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Senior Speech and Language Therapist: Critical Care

King's College Hospital NHS Foundation Trust
£42,471 to £50,364 per annum, inc HCA
Closing date
23 May 2024

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Mental health
Band 6
Contract Type
Full Time
We are seeking a band 6 Speech & Language Therapist on the Denmark Hill site to join our services within Critical Care.

The Critical Care Speech and Language Therapy team works closely with SLTs on all King's sites and the wider multidisciplinary teams, with whom they are co-located. Led by the Head of Speech & Language Therapy, and Band 8a Clinical Lead the service offers an established supervision system, including action learning groups, plus a range of opportunities for learning and participation in both self and service development.

The Speech & Language Therapy department (based within Therapies) has over 40 staff providing inpatient and outpatient services across a wide and diverse range of specialities on our 3 main sites of Denmark Hill, Princess Royal University Hospital and Orpington Hospital.

Main duties of the job

This Speech and Language Therapy post is a static post working across the Critical Care units & following patients through to ward step-down on the King's College Hospital, Denmark Hill site. The post holder will provide a specialist service to adults who have communication and/or swallowing disorders including those on ventilators and with tracheostomies in situ.

About us

King's College Hospital NHS Foundation Trust is one of the UK's largest and busiest teaching Trusts with a turnover of c�1 billion, 1.5 million patient contacts a year and more than 15,000 staff based across South East London. The Trust provides a full range of local and specialist services across its five sites. The trust-wide strategy of Strong Roots, Global Reachis our Vision to be BOLD, Brilliant people, Outstanding care, Leaders in Research, Innovation and Education, Diversity, Equality and Inclusion at the heart of everything we do. By being person-centred, digitally-enabled, and focused on sustainability, we aim to take Team King's to another level.

We are at a pivotal point in our history and we require individuals who are ready to join a highly professional team and make a real, lasting difference to our patients and our people.

King's is committed to delivering Sustainable Healthcare for All via our Green Plan. In line with national Greener NHS ambitions, we have set net zero carbon targets of 2040 for our NHS Carbon Footprint and 2045 for our NHS Carbon Footprint Plus. Everyone's contribution is required in order to meet the goals set out in our Green Plan and we encourage all staff to work responsibly, minimising their contributions to the Trust's carbon emissions, waste and pollution wherever possible.

Job description

Job responsibilities

Main Duties and Responsibilities

Clinical Duties and Responsibilities:
  • To manage an autonomous caseload on critical care units & acute wards, 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.
  • To assess, diagnose, treat and manage patients with tracheostomies in a critical care setting and on the general wards in accordance with KCH multidisciplinary Tracheostomy Trust Guidelines and provide feedback for the tracheostomy ward round weekly as required.
  • To identify barriers to effective communication within the environment and suggest and implement solutions where feasible.
  • 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.
  • 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.
  • To co-ordinate with the Therapy Training and development co-ordinator and present, on the annual SLT as a career course and liaise with local acute and community services providing a contributory role
  • To maintain and develop the use of AAC techniques and equipment across the team.
  • To discuss, advise and plan appropriate patient goals with clients, carers and the multidisciplinary teams.
  • To act as a key worker where appropriate.
  • To write SLT information in EPR where appropriate, including assessment conclusions and management plans/recommendations
  • To provide clinical support and advise to junior therapists within the team.
  • To provide complex and sensitive clinical information to patients and carers in clear, accessible and empathetic format, both in written and verbal form
  • To work as part of the multidisciplinary team negotiating appropriate therapy packages, length of stay and discharge arrangements
  • To attend ward rounds and MDT meetings as appropriate
  • To liaise on a regular basis with relevant hospital and community therapy teams.
  • To liaise with other agencies to ensure appropriate follow up and care arrangements for patients
  • To contribute to the Videofluoroscopy Clinic at Kings College Hospital, providing general organisational cover where necessary
  • To develop and deliver training regarding communication and swallowing to carers, relatives and staff.
  • To participate in a 3x yearly rolling nurse dysphagia screen training programme run by the SLT department.
  • To take part in the clinical training for SLT students as agreed and appropriate including preparation for and participation in practical exams.
  • To participate in the SLT Department in service training programme.
  • To pursue an active programme of continuing professional development including feedback to the team on any courses or conferences attended.

Supervision, Training and Education:
  • To maintain and record an active programme of continuing professional development, including feeding back to colleagues on any courses or conferences attended.
  • To be an active member of relevant special interest groups.
  • 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 research

Managerial and Administrative:
  • To maintain full, accurate and contemporaneous records within EPR
  • To provide timely and accurate reports including transfer and discharge reports.
  • To prepare for and participate in an annual job appraisal which includes a 6 monthly review with the SLT acute clinical lead.
  • To maintain clinical equipment in good order and carry out inventory checks as requested.
  • To undertake mandatory Kings College Hospital training
  • To contribute to the infection control and cleanliness of the hospital by ensuring cleanliness of own equipment, undertaking mandatory training, abiding by the hand washing policy and other policies related to barrier nursing.
  • To provide full, accurate and timely statistical data.
  • To attend Kings College Hospital Speech and Language Therapy team meetings.

Research and Audit:
  • To participate in relevant audit activity within Kings College Hospital NHS Foundation Trust
  • To participate in research initiatives in the relevant area
  • To publish and disseminate information which results from research and audit activity.
  • To make recommendations on service development and governance.
  • To undertake specific departmental audit projects and contribute to departmental research where appropriate

  • 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 Foundation Trust together with all relevant statutory and professional obligations.
  • We want to be an organisation where everyone shares a commitment to delivering the very best care and feels like their contribution is valuable and valued.
  • At Kings we are a kind, respectful team:

Kind. We show compassion and understanding and bring a positive attitude to our work

Respectful. We promote equality, are inclusive and honest, speaking up when needed

Team. We support each other, communicate openly, and are reassuringly professional
  • 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 '' email account which will be the Trust's formal route for email communication.
  • Everyone is responsible for promoting inclusion no matter their role or team. At Kings, we want to create an environment where everyone feels valued, respected and welcomed

Safe Guarding

The Trust takes the issues of Safeguarding Children, Adults and addressing Domestic Abuse very seriously. All employees have a responsibilityto 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
  • reportingany 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



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


  • RCSLT registered
  • Supervision Course

Knowledge & Experience


  • 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


  • 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


  • 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


  • Competent in tracheostomy management

Employer details

Employer name

King's College Hospital NHS Foundation Trust


Denmark Hill



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