Clinical Specialty Lead & Speech and Language Therapist

Barts Health NHS Trust
£58,698 to £65,095 Per annum inc
Closing date
12 Oct 2023

View more

Mental health
Band 8A
Full Time
An exciting opportunity has arisen at Barts Health for a Clinical Specialty lead and Speech and Language Therapist within the Severe and Difficult Asthma outpatient service. The post is a fixed term maternity cover.

This role is suitable for an existing band 8a or an experienced band 7 who is able to work independently, demonstrates strong leaderships skills, has a track-record of quality improvement and advanced skills in laryngeal dysfunction. Experience in an outpatient setting would be useful

This post offers an exciting opportunity to continue to develop the speech and language therapy outpatient service for patients with Severe Asthma. The post holder will be responsible for planning, coordinating, delivering and evaluating the SLT service in close collaboration with multidisciplinary colleagues within the service.

This will include taking a lead role in the advanced assessment and treatment of patients within the specialty who may have highly complex needs, determine clinical diagnosis and SLT treatment indicated

Please see attached full advert

JDs for band 7 and 8A are attached to advert

Main duties of the job

The post holder will be the Severe Asthma Specialty Lead member of the Speech and Language Therapy (SLT) Service at Barts Health NHS Trust. He/she will have responsibility for the co-ordination, development and delivery of the SLT service to patients with difficult / severe asthma, ILO, laryngeal dysfunction and/ or complex breathlessness

We are dedicated to being an outstanding place to work and will work with you to get the best experience. We know flexible working is not a one size fits all and will mean something different to everyone. We are inclusive, so if you are interested in flexible working, please speak to the recruiting manager.

We particularly welcome applications from Black, Asian and minority ethnic candidates as they are underrepresented within Barts Health at this band.

We are dedicated to being an outstanding place to work and will work with you to get the best experience. We are inclusive, so if you are interested in flexible working, please speak to the recruiting manager.

About us

Barts Health is one of the largest NHS trusts in the country, and one of Britain's leading healthcare providers.

The Barts Health group of NHS hospitals is entering an exciting new era on our improvement journey to becoming an outstanding organisation with a world-class clinical reputation. Having lifted ourselves out of special measures, we now have the impetus and breathing space to chart a fresh course in which we are continually striving to improve all our services for patients.

Our vision is to be a high-performing group of NHS hospitals, renowned for excellence and innovation, and providing safe and compassionate care to our patients in east London and beyond. That means being a provider of excellent patient safety, known for delivering consistently high standards of harm-free care and always caring for patients in the right place at the right time. It also means being an outstanding place to work, in which our WeCare values and behaviours are visible to all and guide us in how we work together.

We strive to live by our WeCare values and are committed to promoting inclusion, where every staff member has a sense of belonging. We value our differences and fully advocate, cultivate and support an inclusive working environment..

Job description

Job responsibilities

To be professionally and legally responsible and accountable for all aspects of your own work including the management of patients in your care. To ensure a high standard of clinical care for the patients under your management.

To be responsible for the planning, coordination, delivery, evaluation and support of the Severe Asthma SLT therapy service for Barts

To be recognised as highly specialist SLT in upper airway dysfunction and complex breathlessness providing highly specialist opinions on assessment, diagnosis and clinical management within the Trust and to assume responsibility for particularly difficult/complex cases including:

Inducible laryngeal dysfunction

Heightened laryngeal sensitivity

Range of airway conditions (e.g. Severe Asthma)

To develop highly specialised programmes of care for patients on caseload.

To assess, diagnose and manage own caseload of upper airway dysfunction and complex breathlessness patients.

To act as lead clinician in the Severe Asthma multidisciplinary Service, working with the team to develop pathways of care, guidelines and protocols.

To act as Lead SLT in the Provocation Clinic

To independently perform Fibreoptic nasendoscopy in SLT led therapy lists and in Joint Consultant lists. This includes administering local anaesthetic to the nasal passage where appropriate.

To provide highly specialist advice in specialist fields of upper airway dysfunction and complex breathlessness to SLT staff, other professionals and management within the Trust.

To interpret and analyse clinical and non-clinical facts to form accurate diagnosis and prognoses in a wide range of highly complex conditions, to recommend the best course of intervention, and to develop comprehensive treatment plans.

To undertake an advanced comprehensive assessment of patients, including those with a complex presentation, using investigative and analytical skills, and to formulate individualised management and treatment plans using clinical reasoning, and utilising a wide range or treatment skills and options to formulate a specialised programme of care.

To accept clinical responsibility for a designated caseload of patients, and to organise this effectively and efficiently with regard to clinical priorities and use of time.

To demonstrate highly developed dexterity, co-ordination and palpatory senses for assessment treatment of patients.

To provide spontaneous and planned advice, teaching and instruction to relatives, carers, patients and other professionals to promote understanding of the aims of SLT, and to ensure a consistent approach to patient care.

To give specialist advice, teaching and training to other members of the Multidisciplinary team (MDT) regarding the SLT management of patients with respiratory problems.

To communicate effectively with patients and carers to maximise SLT treatment/ rehabilitation potential and to ensure understanding of condition and SLT involvement.

To be responsible for a designated area of work within the Severe Asthma Service and allergy team day case unit and outpatient clinics.

To plan and organise efficiently and effectively with regard to patient management and use of time (both of self and others within the team).

To be contactable throughout the working day via the bleep system (this could be by SLT staff or the MDT) and to be able to immediately change planned activity without prior knowledge, sometimes in order to respond to emergency situations.

To be responsible for ensuring effective selection and use of all treatment resources available.

To maintain accurate, comprehensive and up to date documentation, in line with legal and departmental requirements, and to communicate assessment and treatment results to the appropriate disciplines and patients in the form of reports and letters.

To be aware of health and safety aspects of your work and implement any policies, which may be required to improve the safety of your work area including your prompt recording and reporting of accidents to senior staff, and ensuring that equipment use is safe.

To carry risk assessments within own patient caseload and environment on a daily basis (health & safety and clinical) and to minimise risk within the team.

To lecture and to train other staff to provide SLT advice

To assess capacity, gain valid informed consent and have the ability to work within a legal framework with patients who lack capacity to consent to treatment.

To attend and participate in Severe Asthma Service clinics and day case ward rounds.

Person Specification



  • Working with adults with a broad range of disorders including respiratory, voice, swallowing and/or airway problems
  • Experience of quality improvement projects


  • Experience working in NHS outpatient setting



  • Excellent interpersonal skills
  • High level of self-motivation and drive for performance and improvement.
  • Able to work actively within a multidisciplinary team



  • Established knowledge of upper airway dysfunction and respiratory disorders
  • FEES competencies (assessor and endoscopist)
  • Ability to prioritise and manage patient caseload independently



  • Recognised degree in Speech and Language Therapy
  • Member of Health and Care Professions Council


  • Completion of advanced course in specialist field

Employer details

Employer name

Barts Health NHS Trust


St Bartholomew's Hospital

West Smithfield



Any attachments will be accessible after you click to apply.


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