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Job overview
The post holder will contribute to the provision of a cohesive and effective speech and language therapy service to people with a Learning Disability who live in the boroughs of Lambeth, Southwark or Lewisham.
The post holder will provide assessment, advice and intervention to adults with a Learning Disabilities receiving services from several appropriate agencies, such as Social Services, not for profit organisations, private and voluntary. The post holder will have a responsibility for assessment and intervention with people who have specialist communication and eating, drinking and swallowing needs.
The post holder will contribute to an effective and holistic multidisciplinary service to support the health needs of adults with a Learning Disability and their networks with a strong focus on the promotion of health equality.
Main duties of the job
Responsibility for the assessment, diagnosis, development and delivery of highly specialist Speech and Language Therapy intervention to meet the needs of service users with dysphagia and communication
To maintain accurate case notes, upholding HCPC standards
To write highly specialised reports in multiple formats so that, where needed, that are accessible to the service users, their carers, and other professionals
To ensure that service users are actively involved in the planning and prioritisation of their own care plan
Communicating effectively and respectfully with service users, carers, members of the professional team
Offer a well-coordinated MDT approach to case management
Participation in the community team’s clinical meeting and to present cases for planned review, service initiatives and research.
Contribute to multidisciplinary team and speech and language therapy team meetings as required
Demonstrate advanced negotiation and problem-solving skills
Demonstrate the use of appropriate caseload management strategies when dealing with complex issues
Adapt practise to offer an inclusive service to adults with a learning Disability and their networks
Gather the evidence of clinical effectiveness, using appropriate outcome measures and employing evidence-based practise
Detailed job description and main responsibilities
Support the Speech and Language Therapy Leads and undertake any duties compatible with the grading structure and sphere of competence
Offer consultation to colleagues, to provide second opinions and to share information and expertise with other team members
Participate in the development of local clinical guidelines, informed by the evidence of work within community environments.
Initiate quality improvement projects and contribute to existing projects, building local evidence base and contributing to team clinical effectiveness
Leadership
Contribute to the development of problem solving and negotiation skills of others within peer review, case discussion and supervision
Contribute to audit within defined specialist areas
Training/Education and Research
Participate in formal training events and evaluate effectiveness
Contribute to quality improvement in areas of clinical specialism
Provide advice to non-specialists and other specialists/professionals
Professional Development
Participate in performance development review PDR
Identify and attend specialist short courses in areas of clinical specialism as identified in PDR
Feedback to MDT colleagues on all relevant courses attended
Attend all mandatory training specified by the job role
Maintain up-to-date HPC
Have a working knowledge of relevant legislation: The Mental capacity Act, safeguarding vulnerable adults, deprivation of liberty safeguards working with adults within the criminal justice system
Apply the principles of Clinical Governance to professional practise
Undertake any other duties required by the Lead Speech and Language Therapist, commensurate with grading and competency.
Information Management
To carry out administrative duties including data collection, arranging client appointments, and maintaining general equipment
To monitor the use of specialist equipment and arrange for maintenance/replacement in conjunction with line manager.
To use a range of office programmes (Word, PowerPoint, Excel etc.), symbol programmes (Boardmaker, etc) and advanced multimedia programmes (Adobe Premier Pro, Cool Edit Pro etc) to effectively carry out work using digital voice output and digital video footage.
Maintain electronic client records as per HCPC, Trust and local guidance.
Person specification
Qualifications
Essential
- Masters level qualification in Speech and Language Therapy/Science or equivalent experience
- Postgraduate qualification in dysphagia
Desirable
- Makaton qualification and skills
- AWLD dysphagia qualification
- Advanced dysphagia qualification
- Clinical Audit Training
- PBS training
Clinical Experience
Essential
- Experience of working with people with a learning disability
- Experience of carrying out SLT assessment and intervention
- Experience of working with AWLD and dysphagia
- Experience of training carers, volunteers and health care professionals and support staff
- Experience of supporting AAC users, who use light-tech communication devices, such as symbols, photos, objects etc
- Experience of undertaking SLT clinical risk assessments and joint risk assessment with wider team
- Experience of independent case-management skills
- Experience of clinical audit
- Experience of working within a multidisciplinary team
Desirable
- Experience of liaison with Mental health in LD, health, social services, adult education and voluntary organisations
- Experience of working with a SLT assistants and delegation of work appropriately
Skills and knowledge
Essential
- Demonstrate skills in assessing and providing intervention for AWLD in a range of settings
- Demonstrate skills in assessing and providing intervention for people with learning disabilities
- Demonstrate skills in dysphagia assessment and management
- Demonstrate skills in using reflective practice and evidence based practise
- Demonstrate skills in the use of AAC. e.g. Talking Mats, Makaton (keyword signing), visual timetables, symbols and photos, Light tech switches, objects etc
- Demonstrate ability to prioritise workload and work on own initiative
- Demonstrate ability to produce documents and training sessions in a variety of accessible formats e.g. video, easy read, objects for people with learning disabilities and their carers
- Demonstrate skills in using multimedia software packages such as Communicate In-Print, GRID 3, Boardmaker etc
- Demonstrate ability to produce highly-specialised reports
- Demonstrate good organisational and time-management skills
Desirable
- Ability to assess and train AWLD and their carers in the use of appropriate communication aids (low and high tech AAC)
- Knowledge of legislation relevant to AWLD
- Demonstrate skills in AWLD dysphagia assessment and management
- Knowledge of appropriate strategies and skills required by others to manage extreme behaviours safely
- Demonstrate ability to provide second opinion to colleagues in area of clinical specialism
- Demonstrate ability to organise service-development initiatives within the specialism of AWLD
- Demonstrate ability to plan and chair SLT and MDT meetings
- Ability to understand and interpret specialist Psychological / Psychiatric / medical information from other professionals and make these accessible to carers and people with learning disabilities
- Demonstrate innovation and leadership skills
Additional Information
Essential
- Inclusive approach to working with people from diverse backgrounds including Global Majority populations
- Demonstrate the ability to embed GSTT behaviours and values in all aspects of work
Professional/ Statutory Registration
Essential
- Membership of the Health Care Professions Council (HCPC)
Desirable
- Membership of the RCSLT
- Membership of relevant CEN’s e.g. • Adults with learning disabilities • Adults with autism
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Applying for this NHS job
This advert is for Specialist Speech and language Therapist with Guy's and St Thomas' NHS Foundation 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 per annum inc H.C.A. The contract type is 9 months (Fixed Term). The application deadline is 03 Aug 2026.
Before you apply, compare the job description with the person specification and mirror the employer's essential criteria in your supporting information. Use the vacancy title, employer, location, salary, contract type, closing date and posted date (20 Jul 2026) to decide whether this role fits your current NHS job search. If the employer can close applications early, prepare the application before the stated deadline rather than waiting for the final day.
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