Job summary
Are you passionate about providing high-quality Speech and Language Therapy services to adults in a fast-paced hospital environment? At St Mary's Hospital, part of Imperial College Healthcare NHS Trust, you'll work with a varied and complex caseload, collaborate with expert SLT colleagues and multidisciplinary teams, and benefit from excellent development opportunities.

We have an exciting opportunity to provide specialist assessment and management of patients with complex communication and/or swallowing disorders resulting from acquired neurological, medical and surgical conditions. The post holder will be expected to provide a service to all the acute wards, with a specific remit for the general surgical and Neurosurgical wards, and patients admitted via the North West London (NWL) major trauma pathway. The caseload includes patients with tracheostomy and disorders of consciousness. Clinical support to patients in critical care, and cross-site support to Charing Cross and Hammersmith Hospitals, may also be required according to service need.

The post holder will support the provision of instrumental swallow assessment and will be expected to provide leadership to the acute team, support the development of junior staff, participate in the development of the SLT service, including audit and research, and deliver teaching to other professions as an integrated member of the MDT.

Main duties of the job

• To provide comprehensive and specialist assessment and diagnosis for patients with a range of complex presentations, by utilising advanced clinical reasoning, evidence-based knowledge, analytical skills and specialist assessment techniques.
• To work both independently and within a team structure, demonstrating leadership to manage own and team caseload. To efficiently manage a caseload and organise this effectively with regard to clinical priorities and use of time.
• To formulate and deliver an individualised and specialist care plan / therapy management programme based on evidence-based practice, advanced clinical reasoning skills and a range of specialist treatment options. As a specialist clinician to provide a second opinion where required.
• To support the provision of instrumental assessments on site as clinically appropriate and as required by the service, triaging appropriate patients, under-taking joint assessments, analysis, reporting and feedback.
• To work in collaboration with the MDT to provide an integrated service for patients, participating in joint clinics, ward rounds, multi-disciplinary assessment/treatment, family/ carer support and education, attending regular meetings and case conferences as appropriate.
• To help lead and participate in quality improvement, clinical governance projects, audit and research as required by the Clinical Service Lead.

About us
At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care.

Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You'll get an experience like no other and will fast forward your career. Benefits include career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to Work, car lease schemes, season ticket loan or membership options for onsite leisure facilities.

We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part time or job share. Please talk to us at interview.

Environmental sustainability: Climate change and poor air quality is a health emergency that harms people's health and wellbeing and widens health inequalities. The Trust is also committed to reducing its impact on the environment by reducing our greenhouse gas emissions to Net Zero by 2045. All our employees have a role to play, and we have an active green network that supports staff to act in ways that ensures that our services are efficient, sustainable and reduce our impact on the environment.

Details
Salary: £58,133 to £65,261 a year pa inclusive
Band: Band 7 (Agenda for change)
Contract: Permanent
Working pattern: Full-time
Reference number: 290-MIC-2282
Closing date: 28 October 2026

Essential

• Degree (or equivalent) in Speech and Language Therapy
• State registration with the Health Professions Council
• Evidence of CPD through maintenance of a portfolio, especially in the relevant clinical area
• Significant recent clinical experience in relevant clinical area
• Competency in managing tracheostomised patients
• Level 2A or above FEES competency
• Advanced clinical reasoning and problem solving skills
• Skills in supervision, mentoring and coaching

Desirable

• Membership of the Professional Organisation
• Relevant Postgraduate clinical qualification
• Management skills or leadership training
• Videofluoroscopy competency
• Advanced computer skills for presentation and data analysis

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. Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. Applicants must have current UK professional registration.