Senior Speech and Language Therapist: Stroke

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Detailed job description and main responsibilities

Main Duties and Responsibilities

Clinical Responsibilities

1. To manage an autonomous caseload on the stroke unit, which will include assessment, contribution to differential diagnosis, and specialist SLT management for patients with acute, acquired communication and swallowing disorders, following King's College Hospital (KCH) Speech and Language Therapy evidence based guidelines and abiding by KCH Speech and Language Therapy service standards
2. To assess, diagnose, treat and manage patients with tracheostomies as part of the 7 day service in accordance with KCH multidisciplinary Tracheostomy Trust Guidelines and provide feedback for the tracheostomy ward round weekly as required
3. To identify barriers to effective communication within the environment and suggest and implement solutions where feasible
4. To introduce low and high tech communication aids as appropriate and train the patient, their family and friends and the staff on using alternative and augmentative communication aid systems or to refer on to the communication aid therapist at Bowley Close
5. To co-ordinate and promote communication developments under the guidance of a senior therapist e.g. mental capacity act issues, developing and delivering training on supporting communication, advising on environmental changes that support those with communication difficulties
6. To maintain and develop the use of AAC techniques and equipment across the team
7. To discuss, advise and plan appropriate patient goals with clients, carers and the multidisciplinary teams
8. To act as a key worker where appropriate
9. To provide complex and sensitive clinical information to patients and carers in clear, accessible and empathetic format, both in written and verbal for
10. To work as part of the multidisciplinary team negotiating appropriate therapy packages, length of stay and discharge arrangement
11. To attend ward rounds and MDT meetings as appropriat
12. To liaise on a regular basis with relevant hospital and community therapy teams
13. To liaise with other agencies to ensure appropriate follow up and care arrangements for patient
14. To contribute to the Videofluoroscopy Clinic at King's College Hospital, providing general organisational cover where necessar
15. To develop and deliver training regarding communication and swallowing to carers, relatives and staff

Administrative Responsibilities

1. To maintain full, accurate and contemporaneous records within EP
2. To provide timely and accurate reports including transfer and discharge reports
3. To prepare for and participate in an annual job appraisal which includes a 6 monthly review with the SLT acute clinical lead
4. To attend King's College Hospital Speech and Language Therapy team meetings
5. To provide full, accurate and timely statistical data

Leadership

To provide clinical support and advise to junior therapists within the team.

Education and Training

1. To participate in nurse dysphagia screen training programme run by the SLT department
2. To take part in the clinical training for SLT students as agreed and appropriate including preparation for and participation in practical exams
3. To participate in the SLT Department in service training programme
4. To pursue an active programme of continuing professional development including feedback to the team on any courses or conferences attended

Governance / Quality Control

1. To maintain and record an active programme of continuing professional development, including feeding back to colleagues on any courses or conferences attended
2. To make recommendations on service development and governance
3. To be an active member of relevant special interest groups
4. To participate regularly in the evaluation of the effectiveness of intervention and models of service delivery, maintaining up to date knowledge of relevant clinical practice and researc
5. To undertake specific departmental audit projects and contribute to departmental research where appropriat

Research and Service Development

1. To participate in relevant audit activity within King's College Hospital NHS Foundation Trus
2. To participate in research initiatives in the relevant are
3. To publish and disseminate information which results from research and audit activity

People Management and Performance

1. Lead, coach and manage the performance of the team in line with good people management practices. Ensuring excellence is recognised and underperformance is addressed.

1. Participate in regular performance appraisal meetings and ensure each member of the team has a clear set of objectives and development plans.
2. Ensure the team is compliance with all statutory, mandatory training together with any professional training requirements, ensuring they are up to date and fully compliant.
3. Manage team absences including sickness in line with Trust policy ensuring the appropriate return to work meetings occur, e-roster is updated and productivity is at keep to the highest possible level.
4. Identify and fill any vacancies that arise within the team in line with the Trust's recruitment policy and process.
5. Identify talent and support the internal talent management process in order attract and retain and succession plan for your people.
6. Review skills mix at regular intervals in order to identify any potential opportunities to maximise resource utilisation / allocation, ensuring job descriptions are kept up to date.
7. Ensure overall wellbeing of the team is maintained. Continuously support in improving the morale of the team and implementing a culture of zero-tolerance for bullying and harassment.

General The post holder has a general duty of care for their own health, safety and wellbeing and that of work colleagues, visitors and patients within the hospital, in addition to any specific risk management or clinical governance accountabilities associated with this post.

• To observe the rules, policies, procedures and standards of King's College Hospital NHS Trust together with all relevant statutory and professional obligations.
• To live and role model the King's Values - we are a kind and respectful tea
• To observe and maintain strict confidentiality of personal information relating to patients and staff.
• To be responsible, with management support, for their own personal development and to actively contribute to the development of colleagues.
• This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time and this description will be subject to review in consultation with the post holder.
• All employees must hold an 'nhs.net' email account which will be the Trust's formal route for email communication.

Safe Guarding

The Trust takes the issues of Safeguarding Children, Adults and addressing Domestic Abuse very seriously. All employees have a responsibility to support the organisation in our duties by;

• attending mandatory training on safeguarding children and adults
• familiarising themselves with the Trust's processes for reporting concerns
• reporting any safeguarding child or adult concerns appropriately

Infection Control Statement

The post holder has an important responsibility for and contribution to infection control and must be familiar with the infection control and hygiene procedures and requirements when in clinical areas.

The post holder has an important responsibility for and contribution to make to infection control and must be familiar with the infection control and hygiene requirements of this role.

These requirements are set out in the National Code of Practice on Infection Control and in local policies and procedures which will be made clear during your induction and subsequent refresher training. These standards must be strictly complied with at all times.

Person specification

Qualification

Essential criteria

• Appropriate
• HCPC registered
• Postgraduate Dysphagia training
• Postgraduate training in communication disorders and aphasia therapy

Desirable criteria

• RCSLT registered
• Supervision Course

Knowledge & Experience

Essential criteria

• Established experience with adult acquired and neurological disorders in an acute setting including managing your own caseload and using a range of assessment and therapy techniques
• Experience of working successfully as part of a multidisciplinary team

Desirable criteria

• Previous involvement with audit / research
• Previous experience of videofluoroscopy
• Experience of working in a rehab setting
• Active membership of relevant SIGs
• Up to date knowledge of the mental capacity act
• A specialist interest in AAC
• Experience of student supervision and training
• Experience of supervising junior staff

Skills & Competencies

Essential criteria

• Excellent written and spoken communication skills and ability to communicate sensitive and complex information
• Collaborative and consultative skills within multidisciplinary working
• Good presentation and teaching skills and ability to devise appropriate training and information packages
• Good observational and analytical skills in assessment
• Ability to plan and implement appropriate treatment plans
• Demonstrate ability to manage and prioritise a caseload autonomously, and liaise across teams and services as required
• Demonstrate ability to carry out relevant projects
• Demonstrates motivation and flexibility
• A flexible approach to working patterns which may include participating in providing a 7 day week service
• Good auditory and perceptual skills

Desirable criteria

• Competent in tracheostomy management

Employer certification / accreditation badges

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

• Band 6 Stroke Job Description and Person Spec (PDF, 336.4KB)
• Denmark Hill Site Map (PDF, 1.2MB)
• Visa and Sponsorship Information (PDF, 352.6KB)