An exciting opportunity has arisen for a Band 7 Speech and Language Therapist post within the Community Stroke and Neurorehabilitation Teams. We would also welcome applicants who are looking for a Band 6 to 7 progression within this specialist area of practice.
The post is based at Breightmet Centre and sits within a friendly, supportive, close working MDT. The post oversees the SLT provision to both new and existing stroke patients and a caseload of patients with neurological diagnoses.
The post holder is responsible for supervising / supporting Band 6 and Band 5 Speech and Language Therapists. This is a great opportunity to develop skills within a Band 7 role with support from existing Band 7s across different professions and the Principal Service Leads. Though the role is based in the specialist community teams it links in with the SLT provision on the Stroke Unit, as well as other community SLT provision.
• To provide highly specialist clinical input to patients with disorders of communication and swallowing in the Community
• To be a member of the team based at Breightmet Health Centre providing a highly specialist service to adults with acquired speech and language difficulties and dysphagia (swallowing problems) following a stroke and neurological conditions.
• To provide a highly specialist diagnostic and therapeutic service to patients with speech and language disorders and dysphagia who will be from a variety of ethnic and social backgrounds in the community in a variety of settings.
• To liaise with, and train other health and social service professionals and to work in partnership with patients, relatives and carers, and external agencies to ensure the delivery of a high quality service.
• To be professionally and legally accountable for all aspects of one's professional and clinical work, working to agreed national and professional standards.
• To provide operational and professional leadership to the community team, identifying opportunities for quality improvement and innovation.
• To provide and discuss service level data on performance to the Principal Service Lead and represent the team at divisional meetings where required.
Striving to deliver better healthcare services for a better Bolton is our commitment to delivering the quality of care we would want for ourselves, our families and our friends.
The Trust's overarching values underpin the Community Stroke and Neurorehabilitation Team service and the importance of support and development is evident in our team ethos.
Clinical supervision is provided through joint work with other team members; team meetings; in-service training and 1:1 management supervision sessions and annual appraisal with the Principal Service Lead.
Patient/Client Care
To be a source of senior, highly specialist clinical expertise within SLT in the field of stroke and neurorehabilitation, and to manage own caseload of patients with acquired communication and/or swallowing problems including complex patients
To demonstrate an advanced level of clinical expertise including extended scope of practice and maintain expert clinical knowledge in the field of stroke and neurorehabilitation which impact on communication and swallowing
As an autonomous practitioner to prioritise, organise and manage a highly specialist clinical caseload in demonstrating skills in dealing with complex issues and generating appropriate strategies for caseload management.
To effectively examine and assess patients, identify their problems and needs and ensure that patients' medical, cognitive, psychological, social, environmental and cultural factors are taken into account including those with diverse or complex presentations/multi-pathologies.
To select appropriate assessments to support the identification of each patient’s communication profile, in order to differentially diagnose patients with acquired speech and language impairment, collecting evidence from both formal and informal assessment, using highly specialist knowledge and extensive experience
To assess and diagnose patients with swallowing problems, using a range of assessments including cervical auscultation and bedside assessment; making a differential diagnosis on the basis of evidence using highly specialist knowledge and extensive experience
To make clinical decisions following assessment and to develop highly specialist individual care plans based on best practice. To identify within the care plans appropriate strategies to facilitate and enhance communicative or swallowing effectiveness, making judgements that require analysis, interpretation and comparison of a range of options
To reflect on auditory, visual and kinaesthetic aspects of client’s communication or swallowing problem and to identify appropriate strategies to facilitate and enhance the effectiveness of communication and / or swallowing
To take the lead in devising and implementing highly specialist individualised therapy programmes as appropriate, ensuring efficient and effective quality care
To produce, disseminate and update reports/guidelines, based on highly specialist knowledge, regarding individual care plans to patients/carers and other professionals, including those for legal purposes.
To set appropriate treatment goals and aims by working collaboratively and negotiating with carers, clients and others around individual case management, resolving any areas of conflict, generating possible solutions
To provide highly specialist advice and training regarding the management and care of patients/clients with complex communication and / or swallowing difficulties, and to counsel and give advice regarding the impact of the communication /swallowing disorder
To demonstrate clinical effectiveness by use of evidence based practice and outcome measures
To adapt practice to meet individual patients’ circumstances, including due regard for cultural and linguistic differences
To ensure that patients and/or carers are involved in the planning and prioritisation of their care plans wherever possible
To use highly developed skills in motivating clients and/ carers to engage in the therapeutic process
To maintain up to date and accurate case notes in line with RCSLT professional standards and Bolton FT policies
Analytical and Judgement Skills
To use highly specialist clinical reasoning skills to assimilate complex information, taking into account cognitive, emotional, environmental and social issues, in order to make a clinical judgement regarding differential diagnosis and intervention.
To judge the need for instrumental assessment and select the appropriate methods to assess the patient in adequate detail. To interpret investigation results and communicate the information to all relevant parties.
To formulate clear care plans based on assessment, highly specialist knowledgeandinformation, some of which may be conflicting, gathered from a range of professionals and carers in order to select appropriate treatment options.
To demonstrate the ability to reflect on practice with peers and supervisors.
To demonstrate the ability to reflect on a patient's learning style and optimum mode of communication, such as the use of pictures and Alternative or Augmentative Communication aids.
This advert closes on Tuesday 17 Dec 2024
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