1,To have knowledge and experience in a specialist area of Speech and Language Therapy (e.g. communication and dysphagia management in stroke rehabilitation or management of progressive neurological conditions, adults with dysfluency). 2,To take on allocated referrals, assessing clients to identify how they may benefit from Speech and Language Therapy and provide individual or group therapy as appropriate. The post holder is supervised by the Senior Speech and Language Therapists according to area of work but has significant autonomy to manage his/her work, ensuring that allocated cases are managed in line with departmental policy and best practice guidance. 3,Responsibility for clinical management of specific caseloads of clients, developing therapeutic management plans, and communicating complex condition related information. Working in partnership with the multi-disciplinary team, and requiring cross-agency working (e.g. hospital, nursing homes, and social work) to ensure that individuals reach their maximum function in communication and swallowing, and minimise the impact of disability on quality of life. 4,A high level of professional judgement is required to inform management decisions including robust case history information, standardised assessment protocols, observations, and reports from other agencies to inform diagnosis and working with the client/carers to create therapeutic management plan, and management of risk (e.g. complex dysphagia and end of life decisions). 5,Prescribe appropriate intervention to assist the client to gain additional function where possible and to enable the client to maximise the use of existing function and/or to reduce anxiety and frustration by modifying the communication/physical environment to minimise the impact of disability on quality of life. Referring to senior colleagues as necessary. 6,To provide information, support and advice to other professionals, carers and family members to enable clients with communication impairment to access services and to foster social interaction. In order to improve the understanding of clients needs and promote effective management of communication and/or other disorders to minimise frustration and the impact of disability on quality of life. 7,Developing and delivering training and supervision to speech and language therapy students, assistants and staff from other agencies (e.g. nursing and care staff, staff from third sector organisations) in their work with individual clients to ensure that clients are given the appropriate support in the management of communication and swallowing difficulties. 8,Maintain appropriate client records and relevant statistics, in order to monitor and facilitate the effectiveness of intervention. This will support the ongoing evaluation of the efficiency and effectiveness of the Adult S< service and inform wider service planning. 9,Ensure a commitment to personal continuous professional development, maintaining an up to date knowledge of technical and best practice advances in relation to assigned client groups and Speech and Language Therapy in general. 10,Developing skills in videofluoroscopy, and undertaking videofluorscopy with the support of the Lead and Senior Adult Speech and Language Therapists. 11,To provide clinical care and advocacy for patients with significant communication disorders such as dysarthria, language disorders such as aphasia, dysfluency, cognitive communication disorders and neurogenic voice disorders. This will including support for assessing for capacity. 12,Participation in audit as required.