To assess differentially diagnose and manage complex communication and swallowing breakdown relating to a wide range of conditions. Utilise highly specialist knowledge in line with local policies/protocols and professional guidelines. Provide specialist second opinions on request to other health and social care professionals. Build links with allied agencies across primary and secondary care improving local and regional care pathways across in/outpatient settings. Diagnose, assess, treat and manage complex communication, swallowing, cognitive and emotional impairments. Ensure all patients have opportunities to improve their swallowing/communication function and decrease reliance on enteral feeds and communication aids. Develop a rehabilitation care pathway focussing on education, enablement and empowerment of service users and their carers The post holder will: 3.1 Manage Highly Specialist caseloads ensuring their complex communication and swallowing needs are met safely 3.2 Provide seamless pathway of care with locality services ensuring equitable citywide provision. 3.3 Manage local and regional complex caseloads. 3.4 Plan, coordinate and deliver medical education and training programs for health/social staff, patients, care providers, regional SLTs and students 3.5 Act as patient advocate facilitating communication in order to secure compliance with Mental Capacity Act 3.6 Audit caseloads and provision to measure value of input across this care pathway and evaluate alternative models of provision 3.7 Optimise service provision by balancing provision between specialist Acute and Outpatient clinics