Highly Specialist Speech and Language Therapist

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Highly Specialist Speech and Language Therapist NHS AfC: Band 7 Main area Stroke Grade NHS AfC: Band 7 Contract 12 months (Fixed Term Maternity Leave Cover) Hours Part time - 34 hours per week Job ref 197-AJ-R-8753

Site Honor Oak Health Centre - Community Therapies Town London Salary £49,387 - £56,515 per annum plus HCA pro rata Salary period Yearly Closing 06/10/:59

Lewisham and Greenwich NHS Trust, (LGT), is a community-focused provider of local and acute care, delivering high-quality services to over one million people living across the London boroughs of Lewisham, Greenwich, and Bexley. We provide whole-life care and are here to support our communities to live healthier lives as well as taking care of them when they need us the most.

Employing almost 7,500 colleagues, affectionately known as Team LGT, we provide services at Queen Elizabeth Hospital in Woolwich, University Hospital Lewisham, and at over a dozen community settings in Lewisham. We also provide some services at Queen Mary's Hospital in Sidcup.

We have recently launched our new vision and values to mark the LGT10 - the tenth anniversary of our Trust forming in 2013. Our trust vision is to be exceptional. In the quality of our patient care; our support for colleagues; and in the difference we make through our partnerships and in our communities.

Our hospitals and community sites provide a wide range of inpatient and outpatient services, as well as emergency and planned care. The Trust is rated as "good" or "outstanding" in over three-quarters of the services inspected by the Care Quality Commission.

Every year our work includes performing 10,000 procedures in our theatres; bringing seven and a half thousand new lives into the world; carrying out 570,000 visits to patients in their homes or communities and providing emergency care for more than 300,000 patients arriving in our busy Urgent and Emergency Departments.

LGT is a centre for the education and training of medical students enrolled with King's College London's GKT School of Medical Education. We are a training centre for nurses, midwives and allied health professionals. We are pioneering new roles that will support the changing needs of our patients and are one of the largest employers of physician associates in the country.

We are committed to working with our partners to deliver the best outcomes for our local communities. This means playing an active role in the South East London Integrated Care System (ICS), and in formal partnerships including the South East London Acute Provider Collaborative, provider partnerships with our local mental health trusts and borough-based boards of the ICS in Bexley, Greenwich and Lewisham.

Job overview We are offering an excitingopportunity for an experienced speech and language therapist to join our multi-disciplinary Stroke Rehabilitation Team for a 12 month maternity cover post.

We are a specialist multidisciplinary team which provides stroke rehabilitation to adults within Lewisham. The team consists of Physiotherapists, Occupational Therapists, Speech and Language Therapists, Clinical Psychologist, Therapy Assistants all providing a goal focused rehabilitation service to patients in their own homes.

Main duties of the job We are looking for an innovative and enthusiastic team player to fill this specialist clinical position. We can offer a varied experience where you
will be able to develop both clinical and managerial skills in a community setting.

You will receive regular supervision from Band 8A Clinical Lead SLT within the team. You will also receive peer support from other Band 7 SLT colleagues working within Lewisham Community Therapies.

Our people are our greatest asset. When we feel supported and happy at work, this positivity reaches those very people we are here for, the patients. Engaged employees perform at their best and our Equality, Diversity & Inclusion (EDI) initiatives contribute to cultivate a culture of engagement. We have four staff networks, a corporate EDI Team and a suite of programmes and events which aim to insert the 5 aspirations:

• Improving representation at senior levels of staff with disabilities, from black, Asian, and ethnic minorities background, identify as LGBTQ+ and women, through improved recruitment and leadership development
• Widening access (anchor institution) and employability
• Improving the experience of staff with disability
• Improving the EDI literacy and confidence of trust staff through training and development
• Making equalities mainstream

Detailed job description and main responsibilities Job Summary:

• To manage a designated caseload of stroke patients with complex communication, cognitive and swallowing needs using evidence based/client centred principles to assess, diagnose, plan, implement and evaluate interventions.
• To provide leadership for the multidisciplinary Stroke In-Reach service.
• To lead the SALT service in the Lewisham Community stroke pathway.
• Maintain records which fulfil legal requirements.
• To offer specialist SLT advice as required to junior SLT colleagues, to other health professionals, and other colleagues, for the benefit of clients or service development.
• To regularly supervise SALT students on practice placements as required
• To provide leadership for junior staff, through supervision and appraisal
• To participate in the planning, development and evaluation of SALT services within the Lewisham Community stroke pathway
• To contribute to the maintenance and development of the Trust SALT Service

Key Result Areas & Performance:

Clinical

• To apply a high level of knowledge and understanding of stroke.
• To plan, organise and deliver an effective and efficient SLT service to clients on own caseload.
• To independently assess, diagnose, and manage therapy provision for the swallowing and/or communication needs of a stroke specific caseload of patients with complex needs, prioritising efficiently to help prevent readmissions.
• To monitor and review progress of clients, ensuring the continuance of sound clinical practice. To modify management/care as needed, ensuring any changes in recommendations are communicated effectively.
• To document client interventions promptly and in a clear manner in client notes. To provide timely written reports which are clear and relevant to the audience, and which are based on sound and up to date clinical knowledge.
• To plan, set up and monitor treatment programmes carried out by Enablement Officers and rehabilitation assistants for clients on own caseload.

To design/plan individual patient programmes to implement oneself or to delegate as appropriate

• To undertake individual initial screens to identify patient need including areas affecting functional ability, followed by agreed assessment plans.

To discharge clients in a timely manner, maintaining communication with relevant others involved in their care.

• To carry out an initial risk assessment where necessary and monitor on going risk.
• To develop and evaluate the links between the local HASUs, acute hospital stroke unit and Lewisham Community Therapies
• To monitor and evaluate treatment, including using outcome measures in order to measure progress and ensure effectiveness of the intervention.
• To undertake discharge planning and coordination of complex patients both into the service and out of it.
• To take a role in the decisions regarding placement after discharge.
• To refer onto appropriate agencies for :- the continuation of treatment,

Reassessment and monitoring

• To carry out joint working with others from the Trust and across other

Documentation

• To maintain up to date activity data and activity records in accordance with Professional and Trust standards.

• To use the electronic note keeping systems within the service.
• To provide specific reports to other agencies as appropriate.

Professional Ethics

• To adhere to the HCPC and RCSLT Code of Ethics and Professional Conduct, and all other relevant policies and procedures. These include maintaining confidentiality and respecting the patient's dignity, privacy culture and wishes

• To provide guidance to junior/support staff on ethical issues.

Leadership, Supervision and Appraisal

To participate in the management of the SALT team in the Lewisham Community stroke pathway.

To provide leadership for the stroke in-reach service.

To participate in the planning and implementing of the induction, training and education of students and other staff in this setting, and take a lead when needed.

To undertake the supervision and appraisal of junior/support staff as delegated by the Lead SALT

To provide specialist training on an individual basis.

To provide advice to junior/support staff and students on a day to day basis as required.

Training Staff and Students

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To give presentations/training on specialist topics.

To participate in training programmes for the Lewisham Community stroke pathway and wider Lewisham Community SALT service.

Service Development and Delivery

• To manage own caseload efficiently . click apply for full job details