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Go back Homerton Healthcare NHS Foundation Trust

The closing date is 04 January 2026

We are looking for an experienced Speech and Language Therapist to join our small and friendly specialist team. The right person will have experience of MDT/IDT working within adult neurorehabilitation, ideally in a community setting.

Further we welcome applications from candidates from minority ethnic backgrounds to improve our representation of communities that we serve.

The multi-disciplinary RNRU Outreach Team is a well-established and neuropsychology-led community service. The team offers highly specialised, person-centred interdisciplinary assessment and goal led intervention to clients with non-progressive acquired brain injury. The team covers a large and diverse region, providing a service to those living within approximately an hour from Homerton (broadly, north east London and Essex).

The RNRU Outreach service works with clients whose needs cannot be met by their local therapy teams, thus clients typically present with complex social, physical, cognitive and behavioural presentations requiring holistic, bespoke inter-disciplinary interventions.

The team also provides a specialist service in vocational rehabilitation (return to work and education) within the region.

The post-holder will have the opportunity to further develop skills in specialist community neuro-rehabilitation, interdisciplinary working, and vocational rehabilitation. The case load largely reflects cognitive-communication deficit, aphasia, with some dysphonia and dysarthria. The team do not undertake dysphagia management.

The post-holder will manage a specialist speech and language therapy caseload of patients with complex neurological deficits, as an autonomous practitioner in the community and without the need for direct supervision. Specific duties include:

• Assessment of clients' functioning at the levels of impairment, activity and participation through the application of specialised standardised and non-standardised tools.
• Designing and delivering goal-focused interventions for communication impairments, based on findings from formal and informal assessment and clinical formulation.
• Provision of communication partner interventions; and /or work with systems (families, carers, friends, colleagues, employers) as appropriate.
• Collaborative, joint and trans-disciplinary working with the team to meet clients rehabilitation needs.
• Interventions accordingly focus as appropriate to the client on a wide range of concretely defined objectives which may include increasing autonomy and independence within the home, enhancing social participation and psychological well-being, and facilitating resumption of important social roles including education or employment.

Homerton Healthcare Hospital 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 across a wider region. 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 and patients. 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 and AHP community. 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.

The Job Description available in this advertisement provides an overview of key tasks and responsibilities for this 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.

• Degree level or equivalent Speech and Language Therapy Qualification recognised by the HCPC, RCSLT
• Advanced training / short courses in specialist clinical area / management HCPC registration / licence to practice
• Further study in related area i.e. cognitive communication/aphasia

• Broad experience in neurological settings including working with adults with acquired brain injury.
• Experience of working in a multi-disciplinary team
• Experience of working with culturally diverse ethnic groups adapting and of assessment and intervention accordingly.
• Experience of working in a community setting.
• Experience of vocational rehabilitation: return to work and/or education
• Working with clients and/or family systems with mental health problems.

• Expert level of knowledge in the field of adult acquired neurology, particularly with complex cognitive, communication and behavioural presentations.
• Wide ranging knowledge of formal and informal assessment of communication presentation in ABI
• Knowledge of national guidelines and legal requirements in line with acquired brain injury caseload.
• Knowledge of service development and evaluation

• Ability to assess and treat patients presenting with communication problems of neurological origin with complex needs and challenging behaviour
• Excellent interpersonal skills: Demonstrate effective communication skills with all disciplines and service users to optimise management.
• Able to manage caseload and to prioritise under pressure for self and team.

• Ability to work flexibly
• Ability and willingness to travel across region

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