On a daily basis to make decisions on allocation of available resources which directly affect level of SLT intervention to specific patients and be able justify those decisions to patients, carers and others. To deal sensitively at an advanced level with patients and carers who have high levels of anxiety as a result of their condition e.g. pain, loss of mobility, poor prognosis, cognitive impairment (e.g. dementia, learning difficulties) To support and educate patients and carers in managing complex SLT needs. To undertake a comprehensive highly specialist assessment of patients including those with diverse or complex presentations/multi pathologies: use highly advanced clinical reasoning skills and assessment techniques to provide an accurate clinical diagnosis of their conditions Formulate and deliver individual SLT treatment programmes based on an extensive knowledge of evidence based practice and ability to apply a wide range of treatment options. Evaluate patient progress, reassess and modify treatment programmes as required. Develop comprehensive management plans in conjunction with other members of the multi-disciplinary team. This includes recommendations based on sound clinical judgment, for referral/transfer to other in or outpatient services for specialist ongoing management. This will include discussion of patient care, patient progress and prognosis and involvement in ongoing management planning To comply with the Child Protection Policy and Enfield Protection of Vulnerable Adults policy where appropriate. To monitor that the service delivery is patient goal led and in line with best practice. People (HR) Management Lead on day to day supervision of staff/local induction for the service. Teach, assess and contribute to the performance assessment and appraisal of less experienced SLTs, TIs and assistant staff, evaluating competence as appropriate. Participate in the staff appraisal scheme both as an appraisee and as an appraiser and be responsible for complying with your agreed personal development programmes to meet individual and service objectives. Performance manage staff within own service and, where appropriate, dealing with competency issues as required. Be responsible for the SLT in-service training programme, including tutorials, individual training sessions, delivering presentations and peer review. Attend external training as appropriate and identified in own PDP. Lead in recruitment for the service and skill mix reviews as appropriate To take responsibility for operational management of the adult SLTteam, allocating and organising the work of all staff both senior and less experienced staff to meet service priorities.