Download brain injury rehabilitation trust (birt)

JOB DESCRIPTION
POSITION:
Specialist Speech & Language Therapist
For Adult Traumatic Brain Injury with
Challenging Behaviours
REPORTS TO:
Service Manager
LOCATION:
Fen House
JOB PURPOSE
The role is to act as an integral member of an interdisciplinary team within
Fen House, part of the Brain Injury Rehabilitation Trust. Responsibility will be
to act as lead specialist to individual clients who have sustained either an
acquired and/or traumatic brain injury. To assess, diagnose and generate
individualised, client-centred management plans that address the clients
cognitive, behavioural, speech, language, communication, voice and
swallowing difficulties as a result of their injury. To participate in a
neurobehavioural, social model approach to client care and to function
independently as part of their role.
RESPONSIBILITY FOR CLIENT CARE
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To work independently in a variety of settings using a multidisciplinary
and interdisciplinary client centred approach.
To independently assess, differentially diagnose and develop and
implement specialist care programmes for clients with complex
communication and/or swallowing needs following stroke and/or
acquired/traumatic brain injury.
To provide clinical advice to others regarding the management and
care of clients with speech/language/communication/voice and/or
feeding and swallowing difficulties.
To demonstrate clinical effectiveness by use of evidence based
practice and outcome measures.
The Brain Injury Rehabilitation Trust is a division of The Disabilities Trust, registered charity number 800797, and the
means by which The Disabilities Trust provides its brain injury services.
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To be responsible for the Speech and Language Therapy components
of integrated programmes provided by the interdisciplinary team
including the generation implementation and management of goals.
To generate and implement specialised communication and
behavioural guidelines following the neurobehavioural model for most
of the clients. These are regularly discussed and monitored with the
multidisciplinary team and Rehabilitation Support Workers and
reviewed on a regular basis according to each individual client.
To safely deal with verbal and physical aggression and complete all
behavioural recordings associated with each individual client.
To manage clients with challenging, socially inappropriate and/or self
injurious behaviours which can be unpredictable and aggressive and
closely liaise with the multidisciplinary team in formulating appropriate
management strategies.
To liaise with and act in partnership with other professionals and as
part of the multidisciplinary team to ensure a well co-ordinated plan.
To ensure effective and sensitive communication of assessment results
to clients, carers, families, the multidisciplinary team and interagency
professionals within clinical team meetings, funding reviews and
individual sessions.
To liaise with and work closely with clients, carers and their families to
establish appropriate client centred, functional and context-specific
goals and management plan based on their assessment results.
To demonstrate empathy with clients and demonstrate effective
communication with clients who have difficulties understanding and
talking as a result of their injury.
To provide frequent emotional support to distressed clients and their
families in close liaison with the clinical psychologist.
To work with and closely liaise with the clinical psychologist in the
implementation of plans that are highly sensitive and distressing to
clients.
To write specialised reports that detail not only assessment results but
also a short and long term management plan for the client.
To use specialist knowledge to inform clinical judgement and
independently manage a complex and highly specialised caseload.
To ensure that clients provide consent to all interventions.
To respect client confidentiality at all times.
To make sensitive decisions as to whether it is appropriate to set
further targets or end intervention.
To recognise when clients need to be referred onto other professionals
and agencies as appropriate.
The Brain Injury Rehabilitation Trust is a division of The Disabilities Trust, registered charity number 800797, and the
means by which The Disabilities Trust provides its brain injury services.
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To provide regular functional and context-specific therapy to clients
within the clinical setting and within the community in order to facilitate
awareness of insight of difficulties and to assist generalisation of skills
learnt.
To demonstrate excellent negotiation skills in managing conflict within
the organisation and provide support as appropriate.
To co-ordinate and participate in the clinical training and supervision of
Speech and Language Therapy students including final year
assessment placements.
To be responsible for the training and support of Speech and
Language Therapy Assistants and/or Rehabilitation Support Workers
who will be conducting and implementing Speech Therapy plans with
the clients.
To work closely with the multi-disciplinary team in delivering services to
clients with cognitive-communication difficulties and to provide
information related to leisure and/or vocational pursuits for individual
clients.
To act as clinical keyworker and clinical lead for individual clients
including liaising with families, carers, PCT, Social Services and other
funding agencies as well as co-ordinating and monitoring the clients
overall progress in achieving their behavioural and other discipline
specific goals and chairing funding reviews for the client.
To liaise closely with the Occupational Therapist to jointly assist in
setting up vocational placements for clients. To jointly assess and
review those placements where appropriate.
To be involved in the development and continuation of regular brain
injury education evenings to families and carers.
To be responsible for regular training and support to the Rehabilitation
Support Workers about Speech and Language Therapy and other
topics relating to individual clients and their goals.
To support staff and provide an environment in which to model and
demonstrate appropriate behaviours by regular meal eating with the
clients throughout the week.
To ensure manual handling regulations and restraining policies and
procedures are adhered to and safe positioning of safety and others is
ensured.
To work within infection control and health and safety guidelines in
order to maintain safety to the professional and client.
The Brain Injury Rehabilitation Trust is a division of The Disabilities Trust, registered charity number 800797, and the
means by which The Disabilities Trust provides its brain injury services.
RESPONSIBILITY FOR POLICY AND SERVICE
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To provide leadership for an effective Speech & Language Therapy
brain injury service within Fen House.
To advise the Service Manager on issues of Fen House Speech &
Language therapy service provision and service delivery including
pressures and changes to current work practice.
To evaluate own service delivery and provide progress reports and
updates to the Service Manager and other Speech and Language
Therapists within the local network.
To resolve informal complaints and formulate responses to more formal
complaints where necessary.
Provide regular support to staff at lunch times through working with the
clients during this time.
In collaboration with members of the multidisciplinary team, develop
quality standards and audit measures to monitor the current Speech
and Language Therapy service to clients.
Be involved in regularly assessing differing Speech and Language
Therapy service delivery models being utilised based on current
research.
To collaborate in audit activities and analysis of outcome measures
that measure client’s progress.
To maintain accurate records of all client’s consultations and related
work carried out at each clinical session, including computerised data
collection.
To keep up to date and apply relevant evidenced-based research
findings into current practice.
To contribute to multidisciplinary and interagency service and policy
developments relating to client care and assume lead where
appropriate.
To facilitate and participate in peer supervision at a local level with
Speech and Language Therapists and at the national level with Speech
and Language Therapists within the Brain Injury Rehabilitation Trust.
To demonstrate a working knowledge of BIRT policies and procedures
including working with vulnerable adults and other legal frameworks.
To implement RCSLT Clinical Guidelines and Communicating Quality-3
in practice and other evidence based research.
The Brain Injury Rehabilitation Trust is a division of The Disabilities Trust, registered charity number 800797, and the
means by which The Disabilities Trust provides its brain injury services.
RESPONSIBILITY FOR PLANNING & ORGANISATION
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To be able to independently manage own time including both clinical
and professional requirements.
To be able to independently reflect on practice and identify own
strengths and weaknesses in order to facilitate change within self and
practice.
Be accountable for professional actions and seek appropriate
professional support and advice where needed.
To be independent and be able to work in a timely and efficient manner
without direct clinical supervision.
To independently manage and prioritise own highly complex caseload,
informing the Service Manager of any significant changes directly
affecting clinical input to clients.
To be responsible for own administrative work including typing reports,
clinical guidelines and assessments.
RESPONSIBILITY FOR FINANCIAL AND PHYSICAL RESOURCES
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To be responsible for a Speech and Language Therapy budget for
delivering therapeutic services to clients within the community.
To maintain the equipment inventory within the area of Speech and
Language Therapy and inform the Service Manager of any
replacement needs.
To be responsible for the security, care and maintenance of equipment
including equipment loaned to clients and staff within the unit.
To identify future equipment and resource requirements and inform
Service Manager of these.
To continue to develop both clinical and professional resources that are
appropriate to clients and Fen House.
RESPONSBILITY FOR HUMAN RESOURCES
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To facilitate the development of others problem solving/negotiation
skills within a peer review/support context, CPD and appraisal.
To assist in the recruitment of new staff and ensure appropriate
induction is provided with Fen House and regional units where
appropriate.
To identify training needs and develop a programme of training for the
Fen House SLT service.
To develop reflective practice in Fen House SLT service.
The Brain Injury Rehabilitation Trust is a division of The Disabilities Trust, registered charity number 800797, and the
means by which The Disabilities Trust provides its brain injury services.
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To take SLT and other professional students for observational
placements as requested.
To take SLT students for clinical placements, including assessment of
the placement, as appropriate.
To explain the role of SLT to professional groups, other bodies, visitors,
students and volunteers.
To contribute to the teaching and development of Speech and
Language Therapy assistants, students and volunteers.
To supervise the work of assistants and volunteers and provide
support.
To provide mentoring, advice and support for external SLT’s when
required.
To coordinate support of students from other professions as
appropriate.
RESPONSBILITY FOR RESEARCH AND DEVELOPMENT
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To maintain State Registration with the Health Professions Council
(HPC).
To adhere to the Code of Practice set down by the Royal College of
Speech & Language Therapists and BIRT organisational policies and
procedures.
To actively and independently participate in continuing professional
development to develop and maintain current clinical skills.
To fulfil CPD requirements identified through the Health Professions
Council and Royal College of Speech & Language Therapists.
To be independent in seeking out and participating in training and
courses relating to Speech and Language Therapy or related work
within the BIRT organisation and/or externally to BIRT.
To initiate, design and implement research, clinical audits and/or
projects that will improve current Speech and Language Therapy
practice.
To attend mandatory training.
COMMUNICATIONS AND WORKING RELATIONSHIPS
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Clients, family members and carers.
Local Speech and Language Therapy teams within Cambridgeshire an
Suffolk as well as therapists who refer clients to the service.
Physiotherapists.
Occupational Therapist.
The Brain Injury Rehabilitation Trust is a division of The Disabilities Trust, registered charity number 800797, and the
means by which The Disabilities Trust provides its brain injury services.
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Dieticians.
Clinical
Psychologists,
Neuropsychologists
and
Assistant
Psychologists.
Psychiatrists.
Care workers within the public, private and voluntary sectors.
Medical team including consultants, registrars, GPs and SHOs.
Ancillary staff.
Speech and Language Therapists through interest groups and training
workshops.
Students both Speech & Language Therapy and other disciplines.
Senior Managers.
Vocational Rehabilitation Organisations and staff.
Rehabilitation Support Staff
Volunteers.
Social Workers and Representative of the PCT.
The Brain Injury Rehabilitation Trust is a division of The Disabilities Trust, registered charity number 800797, and the
means by which The Disabilities Trust provides its brain injury services.