Contributes to audit, research and developments in the clinical field and service as directed by service leads. Provides advice in relation to care of clients with specific communication and swallowing needs to the multi-disciplinary team. Provides both direct and indirect intervention, consultation, advice and support; working within a multi-disciplinary model to a complex caseload in order to ensure that the inter-agency needs of clients are met, seeking highly specialist support and second opinions from senior clinical leads for the most complex patients. Promotes, supports and integrates the Royal College of Speech and Language Therapists guidance and standards into all clinical work. Actively participates and supports MDT intervention by regularly attending patient MDT meetings and clinical reviews. Liaises both orally and in writing with any significant others involved in the management of the client, within and outside the NHS, to ensure the clients needs are met effectively and efficiently. Functions as a fully integrated multi-disciplinary team member supporting and facilitating communication within the therapeutic process including MDT clinical formulation and reflective practice Provides specific communication and/or dysphagia training alongside more senior colleagues to the MDT, the patient and their environment as part of clinical intervention.