Highly Specialist Speech and Language Therapist, Stroke & Neuro

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Overview of Responsibilities :JOB DIMENSIONS & ACCOUNTABILITIES

1. To supervise the work of other speech and language therapists, students, speech and language therapy assistants and volunteers
2. To provide leadership within the appropriate specialist areas
3. To lead and co-ordinate others in delegated tasksPROFESSIONAL AUTONOMY AND ACCOUNTABILITY

1. To maintain Health Profession Council Standards of Proficiency, to practise within the legal and ethical boundaries of the profession and to be aware of current legislation applicable to the work of speech and language therapists
2. To work within defined departmental and national protocols / policies and professional code of conduct
3. To use knowledge of speech and language therapy to assess and manage people with communication and swallowing disorders
4. To translate professional principles into action through a number of different approaches to practice
5. To select or modify approaches to meet the needs of the individual
6. To establish and maintain safe environments for clinical practice which minimise risks to patients / clients, those treating them, and others, including the use of hazard control and particularly infection control
7. To seek advice when neededAccountability for Financial and Physical Resources

1. To monitor stock levels in own service area and request new equipment
2. To make petty cash purchases as required
3. To be responsible for the security of client and confidential records, and the security, care and maintenance of equipment ensuring standards of infection control and safety are maintained. This includes equipment loaned to clients and equipment taken off site

KEY RESULT AREAS /PRIONCIPAL RESPONSIBILITIES

Professional autonomy and accountabilits

1. To participate in and undertake to learn from the supervision and development opportunities provided by the Trust and the speech and language therapy department
2. To work with a high level of autonomy in making decisions in relation to own practice and on a wider basis in relation to service delivery in meeting patients’ / clients’ needs
3. To provide second opinion to other specialist staff within and outside local service areas
4. To respect, and so far as is possible, uphold the rights dignity and autonomy of clients, including their role in the diagnostic and therapeutic process
5. To practice in a non discriminatory manner
6. To maintain confidentiality and obtain informed consent
7. To exercise a professional duty of care
8. To know the limits of practice and when to seek advice
9. To manage an agreed caseload of clients with a high level of clinical complexity, often within a specialist context or knowledge area
10. To monitor and evaluate own highly specialist service delivery and provide progress reports
11. To plan, prioritize and co-ordinate a workload of potentially conflicting roles and activities with a service wide perspective in order to attain a range of professional goals
12. To deal most of the time with the novel, complex and unexpected
13. To maintain fitness to practice
14. To undertake self directed learning and CPD
15. To reflect on own practice and to lead in facilitating others in clinical supervisionPatient / Client Care – population focus

1. To provide a leading role across the Trusts and partner agencies and organisations through raising public awareness of the needs of people with communication and / or swallowing difficulties following admission to hospital, and in promoting access to the help and services they require
2. To provide a leading role in health promotion and health prevention, including early identification of difficulties or at risk factors in given populations, so as to enable or facilitate appropriate access to speech and language therapy and other services

Patient / Client Care – individual focus

1. Identification and assessment of health education and social care needs

• To gather appropriate information
• To use appropriate specialist and highly specialist assessment techniques for clients with a high level of clinical complexity for swallowing and communication difficulties
• To undertake, or to arrange, clinical investigations as appropriate for a specialist and highly complex caseload, to include the appropriate use of videofluoroscopy
• To analyse, evaluate and interpret the information collected.
• To make a differential diagnosis on the basis of evidence from the assessments

Formulation and delivery of plans and strategies for meeting identified needs

1. To use specialist research, reasoning and problem solving skills
2. To draw on appropriate specialist and highly specialist knowledge and skills in order to make professional judgements and clinical decisions for clients with specialist needs and high levels of clinical complexity
3. To formulate specialist and highly specialist management plans for clients with specialist needs and high levels of clinical complexity including the setting of goals and timescales
4. To develop specialist and highly specialist programmes of care for clients with specialist needs and high levels of clinical complexity based on best practice for intervention to be implemented by the therapist or others (individual, group, direct and indirect interventions)
5. To provide highly specialist clinical and professional advice to those receiving care and to other
6. s regarding the management and care of patients / clients with high levels of specialist needs and clinical complexity in their communication and / or swallowing difficulties
7. To conduct the appropriate specialist and highly specialist diagnostic or monitoring procedures, treatment, therapy or other actions safely and skilfully.
8. To maintain records and share information as appropriate for clients with specialist needs and a high level of clinical complexity often within a specialist context or knowledge area
9. Critical evaluation of the impact of, or response tointervention

1. To use specialist and highly specialist knowledge to monitor and review the ongoing effectiveness of planned activity and to modify it accordingly
2. To audit, reflect on and review own specialist and highly specialist practice
   Knowledge understanding and skills

1. To know and keep up to date with national, local and client contextual knowledge and understanding as well as the relevant core and care group specific, specialist underpinning knowledge and skills related to the assessment, management and professional craft knowledge of specialist speech and language therapy practice
2. To identify personal / professional development needs evidenced by Personal Development Plan / Professional Portfolio developed within the SLT department appraisal framework
3. To demonstrate knowledge of, and adhere to RCSLT Professional and Clinical and National and Local Clinical Guidelines
4. To have a working knowledge of all relevant procedures for specialist practice including: Safeguarding Children, SEN procedures, Vulnerable Adults, capacity for consent and other legal frameworks

 Physical skills

1. To demonstrate highly developed and accurate auditory and perceptual skills in the assessment, diagnosis and treatment of patients / clients
2. To demonstrate skills in handling clients with disabilities
3. To demonstrate skills in the use of equipment and technology in highly specialist clinical care

LEARNING AND EDUCATIONSelf

1. To identify training and development needs required for highly specialist practice through critical self-reflection
2. To engage in continuous self-directed learning that promotes professional development and quality of practice
3. To seek a range of opportunities through the appropriate channels for meeting learning needs
4. To attend specialist short courses and advanced training in clinical specialist area
5. To evaluate learning outcomes, including how learning impacts on practice
6. To implement learning outcomes through appropriate and / or agreed changes within practice

Students

1. To assume delegated responsibility for co-ordinating clinical placement opportunities within the specialty / team for speech and language therapy students to observe, discuss and have hands on experience of working with clients
2. To provide full student placements, including assessments of the placements as appropriate
3. To undertake to be a resource of practice expertise in conjunction with the Higher Education provider by advising, developing and delivering lectures / workshops etc for students
4. To evaluate the effectiveness of chosen methods of meeting learning needs

Speech and language therapy colleagues

1. To lead case discussions, peer review and action learning sets, drawing on highly specialist knowledge and experience
2. To lead, facilitate and support the development and practice of colleagues individually and in groups whilst respecting their existing levels of expertise, e.g. through mentoring, clinical supervision, providing second opinions, co-working, and evaluate the effectiveness of the chosen methods in meeting learning needs
3. To provide regular specialist training on a range of topics
4. To facilitate others in developing problem solving and negotiation skills
5. To identify training needs within specialist areaOthers

1. To provide a regular, leading role in identifying the specialist training needs of individuals or groups, in developing the appropriate content and style of information giving / skill development, in providing the training through the most appropriate means and in evaluating the impact
2. To lead in providing opportunities for other health professionals to learn about speech and language therapy and relevant health promotion and health prevention from observation and discussion