Speech and Langauge Therapist

Posting date:	10 May 2026
Salary:	£70.00 per hour
Additional salary information:	£70.00 an hour
Hours:	Full time
Closing date:	01 July 2026
Location:	Bristol, BS20 6AJ
Company:	NHS Jobs
Job type:	Permanent
Job reference:	E0475-26-0004

Summary

JOB DESCRIPTION Job Title: Specialist Speech and Language Therapist Community Neurorehabilitation Location: Community-based eg home visits, remote support Hours: Based on the clients individual funding Reports to: Totus Neurorehabilitation Ltd Directors Accountable to: Totus Neurorehabilitation Ltd Directors Job Summary The post holder will have their working base at home and will provide Speech and Language assessment and rehabilitation services to clients with acquired and traumatic brain injury, and neurological conditions, in the clients own homes, in the community, or at a designated clinic room. The post holder will work in an interservice context across several systems including the patient and family, case managers, legal services, allied health professionals both within and external to Totus, and with the NHS and statutory services. The post holder will be supported by the Totus Neurorehabilitation Ltd Directors to provide a comprehensive and specialist Speech and Language Therapy service to adults with acquired neurological conditions e.g., stroke, traumatic brain injury, Parkinsons disease, as part of a community-based multidisciplinary team. The post holder will work autonomously to assess, diagnose, and manage individuals with communication and/or swallowing difficulties, contributing to holistic, goal-focused rehabilitation plans. Key ResponsibilitiesKnowledge and Training The post holder is required to hold a degree in Speech and Language Therapy. The post holder must be registered as a Speech and Language Therapist with the Health Care Professions Council and be a member of RCSLT. The post holder must undertake the mandatory Continuing Professional Development hours specified by the RCSLT/HCPC, and must seek and obtain supervision from senior professional colleagues, in order to maintain advanced specialist skills. Clinical Duties Manage a defined caseload of adults with complex speech, language, communication, and swallowing needs. Conduct detailed and specialist assessments using formal and informal tools. Develop and deliver personalised, evidence-based treatment plans. Evaluate outcomes using recognised measures and adjust therapy accordingly. Provide therapy in a range of settings including clients own home, residential settings and remotely. Support clients and families with communication strategies and dysphagia management. Complete risk assessments and ensure appropriate safety measures are in place. Provide education to clients, family members and care teams on the clients needs and strategies. Write comprehensive and detailed reports to summarise needs and treatment progress. Write comprehensive and detailed goal plans alongside the MDT. Communication Skills Skills in communicating sensitive and distressing information to patients and families are required. The capacity to summarise and interpret highly complex and sensitive data and write concise, accurate and readily understood reports and file notes that communicate the findings of the assessment and treatment progress. IT skills to use the internet, Microsoft Word, Excel, and Access, Gmail, library / literature search engines, and cloud based software. Multidisciplinary Working Contribute to regular MDT case reviews and collaborative goal setting. Work collaboratively with OTs, PTs, Psychologists, dieticians, Case Managers, Carers and Support Workers. Liaise with GPs, case managers, social care teams, families, carers, and other external agencies. Supervision, Training and Support Offer advice and second opinions on complex cases within scope of competence. Deliver training to MDT colleagues and external stakeholders when appropriate. Participate in peer review, clinical supervision, and reflective practice. Clinical Governance and Service Development Ensure all practice complies with professional guidelines. Maintain high-quality, accurate clinical records in line with HCPC and RCSLT standards. Participate in data collection for quality improvement. Notify the Totus Directors on the requirement and development of clinical protocols and pathways. Follow all clinical policies including safeguarding, risk, and infection control policies. Identify and report risks or safeguarding concerns appropriately. Key Relationships Clients and their families/carers Multidisciplinary team e.g., OTs, PTs, Psychologists, Nurses GPs, community services, social care, Case Managers, Solicitors, and voluntary agencies Working Conditions The post holder will work primarily from home, but will be required to visit patients homes to conduct assessment and interventions. Clinic rooms may also be utilised as appropriate. The post holder will be required to drive for up to 1.5 hours at a time, and often up to 4 hours in a day. There is a frequent requirement for VDU and computer use, of varying times depending on the demands on the service. The post holder is required to concentrate intensely for prolonged periods during individual assessment and family interviews, sometimes with challenging and emotional individuals on a one-to-one basis. There may be some patients requiring assessment who are confused and agitated, potentially aggressive. Person Specification Summary Recognised SLT degree and HCPC registration Evidence of post-qualification experience in adult neurology and dysphagia Skilled in delivering complex assessments and interventions Ability to work independently while contributing to a team approach Strong communication, organisation, and clinical reasoning skills Commitment to CPD, supervision, and reflective practice Health and Safety, Confidentiality and Equal OpportunitiesHEALTH AND SAFETY/SECURITY It is the duty of every therapist to work in such a way that accidents to themselves and to others are avoided, and to co-operate in maintaining their place of work in a tidy and safe condition, thereby minimising risk. It is each persons responsibility to ensure a secure environment and bring any breaches of security to the attention of the Totus Directors. NON-SMOKING POLICY Totus Neurorehabilitation Ltd operates a Non-Smoking Policy which limits smoking in the workplace. Therapists are required to observe the rules laid down in the policy and failure to do so may result in disciplinary being taken. EQUAL OPPORTUNITIES Totus Neurorehabilitation Ltd has given its full commitment to the adoption and promotion of the key principles of equal opportunities contained within current legislation and the Totus Equal Opportunities Policy. All staff hold personal responsibility for the application of this policy on a day-to-day basis and should not undertake any acts of discriminatory practice during the course of their employment. Similarly, all staff have a responsibility to highlight any potentially discriminatory practice to the Directors and their supervisors. Confidentiality In the course of your duties you may have access to confidential material about patients, members of staff or other health service business. On no account must information relating to identifiable patients be divulged to anyone other than authorised persons, for example, medical, nursing or other professional staff, as appropriate, who are concerned directly with the care, diagnosis and /or treatment of the patient. If you are in any doubt whatsoever as to the authority of a person or body asking for information of this nature, you must seek advice from the Totus Directors. Similarly, no information of a personal or confidential nature concerning individual members of staff should be divulged to anyone without the proper authority having first been given. Failure to observe these rules will be regarded by management as serious or gross misconduct which could result in disciplinary action being taken against you. This job description will be subject to review with the post holder to ensure it continues to reflect the requirements of the role.