The Community Neuro and Stroke Team are a well-established team, delivering highly specialist care to individuals following neurological injury, diagnosis and following a stroke. The team comprises of highly experienced Physiotherapists, Occupational therapists, Speech & Language therapists, Nurses, Dietitians, Clinical Psychology and a forward-thinking consultant in Neuro rehab, who are all keen to share their knowledge and experience to enhance the care for people in the Wigan borough.

We are seeking a Speech and Language Therapist who has a keen interest in the field of neurological/stroke rehabilitation and would like to develop their knowledge and skills in this area. You will work closely alongside and be supported by other specialist staff in the team.

Please note that this is a development post, for someone who is currently working as a B5 speech therapist and would like to progress towards a B6 specialist post. The service has a supportive learning and development framework in place to support with the transition between B5 and B6.

An Enhanced DBS with Adults' Barred List check will be obtained during pre-employment checks.

This vacancy may close early if sufficient applications are received.

Previous applicants need not apply.

Main duties of the job

To provide a high standard of intervention to patients with neurological dysfunction, within the interdisciplinary Community Neuro and Stroke Team, in various settings across Ashton, Wigan and Leigh.

To act as a source of knowledge for patients presenting with a range of neurological conditions, acquired, congenital and progressive in nature and provide advisory/educational service to patients, relatives, therapists, and other healthcare professionals

To take a role in the specialist assessment and treatment of patients who may have complex and chronic presentation, and to determine clinical diagnosis and treatment indicated.

To manage a defined caseload using evidence based / client centred principles to access, plan, implement and evaluate interventions.

To provide leadership and clinical supervision for other staff as delegated by manager and/or professional supervisor. To regularly supervise junior staff members, Specialist Rehabilitation Facilitators/Practitioners, and students on placement within the service.

About us

Choose Well - Choose WWL

Wrightington, Wigan and Leigh 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'.

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

To be professionally and legally responsible and accountable for all aspects of your own work, including the management of patients in your care, and to maintain overall accountability for delegated duties of treatment to junior staff for patients on your caseload.

To complete assessments using knowledge of specific assessment tools relevant to the client group, differentially diagnose, develop care plans and identify goals appropriate to knowledge of prognosis, and plan, implement and evaluate detailed programmes of SLT treatment for the designated caseloads.

To ensure that clients, families and other carers are involved in the planning and prioritisation of care plans.

To use clinical knowledge to inform sound clinical judgement and decision making for case management.

To provide a flexible and person-centred service to these client groups.

To deliver therapy on a 1:1, group and programme/care plan basis.

To use a range of approaches to meet the needs of individuals, including reflecting on global aspects of a client/carer communication and adapting the environment to enhance communication.

To adapt practice to meet individual circumstances, including cultural and linguistic differences.

To write reports for patients, carers and other professionals.

To demonstrate clinical effectiveness by use of evidence based practice and outcome measures.

To be responsible for continuing developing knowledge and competence in the ability to apply a range of approaches within intervention / therapy.

To make discharge decisions involving clients following departmental procedures

Planning and Organisational Duties

To maintain comprehensive and contemporaneous clinical records in line with national and local standards.

To adhere to National (RCSLT and HCPC) and local standards and guidelines relating to clinical and professional practice.

To be aware of and adhere to service and team plans and policies.

To take part in departmental service development and inform policy developments as appropriate.

To input into the business planning process and local delivery plan as appropriate.

To seek the views of and involve clients and carers in service developments by feeding views back to the appropriate manager.

To participate in clinical audit projects and statistical data collection within the SLT professional group.

To participate in departmental research projects.

To participate in areas of risk management, quality standards setting and clinical governance/audit projects within the service.

To collect and provide research data as required.

Participation in the development of the community services following evidence based and other good practice.

To develop a working knowledge of relevant procedures including safeguarding, working with vulnerable adults and other legal frameworks.

To be aware of and adhere to the current legislation related to the client groups treated.

To be aware of the Trust complaints policy and procedure.

Respond sensitively and appropriately to initial complaints.

To inform the Manager immediately of any likely and / or actual complaints.

To keep up to date with current trends, literature, research as appropriate.

To demonstrate knowledge in relevant clinical areas underpinned by current evidence based practice.

To adhere to Trust policies.

To maintain HCPC and RCSLT registration.

To inform Manager of any difficulties in ability to maintain or achieve departmental or professional standards.

To be accountable for own professional actions and recognise professional boundaries seeking advice as appropriate.

To work independently or under supervision if required until Newly Qualified Practitioners (NQP) competencies have been achieved, accessing appraisal within the appraisal framework at determined intervals

To demonstrate the ability to reflect on practice with peers and mentors and identify own strengths and development needs. .

To attend relevant Departmental and Trust meetings.

To explain the role of Speech & Language Therapy to visitors, students and new staff, etc.

To maintain up to date and accurate case notes in line with RCSLT professional standards and Trust record keeping policy.

To share information with others, observing data protection guidelines.

To gather activity data accurately, ensuring the provision such information promptly within local Trust guidelines.

To input data into relevant IT systems as required.

Communications and Key Working Relationships

To prioritise and organise own workload on a day-to-day basis.

To work independently in the community or under supervision if required until Newly Qualified Practitioners (NQP) competencies have been achieved.

• To communicate a clients diagnosis to professionals, carers and clients.
• To ensure consent of the client carers, and other professionals is gained, ensuring that their understanding is complete. To take into account the emotional psychological and / or physical conditions / presentations and implications.
• To ensure the involvement and motivation of a communication impaired client in understanding and participating in the assessment, diagnosis, intervention and therapy process.
• In liaison with clients, to use relevant supportive communicative skills such as using pictures, signs, gestures, AAC technology and simplified language appropriate to the clients needs.
• To liaise regarding specific clients and client groups and work jointly with other members of the multi-disciplinary team.
• To provide up-to-date advice and information to the multi-disciplinary team, family and carers, regarding specific clients communication needs and what strategies are advised to enable effective communication.
• To work closely with clients, carers and families in agreeing care plans for the relevant management of the client.
• To liaise as appropriate with other members of the SLT team including peers, managers, assistants and admin & clerical staff regarding the intervention and therapy process.
• To recognise potential breakdown and conflict across a range of clinical situations for example in nursing homes with nurses and families etc. and seek to resolve it.
• To relay complex and sensitive assessment findings to carers and other professionals.
• To demonstrate empathy where appropriate
• To form productive relationships with others who may be under extreme stress and / or have challenging communication difficulties.
• To make onward referrals as appropriate.
• To attend and contribute to case conferences, annual reviews and multi-disciplinary team meetings relating to specific clients on the caseload.
• To be aware of and access more specialist support relating to individual cases where necessary.
• To provide written and verbal advice detailing the needs and recommended future management of clients.
• To use a consultative model of delivery to enable non-SLT staff/carers to carry out therapy programmes and support communication in a range of settings.
• To work collaboratively with carers to promote the use of strategies/activities in order to facilitate language learning and communication skills.
• To provide advice to carers/other professionals and other SLTs on speech, language and communication difficulties.

To participate as a member of both the Speech & Language Therapy and Integrated Community Services teams, liaising with other team members as appropriate. To attend and contribute to team meetings as appropriate

Responsibility for Finance

To use and maintain expensive equipment.

To monitor stock levels and request new equipment as appropriate.

To be responsible for the security, care and maintenance of equipment ensuring standards of infection control and safety are maintained including equipment loaned to clients.

To maintain an accurate record of income and expenses.

Responsibility for Human Resources

• To supervise the work of assistants.
• To provide student placements as stated in the departmental policy. To provide assessment of student competencies and other information to placing institutions
• To explain the role of SLTs to visitors, student volunteers and other professionals in a range of settings.
• To assist in the support of students/secondees from other professional groups and agencies.
• To be responsible for the upkeep of own assessment and therapy materials.

To participate in continuous professional development.

To participate in in Trust Mandatory training programme and Trust Appraisal system.

• To develop appropriate skills in order to manage conflicts situations in the workplace.

May encounter occasional distressing and emotional circumstances.

Responsibility for Teaching

To provide training to other members of the multi-disciplinary team, families, other AHPs, medics, nursing staff and voluntary groups.

To provide training to meet the needs of staff in discussion with others, including voluntary agencies, nursing homes etc.

To provide training to groups of carers where appropriate.

To attend clinical supervision in line with departmental policy.

To attend relevant training and Special Interest Groups relevant to post holder and service needs.

To attend short courses appropriate to client group.

To actively identify areas of personal and professional development to be included in a PDP (Personal Development Plan).

Person Specification

Qualifications

Essential

• Recognised SLT Degree or equivalent
• Health and Care Professions Council (HCPC) - Licence to Practice.
• Registered member of RCSLT

Desirable

• Evidence of CPD in the form of a detailed portfolio.
• Membership of relevant specialist interest groups
• Clinical Educator qualification.
• Further Health Related Qualifications

Expereince

Essential

• Relevant experience at undergraduate level
• Experience of a range of communication disorders and dysphagia
• Experience of multi-disciplinary working
• Experience of working in the NHS

Desirable

• Experience in community rehabilitation
• Audit experience of own and others practice
• Participation in developmental work/projects within a therapy/MDT service.
• Participation in departmental activities such as data recording, analysis and reporting and associated service planning
• Experience of working with AAC

Skills

Essential

• Good communication and interpersonal skills including observation, listening and empathy.
• Ability to work effectively as part of a team
• Negotiation and problem solving skills
• Good presentation skills both written and verbal
• Good analytical and reflection skills

Desirable

• Experience in service development
• Computer literacy
• Experience in providing clinical leadership relevant to level/grade.

Knowledge

Essential

• Knowledge of national policies, procedures and clinical guidelines of specific client groups.
• Knowled
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  302-24-6504136CM