Highly Specialist Speech and Language Therapist

Homerton Healthcare NHS Foundation Trust; Greater London; On-site; GBP 58,000 - 65,000; Part time

Job summary

Homerton Healthcare NHS Foundation Trust in London is seeking a Highly Specialist Speech and Language Therapist at 0.85 WTE to lead and coordinate SLT services within the Adult Community Rehabilitation Team, supporting adults with neurological and complex conditions across health and social care.

You will provide expert assessment, diagnosis and intervention, supervise staff, drive service development and digital transformation, and contribute to neighbourhood models of care within a

Qualifications

• Degree level Speech & Language Therapy qualification recognised by the RCSLT.
• HCPC registration and membership of RCSLT.
• Advanced training in specialist clinical area or management.
• Ability to manage a clinical caseload and lead a SLT service.

Responsibilities

• Lead and coordinate highly specialist SLT services within the Adult Community Rehabilitation Team.
• Manage a complex caseload of adults with neurological and long-term conditions.
• Provide specialist assessment, diagnosis and treatment planning.
• Act as a clinical specialist in complex dysphagia management, videofluoroscopy and AAC.
• Provide expert advice, consultation and second opinions to colleagues and partners.
• Lead service development, quality improvement, audit and outcome measurement.
• Contribute to integrated neighbourhood working and MDT meetings.
• Supervise, develop and appraise staff and provide education and leadership.

Skills

Independent caseload management

Autonomy

Team leadership

Complex disorders assessment

Education

Degree level Speech & Language Therapy qualification

HCPC registration

Membership of RCSLT

Advanced training in specialist clinical area / management

Job description

Homerton Healthcare NHS Foundation Trust

Highly Specialist Speech and Language Therapist

The closing date is 24 November 2026

The 0.85 WTE Speech and Language Therapist will be a senior member of the Adult Community Rehabilitation Team (ACRT), working within a specialist interdisciplinary team including occupational therapy, physiotherapy, speech and language therapy, dietetics, clinical and neuropsychology, rehabilitation support workers and administrators. ACRT supports adults aged 18+ with a wide range of physical and neurological conditions.

The post holder will lead and coordinate speech and language therapy provision within ACRT and contribute to leadership of the wider SLT service. The caseload includes acquired and cognitive communication disorders, dysarthria, aphasia, progressive neurological conditions and dysphagia.

Working autonomously, the post holder will provide highly specialist assessment, diagnosis and intervention using advanced clinical reasoning and evidence based practice. They will work across health, social care, primary care and voluntary sector services to support coordinated, person centred rehabilitation and neighbourhood models of care.

The role includes clinical leadership, supervision, service development, audit, education, quality improvement, workforce development and digital transformation to improve care coordination, outcomes and access to rehabilitation.

Main duties of the job

• Lead and coordinate the provision of highly specialist speech and language therapy services within the Adult Community Rehabilitation Team (ACRT).
• Manage a complex caseload of adults with neurological and long term conditions, including communication, cognitive communication and swallowing disorders.
• Provide specialist assessment, diagnosis, treatment planning and intervention, using advanced clinical reasoning and evidence based practice.
• Act as a clinical specialist in complex dysphagia management, videofluoroscopy and augmentative and alternative communication (AAC).
• Provide expert advice, consultation and second opinions to colleagues, multidisciplinary teams and partner agencies.
• Lead service development, quality improvement, audit, outcome measurement and implementation of innovative models of care.
• Contribute to integrated neighbourhood working and multidisciplinary meetings to support coordinated, person centred care.
• Supervise, develop and appraise staff and students, and provide education, training and leadership within the speech and language therapy service and wider multidisciplinary team.

About us

Homerton Healthcare NHS Foundation Trust is a high performing and flourishing organisation serving the population of Hackney, East London, The City and beyond.

We are extremely proud of the fact that Homerton Hospital has recently attained the highest possible rating of "Outstanding" from the Care Quality Commission (CQC).

Our integrated Trust provides comprehensive hospital and community health services for its local population and a range of specialist services for a wider group of patients. In addition, the Trust manages services out of St Leonard's Hospital and the Mary Seacole Nursing Home.

Homerton aims to ensure equality and value diversity, and we are committed to inclusion for all of our staff. This is reflected in our policies, procedures and People Plan. All of our staff are expected to embody our Trust values at all times.

We are also committed, through our Fair Recruitment Standards, to ensuring all applicants are treated fairly.

Homerton has a proud tradition of supporting and developing its staff, including its well-regarded and valued nursing community, and all staff are able to take advantage of a great range of benefits.

Homerton is proud to have been included on the HSJ & Nursing Times Best Places to Work list.

Job responsibilities

The full job description provides an overview of the key tasks and responsibilities of the role, and the person specification outlines the qualifications, skills, experience and knowledge required. For both documents, please view the attachment/s on this page.

The person specification below is not the full person specification but outlines the criteria against which your application form will be assessed.

Person Specification

Education/Qualifications

• Degree level or equivalent Speech & Language Therapy Qualification recognised by the RCSLT e.g. degree, PGDip, MSc
• HCPC registration
• Membership of RCSLT
• Advanced training in specialist clinical area / management

Skills/ Abilities

• Able to independently manage clinical caseload and prioritise as required
• Ability to work autonomously
• Demonstrates ability to manage provision of speech & language therapy service within the team
• Ability to assess, diagnose and treat clients presenting with communication / swallowing problems due to a long-term condition with complex and challenging behaviour

Experience

• Experience of working with clients with cognitive impairment and complex communication difficulties
• Supervision and management of staff and students including use of appraisal
• Audit and/or research experience
• Experience working in the community

Knowledge

• Appropriate assessment tools for this client group
• Current issues in the delivery of community services
• Understanding of Health inequality and its impact
• Health needs in a diverse cultural and socio-economic community

Other requirements

• Able to travel around the borough independently
• Commitment to delivering a person-centred service
• Understanding and demonstration of the Trust Values

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Homerton Healthcare NHS Foundation Trust

£58,133 to £65,261 a yearpro rata p.a. incl.