimes with distressed, fatigued or ...

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