Totus Neurorehabilitation Ltd
Specialist Speech and Language Therapist
Totus Neurorehabilitation Ltd, Norwich, New York, United States
Specialist Speech and Language Therapist
Totus Neurorehabilitation is a growing community neurorehabilitation service providing brain injury rehabilitation and cognitive assessments throughout the South West of England and South Wales, and East Anglia. There are currently three teams; Bristol, Exeter (expanding along the south coast) and East Anglia.
We are looking for an enthusiastic and committed Speech and Language Therapist to join our team to cover East Anglia.
We are funded on a case-by-case basis through individual funding packages (eg exceptional healthcare funding, CHC funding). As such the post holder is contracted to individual clients and the working hours will be based on the individual clients requirements. This post would best suit a practitioner working part time in the NHS looking for one or two additional cases a week.
As the post covers a large geographical area, we require you to hold a full UK driving licence, have access to a car for business purposes and are able to travel long distances for appointments. Travel time is paid at half the clinical rate. You will also be partly working from home and will need a confidential space to do online sessions and meetings when needed.
This is an Associate position which means the applicant is self‑employed and contracted to the client. You will be required to register as a sole trader with the HMRC and submit your own tax return yearly. The applicant requires their own indemnity insurance, DBS certificate, and registration with the ICO.
Main duties of the job The post holder will be part of an interdisciplinary rehabilitation team (including Physiotherapists, Psychologists and Occupational Therapists) providing evidence-based brain injury rehabilitation in the community, clients homes, or outpatient clinics.
You will be responsible for managing your own caseload within the team and working across services and systems throughout our clients rehabilitation journeys. You will be able to work collaboratively and creatively with evidence-based approaches, and you will have a keen interest in neurorehabilitation with a desire to develop excellence in the field.
You will have experience in working with clients who have neurological presentations and cognitive deficits, experience of working within complex psychosocial systems, and the confidence engage with the multidisciplinary team in complex case formulation. The post is suitable for experienced clinicians.
About us Totus is a complete neurorehabilitation service, bringing together expert clinicians to support people following acquired brain injury, neurological illness or complex physical trauma. Founded and managed by Clinical Neuropsychologists our multidisciplinary team includes specialists in neuropsychology, occupational therapy, physiotherapy, speech and language therapy, dietetics, and MS support services. We work closely with case managers, solicitors, families and support teams to deliver coordinated, person‑centred rehabilitation that maximises each individuals potential. Our values are based in patient‑led rehabilitation, with a community focus, funded on transparent communication, evidence based treatment, and sustainability of the rehabilitation model. All aimed to promote the quality of life of our clients and their supporters.
Job responsibilities Job Title: Specialist Speech and Language Therapist Community Neurorehabilitation
Hours: Based on the clients individual funding
Reports to: Totus Neurorehabilitation Ltd Directors
Accountable to: Totus Neurorehabilitation Ltd Directors
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 Responsibilities 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 Opportunities 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.
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 actions.
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, 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.
Person Specification Qualifications
Recognised Degree in Speech and Language Therapy
HCPC registration as a Speech and Language Therapist
Member of RCSLT
Completion of advanced post‑registration training e.g., dysphagia, AAC
Participation in relevant Special Interest Groups
Experience
Post‑qualification experience working with adults with acquired neurological conditions
Experience managing a caseload independently
Experience with swallowing assessments and management
Multidisciplinary team working
Experience working in community neurorehabilitation settings
Delivery of training to other professionals or carers
Knowledge, skills and abilities
Detailed knowledge of communication and swallowing disorders in neurological populations
Ability to plan and deliver specialist SLT interventions independently
Strong verbal and written communication skills
Effective time management and caseload prioritisation skills
Awareness of safeguarding, consent, and capacity legislation
Understanding of cognitive‑communication disorders
Use of outcome measures and goal‑setting frameworks e.g., GAS, TOMs
Familiarity with Qunote or other digital clinical records systems
Participation in clinical audits or evaluation work
IT skills and use of digital communication tools in therapy
Personal Qualities
Compassionate and client‑centred approach
Reflective, motivated, and committed to learning
Ability to work autonomously and within a multidisciplinary team
Professional resilience in emotionally challenging work
Car owner or access to independent transport and valid driving licence for community visits
Willingness to travel across regions if necessary for patient home visits or meetings
The post holder must have indemnity insurance, a valid DBS certificate and registration with ICO.
Willingness to adapt to flexible working patterns across localities
Experience working with clients from diverse backgrounds
Engagement in peer supervision or professional networks
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.
£70 an hour travel time is paid at 50% of the hourly rate.
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We are looking for an enthusiastic and committed Speech and Language Therapist to join our team to cover East Anglia.
We are funded on a case-by-case basis through individual funding packages (eg exceptional healthcare funding, CHC funding). As such the post holder is contracted to individual clients and the working hours will be based on the individual clients requirements. This post would best suit a practitioner working part time in the NHS looking for one or two additional cases a week.
As the post covers a large geographical area, we require you to hold a full UK driving licence, have access to a car for business purposes and are able to travel long distances for appointments. Travel time is paid at half the clinical rate. You will also be partly working from home and will need a confidential space to do online sessions and meetings when needed.
This is an Associate position which means the applicant is self‑employed and contracted to the client. You will be required to register as a sole trader with the HMRC and submit your own tax return yearly. The applicant requires their own indemnity insurance, DBS certificate, and registration with the ICO.
Main duties of the job The post holder will be part of an interdisciplinary rehabilitation team (including Physiotherapists, Psychologists and Occupational Therapists) providing evidence-based brain injury rehabilitation in the community, clients homes, or outpatient clinics.
You will be responsible for managing your own caseload within the team and working across services and systems throughout our clients rehabilitation journeys. You will be able to work collaboratively and creatively with evidence-based approaches, and you will have a keen interest in neurorehabilitation with a desire to develop excellence in the field.
You will have experience in working with clients who have neurological presentations and cognitive deficits, experience of working within complex psychosocial systems, and the confidence engage with the multidisciplinary team in complex case formulation. The post is suitable for experienced clinicians.
About us Totus is a complete neurorehabilitation service, bringing together expert clinicians to support people following acquired brain injury, neurological illness or complex physical trauma. Founded and managed by Clinical Neuropsychologists our multidisciplinary team includes specialists in neuropsychology, occupational therapy, physiotherapy, speech and language therapy, dietetics, and MS support services. We work closely with case managers, solicitors, families and support teams to deliver coordinated, person‑centred rehabilitation that maximises each individuals potential. Our values are based in patient‑led rehabilitation, with a community focus, funded on transparent communication, evidence based treatment, and sustainability of the rehabilitation model. All aimed to promote the quality of life of our clients and their supporters.
Job responsibilities Job Title: Specialist Speech and Language Therapist Community Neurorehabilitation
Hours: Based on the clients individual funding
Reports to: Totus Neurorehabilitation Ltd Directors
Accountable to: Totus Neurorehabilitation Ltd Directors
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 Responsibilities 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 Opportunities 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.
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 actions.
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, 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.
Person Specification Qualifications
Recognised Degree in Speech and Language Therapy
HCPC registration as a Speech and Language Therapist
Member of RCSLT
Completion of advanced post‑registration training e.g., dysphagia, AAC
Participation in relevant Special Interest Groups
Experience
Post‑qualification experience working with adults with acquired neurological conditions
Experience managing a caseload independently
Experience with swallowing assessments and management
Multidisciplinary team working
Experience working in community neurorehabilitation settings
Delivery of training to other professionals or carers
Knowledge, skills and abilities
Detailed knowledge of communication and swallowing disorders in neurological populations
Ability to plan and deliver specialist SLT interventions independently
Strong verbal and written communication skills
Effective time management and caseload prioritisation skills
Awareness of safeguarding, consent, and capacity legislation
Understanding of cognitive‑communication disorders
Use of outcome measures and goal‑setting frameworks e.g., GAS, TOMs
Familiarity with Qunote or other digital clinical records systems
Participation in clinical audits or evaluation work
IT skills and use of digital communication tools in therapy
Personal Qualities
Compassionate and client‑centred approach
Reflective, motivated, and committed to learning
Ability to work autonomously and within a multidisciplinary team
Professional resilience in emotionally challenging work
Car owner or access to independent transport and valid driving licence for community visits
Willingness to travel across regions if necessary for patient home visits or meetings
The post holder must have indemnity insurance, a valid DBS certificate and registration with ICO.
Willingness to adapt to flexible working patterns across localities
Experience working with clients from diverse backgrounds
Engagement in peer supervision or professional networks
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.
£70 an hour travel time is paid at 50% of the hourly rate.
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