Job summary
Thanks to an ambitious programme of investment by Nottingham University Hospitals Trust, we are looking for Speech and Language Therapists to join our ENT /HNC SLT Service. This is an exciting time to become part of our forward-looking, supportive team. If you are looking to take the next step of your career in ENT or HNC SLT, we would love to discuss how you could join us and take advantage of the considerable opportunities for specialist training and professional development alongside our clinical experts. We offer flexible working patterns in a large teaching hospital.
Due to internal promotion, we have a vacancy for a full-time substantive band 7 highly specialist SLT post (part-time applications welcome) working jointly across the HNC pathway and our ENT specialist dysphagia service., and ENT voice disorders service. You will ideally have recent relevant experience and demonstrate highly specialist clinical skills and decision-making in the management of complex communication and swallowing problems, and an enthusiasm to learn. The successful applicant will access to regular mentoring, training and clinical supervision. You will join our established and supportive SLT HNC team in an innovative, research-active department'.
Main duties of the job
To prioritise and manage a large and diverse caseload ensuring practice is in line with the Royal College of Speech and Language Therapists' Position Papers and Quality Guidelines, and the HCPC professional regulations
- Demonstrate highly specialist dysphagia competencies / developing competencies and clinical practice in line with RCSLT competency framework, position papers and guidelines for FEES, videofluoroscopy and tracheostomy
- Demonstrate highly specialist clinical skills and decision-making in the management of complex communication and/or swallowing problems for in- and out-patients following surgery, radiotherapy and/or chemotherapy related to HNC cancer and/or its treatment, and to non HNC patients being managed in the ENT department for a range of disorders (benign dysphagia; complex airway)
- Demonstrate specialist clinical skills and competencies when assessing, treating and managing communication and swallowing problems after total laryngectomy, including surgical voice restoration and alternative communication methods (with training and supervision provided)
- To be responsible for planning, provision, monitoring and evaluation of programmes of learning and development to other professionals within specialist clinical area
About us
The SLT ENT/HNC Service sits within the Surgery Division of Nottingham University Hospitals Trust and is a stand-alone SLT service. We benefit from strong HNC / ENT Surgical Division leadership and support at NUH as well as close links with other SLT Services within the hospital and across Nottinghamshire.
With over 17,000 staff, we are one of the biggest employers in the city with a central role in supporting the health and wellbeing of our local population. We play a leading role in research, education and innovation.Come and join our wonderful team at NUH. We are big believers in diversity and welcome new ideas to help develop our team in order to deliver world class healthcare to the vast patient populations we serve. With endless personal development opportunities available, at NUH we will endeavour to turn your job into a career!We particularly welcome applications from people who identify as Black, Asian and Minority Ethnic, or Disabled, as we are striving to be better represented at NUH.
Job description
Job responsibilities
Please note : Candidates should familiarise themselves with the separate job description and person specification for this role and make specific reference to these in their application
Service Delivery
- To prioritise and manage a large and diverse caseload ensuring practice is in line with the Royal College of Speech and Language Therapists Position Papers and Quality Guidelines, and the HCPC professional regulations.
- To develop, deliver and monitor highly specialist interventions for patients within the defined pathway, encompassing all aspects of complex diagnosis and management for effective swallowing and communication
- To independently manage and prioritise own complex caseload in a highly specialist area.
- To work collaboratively with a variety of different agencies/professionals across primary and secondary care; social services and the Voluntary sector
- To be responsible for planning, provision, monitoring and evaluation of programmes of learning and development to other professionals within specialist clinical area
- To represent the Speech and Language Therapy service at agreed forums as delegated by ENT SLT clinical lead.
Clinical Practice
- To independently provide a highly specialist SLT assessment, diagnosis, intervention and advice service to patients with swallowing and communication impairments within the Head and Neck/ENT pathway, as well as services to families, support staff and professionals
- To undertake, interpret, and act on findings of diagnostic assessments (endoscopic swallow clinics; Videofluoroscopy x-ray swallow clinics) in line with RCSLT competency and clinical banding
- Manage patients who have undergone surgical voice restoration, training patients and their carers in voice prosthesis use and care, working mainly independently but accessing guidance from Clinical Lead as appropriate
- To take responsibility for managing patients with swallowing disorders, recognising complications of aspiration, and compromised nutrition and hydration, working closely with multi-professional agencies including primary care and palliative/end of life teams to ensure best clinical practice and patient safety.
- To be skilled in recognising clinical voice/vocal fold movement disorders and undertake management as appropriate within competency, using and interpreting instrumental assessment procedures (endoscopic evaluation of larynx; acoustic assessments)
Clinical Leadership
- Provide clinical training and supervision to junior SLT staff,SLT assistant/technical instructor and SLT students
- To delegate to assistant SLT, administrative and nursing staff.
- To identify and contribute to team objectives reflecting local and national health and social care priorities
- To implement national and local policy relevant to specialist clinical area, ensuring service is consistent with these, and contributing to strategic planning
Clinical Governance
- To monitor and assess clinical competencies of junior staff and assistants within the clinical specialism
- To maintain a highly specialised knowledge base within particular clinical expertise
- Identify and minimise risk in order to enable safe working practices, advising the Pathway Lead and Head of Service of any concerns, includes maintaining pathway risk register, medical devices register etc
- To contribute to the clinical governance activities of the NUH ENT/HNC Service including reporting from incidents, near misses, complaints
- To proactively contribute to regional or national clinical excellence networks, either uni professional RCSLT groups or multi professional.
Research and Learning and Development
- To ensure service delivery in delegated lead area is underpinned by available research evidence
- To be responsible for the development, provision and evaluation of programmes of learning and development for speech and language therapy staff including provision and/or coordination of student placements, mentoring and/or supervision of junior staff and assistants.
- As a requirement of the post undertake research and/or audit in accordance with the needs of the trust and the profession, contributing to the growing body of local and national evidence
- To demonstrate own continuing professional development
Job description
Job responsibilities
Please note : Candidates should familiarise themselves with the separate job description and person specification for this role and make specific reference to these in their application
Service Delivery
- To prioritise and manage a large and diverse caseload ensuring practice is in line with the Royal College of Speech and Language Therapists Position Papers and Quality Guidelines, and the HCPC professional regulations.
- To develop, deliver and monitor highly specialist interventions for patients within the defined pathway, encompassing all aspects of complex diagnosis and management for effective swallowing and communication
- To independently manage and prioritise own complex caseload in a highly specialist area.
- To work collaboratively with a variety of different agencies/professionals across primary and secondary care; social services and the Voluntary sector
- To be responsible for planning, provision, monitoring and evaluation of programmes of learning and development to other professionals within specialist clinical area
- To represent the Speech and Language Therapy service at agreed forums as delegated by ENT SLT clinical lead.
Clinical Practice
- To independently provide a highly specialist SLT assessment, diagnosis, intervention and advice service to patients with swallowing and communication impairments within the Head and Neck/ENT pathway, as well as services to families, support staff and professionals
- To undertake, interpret, and act on findings of diagnostic assessments (endoscopic swallow clinics; Videofluoroscopy x-ray swallow clinics) in line with RCSLT competency and clinical banding
- Manage patients who have undergone surgical voice restoration, training patients and their carers in voice prosthesis use and care, working mainly independently but accessing guidance from Clinical Lead as appropriate
- To take responsibility for managing patients with swallowing disorders, recognising complications of aspiration, and compromised nutrition and hydration, working closely with multi-professional agencies including primary care and palliative/end of life teams to ensure best clinical practice and patient safety.
- To be skilled in recognising clinical voice/vocal fold movement disorders and undertake management as appropriate within competency, using and interpreting instrumental assessment procedures (endoscopic evaluation of larynx; acoustic assessments)
Clinical Leadership
- Provide clinical training and supervision to junior SLT staff,SLT assistant/technical instructor and SLT students
- To delegate to assistant SLT, administrative and nursing staff.
- To identify and contribute to team objectives reflecting local and national health and social care priorities
- To implement national and local policy relevant to specialist clinical area, ensuring service is consistent with these, and contributing to strategic planning
Clinical Governance
- To monitor and assess clinical competencies of junior staff and assistants within the clinical specialism
- To maintain a highly specialised knowledge base within particular clinical expertise
- Identify and minimise risk in order to enable safe working practices, advising the Pathway Lead and Head of Service of any concerns, includes maintaining pathway risk register, medical devices register etc
- To contribute to the clinical governance activities of the NUH ENT/HNC Service including reporting from incidents, near misses, complaints
- To proactively contribute to regional or national clinical excellence networks, either uni professional RCSLT groups or multi professional.
Research and Learning and Development
- To ensure service delivery in delegated lead area is underpinned by available research evidence
- To be responsible for the development, provision and evaluation of programmes of learning and development for speech and language therapy staff including provision and/or coordination of student placements, mentoring and/or supervision of junior staff and assistants.
- As a requirement of the post undertake research and/or audit in accordance with the needs of the trust and the profession, contributing to the growing body of local and national evidence
- To demonstrate own continuing professional development
Person Specification
Professional Registration
Essential
- Member of RCSLT
- Registered with HCPC
Experience
Essential
- significant experience of working in 2 of : HNC; voice ; benign swallow/airway management
- o Recent experience of working in an acute setting with high throughput and high volume caseload
- oExperience of working in multi-disciplinary and multi-agency teams
- oEvidence of attendance at post-graduate training and short courses in clinical area to achieve competencies in line with RCLST position statements eg SVR;FEES; tracheostomy
- oEvidence of strong commitment to team and partnership working, and leadership skills
- oWell-established knowledge of a broad range of assessments relevant to specialist client group and extensive knowledge of a range of appropriate specialist therapeutic interventions
Desirable
- oExperience/skills as FEES practitioner as demonstrated through RCSLT competencies
- oExperience /skills of tracheostomy as demonstrated by RCLST competencies
- oExperience /skills of VFSS as demonstrated by RCLST competencies
- oExperience of planning, provision, monitoring and evaluation of programmes of learning and development to other professionals within specialist area
Person Specification
Professional Registration
Essential
- Member of RCSLT
- Registered with HCPC
Experience
Essential
- significant experience of working in 2 of : HNC; voice ; benign swallow/airway management
- o Recent experience of working in an acute setting with high throughput and high volume caseload
- oExperience of working in multi-disciplinary and multi-agency teams
- oEvidence of attendance at post-graduate training and short courses in clinical area to achieve competencies in line with RCLST position statements eg SVR;FEES; tracheostomy
- oEvidence of strong commitment to team and partnership working, and leadership skills
- oWell-established knowledge of a broad range of assessments relevant to specialist client group and extensive knowledge of a range of appropriate specialist therapeutic interventions
Desirable
- oExperience/skills as FEES practitioner as demonstrated through RCSLT competencies
- oExperience /skills of tracheostomy as demonstrated by RCLST competencies
- oExperience /skills of VFSS as demonstrated by RCLST competencies
- oExperience of planning, provision, monitoring and evaluation of programmes of learning and development to other professionals within specialist area
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).