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Job overview
An opportunity has arisen for an experienced and enthusiastic Speech and Language Therapist to join the respiratory team within the Heart Lung and Critical Care (HLCC) clinical group. Based across Royal Brompton and Guys Hospitals, you will be working with the severe asthma team and other respiratory specialties. You will be supported and supervised by the Clinical Lead Speech and Language Therapists in Voice and Respiratory.
Main duties of the job
To take independent clinical responsibility for the provision of a high-quality Speech and Language Therapy service to adult patients with voice and upper airway disorders.
To deliver and develop a highly specialist Speech and Language Therapy service in collaboration with the severe asthma team and the Clinical Lead SLT in voice disorders, including laryngoscopy.
To work as a core member of the severe asthma MDT
To work within the wider respiratory SLT service, undertaking highly specialist assessment and treatment, including voice, upper airway and swallowing disorders associated with chronic respiratory conditions at all stages of the patient pathway, the majority of which is in the outpatient/ day case setting with some inpatient work.
The post holder will receive professional supervision from the Band 8a Adult Clinical Specialist SLT in Voice at GH and operational management from the Band 8a Adult Clinical Specialist SLT in lung and upper airway at RBH, in addition to local and regional peer support networks.
Detailed job description and main responsibilities
Clinical (both direct and indirect)
- To take a specialist role in the assessment, diagnosis and treatment of outpatients with upper airway disorders, such as chronic cough, laryngeal hypersensitivity, and inducible laryngeal obstruction, as well as patients with asthma, who may have accompanying upper airway symptoms
- To demonstrate extensive knowledge of laryngeal and respiratory function to underpin highly specialist treatment of patients with upper airway disorders
- To develop and deliver therapy groups in collaboration with the Respiratory MDT and to maintain a database for future audit and research
- To be flexible to the needs of the caseload and the severe asthma and respiratory SLT services, independently prioritising clinical need and managing time appropriately
- To identify patients requiring ENT assessment of their dysphonia and facilitate onward referral to the Voice Clinic
- To identify patients requiring provocation clinic assessment and treatment for ILO
- To undertake laryngeal provocation assessments via nasendoscopy.
- To develop highly specialist knowledge of dysphagia related to respiratory conditions, supporting the RBH SLT Videofluoroscopy (VF) and Flexible Endoscopic Evaluation of Swallowing (FEES) according to agreed competency levels and with supervision and support as needed.
- To attend and contribute to weekly MDT meetings, referring appropriately to other professionals and arranging joint working where needed to ensure the delivery of effective, integrated therapy
- To undertake teaching and training, and support dissemination of knowledge of UA and complex breathlessness work both internally and nationally.
- To regularly participate in the development of multidisciplinary clinical audits and outcome measures for voice and upper airway sensitivity.
- To utilise a high level of interpersonal skills to support patients and families in adapting to changed circumstances/impact of their disorder.
- To refer patients where appropriate to outside agencies and/or speech and language therapy in the community on discharge and write discharge reports to ensure continuity of care as per department quality standards.
Person specification
Skills
Essential
- Able to work as an autonomous practitioner demonstrating problem-solving and solution-focused skills, seeking guidance and support when necessary
- Working alone and in MDT clinics
- Delivering high-quality supervision, teaching and training to others
Desirable
- Completion of Practice Educator training and delivery of student placements
Experience
Essential
- Familiarity with management of upper airway disorders including laryngeal hypersensitivity, ILO and chronic refractory cough
- Knowledge and experience in the use of instrumental assessment tools including flexible nasendoscopy and laryngoscopy with provocation.
- Experience of working with patients with acute and long-term conditions affecting respiratory and neuromuscular function
- Post qualification experience in assessing and managing adults with acquired voice, speech, language swallowing and cognitive communication disorders
- Knowledge and experience of clinical governance and effectiveness such as risk assessment, service evaluation, audit, and quality improvement
- Experience of non/ standardised assessments and clinical reasoning to inform treatment plans across a range of upper airway, voice and swallowing disorders
- Extensive knowledge of laryngeal, ENT, respiratory and breathing pattern disorders
Desirable
- Level 2b FEES competency or equivalent/ Lead VF clinician
- Active member of clinical education networks
- Post-qualification experience in adult dysphagia inc. RCSLT Level 1 FEES assessor
Qualifications
Essential
- Recognised SLT qaulification and current HCPC reg
- Post-graduate dysphagia training or equivalent supervised experience
Desirable
- Post-graduate specialist training relevant to upper airway disorders and complex breathlessness
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Applying for this NHS job
This advert is for Highly Specialist Speech and Language Therapist with Guy's and St Thomas' NHS Foundation Trust in London, London, England. It is listed as a Speech and Language Therapist role. The advertised salary is £58,133 - £65,261 per annum inc. HCAS. The contract type is Permanent. The application deadline is 09 Aug 2026.
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