To hold and manage an identified caseload independently and to be legally accountable for all clinical decisions and professional actions. To provide specialist assessment, differential diagnosis and appropriate clearly planned SLT intervention and discharge planning for patients with a wide range of disorders within the NNUH Neurosciences service, in line with RCSLT Clinical Guidelines and standards set by the Team Leader/SLT Service Manager. To demonstrate specialist knowledge in the area of Neurosciences underpinned by current evidence based practice. To adapt assessment and intervention techniques to the needs of the individual patients on an ongoing basis, including use of augmentative and alternative communication systems as appropriate. To support junior colleagues and identify the need for second opinions, referring to senior colleagues as appropriate. To work under the supervision of the Highly Specialist SLTs, to conduct and analyse instrumental assessments (e.g., Videofluoroscopy, Fibreoptic Endoscopic Evaluation of Swallow (FEES) and to be aware of the health and safety issues in regard to radiation and bodily fluids. For complex patients such as those with tracheostomies, to work under the supervision of the Highly Specialist SLTs in supporting weaning, communication and swallowing function as Service need dictates. To independently carry out airway suctioning on patients as required, once competency has been achieved. To contribute to assessment and information-gathering re: patients mental capacity and ability to give informed consent with support from senior colleagues, and to assist patients to maximise their independence in decision-making and communicating their wishes. To work closely with all appropriate agencies and multi-disciplinary colleagues to ensure comprehensive management of patients SLT needs, providing written and verbal reports as appropriate, enabling all parties involved to fully understand the nature of the patients communication and swallowing disorders. Please refer to the Job Description for the full specification of responsibilities and requirements for this post.