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Job overview
Are you passionate about providing a high quality Speech & Language Therapy (SLT) service to adult inpatients? Are you looking for the chance to develop your career in a prestigious London Trust with access to highly skilled clinicians and multiple learning opportunities?
We are looking for a Specialist SLT to join our Adult Service in a cross-site rotational role. This post rotates between the Stroke Service (hyperacute and acute stroke units), and three Adult Acute teams at Charing Cross, Hammersmith, and St Mary's Hospitals. Each acute site has its specialisms, including admissions, neurology, respiratory, major trauma, critical care, and surgical specialisms.
As a valued member of the speech & language therapy and multidisciplinary teams, you will contribute to multidisciplinary working, further developing your clinical skills and actively participating in service development and training others. Staff are encouraged and supported to participate in CPD activities and audit and research. The post-holder will provide support to SLT/rehabilitation assistants as well as supervise students on placement.
We hold weekly videofluoroscopy clinics and provide a FEES service. You will be supported in the development of your skills in these areas in line with your learning needs, along with specialist skills in assessment and therapy for acquired communication disorders.
Main duties of the job
- To independently manage a caseload of adults with acquired communication and/or swallowing difficulties of neurological/medical/surgical origin, demonstrating specialist knowledge and skill underpinned by current evidence-based practice.
- To provide specialist assessment and treatment for patients with adult acquired communication and swallowing problems.
- To support the provision of instrumental assessments on site as clinically appropriate and as required by the service, including identifying appropriate patients, under-taking joint assessments, analysis, reporting and feedback.
- To work in collaboration with other members of the MDT to provide an integrated service for patients, participating in joint clinics, ward rounds, multi-disciplinary assessment/treatment, family/ carer support and education, attending regular meetings and case conferences as appropriate.
- To participate in quality improvement, clinical governance projects, audit and research as required by the Clinical Service Lead for Adult Speech & Language Therapy.
- To support the training and development of speech and language therapy students on placement and of SLT/rehabilitation assistants, as required.
Detailed job description and main responsibilities
The full job description provides an overview of the key tasks and responsibilities of the role and the person specification outlines the qualifications, skills, experience and knowledge required.
For both overviews, please view the Job Description attachment with the job advert.
Person specification
Experience
Essential
- Experience of working at postgraduate level with adults with acquired communication and swallowing disorders.
- Experience of working in a multidisciplinary team
- Experience of delivering training programmes to multidisciplinary colleagues.
- Experience of participation in clinical governance activities.
Desirable
- Experience of videofluoroscopy (including writing reports)
- Experience of FEES (assessor or endoscopist)
- Experience of working with patients with Tracheostomy
- Experience of supervising junior staff or students on placement
Education/ qualifications
Essential
- Degree accredited by Royal College of Speech and Language Therapists (RCSLT)
- Current HCPC registration as a speech & language therapist
- Professional portfolio demonstrating experience and achievements
Desirable
- Registration with RCSLT
Skills/knowledge/ abilities
Essential
- Specialist level of clinical skills and knowledge relevant to the management of adults with swallowing and communication disorders in the acute hospital setting; underpinned by current models of best practice.
- Competent Level C dysphagia practitioner (‘RCSLT dysphagia training and competency framework’) ie able to manage a dysphagia caseload independently - or equivalent (eg operating at Proficient Level of SLT EDS Competency Framework 2025)
- Ability to use specialist knowledge to make appropriate independent clinical decisions, with access to a supervisor, reflecting on practice and demonstrating evidence based practice.
- Ability to negotiate with client/carer and medical/AHP teams around individual case management, prioritisation and clinical risk management
- Able to work effectively on own initiative and within a team, contributing to team goals and initiatives as required.
- Ability to seek guidance when faced with a situation beyond clinical experience
- Good organisation and time management skills
- Effective teaching/training skills, including knowledge of learning styles to support unqualified and qualified SLT and MDT staff as required.
- Competent in basic computer skills and common programmes i.e. Word, Outlook, internet searches, Excel, Powerpoint
- Able to manage the emotional consequences of working with distressing conditions and emotionally demanding patients/carers
- and workload independently on a daily basis, generating appropriate strategies for caseload management and seeking support from senior colleagues if/ when required.
- Ability to educate, empathise, support, negotiate and motivate even when co-operation is not guaranteed.
- Able to maintain intense concentration in all aspects of patient management
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Applying for this NHS job
This advert is for Specialist Speech and Language Therapist – Adult Acute & Stroke with Imperial College Healthcare NHS Trust in London, London, England. It is listed as a Band 6 Speech and Language Therapist role. The advertised salary is £47,951 - £56,863 pa inclusive. The contract type is Permanent. The application deadline is 29 Jun 2026.
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