To assess patients, identifying areas of impairment, potential complications and contraindications and referring back for assessment by a registered practitioner when necessary. To provide appropriate follow up treatment within a delegated framework of responsibilities, reporting back to registered staff and referring on to other agencies when necessary. To use clinical reasoning skills to agree functional goals and develop and evaluate the treatment plan. To implement and progress treatment programmes in order to promote optimal communication and swallowing abilities. To exercise autonomy in the management of the caseload in the clinical area. To undertake specific unaccompanied work and organise own caseload. To use verbal and non-verbal communication tools to communicate effectively with patients/carers. This may include education, motivation, persuasion, and empowerment. This will include patients/carers who may or may not have barriers to communication through cognitive or physical impairment e.g. hearing or visual impairment, confusion and depression To use own clinical and non-clinical observation skills and accurately record these observations to support therapy packages. To participate in own continuing professional development (CPD), including supervision, appraisal and training to ensure competency, service quality and meet the clinical governance agenda and organisational goals. To undertake administrative tasks to support the Therapy team and ensure the ongoing care and rehabilitation of the patient.To include making accurate entries in the Speech & Language Therapy and electronic medical records. To contribute to measuring the treatment outcomes and audit activity related to the service. To contribute to the development of the service, and representing the Therapy service at internal and external meetings when delegated