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Highly Specialist Speech & Language Therapist

Central and North West London NHS Foundation Trust
£49,178 to £55,492 per annum inc HCAS
Closing date
26 Jul 2024

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Mental health
Band 7
Contract Type
Full Time
We are looking for a highly motivated and experienced speech and language therapist to lead the speech and language therapy service for adults with a learning disability within the London borough of Hillingdon.

This is a unique opportunity to take the lead in the development of a safe and efficient speech and language therapy service for adults with learning disabilities. This dynamic and autonomous role requires strong skills in leadership, innovation and problem solving, in addition to previous experience of service development and delivery. We are looking for applicants who have a passion and commitment to working with people with Learning Disabilities and their carers.

The successful applicant may have contact with patients or service users. As an NHS Trust we strongly encourage and support vaccination as this remains the best way to protect yourself, your family, your colleagues and of course patients and service users when working on our healthcare settings.

Main duties of the job

As the local lead for Speech and Language Therapy within the Hillingdon Learning Disability Team, the post holder will be responsible for the development and oversight of SLT clinical pathways, supervising and training junior clinicians, in addition to managing a diverse and wide-ranging clinical caseload. As a part of the multi-disciplinary team they will provide advice and support to colleagues working with people with learning disabilities across the MDT and neighbouring services.

The candidate should be someone with extensive experience of autonomously managing both dysphagia and communication caseloads. Relevant experience of service development and working as part of a multidisciplinary team is also required. The ideal candidate would preferably have experience of working with adults with learning disabilities, though we would welcome applications from experienced therapists from other clinical areas who have a genuine interest in learning disabilities and are looking to develop their skills in this area. You would receive regular supervision and support from the Speech and Language Therapy Professional Lead in Learning Disabilities within CNWL, in addition to peer supervision with other LD SLT team leads in Brent, Harrow and Milton Keynes.

About us

The post holder will be part of a recently integrated health and social care community learning disabilities team, and will be linked in to wider trust Speech and Language Therapy networks. You will meet regularly with other SLT colleagues working in CNWL Learning Disabilities network to continue professional development, implement evidence-based practice and support development of the Learning Disabilities Speech and Language Therapy service within CNWL.

We are committed to delivering a high-quality service and have a strong culture of training and development of clinical specialisms e.g. autism, dementia, dysphagia, AAC, mental health, positive behaviour support etc. There is also scope for shadowing and training opportunities across neighbouring services including acute SLT services at local Hospitals, Adult Community SLT and paediatric services.

The service is currently going through a process of transformation with the aim of improving and developing our working practices and developing integrated practices within the team. The post holder will be expected to contribute to the development of the community learning disability service to meet the aims of the transformation including input to new clinical pathways and Care Quality Improvement projects.

Hillingdon is vibrant, multicultural area and is very easily accessible from central London on the Jubilee and Metropolitan Lines, taking around 35 minutes to Baker Street station.

Job description

Job responsibilities

The post holder will be skilled in the delivery of assessment, advice and intervention around communication and dysphagia for people referred to the service, their families and wider support systems. They will independently manage their clinical caseload and have excellent clinical governance skills.

The post holder will be responsible for managing all SLT referrals to the team, including appropriate triage and allocation within the timelines outlined by the service. They will also be responsible for ensuring safe service delivery and caseload management across the SLT service, and will provide regular supervision to more junior colleagues. There will also be opportunity for recruitment and interview experience for vacant SLT posts within the team.

Please see job description for further details.

Person Specification

Education and Qualifications


  • Recognised degree in Speech and Language Therapy
  • Registered with HCPC
  • Registered with RCSLT as a qualified practitioner
  • Post-graduate / intermediate dysphagia certification or relevant experience


  • MSc or equivalent post graduate study and training in specialist area
  • Learning Disabilities, communication and dysphagia workshops and short courses
  • Membership of relevant Clinical Excellent Network or equivalent

Previous experience


  • Experience of carrying out highly specialist communication and swallowing assessments and intervention
  • Experience in participating in audit / research projects
  • Experience and skills in working with people with complex health needs such as epilepsy, respiratory difficulties, postural needs and dementia
  • Experience in leading and/or developing a service/component of a service
  • Experience of effective partnership working, with external providers and mainstream services in promoting socially inclusive opportunities for service users


  • Significant post qualification experience in working with adults with learning disabilities
  • Knowledge of the Positive Behaviour Support Framework
  • Experience and skills in working with people with behavior that challenges

Skills, Knowledge and abilities


  • Highly developed skills in the assessment and management of complex dysphagia
  • Knowledge and skills in using a range of communication assessment tools relevant to the client group
  • Skills in using a variety of communication interventions including high and low tech visual communication aids, Makaton signs, Intensive Interaction
  • Ability to work autonomously, on own initiative and under pressure to meet deadlines & to make and action decisions independently within agreed time frames
  • Excellent communication skills i.e. written, verbal, listening and proficient use of up to date systems of communication i.e. IT systems, e-mail, telephone etc.
  • Computer skills (ECDL) to be able to complete electronic patient records such as Systm One, reports and presentations as appropriate to role
  • Ability to deal with sensitivities and complexities, using interpersonal skills
  • Effective leadership skills through the management of designated projects, audits and research
  • Ability to implement a range of therapy outcome measures, evaluate outcomes and apply to service improvement
  • Skills in supervising others including SLT students
  • Skills in producing timely, accurate and informative reports and notes
  • Excellent organisational skills to manage the demands of the role, including prioritisation of workload, delegation skills
  • Highly developed written and verbal presentation skills
  • Skills in developing and delivering training
  • Ability to regularly identify and undertake appropriate learning and development opportunities as part of ongoing CPD
  • Ability to ensure the application of risk assessment and risk management strategies which facilitates a service user's management
  • Ability to identify and effectively manage performance of self and others
  • Ability to maintain effective partnership working with resources both internal and external to the Trust.
  • Knowledge and application of national policies and procedures (relevant to the client group)
  • Knowledge of safeguarding policies and procedures
  • Experience in the application of the principles of clinical governance
  • Ability to work well as part of a multidisciplinary team

Personal qualities


  • High level of personal motivation
  • Flexibility and creativity in approach
  • Demonstrate self-awareness and an ability to use initiative
  • Commitment to learning and development
  • Commitment to treating service users with respect and dignity at all times.
  • Excellent interpersonal skills - including observation, motivating, listening, empathy and counselling skills
  • Highly developed negotiation, problem solving and conflict resolution skills
  • Demonstrates highly developed analytical, evaluation and reflection skills
  • Positive role model for all staff

Employer details

Employer name

Central and North West London NHS Foundation Trust


Civic Centre

High Street



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