Adult speech and language therapy

About the service
The adult speech and language therapy (SLT) service provides integrated care to patients in secondary care, intermediate care and in community settings across the boroughs of Harrow, Brent, and Ealing.

Speech and language therapists specialise in the assessment, diagnosis and treatment of communication and oro-pharyngeal swallowing disorders. They work to maximise function, independence and quality of life by providing treatment programmes, advice and education.They work directly with patients and their carers and families as needed. 

Therapists are also involved in training other health professionals to screen for swallowing problems and to support patients with communication and swallowing difficulties.

Inpatient services covered by the department:

  • Acute inpatient services based at Northwick Park Hospital, Central Middlesex Hospital, Ealing Hospital and the Royal National Orthopaedic Hospital

  • Inpatient rehabilitation services found at Clayponds Rehabilitation Hospital and the Willesden Centre for Health and Care (intermediate care wards and the Robertson Neuro-Rehabilitation Unit).

Community and outpatient services:

  • Northwick Park Hospital
  • Central Middlesex Hospital
  • Royal National Orthopaedic Hospital
  • Wembley Centre for Health and Care
  • Clayponds Rehabilitation Hospital
  • Ealing day treatment centre
  • Ealing community team for people with Learning Disabilities.
  • Community services such as Rehab and Reablement (Brent), Harrow STARRS, and ENABLE. These community services support patients in their own home, nursing or residential home, and other community settings.

We also cover a number of specialist services including videofluoroscopy, fibreoptic endoscopic evaluation of swallowing, cough reflex testing, voice clinics, and surgical voice restoration. Details of these specialist services can be found here.

Who do we treat?
The SLT service provides specialist assessment and management of patients who present with speech, language, voice and/or swallowing problems resulting from disorders including:

  • Cardio-vascular accident (Stroke)
  • Degenerative neurological disorders
  • Head injury
  • Brain tumour
  • Head and neck cancer (including those who have had their voice box removed through a laryngectomy)
  • Other cancers
  • Dementia
  • Respiratory conditions, including those who have tracheostomy tubes
  • Post-surgical complications
  • Tracheostomy
  • Swallowing problems associated with the frail elderly
  • Stammering.

Referral criteria
Inpatient referrals are made by members of the multidisciplinary team at the relevant inpatient site. We accept outpatient referrals from GPs and consultants.

Please note that we only accept referrals for patients with voice disorders following an ENT diagnosis. This must be clearly documented in the referral including a copy of the original ENT report where possible.

Other GP referrals will be triaged and may be forwarded to the appropriate community service.

Ealing outpatient and community services will accept self-referrals.

The Royal National Orthopaedic Hospital (RNOH) will only accept outpatient referrals from RNOH consultants.

Click here to go to the children's speech and language therapy pages.

Main contacts

Brent and Harrow SLT services
Tel: 020 8869 2410 
Email: LNWH-tr.ASLT@nhs.net 

Ealing SLT services
Tel: 020 8967 5000 (main switchboard)

Other contacts for specific centres:

Ealing Hospital - Adult SLT Department (inpatients, voice outpatients)
Tel: 020 8967 5000 (main switchboard)

Central Middlesex Hospital - Adult SLT Department (inpatients, voice outpatients),
Tel: 020 8453 2262

Northwick Park and St Mark's Hospitals - Adult SLT Department (inpatients, neurology outpatients, voice outpatients, home enteral nutrition service, short term acute reablement and rehabilitation service)
Tel: 020 8869 2410

Royal National Orthopaedic Hospital - Adult SLT department (inpatients and outpatients)
Tel. 020 8909 5466

Wembley Centre for Health and Care - Adult SLT Department (voice outpatients)
Tel: 020 8795 6000 (main switchboard)

Ealing Day Treatment Centre - Adult SLT Department
Tel: 020 8571 1143 (ext: 225)

Ealing Community Team for People with Learning Disabilities
Tel: 020 8566 2360

Willesden Centre for Health and Care - Adult SLT Department (inpatients, outpatients, Rehab and Reablement).
Tel: 020 8438 7006 (main switchboard)

Clayponds Rehabilitation Hospital - Adult SLT Department (inpatients, outpatients)
Tel: 020 8232 3363 (ext 3835)

Voice outpatients
Tel. 020 8967 5857

Tel. 020 8232 3384

Full address details for all our hospital and community service locations can be found here.

Ealing Hospital

Nicola Barrett, Head Adult Speech and Language Therapy (Ealing)

Northwick Park and St Mark's Hospitals

Carol Roskilly, Head Adult Speech and Language Therapy (Brent and Harrow)

Janine Ettinger, SLT Office Manager (Northwick Park Hospital)