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Not sure where to start with the hundreds of NHS careers? Use our compare roles section to get bite-size information on the entry requirements and training, pay and conditions, prospects and skills needed of up to three roles. If there is something that you think you could do, then get more in-depth information on the role.

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  • Speech and language therapist [1]

    Speech and language therapy is an exciting and varied career. It offers you the chance to make a difference, a high degree of flexibility and excellent employment prospects. You’ll work with patients every day to help improve their care and their lives. 

    You'll need to study for an approved degree, which takes three or four years full time or up to six years part time, or be employed as a degree apprentice in speech and language therapy with an employer. Full-time university courses in speech and language therapy may have different names, including speech and language pathology and speech science. To get onto an speech and language therapy degree course or degree apprenticeship, you usually need two or three A-levels (or equivalent qualifications), along with five GCSEs (grades A-C), including English language, maths and science. Each institution and employer sets its own entry requirements, so it’s important to check carefully.
    Speech and language therapists in the NHS work standard hours, which are likely to be around 37.5 a week. They usually start at band 5 of the Agenda for Change pay scales. Elsewhere, a speech and language therapist’s hours will depend on where they work. They may work evenings and weekends to suit private clients. Some speech and language therapists have to travel between client appointments.
    You'll need to enjoy using language and communication to help people, be able to motivate and reassure people, excellent communication and organisation skills and the ability to explain treatment to patients.
    You may choose to specialise in a particular area of practice such asstammering, cleft palate or learning disability. Other options include teaching or research. You could also move into management, either within speech and language therapy services or general management. As head of a local speech and language therapy service you would be responsible for a team of staff and for managing a budget. Some speech and language therapists set up their own practice, on their own or with other professionals. They take on private clients, sometimes alongside NHS work.

    Related roles

    • Speech and language therapy assistant [2]
    • Podiatrist [3]
    • Occupational therapist [4]
    • Occupational therapy support worker [5]
  • Otorhinolaryngology (ear, nose and throat (ENT) surgery) [6]

    Ear, nose and throat (ENT) surgeons diagnose, evaluate and manage diseases of the head and neck.

     

    Training usually starts with a five year first degree in medicine and two years of foundation training. You'll then do two years of core training (CT1–2), followed by four years of specialist training (ST3-6). This period of training will include completing your royal college exams. Length of training can vary according to your circumstances.
    Working hours should not exceed 48 hours a week. The working hours may sometimes extend beyond the normal working day including early mornings, evenings, weekends and on call. The basic salary ranges from £29,384 to £34,012. Once you start your specialty training as an ENT surgeon employed by the NHS, you can expect to earn a salary of at least £40,257, which can increase to between £84,559 and £114,003 as a consultant.
    You'll need excellent communication skills and be emotionally resilient, have a calm temperament and the ability to work well under pressure. You'll have the capacity to lead multidisciplinary teams and have excellent problem-solving and diagnostic skills. As an ENT surgeon, you'll have: a high degree of manual dexterity; superb hand-eye co-ordination; excellent vision; visuospatial awareness and the physical stamina to cope with the demands of surgery.
    In 2020 there were 131 applications for 23 specialty training places (a competition ratio of 5.70). You could specialise or conduct research in conditions of just the ear, nose or throat, paediatric ENT, skull base surgery or facial plastics. You could also teach medical or postgraduate students.

    Related roles

    • Audiovestibular medicine [7]
    • Endocrinology and diabetes [8]
    • Ophthalmology [9]
    • Respiratory medicine [10]
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    Source URL:https://www.healthcareers.nhs.uk/explore-roles/compare-roles-health?field_field_role=496

    Links
    [1] https://www.healthcareers.nhs.uk/explore-roles/allied-health-professionals/roles-allied-health-professions/speech-and-language-therapist [2] https://www.healthcareers.nhs.uk/explore-roles/healthcare-support-worker/roles-healthcare-support-worker/speech-and-language-therapy-assistant [3] https://www.healthcareers.nhs.uk/explore-roles/allied-health-professionals/roles-allied-health-professions/podiatrist [4] https://www.healthcareers.nhs.uk/explore-roles/allied-health-professionals/roles-allied-health-professions/occupational-therapist [5] https://www.healthcareers.nhs.uk/explore-roles/healthcare-support-worker/roles-healthcare-support-worker/occupational-therapy-support-worker [6] https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/surgery/otorhinolaryngology-ear-nose-and-throat-surgery-ent [7] https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/medicine/audiovestibular-medicine [8] https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/medicine/endocrinology-and-diabetes [9] https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/ophthalmology [10] https://www.healthcareers.nhs.uk/explore-roles/doctors/roles-doctors/medicine/respiratory-medicine