Inclusion Criteria

• Patients over 18 years of age
• Patients with swallowing difficulties as a result of an acquired neurological condition (e.g. Stroke, Parkinson’s, Dementia
• Patients with communication (speech / language / voice) difficulty as a result of an acquired neurological condition (e.g. Stroke, Parkinson’s
• Patients over 65 years old with a progressive neurological condition (excluding MND)
• Patients under 65 years old with a progressive neurological condition who can attend outpatients (and are likely to be able to for the next year
• Patients with swallowing difficulty as a result of a non-neurological condition (e.g. gastro / respiratory / oncology / functional condition) where there is an established high risk of aspiration and / or choking. (These patients will be seen at the discretion of the WHCCG Commissioners and the SALT team)
• Patients with enteral feeding presenting with communication difficulties.

Exclusions:

• Patients under 18 years of age
• Patients with voice difficulties NOT as a result of a neurological condition
• Patients with dysfluency / stammer NOT as a result of a neurological condition
• Patients with MND, regardless of age
  • (please refer all MND patients to CNRT via SNHS.AdultCommunitySALT@nhs.net)
• Patients under 65 years old with a progressive neurological condition who require a home visit (or will likely be unable to attend outpatients within the next year), except those with Parkinson’s, who will be seen by us.
  • (please refer these patients to CNRT via SNHS.AdultCommunitySALT@nhs.net)
• Patients with enteral feeding presenting with swallowing difficulties.
  • (please refer these patients to the WHEN team via shft.lymingtonslt1@nhs.net)
• Patients with learning difficulties (unless also experiencing an acquired neurological condition)
• Patients with mental health difficulties (unless also experiencing an acquired neurological condition)
• Patients with a congenital / developmental condition (unless also experiencing an acquired neurological condition)