CLINICAL To assess, develop and implement Highly Specialist Speech & Language Therapy treatment and evaluate outcomes. To use highly specialist skills to formulate a diagnosis. To provide highly specialised written and verbal advice to a range of professionals regarding the management and care of clients with severe/ complex communication and/or feeding and swallowing difficulties. To maintain highly specialist knowledge of current practice and literature, ensuring decisions are based on the best available evidence. To adapt clinical practice to meet individual patients circumstances, including due regard for cultural and linguistic differences. 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 communicate complex condition related information from assessment to clients, carers, families and members of the multi-disciplinary team/other professions. To contribute to clinical teams both uni-disciplinary and multidisciplinary by discussing own andothers input around clients needs ensuring a well-coordinated care plan. To demonstrate empathy with clients, carers and families and colleagues, ensuring that effective communication is achieved, particularly where barriers to understanding exist. To demonstrate skills in motivating clients with severe communication needs and /or carers toengage in the therapeutic process and enabling them to contribute to the decision making processregarding their care plans. To form productive relationships with others who may be under stress and/or have challengingcommunication difficulties. To demonstrate the ability to reflect on auditory, visual and kinaesthetic aspects of clients communication and to identify appropriate strategies to facilitate and enhance communicative effectiveness. To negotiate with carers, clients and others around individual case management. To demonstrate good negotiation skills with carers, clients and other professionals around complexcase management. To employ counselling skills with clients/ carers with highly complex needs and maintain sensitivitywhen imparting potentially distressing information regarding the nature of the clients difficultiesand implications of the same. To demonstrate clinical effectiveness by use of evidence based practice and outcome measures. To demonstrate highly specialist skills in handling clients with disabilities.CASELOAD MANAGEMENT To manage and prioritise complex and specialist caseload and workload independently and usespecialist knowledge to inform sound clinical judgement/ decision making. To use highly specialist knowledge to develop protocols and care packages in areas of expertise. To liaise with relevant user groups as appropriate. To monitor and evaluate own highly specialist service delivery. To produce reports reflecting highly specialist knowledge for individual clients and client groups. To be an active member of the multi-disciplinary team, contributing to service delivery, audit anddevelopment. To provide highly specialist advice/ second opinions to speech and language therapists and otherprofessionals in areas of expertise. To maintain up to date and accurate case notes in line with RCSLT professional standards andTrust policies. To share information with others, observing data protection guidelines. To gather activity data accurately and regularly, ensuring the provision of such informationpromptly within trust guidelines. To demonstrate skills in dealing with complex issues to generate appropriate strategies forcaseload management. To develop care protocols for specific clinical groups in liaison with the multi-disciplinary team and Team Leader to improve patient care. To advise Team Leader of issues of service delivery including shortfall, service pressures and to usehighly specialist knowledge to inform service/ policy developments as appropriate. To maintain intense concentration in all aspects of patient management for prolonged periods. LEADERSHIP To develop skills in leadership within appropriate specialist area. To take delegated lead on the development of team objectives or projects in liaison with peers. PROFESSIONAL REQUIREMENTS To be aware of and adhere to service and team plans and policies. To contribute to interagency/multi disciplinary team building and policy development. To participate in the development of local/national clinical guidelines informed by evidence forclinical specialism. To be flexible to the demands of the environment including unpredictable work patterns, deadlinesand frequent interruptions.To demonstrate highly specialist knowledge in clinical specialism underpinned by current evidencebased practice. To maintain and develop highly specialist clinical skills through attending relevant courses,meetings and special interest groups. To comment on proposed service/policy developments as appropriate. To provide mentoring, supervision, support and advice to more junior Speech and Language Therapists. To provide mentoring, supervision, support and advice to Speech and Language Therapy Assistants. To use highly specialist knowledge to provide training for Speech and Language Therapists and other professionals. To provide high quality clinical placements for student Speech and Language Therapists. To explain the role of Speech and Language Therapists to visitors, students and volunteers. To undertake Clinical Governance/audit projects within the local service. To participate in departmental research and clinical governance/audit projects. To collect and provide research data as required. To be accountable for own professional action and recognise own professional boundaries,seeking advice as appropriate. To work within defined departmental and national protocols/policies and professional code ofconduct. To work independently accessing appraisal within an individual performance framework at predetermined intervals. To deal with initial complaints sensitively, avoiding escalation where possible. To identify personal/professional development evidenced by Personal development plan/professional portfolio developed within an appraisal framework including objectives relating toclinical specialism. To participate in individual performance review ensuring that the objectives set reflect the serviceand trust plans including objectives relating to clinical specialism. To attend relevant training and development in order to maintain skills and knowledge required of atherapist working in the field of moderate learning difficulties and maintain up to date HCPC andRCSLT registration. To demonstrate knowledge of, and adhere to RCSLT professional and clinical and National andLocal clinical guidelines. To develop a working knowledge of the principles of Clinical Governance and their the principles ofClinical Governance and their application to Professional practice. To recognise potential breakdown and conflict when it occurs and seek advice and support toresolve. To demonstrate the ability to reflect on practice with peers/clinical supervisor and identify ownstrengths and development needs.To participate in the development of others problem solving/negotiation skills within peer review/support. To keep up to date with new techniques and developments in areas of clinical specialism. To have due regard for your own personal safety and that of patients/carers, in particular to have regard to moving and handling regulations and ensure the safe positioning of self and others. HUMAN RESOURCES To assist in the recruitment and selection of staff for the service and be responsible for theinduction and orientation programmes as appropriate. Assist in management of conflict and tensions that may arise within the team. To participate in the Individual Performance and Development Review process and carry outreviews of junior staff in consultation with the Team Leader. To participate in the Clinical Supervision programme as supervisor and supervisee. To deputise for Team Leader and assume delegated responsibilities as appropriate. To participate in student placements within the service and to maintain training as student fieldwork educator. To provide education, advice and training as required to the Multi-Disciplinary Team. Be responsible, in conjunction with the Team Leader, for implementing the appraisal processfor development of staff. Supervision of junior staff and students. To provide advice, teaching and instruction to unqualified staff, relatives, carers and otherprofessionals to promote the understanding of the aims of occupational therapy, rehabilitationand a constant approach to patient care. Maintaining own professional development and requirement to take part in appraisal and KSFprocess. INFORMATION RESOURCES Complete and maintain all documentation in a contemporaneous style, legibly, accurately and in a concise manner. This will include records of patient visits, profession specific paperwork, referral documentation, outcome measures and patient screening tools. To maintain timely and accurate patient records, which include patient held records. To record and report accurate and timely data in relation to all contacts with clients and other activities onto the computer system within 24 hours. RESEARCH & DEVELOPMENT To contribute to meetings about clinical governance and service development. Undertake audits in line with Trust policy and clinical governance agenda. Undertake or participate in research in order to improve service as required. To participate in the delivery of the Rehabilitation and Enablement Team development plan. FREEDOM TO ACT Act on own initiative, taking prompt and effective action in emergency situations. Able to work unsupervised and as part of a team To work autonomously and undertake lone working in the community.