speech and language therapy gloucestershire

Gloucestershire's Leading Independent Speech and Language Therapy Service​

“Our aim is to provide high quality, timely intervention tailored to the individual needs of the child and the family. Current best practice procedures and guidelines are followed at all times. We strongly believe all children can reach their true potential when offered the right opportunity.”

Gestalt Language Processors Conference 2024

The Speech Den is very excited to host an online GLP conference in 2024.

This is the first of it’s kind and has the most incredible line up of Internationally renowned speakers.

We offer a client centred holistic Speech and Language Therapy Service which can be arranged in schools, colleges, nurseries, pre-schools, your child’s home or at The Speech Den . Covering Gloucestershire, Worcestershire, Warwickshire & Oxfordshire , our service aims to meet the needs of each individual student and our approach is nurturing, reassuring and always honest. We offer support for children and young people with speech and language difficulties of all ages aged 0 – 25 yrs. We are committed to both supporting and promoting neurodiversity affirming practices. We support both adults and children with auditory processing needs from 2-99. Our aim is to support and develop the individual’s self confidence and self esteem whilst aiding their ability to reach their full potential.

Speech and Language Therapy - students / parents / carers

Speech and Language Therapy in Early Years Setting

Speech and Language Therapy in Schools

Contacting The Speech Den:

Telephone enquiries: 07876 537213 or 01242 539016

Email enquiries: [email protected]

Supporting Talking

Children's Speech & Language Therapy Services

Trusted Independent Speech & Language Therapy in Gloucestershire

“We pride ourselves on offering high quality and effective speech and language therapy, tailored to the individual needs of the child and the family. We nurture each child’s unique abilities and learning style to help them reach their true potential” Nicola Holmes, Owner of Supporting Talking

We offer client centred, specialist Speech and Language Therapy Services for children with speech, language communication difficulties.

Our Services

We offer specialist assessment, advice and speech and language therapy for children of all ages across Gloucestershire and surrounding areas.

Just want advice for your late talker?

We have a website dedicated to top tips, activities and resources to support early communication

Our Therapists

Our therapists are registered with the Royal College of Speech & Language Therapists (RCSLT), The Health and Care Professions Council (HCPC) and The Association of Speech & Language Therapists in Independent Practice (ASLTIP). We all hold current Advanced DBS checks.

Founded in 2011 by Nicola Holmes, Supporting Talking is a trusted, reputable Independent Speech & Language Therapy Practice.

Do you have questions about speech and language development or the services we offer?

[email protected]

07765 256434

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NHS Children's Speech and Language Therapy

Local Offer

Children's Speech and Language Therapy provides assessment, advice and treatment for children and young people with speech, language, communication, feeding and swallowing difficulties. There is open referral to this service - parents can refer directly. Other professionals - from health, education or social care - can refer, providing they have parental consent. The service is provided in a variety of settings (health centres, schools, children's centres, children's homes, etc.) as seems most appropriate for the child and its family.

Who to contact

Where to go.

GL51 0LG Get directions to GL51 0LG

Get directions to GL51 0LG using Google maps

Availability.

Children can be referred to the service by their parents or by another health or educational professional with the parent's permission. 

For children with feeding/swallowing difficulties the child's GP will be informed of the referral.

For children referred because of voice difficulties, an Ear Nose and Throat (ENT) referral may be required.

We aim to provide an effective, safe, high quality service along with its partners and skilled workforce, involving and enabling children, young people and their families to overcome barriers to communicating or eating and drinking.

Speech and language therapists are qualified professionals with an in-depth knowledge of difficulties with communication (understand & using spoken language and social communication skills) and eating & drinking disorders.

The service provides assessment, advice and treatment planned around the invidual needs of the child & family.  Advice, training and support may also be provided to teaching & support staff or other professionals as appropriate, to facilitate the development of communication skills.

SEND Local Offer Form

Colleagues undertake regular training to support SEND processes and work with children with SEND needs.

• Alternative Communication
• Autistic Spectrum Disorders
• Complex Medical/Physical Needs
• Challenging Behaviours

Staff have experience of working with children and young people with the following disabilities/additional needs.

Developmental language disorder

Alternative  and Augmentative Communication (AAC)

Neurodiversity

Ongoing Medical/Physical Needs

Eating and drinking

Speech sound disorders

Hearing impairment

Cleft lip and palate

Practitioner Information

This information is intended solely for the use of practitioners within the children and young people's workforce in Gloucestershire. Please do not share information within this section with others.

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• Children's Speech and Language Therapy - Local Offer Information August 2014

Last Updated

Last updated: 27/09/2024

COTSWOLD SPEECH & LANGUAGE THERAPY

[email protected]

Girl and therapist

Girl building blocks

Kids reading

“Helping all children reach their speech, language and communication potential”

Cotswold Speech and Language Therapy are a sympathetic and dynamic team of therapists serving Gloucestershire, Wiltshire, and Oxfordshire. 

We have many years of experience in working with children, families and education settings.  We always strive for excellence and aim to provide a friendly, yet professional service to meet the varied and individual needs of the children on our caseloads.

How we work

Our philosophy is to provide interventions that are purposeful, relevant, and fun so that they can make a real difference in the lives of the children and families we work with.

We offer bespoke packages of support which will vary from child to child depending on their individual needs and interests.  We work flexibly to offer services in the best environment for the child and are happy to offer sessions in family homes, nurseries, preschools, and school settings.  We work with parents, educators, and other professionals to empower them to support children and young people with speech, language, and communication needs, helping them to achieve their potential. We can also work directly with schools and education settings to provide whole-school support ranging from assessment and advice to regular individual or group therapy sessions.

We have strong links with our colleagues in the NHS and are always keen to work collaboratively with a range of other health, education, and care professionals to ensure our support is co-ordinated and child-centered.

We are currently able to work with children in the following areas and surrounding towns/villages :

Cheltenham . Gloucester . Swindon . Fairford . Cirencester . Stroud . North Cotswolds . South Cotswolds . West Oxfordshire

  Parents & Carers

For Schools

Client Testimonial

Laura is brilliant with my son. She is so patient with him and has always taken the time to adapt her approach to suit his learning style. He is also under the NHS but all the advances he has made have been solely down to Laura and the unique approach she has taken to get to know him and what his preferences are.  He can be quite stubborn yet she is so incredibly kind and patient with him. Without a doubt, if it weren’t for Laura he would not have progressed as he has and we are extremely grateful and thankful that she was recommended to us.  We hand down recommend Laura for a sympathetic and understanding approach to therapy.

​— parent of a child with language delay

Good Communication Speech & Language Therapy in Gloucestershire and surrounding areas

Speech and Language Therapy

Welcome to Good Communication

Welcome to our website

We are dedicated to providing high quality Speech & Language Therapy * services to schools and colleges for children and young adults coping with social, communication, and learning difficulties including Autism, Asperger's Syndrome, ADHD, and Down's Syndrome.

We can also provide Speech & Language therapy for children, young & middle aged adults usually in their own home.

We look forward to working with you.

in Gloucestershire and surrounding areas

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* Note:  Speech & Language Therapy used to be known simply as “Speech Therapy”, but the profession’s title was changed to reflect the wider communication therapy undertaken nowadays by a Speech & Language therapist, (formerly “Speech Therapist”), which includes work on written communication, sign language, body language, use of symbols, (eg WIDGIT), and social use of language.  The terms “Speech & Language therapy”, “Speech Therapy”, “Speech & Language therapist”, “Speech Therapist” all refer to the same clinical profession.  Speech & Language Therapy and Speech & Language Therapist are now professional titles registered and protected by the Health & Care Professions Council,  

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Speech and Language Therapy

Gloucestershire royal hospital.

0300 422 8105

Our therapists offer assessment and treatment of communication and swallowing difficulties in adults.

We assess communication and/or swallowing difficulties at an outpatient appointment and work closely with patients and their families or carers to provide advice or treatment as appropriate. We offer clinics at a range of locations throughout the county.

Treatments offered include:

• voice therapy
• aids to help with communication
• communication/swallowing after stroke
• communication/swallowing after a head injury
• communication/swallowing associated with long term neurological conditions such as Parkinson's Disease or Motor Neurone Disease
• communication/swallowing after cancer of the head and neck
• videofluroscopy – This is an x-ray which allows the Speech and Language Therapist to view a patient's swallow, to assess the severity of the difficulty; strategies may also be recommended to manage it. Videofluoroscopy may be requested whilst the patient is an in hospital, or it can be arranged as an out-patient appointment
• Voice Clinic - a specialist clinic where video or photographs are taken of the larynx to help with treatment planning.

Useful links

• Royal College of Speech and Language Therapists support speech and language therapists by providing leadership, setting professional standards, facilitating research and promoting better education and training.
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Speech and language therapy for children

The Speech and Language Therapy Team works with families of children aged 0-19 years of age across South Gloucestershire. 

We provide advice, assessment and therapy to children and young people with speech, language and communication needs and/or with eating, drinking and swallowing difficulties.

We offer direct support to children referred into the service with:

• Significant Language Delay
• Developmental Language Disorder
• Speech sound difficulties
• Dysphagia (swallowing disorders)
• Alternative and Augmentative Communication needs (e.g., using communication charts or books or technology, such as an iPad, as a communication system)
• Communication needs associated with complex medical conditions or acquired brain injury. 

Direct support may be in the form of advice, assessment, or therapy, as appropriate.  Children and young people referred to the service are offered an appointment within 18 weeks of receipt of the referral.  Priority is given to children and young people with severe dysphagia, who are offered an appointment within four weeks of receipt of the referral. 

How to access

Children may be seen individually or in groups by a Speech and Language Therapist or a programme of work may be devised by the Speech & Language Therapist and then delivered by education-setting staff and parents (under the direction of the therapist).

If your child is 0-4 years of age, please access the Early Years SLT department website for further information on how to refer: Making a referral – Children and Young People’s Services (sirona-cic.org.uk)

If your child is 5-19 years of age, please access the School-Age SLT department webpage for further information on how to refer: Making a referral to our team – Children and Young People’s Services (sirona-cic.org.uk)

More details are available on our Speech, language and communication needs (SLCN)  article  on the local offer. 

Local Offer Information

If you have any concerns about your child’s speech and language development, you can contact the Speech and Language Therapy Service in the following ways:

Visit the Sirona care & health’s Children’s Service Website: Children and Young People’s Services – Providing NHS and Local Authority funded children's community services for Bristol, North Somerset and South Gloucestershire (sirona-cic.org.uk)

Here is a link to the Early years ( pre school) page: Early Years Speech & Language Therapy – Children and Young People’s Services (sirona-cic.org.uk)

Here is a link to the School age page: School Age Speech and Language Therapy Service – Children and Young People’s Services (sirona-cic.org.uk)

Here is a link to the Autism Assessment Service pages: Autism Spectrum Assessment Service – Children and Young People’s Services (sirona-cic.org.uk)

Early Years Telephone Advice Line

A telephone drop in line for anyone with a child aged between 0-4 to talk about their child’s speech and language development.

Telephone:  0300 125 5139 This line operates every Wednesday between 9.30am -12noon

School Age Service

All local state schools and academies have a Link SLT. They are the point of contact for any SLT concerns. This includes the Special Schools and Units. Your school SENCo (Special Educational Needs Coordinator) will have their contact details or you can call the Speech and Language Therapy Advice Line or  email the Speech and Language Therapy Service team  to find these out. 

School age Telephone Advice Line: 0300 125 5140. This line operates every Wednesday morning 9am – 12noon.

Email the Speech and Language Therapy Service team  with your query and someone will reply with information about what to do next.

Training for parents 

Our training team are involved in delivering courses to both parents and education staff across Early Years and School Age. Information is available on the website pages – see links above.  

Contact details

This line operates every Wendesday between 9:30am - 12:30pm (all year round) and Mondays 9:30am - 11:00am (term-time only).

Get directions to using Google maps

07986 042927

Blossom Speech and Language Therapy

[email protected]

Blossom Speech and Language Therapy Kirsten Daniels Independent Children's Speech and Language Therapist

Providing care across North Gloucestershire and South Worcestershire.

I am an experienced and passionate Children's Speech and Language Therapist and I strive to provide the best possible care to every child and family I work with .

Contact me for help and advice to support your child's communication and / or eating and drinking skills.

Blossom SLT provides assessment and therapy for children experiencing difficulties with:

social communication skills

understanding of language

speech sounds

eating and drinking

I work with children and their families in their own homes or in their educational settings with key workers and teaching staff.

All therapy is personalised and tailored for each individual child and family to try to help each child reach their maximum potential. 

MY SERVICES

Individualised care for your child

ASSESSMENT OF SPEECH AND LANGUAGE

Initial free telephone consultation to discuss your immediate concerns and take a case history.

Assessment of your child's communication skills in their home or education setting. This may be through observation of your child in play, informal assessment tasks or more formal methods.

Report with advice and goals.

Charge: £120

(£150 for more detailed report)

ASSESSMENT OF EATING AND DRINKING

Assessment of your child's eating and drinking skills at a mealtime in their home or education setting. 

Therapy sessions are planned to be lots of fun!

Each therapy session will be planned to support your child with reaching their speech and language therapy goals.

Charge: £60 per session 

BESPOKE PACKAGES FOR NURSERIES AND SCHOOLS 

Staff training available on various different speech and language topics.

Support with  setting up and running therapy groups and implementing whole setting strategies to support children with speech, language and communication needs.

Contact me to discuss the needs of your setting.

Half day package: from £150

I qualified as a Speech and Language Therapist in 2008 from the University of Reading and have worked within NHS services for 14 years. I have experience of working with children from 6 months to 16 years of age with a range of speech, language and communication needs and eating and drinking difficulties. 

My work has included assessment and therapy with children and their families as well as nurseries, mainstream schools and special schools to help ensure each child's needs are understood and well supported to help each child reach their full potential.

I am passionate about communication and eating and drinking and I provide personalised care to meet the needs of each child and their family. 

As a Mum of 2 myself, I can appreciate how worrying it can be if your child is struggling to communicate or having problems with their feeding.  My approach is always to consider each child as an individual in the context of their own family to ensure strategies and therapy are practical and useful.

Contact me today to discuss how I can practically help support you to help your child with their speech and language or eating and drinking. 

Thanks for submitting!

South West Speech Therapy

Supporting you to achieve your speech and language goals, therapy services.

I provide therapy to improve your everyday life. Areas covered include Bristol, Bath, Gloucester, Cheltenham, South Gloucestershire, North Somerset and Wiltshire. My input complements any NHS therapy you may be receiving, to maximise your improvements and speed up the therapy process. I also see…

About Sarah Woodward

I am a highly specialist Speech and Language Therapist with over 20 years’ experience in the areas of aphasia, traumatic brain injury and Augmentative & Alternative Communication (AAC) . I worked in the NHS for 16 years in a supra-regional assessment centre, stroke rehabilitation…

Terms & Conditions

Cancellations I do not charge for appointments cancelled 12 hours in advance. Cancellations after this time will be charged at the full rate. Hours I offer appointments 9am-5pm, Monday to Friday. Evening and weekend appointments may be arranged at a surcharge. Discharge I will…

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Highly Specialist Speech and Language Therapist

Improving communication skills, inspiring confidence, because you want the best possible start for your children.

As a parent, we know that the best possible future for our children begins with the best possible start. The early years of our children’s lives are the most important for building language and social skills, and that’s why we want to make the most of this time to help them to learn... Read more

peter piper picked - makaton courses & baby signing courses

Peter Piper Picked

As a Speech and Language Therapist within the NHS my caseload was increasing with less hands on therapy time to… Read More

Makaton Sign Language Courses

     Dawn is an Experienced Makaton Tutor and Ambassador for the Makaton Charity. Dawn is running ONLINE Makaton courses for parents,… Read More

Baby Signing Courses

Dawn is running Makaton Online workshops to teach early signs, symbols and words to your baby or child before they can talk! This has been proven… Read More

[email protected]

07825 717 781

Speech and Language Therapy in South Gloucestershire and surrounding areas.

Budding Communicators Speech and Language Therapy can offer timely support for you and your child, helping them to learn to communicate to the best of their ability. 

Based in Chipping Sodbury I specialise in providing play based speech therapy  and family centred coaching  for

young children with unclear speech, language difficulties and autism.

I also specialise in stammering support for children.

Please see my 'services and fees' and 'Budding Conversations' pages for further information about what I can offer.  

What can I offer:

The type of support your child will need will depend on the nature of their communication difficulty.  Budding communicators offers evidence based treatments to ensure progress.

Following an assessment I typically offer the following:

Face to face interaction coaching (Hanen and Palin PCI) for families of children with language difficulties, social communication, autism and stammering.

Direct face to face therapy for children with speech sound difficulties, language disorder and older children who stammer.

Coaching and training for educational staff working with your child.

Budding conversations course and online coaching as a more affordable option to face to face support. 

Therapy options will be discussed and agreed to ensure you and your child gets the right support for you.

Chipping Sodbury

Thank you for your enquiry, I will respond as soon as possible.

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Speech and Language Therapy - Adult Service

Description

Speech and language therapists provide assessment and treatment of communication and swallowing difficulties in a variety of locations across Gloucestershire.

Therapists support inpatients and outpatients and may also provide home visits in exceptional circumstances.

If you are in hospital, the speech and language therapists will assess communication and/or swallowing difficulties on the ward and provide advice or treatment as appropriate.

Speech and language therapists will assess communication and/or swallowing difficulties at an out patient appointment and provide advice or treatment as appropriate.

The therapist may work with family members or carers to devise strategies to overcome some difficulties as appropriate.

One appointment may be sufficient to help the patient to manage their speech and/or swallowing independently or patients may need a course of 1-2-1 or group therapy.

Patients can be seen for:

• Voice therapy
• Aids to help with communication
• Communication/swallowing after stroke
• Communication/swallowing after a head injury
• Communication/swallowing associated with long term neurological conditions such as Parkinson’s disease or motor neurone disease
• Communication/swallowing after cancer of the head and neck
• Videofluroscopy – This is an x-ray which allows the speech and language therapist to view how a patient swallows, to assess the severity of the difficulty. Strategies may also be recommended to manage it. Videofluoroscopy may be requested whilst the patient is in hospital, or it can be arranged as an out-patient appointment
• Voice Clinic – specialist clinic where videos/photographs are taken of the larynx to help with treatment planning.

Service Details

Provides support to.

• 18 and over
• 18 to 25 years
• 18 to 64 years
• 50 and over
• 65 and over
• People with physical disabilities

Patients can be referred to us through their GP and other members of their healthcare and therapy team.

We also welcome patients referring themselves, regardless of of age, language, presenting difficulty or location.

The following exception applies:

Voice disorders (dysphonia)  – referral must be made following examination of the larynx by an ear, nose and throat (ENT) surgeon. This referral requires the patient’s consent.

Please download and complete the referral form and either fax or post to the address below.

Adult Speech and Language Therapy Referral Form Swallowing disorder referrals need to be made by a medical professional or a member of the MDT i.e. physiotherapist, nurse, social worker, dietician.

If you aren’t sure whether speech and language therapy could help you, please call us and ask to speak to a speech and language therapist who will be able to advise you.

When is this service open?

8:30am to 5:00pm

Cost Information

Free NHS service

Areas covered

Transport can be arranged as appropriate

• All Gloucestershire
• Forest of Dean

This page was last updated on 25 July 2024

Contact Details

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Highly Specialist SLT Community Neurology Service

Gloucestershire Health and Care NHS Foundation Trust

The closing date is 22 October 2024

Job summary.

Are you a forward thinking and passionate therapist looking for the opportunity to work in our Community Neurology Service (CNS) multidisciplinary team in Gloucestershire?

We are a team of health and care professional and leaders dedicated to the delivery and development of high-quality community services supporting people to live their best lives in their communities.

As a Highly Specialist Speech and Language therapist you will have the opportunity to independently manage a highly specialist and complex clinical caseload and provide assessment, diagnosis and treatment to adults in Gloucestershire with acquired neurological disorders including stroke, which result in communication and/or swallowing difficulties. You will be an integral member of the multidisciplinary team, supporting the development of the pathway and acting as a resource to other medical, nursing, therapy and social services staff and voluntary agencies and as an interface link for speech and language therapy with acute colleagues. We welcome applications for part time and flexible working and can offer the role as a job share or secondment if preferable. Why join us? We offer a friendly and supportive working environment with a strong emphasis on CPD through access to specialist clinical support, team away days, sharing good practice and effective team working.

Main duties of the job

To act as a Highly Specialist Speech and Language Therapist within the Community Neurological Service (CNS), supporting the team to evolve and embed best practice in this new service.

To independently manage a highly specialist and complex clinical caseload.

To provide Highly Specialist Speech and Language Therapy assessment, diagnosis and treatment to adults in Gloucestershire with acquired neurological or speech disorders resulting from neurological impairment including stroke, which result in communication and/or swallowing difficulties.To be an integral member of the CNS multidisciplinary team in Gloucestershire, acting as a resource to other medical, nursing, therapy and social services staff and voluntary agencies and as an interface link for speech and language therapy with acute colleagues.To ensure that evidence based practice is inherent in all aspects of care and treatment, in this clinical area and ensure this knowledge is disseminated throughout the Trust.

To undertake specific projects, and contribute to the strategic development of the CNS. The post holder has teaching and training responsibilities for the multidisciplinary team, junior staff, apprentices, students and rehabilitation assistants.

We have in excess of 5000 staff working over 50 sites, providing a diverse range of services. We strive to support an organisational culture that is welcoming, builds and celebrates inclusivity and diversity and provides a sense of belonging and trust.

The annual NHS Staff Survey gives our people the opportunity to tell us about their experience working at the Trust. For the 2023 survey just over 2800 colleagues gave us their views (58.5%). It was great to see from the results that colleagues are saying that:

• 89.7% believe they are making a positive difference to patients/service users;
• 73.3% would recommend the organisation as a place to work;
• 82.4% agree that care of patients and service users is the organisations priority;
• 76.7% would be happy with the standard of care for a friend or relative

Our results put us as 5th nationally as a Community, Mental Health and Learning Disabilities NHS Employer of Choice and 1st equal amongst all NHS Provider Trusts in the South West. However, we know we have more to do and will continue to drive forward our commitment to making GHC a Great Place to Work.

Date posted

14 October 2024

Agenda for change

£46,148 to £52,809 a year per annum pro rata

Working pattern

Part-time, Flexible working, Compressed hours

Reference number

Job locations.

Edward Jenner Court,

1010 Pioneer Ave,

Brockworth, Gloucester

Job description

Job responsibilities.

As a Highly Specialist Speech and Language therapist you will have the opportunity to independently manage a highly specialist and complex clinical caseload and provide assessment, diagnosis and treatment to adults in Gloucestershire with acquired neurological disorders including stroke, which result in communication and/or swallowing difficulties. You will be an integral member of the multidisciplinary team, supporting the development of the pathway and acting as a resource to other medical, nursing, therapy and social services staff and voluntary agencies and as an interface link for speech and language therapy with acute colleagues.

Person Specification

Qualifications.

• Degree in Speech and Language Therapy and registered with the RCSLT. Further theoretical training and experience to masters level equivalent
• Health Care Professions Council registration HCPC
• Completed dysphagia training course to at least intermediate level
• Appropriate range of post graduate clinical education relevant to the caseload
• counselling skills training

Length/Nature of Experience

• Extensive post graduate clinical experience
• Post graduate experience in management of communication/swallowing disorders relating to neurology
• Evidence of having worked unsupervised
• Experience of being a supervisor
• evidence of working with MDTs and across multi agency boundaries
• Experience of managing tracheostomy during swallowing assessments
• Experience of working with individuals with medium/high tech AAC

professional/managerial/specialist knowledge

• Demonstrate experience in the assessment, treatment and evaluation of swallowing and commmunication disorders of carious aetiologies, including those with complex presentations
• Able to deliver community rehabilitation and treatment of stroke patients with complex clinical presentations
• Able to demonstrate specialist knowledge in rehbailitation of patients with complex needs and multi pathologies, underpinned by current evidence based practice
• Able to deliver in service training programmes
• commitment to teaching at an undergraduate and post graduate level
• The Ability to demonstrate critical appraisal skills
• Can demonstrate a proven track record of audit and/or research
• Knowledge of a broad range of specialist formal and informal communication and swallowing assessment methods and their interpretation
• Awareness of national policies and procedures relevant to health care and this specialist SLT caseload
• Commitment to ongoing training, education and mentoring to develop clinical skills
• Experience of FEES/VFS interpretation

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, employer's website.

https://www.ghc.nhs.uk/who-we-are/jobs/ (Opens in a new tab)

For questions about the job, contact:

Laura-Jayne Bell

[email protected]

03004218127

Supporting documents

Privacy notice.

Gloucestershire Health and Care NHS Foundation Trust's privacy notice (opens in a new tab)

Children’s Speech and Language Therapy Request for Assistance

If you have any queries regarding the completion of this form please contact the Children’s Speech and Language Therapy Service on 0300 421 8937

We are happy to accept requests for assistance from anyone supporting the child. However, informed parental consent must have been given before completing this form.

Therapy Solutions

Care through therapy is essential for proper healing, injury relief and recovery..

Gritman Therapy Solutions offers a variety of programs to help you live a healthy and more comfortable life. Our compassionate, expert staff works with patients of all ages to assist in a variety of ways. We strive to create a welcoming environment to provide you the best opportunity for a full recovery.

See open therapy positions

Aquatic Therapy

Occupational therapy, pediatric therapy, physical therapy, speech therapy.

Letting him just be a kid

How gritman has helped 11-year-old troy boy living with rare condition.

About 100 people in the world are living with mosaic triploidy. Eleven-year-old Troy resident Rielynn McCall, son of Madison and Kyle McCall, is a member of that group.

In a normal and healthy fetus, cells contain 46 chromosomes, half inherited from the mother and half from the father. But children born with mosaic triploidy have some cells with 46 chromosomes and others 69.

Read Rielynn’s Experience

Did you or a loved one have an amazing experience at Gritman? Share your story !

'Gritman became our village'

Helping a moscow boy defy the odds in his fight against a rare disease.

On some days Casen Hawkins could be mistaken for a normal 6 1/2-year-old boy. He loves toy trains and cars. He’s always up for wrestling with his older brothers. He can ride a bike — even if like many children his age he still uses his training wheels as a crutch.

But all is not normal. At age 4, in April 2017, Casen was diagnosed with Batten disease, a rare and fatal condition.

Athletic Training Program

Gritman knows how important it is to keep our young athletes healthy and on the field and court. That’s why Gritman and Gritman Therapy Solutions have partnered with the University of Idaho’s Doctor of Athletic Training (DAT) Program to provide the highest level of care to student-athletes in the region.

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Summit Therapy & Health Services

Meet our providers, summit therapy director.

Keri Jones, MA, CCC-SLP

Summit therapy director, speech language pathologist.

Keri was born and raised in Pullman and decided to make this her permanent home. She is the Director of Summit Therapy & Health Services and feels extremely proud to work with such an amazing group of professionals. Keri is well-versed in working with people of all ages for speech, language, voice, accent modification, cognitive, and swallowing concerns. In recent years Keri collaborated with Pullman Regional Hospitals’ Center for Learning & Innovation to create the Speech Sounds Visualized App.

Special Interests: Voice Disorders, Cognitive Impairment Therapy, Aphasia & Apraxia Therapy, and General Speech & Language Delay.

Physical Therapists

Caitlyn Blumenshein, PT

Physical therapist.

Caitlyn grew up locally in Saint John, WA before moving to Oregon where she earned her undergraduate degree from Linfield University. She then returned to the area and received her Doctorate in Physical Therapy from Eastern Washington University in 2024.

Jonathan Bowman, PT

Originally from Utah, Jonathan received his Doctor of Physical Therapy degree from Eastern Washington University in 2021. He lives in Pullman with his wife and 5 children.

Special Interests: Geriatrics, post-surgical rehabilitation, neurology, amputees.”

Jenny Carrier, DPT

Jenny graduated in 2002 from Boise State University with a Bachelors of Health Science, and received her doctorate of physical therapy in 2005 from Idaho State University.  She has experience working in hospitals, outpatient care, and pediatrics. Jenny is currently working in the acute care setting specializing in orthopedics and post-op care. 

Special Interests: Pediatrics, Acute Care

Janessa Dunbar, PT

Janessa graduated in 2023 with her Doctorate in Physical Therapy from Midwestern University in Glendale, Arizona. Though a native Arizonian, she is excited for life on the Palouse and to be part of Summit’s acute care therapy team. Outside of work, she enjoys spending time with her family and dogs, crocheting, baking, and playing soccer. 

Special interests: acute care  

Kim Fletcher, PT, DPT, PRPC

Physical therapist | certified pelvic rehabilitation practitioner.

After working many years as an outpatient orthopedic physical therapist, Kim Fletcher sought further education to allow her to better serve patients with pelvic dysfunction, pregnancy, and postpartum conditions. She has gone on to earn her Pelvic Rehabilitation Practitioner Certification (PRPC) after several years of focused work in the area of Pelvic Rehabilitation.

Special interests: Pregnancy and postpartum conditions, coccyx dysfunction, incontinence, bowel dysfunction, and pelvic pain.  

Rory Fletcher, PT, DPT

Rory has worked primarily as an outpatient orthopedic physical therapist specializing in the treatment of sports / orthopedic-related injuries and post-operative recovery for patients of all ages.  He has recently expanded his practice to include Male Pelvic Floor dysfunction as this is an area that is highly under served in the community.  

Special interests: Pelvic pain, urinary incontinence, and bowel dysfunction. 

Janie Jones, MSPT

Janie is a native of Colorado, but has been living and working on the Palouse since 2001.   She has spent a majority of her career specializing in geriatrics in a variety of settings, and she has taken many courses to help her address the unique needs of this population. 

Special Interests: Geriatrics, neurology

David Kalahar, MPT

Dave grew up in Western Washington, then attended Washington State University for his undergraduate studies, and Eastern Washington University for Physical Therapy School.  He has 25 years of experience working mostly with orthopedic rehabilitation, but has also worked in acute (hospital) settings, and home health.  His personal interests are:  spending time with family, fishing, hiking, golf and skiing. Special interests: spine assessment and treatment, vestibular rehabilitation (for vertigo), shoulder rehabilitation and aquatics.  

Laura McGuckin, PT, MPT, WCS, CLT

Physical therapist | certified specialist in women's health physical therapy.

Originally from California, Laura has lived in Washington State since 2000. She spent 13 years in the Tri-Cities where she started a Pediatric Pelvic Health Program. She also has experience in cancer rehabilitation focused on lymphedema reduction and improved quality of life, and the full range of women's pelvic health. Laura is a Board Certified Clinical Specialist in Women's Health Physical Therapy and a Certified Lymphedema Therapist.

Special Interests: Pediatric Pelvic Health, Lymphedema Reduction & Cancer Rehabilitation, Women's Pelvic Health

Kealan Nelson, DPT

Michael Piekarski, PT, DPT, OCS

Mike graduated in 2015 with his Doctorate in Physical Therapy from Stony Brook University in Long Island New York. In 2018 he became a board-certified orthopedic clinical specialist (OCS) through the American Physical Therapy Association (APTA). He has experience working in both outpatient and sport settings. Mike is currently seeing outpatient orthopedic patients.

Special interests: Orthopedics, Sports/Athletic injuries

Matthew Rinaldi, DPT, ATC

Matt graduated in 2018 with his Doctorate in Physical Therapy from Eastern Washington University and prior to that attended Washington State University where he received his BS in Athletic Training in 2015. He has experience working in outpatient clinics and high schools providing care to individuals of all ages and backgrounds. Matt is currently seeing patients at our Stadium Way Clinic. 

Special Interests: Orthopedics, Post-Op, Sports Injuries 

Ed Robertson, PT

Education: BS Physical Therapy, University of Washington, 1990; BS Physical Education/Biology, Lewis Clark State College, 1987; Member of the American Physical Therapy Association; Adjunct Faculty in Movement Studies at WSU Special Interests: Foot and Ankle Injuries, Hand Rehabilitation, Wound Care, Athletic Injuries

Lenora Waelti, PT, DPT, ATC

Education: Doctorate of Physical Therapy, Widener University, 2003; MS Physical Therapy, Widener University, 1997; BS Biology, Washington State University, 1992; BA Foreign Languages and Literatures, German, WSU, 1992; Certified Athletic Trainer, 2004; Adjunct Faculty in Biology at WSU; Member of American Physical Therapy Association, Member of National Athletic Trainers Association Special Interests: Satellite Clinic at WSU Student Recreation Center, Athletic Injuries, Orthopedics, Geriatrics

Timothy Williams, DPT

Tim is a WSU alumnus and returned to Pullman after completing his physical therapy education at Southwest Baptist University in Missouri.  He has worked at Summit Therapy & Health Services since 2011 working with many conditions.  When he is not working with patients, he enjoys spending time with his wife and 4 children. 

Special Interests: Neurological Rehabilitation, Pediatrics, Orthopedics, Post-Concussion, Vestibular Treatment

Physical Therapy Assistants

Kris Allen, PTA

Physical therapist assistant.

Education: AS Physical Therapy Assistant, Green River Community College, 1995; BS Kinesiology and Leisure Studies, Washington State University, 1990 Special Interests: Back and Neck Rehabilitation, Myofascial Release

Kyle Hopwood, PTA

Education: AS Physical Therapy Assistant, Spokane Falls Community College, 2010; BS Exercise Science, Central Washington University, 2005 Special Interests: Athletic Injuries, Orthopedics

Maile Keller, PTA

Education: AS Physical Therapy Assistant, Kapi'olani Community College, 1996; BS Health Science, Idaho State University, 2005 Special Interests: Orthopedics, Acute Care

Occupational Therapists

Frances Davies, OTR/L

Occupational therapist.

Frances is a pediatric occupational therapist with more than 20 years of experience in school and outpatient settings.

Special Interests: pediatrics, sensory processing, visual perceptual processing, and tai chi.

Collette D. Edge, OTR/L

Occupational therapy.

Collette has lived with her family on the Palouse since 2006. She received her Masters in Occupational Therapy from the University of Utah. She pursued her MOT after working with diverse populations as a personal trainer and yoga instructor within the Palouse community.  

Special interests: Neurological rehabilitation, sensory processing, vision rehabilitation for traumatic brain injury and post-concussion syndrome, chronic pain, trauma informed care, community integration, and home safety. 

Christy Gould, OTR/L

Christy came to work at Pullman Regional Hospital in 2004. She initially worked with all patient populations, but now focuses primarily working with teens and adults.

Special Interests: Neurological Rehabilitation and Hand Therapy

Allie Johnson, OTR/L

Allie grew up in Colfax, WA and decided to make the Palouse her home. She now lives with her husband and son on their farm outside of Pullman. Outside of work, she spends her time chasing a toddler and attending WSU sporting events to cheer on the Cougs (a passion that many of her patients share!)

Special Interests: Acute care, Pediatrics, Neurological rehab, UE/hand rehab, and Aging in Place

Chelsea Shors, OTR/L, OTD

Chelsea grew up in Eastern Montana and ventured off to Florida for graduate school. Her first job out of school was at a rehab hospital in Jacksonville, Florida where she worked on the stroke team for 3 years. She then toured the country as a traveling OT where she ended up in Seattle and met her husband. She has worked at Pullman Regional Hospital and Summit Therapy since 2013, both inpatient at the hospital and now primarily outpatient. When not working, she enjoys spending time with her husband and 2 children.

Special Interests: Stroke rehab, neurological impairments, orthopedic injuries, and post concussion therapies

Heidi Stone, OTR/L

Heidi has been living and working on the Palouse since 2019 and is glad to have joined the team at Summit Therapy and Health Services in 2022. She specializes in treatment of adult and geriatric patients in both the acute and outpatient settings. Outside of work, she enjoys exploring with her husband and dogs. 

Special Interests:Acute care, UE/hand rehab, Vision, Aging in Place, Neurological Rehabilitation 

Kaitlin Watson, OTR/L

Kaitlin is an Occupational Therapist specializing in Geriatrics and Pediatrics.  Moving to the Palouse from Seattle where she worked for Seattle Children’s Hospital and a local Skilled Nursing Facility, she continues to work with clients along the age spectrum.  When not at work, she enjoys time with her family exploring local parks, biking, and swimming.

Special interests: Autism Spectrum Disorders, Pediatric Neurology, Fall Prevention in Community Dwelling Adults, Acute Care

Speech Language Pathologists

Jessie Armstrong, SLP

Speech language pathologist.

Jessie grew up in Kellogg, Idaho and loves living in the Pacific Northwest. Prior to working at Summit, Jessie has worked for various school districts and skilled nursing facilities in the area. When not working with patients, Jessie enjoys spending time with her family, especially her dog Sparky. Special Interests: early intervention, Pre-Literacy, School Age Children, Speech Sounds Disorders, Autism spectrum disorders, AAC, and developmental learning disabilities.

Tami Dial, MA-CCC-SLP

Tami grew up in Moscow and is a WSU alumnus.  Prior to transitioning to Summit Therapy and Health Services in 2018, Tami worked as a SLP in various local schools since 1996.   When she is not working with patients, she enjoys spending time with her grown children and extended family, hiking, pottery, quilting and hunting. 

Special Interests:  Early Intervention, Pre-Literacy, School Age Children, Speech Sounds Disorders and General Language Delays

Loralee Farrer, MS, CCC-SLP

Loralee was born and raised in Idaho Falls, ID. She has also lived in Utah, Rhode Island, North Carolina, and now Washington. Loralee obtained her master's degree from the University of North Carolina and is certified in LSVT Loud. She is thrilled to be in the outpatient setting in Pullman and have opportunities to work with all ages. Outside of work, Loralee loves spending time with her family, traveling, and watching movies that make her laugh.

Special interests: Speech delay, articulation, low and high-tech AAC, voice disorders, aphasia, swallowing therapy, and cognitive therapy.

Jennifer Griffin, SLP

Speech and language pathologist.

Jennifer fell in love with the Palouse while attending WSU for her undergraduate degree. Since beginning her career at Summit Therapy, Jennifer has received additional training and education to assist individuals who demonstrate difficulty reading and spelling. Outside of work, Jennifer enjoys baking, camping, being outdoors, and spending time with her family. 

Special Interests: Pediatrics, Pre-Literacy/Literacy (i.e. dyslexia) and Autism Spectrum Disorder.

Kelly Steele, MA, CCC-SLP

Kelly has 2 children and loves living in Pullman, the community she was born and raised in.  Kelly has worked primarily in the outpatient pediatric setting and helped establish the Pullman Feeding Team .  Kelly also enjoys working with the Prescription Pets program and her dog, Lily, is one of the founding members. 

Special Interests: Infant and Child Feeding and Swallowing Disorders, Pediatric Modified Barium Swallow Studies, General Speech and Language Delay, Autism, Early Intervention, Apraxia of Speech, Head and Neck Issues, Pet Partners/Prescription Pets program, care coordination and multidisciplinary collaboration.

Massage Therapists

Tyne Gray, LMP

Massage practitioner.

Education: Moscow School of Massage, 2003 Specializing in: Pregnancy and Infant Massage, Structural Relief Therapy and Post-Mastectomy Massage

Anya Kinyanjui, LMT

Massage therapist.

Anya has called the Palouse her home since 1998. She is a WSU alum – Go Cougs! – and has been working at Summit Therapy and Health Services since 2010 but only recently became a Licensed Massage Therapist. She completed a massage therapy program at Altura College of Massage in 2021 and has been a practicing therapist ever since. Special interests: Swedish Massage, Pregnancy Massage, Structural Release Therapy, Cupping Therapy

Greg Larson, LMP

Greg grew up in Denver, Colorado and attended college in Claremont, California. He then came to the Palouse where he studied massage therapy  at the Moscow School of Massage. Since receiving his Washington state massage license, Greg has focused his studies on osteopathic manual therapies, including positional release and craniosacral therapy.

Special Interests: Acute and Chronic Pain Therapy, Temporomandubular (TMJ) Dysfunction.

Colin Meyer, LMP

Education: Moscow School of Massage 2006 Specializing in: Structural Relief Therapy, Pregnancy Massage, Active Isolated Stretching- The Mattes Method and Swedish Massage, Neuromuscular Therapy

Esther Sanders, LMP

Massage practitioner and certified sports massage specialist.

Born and raised in Seattle, Esther started a private massage practice in 1998 specializing in motor vehicle, work, and sports related injuries. She enjoyed working with athletes in training on and off the field as a member of the Washington Sports Massage Team.  In 2009 her family relocated to the Moscow-Pullman area and she joined her “work-family” at Pullman Regional Hospital in 2011.

Special Interests: Pediatrics, Scoliosis, Lumbo-Sacral Dysfunction, Eastern Integration, Emotional Release, Myoskeletal Alignment Technique, "eastern integration" including cupping, myofascial release, manual lymphatic drainage and intra-oral massage.

Breanne Tunison, LMP

Breanne was raised in Reardan, WA. In 2023, she moved to Endicott, WA. Breanne attended the Therapeutic Connections School of Massage.

Special Interests: Acute care, cupping therapy, therapeutic massage, structural release

Genetic Counselors

Ian Wallace, MS, CGC, MBA

Genetic counselor.

Ian established a new Genetic Counseling clinic at Pullman Regional Hospital in 2011. He sees patients for any indication, including cancer, prenatal, pediatric, and adults. He also offers webcam appointments to patients from anywhere in the U.S. or internationally.

Special Interests: Connective tissue disorders, providing care to underserved/rural populations. Ian is the only known genetic specialist who has exceeded Mach 1.

Licensed Acupuncturists

Liz Lee, LAc, EAMP

Licensed acupuncturist, east asian medicine practitioner, certified qigong instructor.

Liz Lee has been a licensed acupuncturist since 2000.  She also teaches Qigong and Taichi through Pullman Parks and Recreation.

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