As part of the adult SLT service providing care to a multi-cultural and diverse population, to deliver a high standard of speech and language therapy care to patients and their carers in the community. To perform comprehensive speech and language assessment (communication and / or swallowing) of adults with diverse presentations and complex physical and psychological conditions. To use this assessment to provide a clinical diagnosis and develop and deliver an individualised treatment program. After several years of ever closer working, North Mid and Royal Free London are planning to come together as one organisation to enable them to go further and faster in improving services for patients and the health of the local community than they can achieve separately. The merger of North Mid into the RFL group is currently expected to take place on 1 January 2025, subject to NHS England and Secretary of State approval.