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Highly Specialist Speech Language Therapist

Guy's and St Thomas' NHS Foundation Trust

London, SE1 7EH £58,133 – £65,261 a year Permanent Posted 28 August 2026 Apply by 13 September 2026

Home Office register entry: Guy's and St. Thomas' NHS Foundation Trust, London

Visa sponsorship

This role is listed by an employer that holds a live Home Office sponsor licence on the Skilled Worker route.

Closest occupation match: SOC 2223, Speech and language therapists. Pay for this occupation is set by national pay scales (NHS bands), so no single Home Office going rate applies.

This occupation falls under the Health and Care Worker route. Public reference figures for that route: the general salary minimum is £25,000 a year, and salaries set by national pay scales (NHS bands) at or above the relevant band rate typically meet the occupation's requirement. Individual eligibility depends on personal circumstances. These figures are public reference information, not advice or a verdict on this job.

Role description

Job summary

We are looking for an experienced paediatric Speech Language Therapist with an interest in acute communication needs and dysphagia, including videofluoroscopy.

The successful candidate will be part of a dynamic, innovative,diverse and friendly team. We promote Equality, Diversity and Inclusion, everyone is welcomed.The Acute Speech and Language Therapy servicesupports patients across the age range, on the wards and in specialist tertiary outpatient clinics. Our aim is to assess and manage the dysphagia andcommunication needs of the patients we work with. This role requires knowledge and skills in paediatric dysphagia/ feeding, complex communication disorders and alternative and augmentative communication. When in post you will be supported to develop your knowledge and skills using competency frameworks e.g. infant feeding, videofluoroscopy and tracheostomy.You will be required to work with acute inpatients and in tertiary outpatient clinics across both hospital sites.

Evelina London Children's Hospital and Royal Brompton Hospital Acute Paediatric Speech and Language Therapy Services are now integrated. We are one service across two sites, with most services based at Evelina London Children's Hospital. Both hospitals sit within Guy's and St Thomas' NHS Trust.

We are currently advertising a number of Band 7 posts in our Acute Paediatric SLT team, both permanent and fixed term. Please complete an application for each individual post that you would like to apply for.

Main duties of the job

The successful candidate will be part of a highly specialised paediatric service, with the majority of the caseload in dysphagia. We have outlined some main responsibilities below. These are further detailed in the job description and personal specifications.

Maintain a good standard of clinical work related to paediatric dysphagia and communication.
Provide assessment and treatment service for infants and children with complex communication, swallowing and feeding issues within the paediatric settings including a range of different children's wards, paediatric intensive care, high dependence unit, wards, and outpatient clinics.
Provide comprehensive evaluation of swallowing including participation in videofluoroscopy clinics.
To actively participate in cross sight peer supervision and line management.
To be flexible to the needs of the whole Speech and Language Therapy service and demonstrate ability to work in other clinical areas as directed by lead clinicians and/or relevant Trust leadership.
To support both SLT students and students from across the wider MDT.

About us

Evelina London Children's Hospital is part of Guy's and St Thomas' NHS Foundation Trust. The hospital provides an extensive range of specialist services for children with rare and complex conditions across south London, Kent, Surrey, Sussex and further afield. The Acute Speech and Language Therapy service supports patients across the age range from newborns to adolescents, on the wards and in specialist tertiary outpatient clinics. Our aim is to assess and manage the dysphagia and communication needs of the patients we work with. We are a large, diverse and supportive team, passionate about what we do. We promote Equality, Diversity and Inclusion, everyone is welcomed.

We can offer you:

Varied and interesting work across multiple specialties
A strategically lead service and a supportive team
Regular access to supervision, line management and a continuing professional development programme.
A laptop to ensure access to trust networks throughout your working day.
Access to health and wellbeing support e.g. sports and social club, Cycle to Work scheme, employee assistance, staff psychology
Links with other Speech and Language Therapy services within Evelina London and Guy's and St Thomas' NHS Trust including: The Royal Brompton Hospital, The South Thames Cleft Service, Hearing Implant Service and Children's Community Service.

Date posted

28 August 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£58,133 to £65,261 a year p.a. inc HCA, pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

196-LIS10772E

Job locations

Evelina London Children's Hospital

London

SE1 7EH

United Kingdom

Job description

Job responsibilities

Please see full job description document for more details

Clinical

To accept high level of clinical responsibility for a paediatric caseload with feeding, swallowing and communication needs across the age range (i.e., infants, children and young people).

To assess, differentially diagnose, interpret results, treat, manage and measure outcomes in children in the context of a variety of settings e.g. ward rounds and case meetings.

To provide high-level specialist knowledge in the selection, application and interpretation of formal and objective investigations and assessments.

To participate in videofluoroscopy swallow study clinics.

To independently use appropriate assessments relevant to managing the feeding/swallowing difficulties associated with complex ENT conditions including tracheostomy.

To independently use assessments relevant to the acquired communication disorders and communication difficulties associated with complex needs, including tracheostomy.

To identify the need for further assessment, opinion and ongoing care e.g. refer to other hospital disciplines, tertiary clinics, and community speech and language therapy services.

To provide high level specialist advice by devising and demonstrating therapy programmes.

To provide advice on Alternative and Augmentative (AAC) options (low and high tech).

To ensure that children and parents/ carers are able to express their views and opinions and are involved in the planning and prioritisation of their childs care plans wherever possible.

To manage any conflict or distress arising from unwelcome news, discussing these within the clinical supervision systems or with the Clinical Specialist/ Team Lead.

To organise the caseload effectively and efficiently with regard to clinical priorities and use of time.

To counsel and advise children, parents/ caregivers regarding the emotive and ethical impact of their childs diagnosis and feeding, swallowing and communication difficulties e.g. palliative care, quality of life, poor long term outcomes.

To give specialist clinical advice both within the Trust and to external agencies e.g. community speech and language therapy services, school nurses, health visitors, occupational therapists, physiotherapists, play specialists, clinical nurse specialists, psychologists.

To contribute to team working practices.

To provide second onions in specialist field to other speech and language therapists with regard to feeding and communication difficulties.

To develop and maintain links with non statutory organisations and professional bodies relevant to the clinical specialties of the post. (E.g. Paediatric Dysphagia CEN, Communication Matters, Royal College of Speech and Language Therapists).

To collaborate with other professionals and specialist centres.

To take due regard for cultural and linguistic differences in the delivery of care.

To write comprehensive discharge reports to be shared with families and professionals.

Person Specification

Knowledge and Skills

Essential

Highly specialist assessment and management of paediatric feeding/swallowing and acute onset communication difficulties, seeking advice where appropriate (including use of videofluoroscopy swallow study)
Use knowledge to inform sound clinical judgements and decision-making for complex cases
Apply an evidenced based practice approach to clinical cases
Ability to reflect on own practice and identify strengths and development needs
Relevant assessment and therapeutic interventions and an ability to compare relative benefits underpinned by evidence based practice i.e. dysphagia and acute onset communication impairment including videofluoroscopy

Previous Experience

Essential

Management of dysphagia across the paediatric age range
Management of communication disorders arising from a wide range of aetiologies e.g. neurological disease
Participation in videofluoroscopy swallow study in dysphagia management
Caseload management and prioritisation in a tertiary acute setting
Management of feeding and dysphagia in infants/ neonates

Qualifications/ Education

Essential

Evidence of Masters or equivalent level of specialist training
Intermediate dysphagia course or equivalent
Health Care Professions Council- license to practice

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.

Certificate of Sponsorship

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. For further information visit the UK Visas and Immigration website.

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.