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					                   REFERENCE NUMBER: AW/EASTMID/538/R1

             JOB TITLE: Speech & Language Therapist Team Leader

                                   GRADE: Band 7

                           LOCATION: East & Mid Lothian

                                     HOURS: 30

                        CONTRACT DURATION: Permanent

                         CLOSING DATE: 4th January 2011

              SALARY SCALE: £30,460- £40,157 per annum pro rata



              There are 3 ways to make your application, which are:

                        1) Apply on-line www.jobs.scot.nhs.uk

2) Download the application form, complete this, the attached working time form, save and
                     e-mail to recruitment@nhslothian.scot.nhs.uk

   3) Print the application form, the working time form, complete both and mail these to
       RECRUITMENT CENTRE, ST JOHN’S HOSPITAL, LIVINGSTON, EH54 6PP
                                         NHS LOTHIAN
                             GENERAL INFORMATION FOR CANDIDATES

This information package has been compiled to provide prospective candidates with details of the post
advertised.

The contents of this package are as follows:

      Person Specification and Job Description
      Working Time Regulations Form (please complete and return with application form)
      Guidance on completion of Application Form
      Agenda for Change Terms & Conditions
      Equal Opportunities Policy Statement

Please note that any personal information obtained from you throughout the recruitment process will be
collected, stored and used in line with the Data Protection Act 1998. Information will be available to the
recruiting manager and to the Human Resource staff.

NHS Lothian is under a duty to protect the public funds it administers, and to this end will use the
information you have provided on your application form for the prevention and detection of fraud. It will
also share this information with other bodies responsible for auditing or administering public funds for
these purposes. More detail on this responsibility is on NHS Lothian‟s intranet (Counter-Fraud and Theft
page) and further information is available at http://www.audit-scotland.gov.uk/work/nfi.php. Information
can also be obtained by contacting Dave Proudfoot, Deputy Chief Internal Auditor on 0131 537 9267.

All jobs are only offered following receipt of two satisfactory written references. At least one reference
must be from your current/most recent employer, or your course tutor if you are currently a student. If
you have not been employed or have been out of employment for a considerable period of time, you may
give the name of someone who knows you well enough to confirm information given and to comment on
your ability to do the job.

Where a Disclosure is deemed necessary for a post, the successful candidate will be required to
undergo an appropriate Disclosure check. Further details on the Recruitment of Ex-Offenders is
available from the Recruitment Centre.

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found on the Home Office website www.ind.homeoffice.gov.uk

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that the correct postage is paid. Underpaid mail will be retained by the Post Office which will result in
applications not being returned until after the closing date and not being included for shortlisting.

I would ask you to note that if you do not hear from us within six weeks of the closing date, I regret to say
that you will have been unsuccessful on this occasion.

As a Disability Symbol user we recognise the contribution that all individuals can make to the
organisation regardless of their abilities. As part of our ongoing commitment to extending employment
opportunities, all applicants who are disabled and who meet the minimum criteria expressed in the job
description will be guaranteed an interview.

Please send your completed application to:-
                                      The Recruitment Centre
                                  St. John’s Hospital at Howden
                                         Howden Road West
                                            Livingston
                                            EH54 6PP
                          e-mail: recruitment@nhslothian.scot.nhs.uk
           NHS Lothian
__________________________________
                        WORKING TIME REGULATIONS
                         RECRUITMENT PRO-FORMA


  In accordance with Working Time Regulations, no individual should knowingly be
         contracted to work for more than an average of 48 hours per week.


For Completion by Applicant (to be submitted along with application form)

- Do you intend on holding any other employment (either NHS or non-NHS)
                                     YES / NO

If yes please complete the details below:

Name and address of additional employer(s)



Average number of hours worked for this employer per week

Signed

Name



For Completion by Appointment Panel

- Would the offer of this post put the applicant in a position whereby they would
  exceed the 48-hour working limit?                                  YES/NO

Signed


Please Note - It is the responsibility of the appointment panel to ascertain whether the
prospective employee intends to retain any other post held in addition to the one for
which they are applying.

Refer to the Recruitment Guidance Pack for further information regarding working
time regulations.
                EMPLOYEE SPECIFICATION FOR THE POST OF:
                                  Speech and Language Therapist


 CATEGORIES                          EXPERIENCE OR QUALITIES SOUGHT FOR
                                          THIS

                                       ESSENTIAL                  DESIRABLE

1. PHYSICAL/HEALTH              Satisfactory OH assessment.
                                Physically able to carry out
                                duties of post.


2. TRAINING                     Recognised degree/diploma in   Post-graduate accredited
   (including Qualifications)   SLT.                           training in videofluroscopy.
                                Membership of HPC.
                                Membership of RCSLT.
                                Post-graduate RCSLT accredited
                                dysphagia training.


3. PREVIOUS EXPERIENCE          post graduate experience of       Membership of relevant SIGs
                                working with adults with
                                progressive/ neurological
                                disorders.
                                Experience of working within a
                                multidisciplinary team.

4. SKILLS AND ABILITIES         Excellent communication skills.
                                IT skills.
                                Working knowledge of a range
                                of AAC systems.
                                Excellent training and
                                presentation skills.


5. OTHER REQUIREMENTS           Car driver




6. DISQUALIFIERS
                                         JOB DESCRIPTION

1.   JOB IDENTIFICATION


Job Title: Speech and Language Therapist

Responsible to: Adult Speech and Language Therapy Services Manager,
                East Lothian and Midlothian LHCCs

Department :      Speech and Language Therapy

Directorate:

Operating Division: Lothian Primary and Community Division

No of Job Holders: 1

Last Update: October 2004


2. JOB PURPOSE
     1. To act as the Lead Clinician for the Specialist Adult Acquired/ Neurological Speech and
        Language Therapy Team in East Lothian and Midlothian.
     2. To take a lead role and autonomously manage a highly complex caseload of adults with
        acquired/ neurological disorders with associated communication and/ or eating, drinking,
        swallowing difficulties [Dysphagia] - providing a highly specialist clinical service of
        assessment, diagnosis, treatment, advice and management, including maintenance of
        associated records, in order to maximise communication potential and ensure safe
        feeding practice. This includes working in partnership with families, carers, team
        professionals and other significant personnel.
     3. To provide placements and supervise the work of speech and language therapy students
        to further the development of the profession.
     4. To develop and provide specialist teaching and training packages and other learning
        opportunities for professionals, carers and students in order to enable best practice and
        maximise service capability.
     5. To provide mentoring, supervision and teaching for less experienced speech and
        language therapists/ staff, offering second opinions where appropriate.
     6. To heighten awareness of communication disability in own specialist area and to promote
        the Inclusive Communication agenda of accessible information and environments,
        service user involvement and training.
     7. To co-ordinate, develop and participate in Clinical Governance activity including clinical
        audit and research and development, within specialist area.
 3. DIMENSIONS
1.  Autonomous and team responsibilities for the delivery of a specialist Speech and Language
    Therapy Service to adults with Acquired/ Neurological Disorders in East Lothian.
2. Involvement in the provision of education and training packages for a range of agencies,
    professionals, families, carers and volunteers including both undergraduate and post
    graduate students in relation to communication and eating drinking, swallowing (dysphagia).
3. Clinical support/ advice/ cover across Speech and Language Therapy department as
    required.
4. Team leader and member East Lothian and Midlothian Speech and Language Therapy Adult
    Acquired /Neurology Team. (4 people including post holder – 2.5 WTE)
5. Member of multi-disciplinary team (in-patients) and liaison with MDT in relation to out
    patients.
6. Member East Lothian and Midlothian Speech and Language Therapy Department.
7. Patient group encompasses the broad spectrum of Adult Acquired Disorders including Care
    of the Elderly, Stroke aftercare, Progressive Neurological Disorders including Motor
    Neurone Disease, Parkinson‟s Disease, and Multiple Sclerosis, Acquired Brain Injury,
    Neuro-Surgery, Voice Disorders and Non-Acute Head and Neck Cancer.
8. Locations: service is delivered across a range of settings including hospital wards, out-
    patient clinics, nursing homes, residential homes, day hospitals, and patients own homes,
    leisure and work environments.
9. 5 sessions per week – East Lothian.
10. Population figures:      East Lothian: 93,000
                             Mid Lothian: 80,237


 4. ORGANISATIONAL POSITION


 See attached sheet.

 The adult speech and language therapy department in East Lothian and Midlothian provides
 specialist services to patient/patient groups of adult acquired/neurological, mental health and
 learning disability – from within a uni-professionally managed department. Therapists are
 organised into small clinical teams, with a clinical team leader, for clinical support and delivery of
 the service. Cross cover to own and other clinical teams can be required for absence such as
 annual leave and sickness.
 As staff critical mass is small and to give opportunities for developing/ using skills staff members
 may occasionally be members of more than one clinical team.




 5. ROLE OF DEPARTMENT

 Communication has a social, cognitive and emotional function and is fundamental to quality of
 life. Communication disorders can adversely affect independence, social inclusion,
 relationships, work, learning and leisure opportunities.
 Speech and Language Therapists are communication and language specialists and are the only
 profession qualified specifically to :
  Comprehensively assess a person‟s ability to communicate [express themselves and
    understand communication from others]
  Advise on communication disorders, issues and strategies
Speech and Language Therapists are specialists for eating, drinking and swallowing disorders.
[ dysphagia]

Role of the department:
 To provide, evaluate and develop specialist speech and language therapy services to adults
    in East Lothian and Midlothian who experience communication and or eating, drinking and
    swallowing [dysphagia] difficulties, in order to meet their communication and feeding and
    nutritional needs thereby maximising quality of life, supporting inclusion, advocacy and
    independence and minimising health risk. This involves partnership working with families
    and carers, colleagues and significant others.

The services cover difficulties / disorders in:
             Speech
             Language
             Communication
             Voice
             Literacy
             Fluency
             Eating, drinking swallowing
Which may be related to medical, physical, sensory, cultural, cognitive, psychological or
environmental, factors or a combination.

   To include stakeholders views in service provision and development enabling the
    meaningful involvement of people with communication difficulties.
   To contribute to the Public Health and Health Promotion agenda, including the provision of
    education / training to a wide range of personnel in order to heighten awareness of and
    understanding for Communication and EDS issues.
   To contribute to the LHCC, Health Board and Partnership agenda for development of
    services and innovative joint working.
   To work collaboratively with Universities to develop and contribute to clinical education of
    Speech and Language Therapy students through the provision of clinical placements and
    clinical teaching.
   To contribute to the training and education of professionals, carers and other students to
    heighten awareness for Communication and EDS issues and to enhance joint working.
   To contribute to strategic development / implementation of appropriate policy and legislative
    framework such as DDA, AWI, Social Inclusion and Inclusive Communication, Vulnerable
    Adults, Joint Future, Same As You, New Mental Health Act, Local Health Plan.
   To provide and develop a programme of research / clinical governance/ audit projects
    including the identification of required resources to support the programme.
   To inform policy development and share expert practice in Speech and Language Therapy
    across the UK including the Scottish Executive through RCSLT networks and RCSLT
    Scottish Officer.

6. KEY RESULT AREAS


1. To autonomously manage and prioritise a highly complex and specialist adult acquired/
   neurological caseload, underpinned by current evidence based knowledge, maximising
   communication potential and ensuring safe feeding practice. This requires the use of
   advanced clinical reasoning and treatment planning to provide highly specialised packages
   of care:
                                 Assess and analyse
                                 Diagnose
                                 Develop, set, and adjust goals to create treatment plans for
                                    intervention
                                    Undertake rehabilitation/ provide therapy interventions and/ or
                                    support others to implement
                                    Provide written and oral reports
                                    Give advice/ information
                                    Maintain timeous and comprehensive clinical records
                                    Monitor and evaluate outcomes
Clinical


2. To be accountable for own professional actions, recognising boundaries through
   interpretation of clinical/ professional policies, and practising within the profession‟s moral
   and ethical framework.

3. To follow principles of person centred care, working collaboratively with other professionals
   and involving the individual, their families and carers throughout each episode of care with
   agreed objectives and evaluated outcomes, in order to ensure the best functional outcome
   for the patient and his/ her communication partners and/ or to maximise safe feeding and
   nutritional status thereby achieving health, wellbeing and quality of life.

4. To use a variety of computer software packages to produce patient related programmes and
   therapy materials and/ or as a means of direct patient intervention e.g. Bungalow, REACT.

5. To provide an expert service to people with dysphagia working independently and assuming
   a lead role within a multidisciplinary framework. To use complex decision making and
   problem solving, with the practical application of specialised theoretical knowledge and
   analysis of risk factors, for both patient and service, in order to advise on the level of risk and
   best management.

6. To jointly co-ordinate and lead the Divisional Speech and Language video fluoroscopy
   clinics. To demonstrate expert competencies in carrying out videofluoroscopy procedures,
   interpretation and analysis of a range of dysphagic aetiologies (complex and non-
   complex).To provide oral and written recommendations based on clinical findings. To
   regularly teach and support less experienced Speech and Language Therapists in the
   interpretation and use of video fluoroscopy.

7. To use the range of expert communication skills for clinical and service related purposes in
   order to provide and receive information which is highly complex, highly sensitive or
   contentious in circumstances such as explaining the need for PEG feeding or degree of
   communication impairment. This requires the ability to empathise and use of counselling
   skills.

8. To heighten awareness of communication issues/ needs in general in order to influence and
   motivate others and to negotiate with them to change their own practice and environments to
   be communication-friendly. (Inclusive Communication)

9. To use specialist skills to assess patients‟ communication capacity to give informed consent
   as required for Adults with Incapacity Act, and Vulnerable Adults legislation.

10. To be actively involved in uni -professional clinical governance including own professional
    development, audit, innovative practice and project development. This includes topics such
    as risk management, therapy outcome measures, ICPs, production of information leaflets,
    satisfaction questionnaires and policy documents e.g. PEG policy for patients in the
    community, ICP for inpatients with dysphagia.
11. To use specialist knowledge and skills of analysis and interpretation for professional, multi –
    professional and departmental standards, policies, procedures, guidelines and statistical
    information in order to propose and influence changes and redesign for service delivery /
    development. To participate in multi – professional and interagency working parties and
    policy development groups that impact beyond the post holders own area eg multi –
    disciplinary care pathway.

12. To maintain a safe working environment and adhere to the requirements of relevant health
    and safety policies, including risk management for patients and self.

Management / administration – Adult Acquired Neurological Speech and Language Therapy
Team

  1. To co-ordinate day to day clinical activity of the Adult Acquired/ Neurological Speech and
     Language Therapy Team.
  2. To organise regular team meetings, prepare the agenda, write and distribute minutes.
  3. To agree team objectives with team members, in line with departmental objectives and to
     allocate resulting tasks.
  4. To monitor, evaluate and prioritise referrals and their allocation, and to monitor waiting
     times, to enable equity of service delivery across East Lothian and Midlothian.
  5. In the absence of the Service Manager and the Deputy Manager, to provide cover for
     weekly/monthly administrative tasks e.g. signing sickness/absence/time sheets.
  6. To provide information for Service Manager on team performance issues and to engage in
     discussion with Service Manager in finding solutions to problems.
  7. To attend monthly service review and planning meeting with the Service Manager and
     Deputy Manager.
  8. To monitor equipment resources and advise Service Manager re requirements.
  9. To facilitate team peer review with additional one to one time as appropriate.

Training/ education
   1. To jointly provide and evaluate highly specialist training and education packages for a
      range of agencies, professionals, families, carers and volunteers, including both
      undergraduate and post graduate students, in the topic areas of communication and
      eating, drinking, swallowing (dysphagia). This includes core communication and
      dysphagia training e.g. for nurses and domiciliary care staff and customised training in
      the areas of e.g. Stroke, Multiple Sclerosis, Parkinson‟s disease, interpretation of
      videofluroscopy. To use a variety of formal and informal teaching methods such as,
      lectures, workshops, discussion groups, case presentations, seminars and shadowing
      opportunities. Group size may range from 2 to 15. Frequency monthly.

   2. To contribute to the academic teaching and clinical supervision of speech and language
      therapy students, in accordance with the departmental standard (15 days (pro rata) per
      year minimum) to further the development of the profession and to contribute to the
      mentoring/ support of new speech and language therapy graduates and more junior
      speech and language therapy colleagues.

   3. To maintain and develop own professional competencies through individual performance
      review (minimum 2x per year), peer review, supervision (monthly) and continuing
      professional development, by attendance at courses, conferences, special interest
      groups and provision/ participation in in-house training and development, in order to
      contribute to own and departmental competencies, professionalism and evidence based
      practice.
7a. EQUIPMENT AND MACHINERY


Requirement to hold a personal duty of care and to be proficient in the safe operation, use and
maintenance of:
 A variety of specialist assessments and intervention tools/ materials.
 High/ low tech communication aids, including voice output machines, voice amplifiers,
   switches.
 Hearing aids.
 Audiovisual equipment for clinical purposes.
 Adapted equipment for eating and drinking such as modified cups/ cutlery, valved straws,
   thickeners for food/ drinks.
 Computer for clinical, training and administrative purposes, including use of digital camera,
   range of software, scanner.
 Videofluroscopy related equipment and materials; barium, radiation protective clothing,
   seating.
 Stethoscope for swallowing assessment.
 Training and education equipment; OHP, power point, flip chart, TV/video, tape recorder.
 Office equipment including – telephone, fax, photocopier.

7b. SYSTEMS
    The post holder is responsible for working within corporate, professional, departmental and
     multidisciplinary team policies, procedures and guidelines, including data protection,
     confidentiality, complaints, health and safety, incidents, IT and individual performance
     reviews.
    The post holder is responsible for timeously recording personally generated clinical
     observations in patient case notes in accordance with professional and corporate standards
     and procedures at both uni-professional and multi-professional levels.
    The post holder is required to collect data for monthly activity monitoring and audit/
     evaluation, using manual and electronic systems e.g. TIARA, e-Assess, for statistics, data
     collation and information sharing, referrals, waiting lists/ times, caseloads.
   The post holder is required to complete administrative information on a monthly basis e.g.
    annual leave, study leave, sickness absence, time in lieu, training provided/ attended, travel.


8. ASSIGNMENT AND REVIEW OF WORK


Clinical caseload is generated by the specific service needs of the clinical area. This is
monitored and reviewed by the Speech and Language Therapy Services Manager and Deputy
Manager in conjunction with Team Leaders. Work may be self generated and/ or delegated.
 An open referral system operates; referrals may come direct to speech and language
    therapy or via GP‟s, Consultants, nurses, AHP‟s, Voluntary Organisations.
 The post holder acts independently, within professional, national, division, department and
    team priorities, codes of practice, policies and procedures.
 The post holder participates in regular meetings with peer groups, team leaders and/ or
    managers for purposes of clinical discussion.
 Participate in individual performance review via six monthly appraisals ensuring that
    objectives set reflect personal, team and departmental objectives.
 The post holder has responsibility for supporting more junior staff members, as required.
The post holder has responsibility for supporting all members of staff within their clinical team.
9. DECISIONS AND JUDGEMENTS

The post holder is required to act independently and:
   1. Be accountable for own professional actions in accordance with speech and language
       therapy codes of practice as laid down by RCSLT and HPC, recognising when to seek
       guidance and support in relation to clinical and non-clinical responsibilities.
   2. Manage risk, including personal safety and safety of patients. The latter particularly in
       regards to dysphagia and recommendations ranging from modification of diet to
       withdrawal of oral feeding.
   3. Make clinical judgements on complex clinical diagnosis, treatment (including suitability),
       discharge and prioritisation within clinical specialism, applying advanced clinical
       reasoning skills which reflect theoretical knowledge and evidence base. This includes the
       use of highly specialist knowledge to analyse and interpret the results of a range of
       assessments in order to differentially diagnose and make decisions on care aims and
       length of episode of care. For example to make differential diagnosis of speech and
       language therapy disorders such as dysarthria or dyspraxia.
   4. Independently plan, organise and manage a complex clinical caseload formulating
       solutions and exercising judgement in recommending the best course of action in the
       management of highly complex clinical conditions where a range of options and
       implications have to be considered e.g. providing advice about a patients ability/ risk to
       be discharged home in relation to communication/ dysphagia needs .
   5. Adapt interaction style and assessment and therapeutic techniques to meet individual
       patient needs in reaction to constantly changing and unpredictable patient responses and
       behaviours.
   6. Demonstrate the ability to target teaching appropriate to the learning needs and abilities
       of course participants.
   7. Critically reflect upon and evaluate teaching provided.
   8. Make decisions and judgements on managing time, work balance and other resources
       effectively and efficiently.
   9. Provide specialist advice and second opinion to Speech and Language Therapy
       colleagues.
   10. Participate in development and implementation of policies, protocols, procedures in own
       area of work.


10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB

    Working within limited time.
    Managing prioritisation of referrals and of time in order to balance demands of the job.
    Responsibility in making recommendations about important and potentially life changing
     decisions / actions.
    Assessment, diagnosis, appropriate management of diverse patients with complex needs
     including individuals with combined communication and dysphagia diagnosis.
    Difficulties working with patients who have problems complying with recommendations due
     to their difficulties with comprehension.
    To work within a culture where litigation has to be taken into account in relation to all
     decision / recommendation making.
    Autonomous working in the community with patients with eating, drinking and swallowing
     difficulties, interpreting needs and assessing risk.
    Working with terminally ill patients (and their carers), whose condition is deteriorating,
    dealing with their grief and loss.
11. COMMUNICATIONS AND RELATIONSHIPS
     Key relationships:
                                                      Patients
                Families
                Carers
                Other multidisciplinary team professionals – dietician, physiotherapist,
                occupational therapist, secretary, community nurse, social workers
                Medical staff – GPs and Consultants
                Other nursing staff e.g. in outpatients, in hospital, specialist nurses
                Voluntary agencies
                Statutory agencies
                Administrative staff e.g. medical records
                Employers
                Members of the public at large
    These relationships may involve communication at many different levels and for many different
    purposes such as face to face patient work, training a group of nursing home staff in relation to
    dysphagia management.
          Communication Skills
    Mode of communication : Spoken and written. Face to face – one to one, and large and small
    groups. Formal and informal. Presentations – electronic / non electronic. Telephone, fax, email.
    Reports, letters, information, leaflets
    The post requires the use of highly developed communication skills in order to:
              o Communicate with patients with significant communication disorders who,
                 because of barriers to understanding and expression, require specialist supported
                 communication such as the use of modified / adapted levels of communication,
                 communication aids
              o facilitate effective communication between patients and significant others e.g.
                 family, nursing staff, other professionals, by providing and explaining specialist
                 information about a patient`s communication disorder and by motivating
                 communication partners to use strategies to maximise communication.
              o provide formal and informal training to small and large groups ranging from one
                 to one to groups of between 1 to 25 to heighten awareness, skills and knowledge
                 of communication needs and dysphagia.
              o Create simplified versions of accessible information for people with literacy and
                 communication difficulties and to advise and support others in implementing
                 accessible information.
              o To establish rapport and develop productive therapeutic relationships with both
                 patients and carers to involve and reassure them in decisions regarding treatment
                 and motivate them to engage in therapy
              o Use diplomacy and negotiating skills to influence stakeholders` views and actions
                 e.g for an organisation to acknowledge the communication training needs of their
                 staff where there is initial disagreement about the need or to persuade a carer to
                 persist in using communication strategies where the patient is difficult to engage.
              o Present and explain highly complex and highly sensitive information to a variety of
                 individuals and groups. This is often in relation to contentious topics eg the impact
                 of a patient`s dysphagia and the need for non oral feeding and requires the use of
                 empathic and counselling skills.
              o De escalate hostile or antagonistic situations such as where there are strong
                 differing opinions within a family about the best management for a patient `s
                 communication or dysphagia needs or barriers to the acceptance of the diagnosis.
12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB
Physical Skills
   1. Advanced sensory skills. Highly trained and developed auditory perception and
      observation skills required for daily work with patients.
   2. Highly developed physical skills. E.g. use of specialist tools for oral examinations,
      cervical auscultation, communication aids.
   3. Keyboard skills required for daily use of IT equipment.
   4. Driving skills on a daily basis

Physical Demands
  1. Moderate physical effort required on a daily basis for short periods of time e.g. pushing
      adult patients in wheelchair, manoeuvring patients, carrying equipment, moving /
      arranging furniture.
  2. Combination of sitting, standing, walking, kneeling, driving skills on regular daily basis
Mental Demands
   1. It is necessary to maintain intense concentration on a frequent basis in all aspects of
       patient management for prolonged periods including observation/ monitoring of
       communicative partners‟ interactions, assessment / analysis, diagnosis, giving written
       and verbal reports in team meetings, planning and carrying out / supervising others to
       carry out interventions and evaluating outcomes.
   2. Requirement to have flexible problem solving skills, to be able to multi task and have an
       ability to plan for current and future needs simultaneously.
   3. It is necessary for the post holder to be flexible and able to adapt to an unpredictable
       work pattern, frequent interruptions and competing deadlines on a daily basis
Emotional Demands
  1. This post requires the post holder to deal directly with patients and carers in highly
      distressing and emotional circumstances on a frequent basis showing sensitivity to their
      emotional needs e.g. explaining distressing assessment results, transmitting news of
      limited recovery or likely deterioration and intervention options, using counselling skills,
      managing individuals` anger, frustration, and depression and dealing with emotional
      lability
Environmental and working conditions
   1. Therapists visit patients in their own environments therefore it is necessary to be aware
       of personal safety policies and guidelines including for lone working and make the best
       of difficult, noisy, cramped or crowded conditions, i.e. need to work in environments that
       are not fit for purpose. This is likely to be frequent and for long periods.
   2. The post holder will have frequent exposure to highly unpleasant working conditions
       such as patients‟ bodily fluids e.g. saliva and phlegm and may have contact with
       infectious conditions in their day to day work such as MRSA.
13. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB
  1. Degree or equivalent qualification and Masters Degree or equivalent level of post
      graduate training, experience and knowledge in Speech and Language Therapy.
       Must have knowledge of current evidence base and keep up to date with new
          techniques and developments in specialist area e.g. by attending SIGs, self directed
          learning/ study.
       Post graduate RCSLT accredited qualification in the management of people with
          eating, drinking and swallowing difficulties.
       Post graduate qualification in Videofluroscopy - analysis and procedure.
       Post graduate experience of working with adults with acquired / neurological
          disorders.
       Alternative and augmentative communication strategies at high tech and low tech
          levels such as, symbols, Lightwriter, Chat box, Techtalk, Dynamo.
       Voice disorders
       Aphasiology
       Social Disability Therapies for Aphasia e.g. narrative therapy, inclusion
       Cognitive Neuropsychological models of language processing
       Sentence Processing : assessment and therapy
       Conversational analysis
       Counselling
       Cervical auscultation
       Relevant “medical conditions / syndromes” e.g. Stroke, Parkinson‟s disease, dementia
          Motor Neurone Disease, Multiple Sclerosis, Huntington‟s Disease
       Sensory impairment
       Knowledge of principles of clinical audit and research.
       Knowledge of and adherence to professional standards and appropriate national
          clinical guidelines [ e.g. SIGN Guidelines for Stroke,]
       Care Aims
  2. Knowledge, skills and experience necessary to perform role of team leader in specialist
      clinical area of adult acquired/ neurological disorders:
       Clinical experience and expertise
       Clinical networking in local area
       Organisational skills
       Mentoring and supervision
  3. Excellent verbal and written communication skills and ability to act as patient advocate
      where there are significant barriers to communication.
  4. In depth knowledge of legal requirements of the post and skills to act as appropriate e.g.
      Data protection, Adults with Incapacity Act.
  5. Excellent presentation skills - to create, prepare for and give presentations and to
      evaluate and adapt content and style. Evidence of presenting to a range of audiences in
      relation to clinical specialism e.g. Divisional dysphagia training
  6. IT skills – must have skills equivalent to a European driving licence, along with
      experience of using and competence in power point, publisher, scanners, digital camera
      downloading and software.
  7. Knowledge and experience for implementing relevant departmental and organisational
      procedures.
  8. State registered with HPC
  9. Registered member of RCSLT
  10. Mandatory training
  11. Hepatitis B immunisation required.
14. JOB DESCRIPTION AGREEMENT

Job Holder‟s Signature:

Head of Department Signature:   Date:

                                Date:
                 MHCC General                    ELHCC General                     LPCD Medical Director
                 Manager                         Manager



                                        Speech and Language
                                        Therapy Services Manager
                                        0.65wte




 Adult acquired/neurological team          Adult learning disability team          Mental health team

Team                                Team                                    Team
Leader                                               Leader                 Leader
0.5wte 0.3wte 0.7wte 1.0wte         0.25wte 0.6wte 0.6wte 0.25wte 0.7wte    0.7wte 0.3wte 0.35wte 0.3wte




Bold and underlined
denotes postholder
                 Guidance on how to complete the NHS Scotland application form

The purpose of an application form is to help evidence that the applicant has all the requirements applicable
to carry out the job applied for.

Once in receipt of the application pack it is essential to read both the job description and person specification
to gain a full understanding of what the job entails and the minimum criteria required.

Please note for equal opportunity purposes NHS Lothian do not accept CV‟s as a form of application.

General guidance

There are currently three ways of applying for vacancies within NHS Lothian:

    - On-Line – www.jobs.scot.nhs.uk
    - Telephone (hard copy) – 0845 60 33 444
    - Email – recruitment@nhslothian.scot.nhs.uk

If you are applying by „hard copy‟ please use black ink and write clearly in block capitals.

   The vacancy reference number, job title and location can be obtained from the job advert.

   The candidate number will be populated by Recruitment Admin once the application has been returned.
    This is to ensure each application remains anonymous.

   Only part C of the application form will be sent for short listing. The application form will be identified by
    the candidate number only to ensure that no applicant will be unfairly discriminated against.

   Please complete all sections of the application form. Those sections that are not relevant please indicate
    „not applicable‟, do not leave blank.

   Please feel free to use additional paper if required. Please do not add your name to any additional
    information provided; secure it to the relevant section and Recruitment Admin will add a candidate
    number.

For general help and advise on how to complete an application form visit www.careersscotland.gov.uk (click
on how to apply > how to complete an application form.

The application form

Personal Details

   In this section you are required to provide your contact details including telephone number and email
    address if applicable. Please note it is essential that this section is completed as fully as possible to
    ensure you can be contacted if required.

Work Permit / Working in the UK

   NHS Lothian must ensure that all potential employees are legally entitled to work in the UK therefore it is
    essential that this section is completed.

For further information visit: www.ukba.homeoffice.gov.uk

Health

   Please state the number of occasions you were off work in the past year due to ill health.
Declarations

   All convictions and cautions regardless of how long ago the offence may have occurred must be
    disclosed. Convictions from other countries must also be notified.

   Declaring a conviction will not automatically disqualify you from being considered for the post. Careful
    consideration will be given to the relevance of the offence to the particular post in question. However, if
    you are appointed, and it is found that you did not disclose a previous conviction your employment may
    be terminated.

Qualifications

   Please provide all qualifications gained.

   Remember to write down any „non formal‟ qualifications or certificates that you think are relevant to the
    job you are applying for.

Membership of Professional or Regulatory Bodies

   All professional staff employed by NHS Lothian requiring registration must be registered with the
    appropriate body. Those that fail to register with the relevant body will not be employed by the
    organisation to practise their profession.

Present (or most recent) Post

   Please provide details of your present or most recent post.

   Please write your start date in month/year format MM/YYYY.

Role Purpose / Summary of Responsibilities

   Tell us briefly about your duties (what you do or did in your job). You could tell us your role, the main
    tasks, and any responsibilities.

Employment History

   Please state all the jobs you have done previously in this section writing your start date in month/year
    format MM/YYYY.

References

   Please give the full names and addresses of 2 referees, one of whom must be your present or most
    recent employer and can confirm your job details. Please note your reference history must date back at
    least 3 years.

   Referees will be taken up after interview for the successful candidate only.

Disability

   NHS Lothian is “Positive about Disabled People” and as part of our continued commitment to extend job
    opportunities for people with disabilities we operate a Job Interview Guarantee Scheme (JIG). This
    means that all candidates that indicate that they have a disability and meet the minimum criteria of the
    job description are guaranteed an interview.

Driving Licence

   You only need to complete this section if the job requires you to drive. Please check the job description
    or person specification.
Statement in Support of your Application

   This is the most important part of the application form. In this section you must say why it is you want this
    job describing your skills and abilities that you think help to match you against the job description / person
    specification.

Where did you see the advert?

   Please try to remember where you heard about this job, and tick the relevant box. The information you
    give will help us find out how effective our advertising is.

Equal Opportunities Monitoring

   Please note that all details on this section (Part D) will remain totally anonymous. It will be detached from
    the rest of the form as soon as it is received and will remain anonymous.

   As a major employer, NHS Lothian is committed to the promotion of equal opportunities and the
    elimination of discrimination.


Please return completed application forms to:


The Recruitment Centre
St John’s Hospital
Howden Road West
Livingston
EH54 6PP

Email: recruitment@nhslothian.scot.nhs.uk



Please note that if you do not hear from us within six weeks of the closing date, I regret to say that you will
have been unsuccessful on this occasion.
                                        Terms & Conditions

General Overview

The NHS has recently undergone one of the most significant changes in relation to staff grading, pay
and terms and conditions of service, known as Agenda for Change (AFC). Agenda for Change
introduces harmonised NHS Terms and Conditions of Service based on the principle of equal pay for
work of equal value, to ensure a fair system of pay for all NHS employees whilst supporting modernised
working practices.
For further information visit - www.paymodernisation.scot.nhs.uk

It is important to note that some contractual conditions of service remain under review and may change
subject to final agreement.

Pay / Policies

Pay

Pay progression through AFC salary band is by annual increment subject to performance review.

Within each pay band there are 2 gateways: the foundation gateway and the second gateway. The
foundation gateway is applicable to new or promoted staff and applies no later than twelve months after
appointment to the pay band regardless of the pay point to which the person is appointed. The second
gateway follows the foundation gateway and the point at which it applies will vary between pay bands.

Annual Leave & Public Holiday Entitlement

All NHS Lothian employees receive an entitlement to annual leave and public holidays, combined this
gives a total leave entitlement. An employee‟s leave is based on their length of service and hours
worked per week.


 Annual Leave + Public Holidays = Total Leave Entitlement

 On Appointment – 27 days per annum plus 8 public holidays (pro rata)

 After 5 Years Service – 29 days per annum plus 8 public holidays (pro rata)

 After 10 Years Service – 33 days per annum plus 8 public holidays (pro rata)


NB: previous NHS service will count towards entitlement.

NHS Pension Scheme

The NHS provides an occupational pension scheme, membership of which is optional.

The Scheme is currently under review however key provisions include the Scheme being contributory
by the employee and employer and in addition to retrial benefits the Scheme also provides for ill health
retrial, death gratuity, and widow‟s/widower‟s benefits.

 http://www.sppa.gov.uk/pension_reform/documents/NHSRulesandBenefitsComparison.pdf
                                         Workforce Equality Monitoring

NHS Lothian is committed to supporting and promoting dignity at work by creating an inclusive working
environment. We believe that all staff should be able to fulfil their potential in a workplace free from
discrimination and harassment where diverse skills, perspectives and backgrounds are valued.

In order to measure and monitor our performance as an equal opportunities employer, it is important that we
collect, store and analyse data about staff. Personal, confidential information will be collected and used to
help us to understand the make-up of our workforce which will enable us to make comparisons locally,
regionally and nationally.


                                                NHS Lothian

                                 Equal Opportunities Policy Statement

NHS Lothian considers that it has an important role to play as a major employer and provider of services in
Lothian and accepts its obligations both legal and moral by stating commitment to the promotion of equal
opportunities and elimination of discrimination.

The objectives of its policy are that no person or employee receives less favourable treatment on the
grounds of sex, disability, marital status, age, race (including colour, nationality, ethnic or national origin),
creed, sexuality, responsibility for dependants, political party or trade union membership or activity, HIV/AIDS
status or is disadvantaged by conditions or requirements which cannot be shown to be justifiable.

Provision of Services

The organisational objective is to provide equality of access to provision of services through:
 consultation over services to ensure that groups concerned are consulted over existing services and
   changes.
 epidemiological studies, patient satisfaction surveys and qualitative research to ensure that specific
   reference is made to the needs of the groups covered by the policy.

Equal Opportunities in Employment

2.1 Recruitment and Selection
    The organisation aims to ensure that:
 all sections of the community know about job opportunities within NHS Lothian
 where possible, under statutory rules, members of groups who are under-represented in the workforce
    will be encouraged to apply for jobs through positive action programmes;
 everyone who applies or a job or promotion within the organisation will receive fair treatment and will be
    considered solely on ability to do the job against justifiable selection criteria and unbiased personnel
    specification;
 records are kept so that the organisation can monitor how the policy is working. To do this, applicants
    and employees will be asked to provide information for their records. All information will be confidential;
 all procedures and practices used in recruitment and selection are reviewed, to ensure that there is no
    unintended bias.

2.2 Training
    The organisation intends that:
 all its employees, including part time staff, will be advised at induction and regular in-service training that
    they have equal access to training and are encouraged to take advantage of such training;
   all managers and those responsible for appointing staff receive training in the organisational Equal
    Opportunity Policy;
   in-service staff are trained as trainers and external expertise identified in sufficient quantity, quality and
    range to support induction, on-going and update training in Equal Opportunities for all staff;
   the organisation will also work with medical schools and other training agencies to ensure that Equal
    Opportunities training is integrated into courses for health workers.

 2.3 Employment
    The organisation intends that:
 all staff will be protected from discrimination or harassment because of their sex, disability, marital status,
    age, race (including colour, nationality, ethnic or national origin), creed, sexuality, responsibility for
    dependants, political party or trade union membership or activity or HIV/AIDS status;
 staff who discriminate or harass employees on the grounds of any of those factors will face disciplinary
    action;
 staff who, in good faith, have raised or intend to raise a grievance against alleged discrimination or who
    give/intend to give evidence/information in connection with such grievance; must not be treated less
    favourably than other employees;
 all grievances and complaints will be recorded, information on investigations and outcomes to
    supplement monitoring.

2.4 Contractors
The organisation will require contractors to comply with its Equal Opportunities Policy and this will be a
condition of contract.

2.5 General
It should be noted that the organisation‟s Equal Employment Opportunities Policy extends to groups which
are not specifically covered by anti-discrimination legislation. The policy intends that the elimination of
discrimination in the employment field be related to discriminatory actions or omissions which are unlawful,
unfair or inappropriate.

Guidance on unlawful discrimination or unfair discrimination for appointment panels is available from HR
Departments.

The organisational policy does not detract from individual rights.

This policy does not prevent an individual from pursuing contractual rights through the Grievance Procedure
or from pursuing statutory rights through any body which deals with the enforcement of the particular
legislation.

				
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