Undertake differential diagnosis of complex cases within a specialist caseload. Assess, develop and implement highly specialised programmes of care and treatment to meet the needs of clients. Structure clear therapy plans based on best practice and adapted to individual client needs and priorities. Use highly developed analytical and judgemental skills to negotiate with speech & language therapy colleagues, other professionals and carers with reference to management of complex cases Record and maintain up-to-date clinical case notes in line with professional standards and trust policies. Write reports containing highly complex, confidential and sensitive information, which may be used in a legal context. Offer specialist clinical support and provide second opinions to other speech and language therapists within and outside of the department. Independently manage a caseload that includes people with complex eating and drinking problems, dealing with issues of mortality, morbidity and ethical dilemmas. Manage patients with tracheostomy and supervise less experienced speech and language therapists working in this area. Manage risks from bodily fluids and infections in the environment. Lead on audit in specialist clinical area. Participate or lead on research projects within the neuro-rehabilitation service. Undertake frequent reviews of evidence to underpin clinical practice. Use Trust information technology systems. Lead on inter-agency and multidisciplinary projects regarding service objectives. Lead on specific projects within the neuro-rehabilitation service. Advise on service delivery, clinical governance, policy development and audit, including proposing changes and developments. Identify need, plan, devise, deliver and evaluate training programmes with a specialist content contributing to the development of rehabilitation assistants, rehabilitation nurses and housekeepers. Act as clinical educator for speech and language therapy students.Offer additional highly specialist experience within the neuro-rehabilitation service and coordinate observation sessions for other professionals. Share highly specialist knowledge at local, regional and national level.Participate and lead in the appraisal system for speech and language therapy. Identify and engage in professional development activities at least to a level to meet Royal College of Speech and Language Therapists and Health and Care Professions Council requirements.