Are you looking to develop specialist SLT skills in acute stroke, neurosurgery and major trauma? Would you like to work as part of a well-resourced, experienced and highly skilled SLT team in a Major Trauma Centre and a regional centre of excellence for neurosciences?
This is a newly created two part rotation post with both posts currently vacant. One post is in the Hyper-acute and acute stroke team which provides acute stroke services for the population of Bristol, North Somerset and South Gloucestershire (BNSSG), along with regional provision to the wider Severn Region and beyond. The other post is in the Hyper-Acute Rehab Team which provides early, specialist assessment and rehabilitation for patients with complex needs resulting from neuro-trauma in the acute phase of their rehab.
You would work as a core member of the HASU/ASU and HART multi-disciplinary teams and receive supervision and support from band 7 SLTs within those teams. We have excellent access to videofluoroscopy and FEES and can provide training in these assessments, and tracheostomy management within trust.
We are looking for two people who are keen to develop further in the areas of neurosciences and who are passionate about working with both communication and swallowing disorders in these caseloads.
To learn more about Speech and Language Therapy at NBT, click here to watch our video.
Main duties of the job
To provide specialist speech and language therapy (SLT) assessment, diagnosis and treatment to adults with communication and swallowing difficulties following stroke or neurosurgical conditions.
This is a two part rotation post which covers the Hyper-acute and Acute Stroke Unit (HASU) and the Hyperacute Rehab Team (HART).
Where necessary the post may involve clinical cover in other areas ie medical/complex care wards, critical care or outpatients.
To manage an inpatient or outpatient caseload as appropriate.
To work as a core member of the HASU/ASU or HART multi-disciplinary teams.
To liaise about patients with the multidisciplinary hospital team and relevant primary care professionals and agencies as appropriate.
If working with patients in critical care or high dependency beds, to manage patients with tracheostomy or ventilator dependence.
To pursue and acquire ongoing knowledge and expertise for practice with adults with acquired communication and swallowing difficulties.
To be a member of the specialist SLT team providing assessment, advice and rehabilitation services to adults with communication and swallowing difficulties as a result of stroke, acquired neurological diseases, neurosurgical procedures, medical decline and other long-term conditions.
About us
What is North Bristol NHS Trust?
North Bristol NHS Trust is one of the largest healthcare trusts in the South West of England. We provide hospital and community healthcare to people living in Bristol, North Somerset and South Gloucestershire. We do this across a range of settings, including within our award-winning Brunel building, designed and built for a better patient and staff experience.
Our values
NBT Cares. It's a very simple statement one which epitomises how everybody across our organisation goes the extra mile to ensure our patients get the best possible care.
Cares stands for Caring, Ambitious, Respectful and Supportive:
* Caring - because it underpins everything we do for our patients and the way we care for one another
* Ambitious - because it signals that we always want to improve what we do on behalf of our patients and one another
* Respectful - because every individual has an important role to play
* Supportive - because we're a team and deliver together
Job description
Job responsibilities
Clinical:
1. To have responsibility and accountability for the management of own clinical caseload, including referrals, management and discharge decisions, within own level of competence and with appropriate clinical support.
2. To assess and analyse type, severity and impact of all conditions of speech, language and communication impairments in a wide range of adult patients, through a variety of formal and informal assessments/information gathering methods.
3. To record and interpret personally generated clinical observations and provide feedback for clients/carers/professionals and relevant others.
4. To provide differential diagnosis, clinical advice and care plans/therapy to clients with communication and/or feeding and swallowing difficulties.
5. To recommend appropriate referral for specialist videofluoroscopy (VF) examinations or Flexible Endoscopic Evaluation of Swallow (FEES) as appropriate.
6. If working with patients in critical care or high dependency beds, manage patients with tracheostomies or ventilator dependence as part of an MDT.
7. Where appropriate, to undertake training in videofluoroscopy and FEES and to carry out these assessments with support from a senior colleague.
8. To use skills in the delivery of computer based treatment programmes and alternative augmentative communication systems for adults.
9. To demonstrate clinical effectiveness by the use of evidence-based practice, clear care plans and outcome measures.
Education, Research and Development
1. To seek advice and support when necessary from more senior colleagues, further developing skills in the management of stroke, medical disorders, especially elderly care, neurological diseases and neurosurgical conditions.
2. To attend regular clinical supervision sessions.
3. To participate in multi/interdisciplinary and interagency team building where appropriate.
4. To participate in the development and delivery of patient/carer education programmes, as needed.
5. To participate in local clinical governance/audit/research projects by providing data as required and being part of relevant working groups as appropriate.
Person Specification
Education and qualifications
Essential
* Recognised RCSLT degree level qualification
* Health and Care Professions Council (HCPC) Licence to Practise
* Completion of post-basic dysphagia training and aphasia training
Work Experience
Essential
* Relevant post qualification experience in working with adults who have communication and swallowing difficulties related to stroke, acquired neurological disease and neuro-trauma
* Experience of an adult acute/inpatient caseload
Desirable
* Experience of working in critical care or a high dependency unit with patients with tracheostomies
Knowledge, skills and experience
Essential
* Knowledge of relevant national guidelines and RCSLT/HCPC Professional Standards relating to this caseload
* Knowledge of communication and swallowing disorders in stroke and acquired neurology underpinned by current evidence-based practice
* Ability to work as a member of multi/interdisciplinary teams including interdisciplinary goal setting
* Excellent interpersonal and communication skills
Desirable
* Ability to structure clear care plans based on best practice and integrating psychosocial, physical, emotional and environmental factors within a holistic patient centred approach
Employer details
Employer name
North Bristol NHS Trust
Address
Southmead Hospital
Bristol
BS10 5NB
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