An exciting opportunity has arisen to recruit 0.6 highly specialist speech and language therapist to join our expanding and dynamic specialist CAMHS.

The post is based across Marydale (0.2) and Barton Moss (0.4) Secure Children's Homes. Marydale is a 16 bedded Welfare Secure Children's Home for girls and boys in St Helen's. Barton Moss is a Secure Children's Home for boys in Salford and sits within the Youth Justice System. Each of the Homes works within the SECURE Stairs Framework.

SECURE Stairs is an NHS England led project, being delivered in partnership with DfE, YJB, HMPPS and MoJ. This framework is psychologically lead, and trauma informed, with many needs and risks understood as arising from traumatic life events and disrupted relationships, often beginning early in childhood. The ethos of the framework is that 'every interaction matters'. This approach does not preclude the use of specialised interventions, or existing processes and roles within the current mental care health pathway but integrates these into a more comprehensive pathway that also includes the residential/discipline/education staff and all professional groups within the centre.

The health team benefits from input from a wide range of professionals including mental and physical health nurses, psychologists, occupational therapy, substance misuse worker, visiting psychiatrist and GP, transitions worker and admin.

Main duties of the job

The post holder will work flexibly across the homes as a senior and integrated part of the MDT and wider systems, using evidence based and person-centred principles, to assess, plan, implement and evaluate treatment.

To be responsible for a highly specialist speech and language portfolio, this includes the provision of expert SALT assessment, consultation, advice and intervention for the young people in the Homes. The post holder would be expected to be part of and contribute to the developing Autism and ADHD pathways within the services.

To develop and deliver bespoke training for residential staff and others in relation to SALT expertise.

To hold a caseload or complex young people, meet their SALT needs, and engage in the MDT process for each young person's journey through the system. This would include attending and contributing to review meetings, formulation meetings and MDT meetings.

To be professionally and legally accountable for all aspects of professional and clinical work, working to agreed local, national, and professional standards.

In addition to this the post holder will provide specialist advice to the Trust and support the organisation through the provision of resources, training, and education.

About us

Greater Manchester Mental Health NHS Foundation Trust (GMMH) is one of the leading mental health trusts in the UK.

Serving a population of 1.2million people, across one of the most exciting and affordable cities in Europe, GMMH provides community and inpatient mental health care, alongside prison in reach, substance misuse services, a specialist centre for mental health and deafness and inpatient perinatal mental health care.

The Trust employs around 5700 people, who make a difference across 130 locations. Staff at GMMH work to improve lives with a culture based on five core values:

• We are caring and compassionate
• We inspire hope
• We work together
• We value and respect
• We are open and honest

GMMH is one of the most active research trusts in the UK, with one of the highest levels of recruitment to clinical trials for mental health.

We have been rated 'Good' overall by the Care Quality Commission. Our substance misuse services and leadership were rated as 'Outstanding'

Job description Job responsibilities

Clinical Requirements

• Raising awareness of speech, language and communication needs and eating/drinking/swallowing needs and promoting related wellbeing.
• Integrating assessment findings into the multidisciplinary formulation of the patients presenting needs.
• Being independently responsible for the management of a highly specialist caseload within designated settings.
• Taking a lead role in the development/delivery of a clinical service and pathways within this. This would be directed by and in consultation with the Clinical Lead and wider MDT system.
• To utilise examination and assessment findings to competently plan and carry out highly specialist programmes of treatment from a range of therapeutic options appropriate to each patient, using evidence-based practice.
• To set appropriate treatment aims and objectives in negotiation with the patient and/or carer.
• To take responsibility for devising highly specialist programmes of care for other professionals to carry out and for ensuring they are carried out appropriately.
• To act as a main link and support for the young people in education. Communicating their needs to the teaching staff to allow them to work more effectively with them.
• To monitor and evaluate programmes of care carried out by other professionals and carers.
• To provide highly specialist advice to others regarding the management and care of patients with communication and/or swallowing impairment.
• To monitor and review care plans against outcomes and adjust care plans to facilitate achievement of goals
• To raise awareness of communication and swallowing impairments via health promotion initiatives, educational initiatives, and health fairs.
• To counsel and advise carers, colleagues and others as required to ensure that they are fully aware of the aims and objectives of SLT intervention.
• To produce, disseminate and update reports/guidelines regarding individual care plans to carers and other professionals.
• providing highly specialist consultation and second opinions to colleagues/wider system.

Communication and Relationships Building

• To employ excellent communication skills to enable patients, many of whom have highly challenging communication impairments to engage in the therapeutic process.
• Explaining and promoting the role of the Speech and Language Therapy to colleagues, visitors and students.
• Sharing knowledge and training to support the development of colleagues.
• To adjust complexity, content, and mode of communication to overcome these difficulties, including use of alternative modes of communication, e.g., symbol and object systems.
• To attend MDT meetings, disseminating own information.
• To work as part of clinical uni- and multi- disciplinary teams by discussing own and others input around patients' needs ensuring a well-coordinated care plan.
• To communicate highly complex condition-related information from assessment to patients, carers, families and members of the multi-disciplinary team and other professions. This information is usually of a highly sensitive nature.
• To ensure a productive therapeutic relationship is established with patients, carers, and families, agreeing decision-making, which is relevant to the patient's management, taking into account challenging communication impairment, challenging behaviour, psychological and emotional state and differing cultural attitudes and expectations.
• To demonstrate empathy with patients, carers and families and colleagues, ensuring that effective communication is achieved, particularly where barriers to understanding exist.
• To work with an interpreter as necessary to aid assessment and treatment of the patient and communication with the carer(s).
• To demonstrate skills in motivating patients and/or carers to engage in the therapeutic process.
• To liaise with SLT colleagues and other professionals regarding the provision of continued treatment as necessary following patient discharge.
• To demonstrate good negotiation skills in the management of conflict across a range of situations e.g., defusing situations where patients exhibit verbal and or physically aggressive behaviour.
• To deal with initial complaints sensitively, avoiding escalation where possible.
• To form productive relationships with parents/ carers and patients who may be under stress and/ or may have challenging communication difficulties.
• To deliver lectures to SLTs, other professionals, outside agencies and students in the specialist area as required by line manager.
• To take an advocacy role in helping patients and carers to express their needs, concerns, and opinions to other professionals.

Education, Training and experience.

• To demonstrate highly specialist knowledge and disseminate information acquired from courses, literature searches, etc. to colleagues within SLT and other professions.

• To attend post-graduate and specialist uni- and multi-disciplinary courses to maintain and develop skills and knowledge required of a speech and language therapist working in own specialist field.

• To identify and work towards personal development and departmental objectives, set in conjunction with the line manager, as part of the annual personal development planning process.
• To present cases as part of peer group seminars.
• To ensure that all clinical work is underpinned by evidence-based practice.
• To demonstrate knowledge of and adhere to RCSLT, national and local Professional and Clinical Guidelines.
• To have a working knowledge of relevant procedures and legal frameworks.
• Tailoring training to the needs of participants and using participant feedback.
• To have specialist knowledge of the cultural and linguistic diversity of patient groups and to adapt practice accordingly.

Freedom to Act

• To interpret and implement national and local policy relevant to own specialist clinical area in consultation with line manager and other team members.
• To be accountable for own professional action and recognise own professional boundaries through interpretation of clinical/professional policies.
• To monitor and evaluate own highly specialist service delivery.

Analytical Skills

• To use highly specialist clinical reasoning skills to assimilate information, considering cognitive, emotional, environmental, cultural, and social issues, in order to make a clinical judgement regarding differential diagnosis and intervention, seeking advice as appropriate.
• To formulate clear care plans based on assessment, highly specialist knowledge and information, some of which may be conflicting, gathered from a range of professionals and carers in order to select appropriate treatment options.
• To demonstrate the ability to reflect on practice with peers and supervisors.
• To demonstrate the ability to reflect on a patient's learning style and optimum mode of communication, such as the use of sign, pictures, spoken language, considering sensory and physical abilities.

• To accept and prioritise referrals.
• To be responsible for organising and prioritising own caseload within each location worked.
• To refer the patient or carer to other services as appropriate.
• As an independent practitioner to make decisions about discharge of patients as appropriate.

Planning and Organising

• To manage and organise own workload balancing patient related demands and other professional responsibilities, e.g. CPD, administration, meetings and to ensure priorities remain in accordance with the service as a whole.

Resources

• To be responsible for the security and care of the premises and equipment under one's care in accordance with Trust policy.
• To be responsible for the maintenance of equipment ensuring standards of infection control and safety are maintained.
• To be responsible for personal safety and that of patients and personnel within the department in accordance with Trust policy.
• To adhere to the Trust and departmental health and safety policies.
• To monitor stock levels in own service area and request new equipment as appropriate.
• To refer the patient or carer to other services as appropriate.
• To plan for discharge and liaise with SLT colleagues and other professionals regarding the provision of continued treatment, as necessary.
• To be instrumental in setting up additional clinical initiatives which enhance individual patient management, e.g., new ways of working, having first consulted the line manager.
• To design, plan and implement training to SLTs, other professionals and non-qualified staff.

Policy and Service Implementation

• To be familiar with and adhere to relevant legislation.
• To be familiar with and adhere to relevant local and national policies/procedures and quality standards.
• To recommend policy changes in own specialist area.

Person Specification Essential Essential

• HCPC registration

Desirable

• Ados trained

essential Essential

• Relevant Speech and language qualification

Desirable

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  437-4223476-A