Band 6 Specialist Speech & Language Therapist


Company:	NHS Jobs
Salary:	£47,951 - £56,863
Hours:	Full-time
Location:	London, NW1 0PE
Job type:	Permanent
Posting date:	3 Aug 2026
Closing date:	21 Aug 2026

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Summary

MAIN DUTIES AND RESPONSIBILITIES: Clinical: 1. To thoroughly assess patients through subjective questioning, objective formal and informal assessment and analysis of information gathered. 2. To prioritise factors involved in a patients presenting condition through clinical reasoning based on knowledge of evidence-based practice, current professional opinion, the patients prognosis and other physical psychological and social issues. 3. To ensure high standards of clinical practice using evidence-based practice and national/local clinical guidelines. 4. To advise and teach the relevant carers/health workers to participate in on-going Speech & Language Therapy rehabilitation care or disability management programmes for clients, as appropriate. 5. To set goals for treatment with clients, families and carers, and ensure that care is client-centred and agreed by the client and/or their significant others. 6. To devise and manage a treatment plan individual to a clients presenting condition through, for example the use of functional rehabilitation, compensatory approaches, provision of alternative and augmentative communication (AAC) and feeding equipment, education and health promotion. 7. To act as an advocate on behalf of clients and carers by adopting a client-centred approach to support meaningful participation in life roles within the local communities. 8. To ensure that the client and/or their carer have an understanding of treatment protocols and give informed consent to examination and treatment. 9. To ensure that the patient understands the clinical reasoning process and the management plan. 10. To modify the patients therapy treatment/management plan as appropriate following ongoing re-assessment and evaluation of progress. 11. To manage a caseload of clients with complex needs with supervision and guidance as necessary from senior staff. To successfully monitor, evaluate and review Speech & Language Therapy treatment/interventions within a multi-disciplinary framework and to modify as necessary taking a key worker role as indicated. 12. To use knowledge of other multi-disciplinary roles and external agencies to ensure effective referral management and achieve best client care. 13. To have the ability, knowledge and skills required for moving and handling people in inpatient and community environments (as required for swallow assessments). 14. To ensure that all documentation is accurate, contemporaneous and meets the documentation policy of the Trust. 15. To prescribe, delegate and monitor the work of rehabilitation assistants as required. 16. To manage clinical risk in own caseload and ensure that rehabilitation assistants and students comply e.g manual handling, risk assessment and local policy regarding lone working. 17. To contribute to the efficient, day-to-day, running of the team. 18. To maintain case notes and write reports outlining recommendations for discharge, independently or jointly with other professions. These are communicated to external agencies e.g. GPs, Consultants, Social Services. Professional: To keep up to date with Speech & Language Therapy professional registration and clinical practice through CPD activities and be able to demonstrate a commitment to CPD as required of the HCPC. To develop a specialist knowledge base in rehabilitation and disability management, assessment, clinical reasoning and management skills. To evaluate your practice through audit and outcome measures. 4. To access library services, medical databases and the Intranet to further develop clinical practice and service initiatives. 5. To develop links and communicate with other members of the multidisciplinary team. To be professionally and legally accountable for all work undertaken. Management: To ensure that accurate and evaluative records of patient care are maintained in accordance with the Trust/ Service/Speech & Language Therapy service policies. To manage a clinical case load supported by senior staff. To participate in the Trusts appraisal and supervision schemes and contribute to the appraisal of rehabilitation assistants and Speech & Language Therapists with support from senior staff. 4. To ensure that all equipment defects, accidents, incidents and complaints are reported to the line manager immediately and that appropriate action is taken following Trust and Service policies. To supervise junior members of staff, rehabilitation assistants and volunteers as required. To delegate administrative and clinical tasks appropriate to their competencies. To comply with the Trusts policies and procedures, and the Health and Safety at Work Act (1974). To attend and actively participate in multidisciplinary team meetings and case conferences. To mange own diary in respect of the teams priorities e.g. case load, in-service training, supervision and meetings. To input and retrieve computerised information. 10. To participate in the collation of accurate statistics and reports required for monitoring and evaluating the service. 11. To be involved with the implementation of the teams clinical governance plan. Communication: To use a variety of highly skilled verbal and non-verbal communication and tools to ensure that the client and their carer understands the relevant individual education and advice. This includes clients: of a non-English speaking background requiring an interpreter with a hearing impairment with altered emotional states with a cognitive/learning/behavioural disability not understanding or accepting a clinical decision based on sound reasoning with communication deficits To attend and actively participate in any relevant meetings and conferences as required. To assist in managing conflict with support from senior colleagues reporting any incidents to the line manager. To communicate closely with colleagues on all matters related to client care, service organisation and delivery. To establish and maintain lines of communication within the Team, with service users and with acute, and community services/agencies, including voluntary services. To communicate sensitive information in an understandable form to patients and their carers and enable client's co-operation in treatment. Part of this process must reflect on ensuring the client and/or their carer understands the clinical reasoning process and the management plan and gives informed consent to intervention. To comply with the Trust and operational policy on all documentation. To produce client reports and discharge summaries for G.P.s, social workers and referrers and to provide copies to clients following agreement. Research and Development: 1. To participate in the evaluation of clinical practice. 2. To keep up-to-date in the developments in research and clinical practice, in the field ofrehabilitation, neurology, chronic conditions, older people and other related areas. Education: 1. To participate actively in the in-service training and post-registration training programmes of the service. 2. To act as professional practice educator for Speech & Language Therapy students. 3. To participate in education programmes for client groups / staff. 4. To comply with all mandatory training. General: To perform such duties as may be considered necessary from time to time, appropriate to the grade. To work at other sites in the Trust if required. This may include rotation with our secondary partners.

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