Macmillan Specialist Speech and Language Therapist
We are looking for a passionate and motivated Speech and Language Therapist who is committed to making a meaningful difference for people living with head and neck cancer. You will be eager to grow and develop specialist skills within this rewarding role.
This role offers the opportunity to join a well‑established and respected Adult Speech and Language Therapy service, with excellent support at its core. You will also be an integral member of the multidisciplinary Head and Neck Cancer Team. The postholder will be based at Glangwili General Hospital and will provide services across the Hywel Dda University Health Board region. The role will require working at other locations, as necessary, to meet service needs.
Main duties of the job
Contribute to the provision of speech and language therapy for the head and neck cancer population of Hywel Dda University Health Board by providing high quality, efficient and effective speech and language therapy services, within available resources and in accordance with the Registration Codes of HCPC and RCSLT.
Treat, manage and support patients and carers of patients with highly complex communication and swallowing disorders as a consequence of head and neck cancer.
Function independently with a developed level of clinical expertise in dysphagia and acquired communication difficulties to fulfil the core responsibilities identified.
Manage a complex, specialist caseload, independently applying knowledge of advanced management in dysphagia, including knowledge of Videofluoscopic Swallow Study (VFSS), Fibreoptic Endoscopic Evaluation of Swallowing (FEES) and tracheostomy.
About us
Hywel Dda University Health Board plans and provides NHS healthcare services for people living in Carmarthenshire, Ceredigion, Pembrokeshire, and bordering counties. We have over 13,000 staff and together we provide primary, community, in‑hospital, mental health and learning disabilities services. We work in partnership with the three local authorities, as well as public, private and third sector colleagues, including our valued team of volunteers.
Our services are provided in:
* Four main hospitals: Bronglais Hospital in Aberystwyth; Glangwili Hospital in Carmarthen; Prince Philip Hospital in Llanelli; and Withybush Hospital in Haverfordwest
* Five community hospitals: Amman Valley and Llandovery hospitals in Carmarthenshire; Tregaron Hospital in Ceredigion; and Tenby and South Pembrokeshire hospitals in Pembrokeshire
* Two integrated care centres: Aberaeron and Cardigan in Ceredigion, and several other community settings
* 47 general practices (six of which are health board managed practices); dental practices (including four orthodontic); 97 community pharmacies; 43 general ophthalmic practices; and 8 ophthalmic domiciliary providers
* Numerous mental health and learning disabilities services
Job responsibilities
You will be able to find a full job description and person specification attached within the supporting documents.
The Health Board is committed to supporting its staff to fully embrace the need for bilingualism thereby enhancing patient and service user experiences. In our commitment to increase the number of staff who are able to communicate in Welsh with patients and professionals, we welcome applications from Welsh speakers. The ability to communicate in Welsh is desirable for this post. If you do not meet the Welsh Language requirements specified, the Health Board offers a variety of learning options and staff support to help you meet these minimal desirable requirements during the course of your employment with us.
Interviews will be held on 10/02/2026.
Person Specification
Qualifications & Knowledge
Essential
* Degree in Speech and Language Therapy
* HCPC registration
* RCSLT membership
* Successful completion of specialist short courses relevant to area of clinical expertise to postgraduate diploma level.
* Accredited post‑basic dysphagia training
* Knowledge of a wide range of specialist assessment tools and procedures relevant to specialist caseload.
* Knowledge of key characteristics leading to a specialist differential diagnosis relevant to specialist caseload.
* Knowledge of selecting, setting and evaluating specialist treatment goals.
* Knowledge of a specialist range of therapeutic interventions demonstrating the evidence base for these approaches
* Knowledge of multidisciplinary team approaches.
Desirable
* Basic Counselling Skills.
* Well established knowledge of national policies and procedures relevant to area of clinical expertise.
* Basic qualitative and quantitative research approaches.
* Advanced competencies such as tracheostomy, Surgical Voice Restoration, FEES or video fluoroscopy.
* Member of relevant CEN.
Experience
Essential
* Considerable post registration clinical experience relevant to the advertised post/specialist area including supervision of support workers and meeting patient/service user needs through collaborative working with families, carers other professionals and the wider workforce.
Desirable
* Full SLT Student placement, inclusive of assessment.
* Support of junior staff
* Delivery of specialist training to a range of audiences.
* Working with groups.
Other
Essential
* Prepared to work in a variety of sites based upon service need.
* Able to meet the travel requirements of the post in a timely manner
* Flexible approach to work based on work pressures and needs of the service.
* DBS Cleared at enhanced Level.
Desirable
* Welsh Speaker (Level 1)
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 (Opens in a new tab) .
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 (Opens in a new tab) .
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details
Employer name
Hywel Dda University Health Board
Address
Glangwili General Hospital
Dolgwili Road
Carmarthen
SA31 2AF
Employer's website
https://hduhb.nhs.wales/ (Opens in a new tab)
Macmillan Service Lead Speech and Language Therapy
£39,263 to £47,280 a year per annum pro rata
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