Clinical Lead Speech & Language Therapist - ENT (Head & Neck / Voice)

Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust
£50,952 to £57,349 a year pa pro rata
Closing date
2 Jun 2023

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Due to new investment, this is an exciting opportunity to work across ENT and Maxillofacial services at WWL. You will be an expert practitioner in the field of Head and Neck - ENT/Voice, leading a highly specialist service. You will work closely with our ENT Consultant colleagues, clinical nurse specialists and SLT peers across all aspects of the patient's pathway in Surgery, Oncology and Voice. This investment was secured reflecting WWL's recognition of the advanced skill set required and commitment to optimal patient care.

We are looking for an SLT with advanced clinical expertise working in adult SLT across acute and community settings, a significant amount should be in the management of Head & Neck, ENT and OMFS populations including Head and Neck cancer, laryngectomy, complex surgical voice restoration (SVR) and Voice. You will be responsible for the coordination and management of the SVR service. You will take the lead on pathway development, staff development, training, and clinical activity/performance.

We have an established fortnightly video fluoroscopy clinic and with support from ENT Consultant colleagues and SLT peers conduct FEES as required. You will participate in the weekly MDT Head and Neck Clinics and in the joint ENT/ SLT Voice Clinics.

You will be joining a friendly supportive team developing SLT pathways for surgical and oncology patients under WWL. This will include close working with SLT's across Greater Manchester.

Main duties of the job

  • To assess, develop and implement specialist speech and language therapy treatment for H& N, Voice, benign ENT/OMFS and airway disorders. This will include assessment, diagnosis and management of complex communication and swallowing problems in the H& N/ENT/OMFS population involving the use of, and interpretation of e.g.: videofluroscopy and FEES
  • Comprehensive management of both communication, voice, stoma care and swallowing in laryngectomy patients
  • To lead as the Clinical Specialist SLT on pathway development, staff development , training, and clinical activity/performance.
  • Responsible for the coordination and management of the surgical voice restoration (SVR) service.
  • To coordinate and participate in the weekly MDT H& N meeting/Clinics and in the joint ENT/SLT voice clinics
  • To manage complex voice diagnoses arising from e.g. psychogenic, respiratory, airway and trans clients
  • To provide day-to-day operational leadership to the SLT Head & Neck / ENT Voice service
  • To work as an expert independent practitioner responsible for own caseload and assist the lead of service in the delivery of an efficient, effective, and quality SLT service.
  • To advise on strategic service developments in the SLT service across the Trust

About us

Choose Well - Choose WWL

Wrightington, Wigan and Leigh Teaching Hospitals NHS Foundation Trust are the proud providers of acute hospital and community services to the people of the Wigan Borough and surrounding areas. At WWL, we value our staff, believing that 'happy staff, makes for happy patients'. We have a recognised track record in staff engagement and living our values 'the WWL Way'.

WWL are committed to placing the patient at the heart of everything we do, and in the provision of safe, effective care that acknowledges and ensures dignity. With this in mind we are seeking to recruit people who share our values and beliefs.

Job description

Job responsibilities

Duties and Responsibilities
  • To be professionally and legally accountable for all aspects of their professional and clinical work, working to agreed local, national and professional standards.
  • To undertake comprehensive assessment of patients including those with diverse or complex presentations/multi-pathologies using diagnostic and analytical skills to identify their problems and needs and ensure that patients medical, psychological, social environmental and cultural factors are taken into account.
  • To perform endoscopy to assess and manage patients within SLT-led clinics, joint ENT/SLT clinics and laryngeal augmentation surgeries.
  • Using advanced and up-to-date clinical reasoning skills and assessment techniques: - identify the problem/diagnose and formulate individualised management and treatment plans in negotiation with the patient to devise and deliver a specialised evidence-based programme of care utilising a range of treatment options. Relate findings to presenting pathology.
  • To be a source of clinical expertise within SLT providing advice (including second opinions) to the trust and other organisations as required.
  • To use a diverse range of communication strategies to ensure effective communication with patients who may have difficulties e.g. cognitive impairment, mental health problems, severe acute illness, newly diagnosed with a progressive terminal illness, that may create a barrier to communication
  • To facilitate safe and timely patient discharge from the service and to audit outcomes of speech and language therapy management
  • To plan and prioritise own highly specialised workload and support other staff to organise their caseload.
  • To oversee and monitor referrals, caseload and timely discharge of patients from the SLT caseload.
  • To ensure timely referral to other services/professionals as appropriate.
  • To advise the lead of service of clinical priorities within the specialist area(s).
  • To access clinical advice and support from peers within and outside of the organisation, consultant therapists, professional lead as appropriate as part of training and continuing professional development.
  • To communicate complex condition-related information to clients, carers, members of the multidisciplinary team and other professions and agencies as appropriate.
  • To provide advice at an advanced level to patients, carers and to other health and social care professionals, and other organisations.
  • To develop and evaluate SLT care plans within a specialist field against a diverse range of outcome measures and adjust care plans to facilitate achievement of goals.
  • To lead on development and implementation of evidence-based clinical protocols and pathways of care in conjunction with the multidisciplinary team.
  • To be competent in treating patients on an individual basis as well as in a group / class setting if required.

Person Specification



  • Recognised Degree in Speech and Language Therapy
  • Member of Health Professions Council
  • Completion of range of advanced courses in specialist field
  • Member of local/national specialist groups / clinical excellence



  • Significant experience working with adults with a range of disorders.
  • Voice Clinics
  • Teaching of junior SLT staff in specialist field
  • Significant experience working at senior level within a multidisciplinary team
  • Service development/improvement
  • Significant experience of teaching a range of disciplines and levels.
  • Understanding and utilisation of data to monitor activity and demand
  • Evaluation, monitoring and management of performance.
  • Experience at post graduate level in a variety of patient areas
  • Experience of working independently in adult complex dysphagia
  • Experience in management of tracheostomy
  • Experience of delivering training in relevant areas
  • Experience of video fluoroscopy
  • Experience of supervising qualified staff
  • Experience of participation in service improvements



  • Highly developed auditory and perceptual skills
  • Ability to manage patients independently.
  • Competent in endoscopy.
  • Competent to delivery joint and independent voice clinics.
  • Understanding of the roles of other health professionals and working as a multidisciplinary team
  • Analytical, problem-solving abilities
  • Negotiation / Conflict solving Skills
  • Presentation / Teaching skills to high level
  • Excellent verbal and written communication across a variety of media.
  • Advanced negotiation skills ability to manage change and contain and resolve conflict
  • Highly advanced clinical reasoning, treatment and analytical skills translate and integrate evidence-based practice into care.
  • Advanced networking skills
  • Advanced strategic planning abilities.
  • Research skills: able to review papers, submissions & documents - ability to search, appraise, review and determine implementation plans as appropriate
  • Project Management Skills
  • Able to initiate project tasks



  • Highly advanced knowledge of Voice disorders and related disorders
  • Advanced Word / Excel / Power point skills, ability to analyse and interpret data to create reports, documents and presentations
  • Expert knowledge/skills to independently perform and interpret laryngeal examinations.
  • Excellent verbal and written communication across a variety of media.
  • Able to demonstrate wide knowledge of current trends in specialist are and application to practice.
  • Knowledge of professional, NHS issues and policy relating to specialist area

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab) .

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab) .

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Wrightington Wigan & Leigh Teaching Hospitals NHS Foundation Trust


Royal Albert Edward Infirmary

Wigan Lane



Any attachments will be accessible after you click to apply.


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