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Professional competency framework issued by the Royal College of Speech and Language Therapists setting out knowledge, skills and graded competency levels for speech and language therapists in the assessment and management of eating, drinking and swallowing difficulties across the lifespan in the United Kingdom.
Year:
2025
Month of publication:
March 2025
Publisher:
Royal College of Speech and Language Therapists
Place of publication:
London
Address:
2 White Hart Yard, London SE1 1NX
Copyright holder:
Royal College of Speech and Language Therapists
Copyright year:
2025
Date for review:
2030
Reference:
RCSLT competency framework 2025
Supersedes:
2014 Dysphagia Competency Framework
Lead author:
Dr Sue Pownall
Supporting authors:
Anita Smith; Caroline Weighton; Dr Gemma Clunie; James Reid; Joanne Marks; Dr Kate Toft; Katy Parnell; Kim Ferrari; Konstantinos Smaragdis; Laura Banci; Lauren Bell; Lorraine Coulter; Natalie Wray; Sam Bradley
Contributors:
Emma Sullivan; Jamie Preece; Kate Ashby-Smith; Sarah Wood
Commissioning body:
Royal College of Speech and Language Therapists
Geographical scope:
United Kingdom
Subject:
Eating, drinking and swallowing competencies in speech and language therapy
Document type:
Professional competency framework
Intended audience:
Speech and language therapists
Scope:
Pre-registration and post-registration professional practice
Review cycle:
Five years
Professional framework alignment:
RCSLT Professional Development Framework
Price: 8 / 10 USD
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Year:
2021
Region / City:
United Kingdom
Subject:
Speech and Language Therapy, Eating, Drinking, and Swallowing (EDS) Difficulties
Document Type:
Guidelines
Organization:
Royal College of Speech and Language Therapists (RCSLT)
Author:
Angela Penny, Sheiladen Aquino, Christine Hobbs, Fiona Anderson, Gemma Borkowski, Kathleen Graham, Katy Latham, Louise Peart, Rebecca Davidson, Rhiannon Haag, Sandra Robinson, Sarah H. Woodman
Target Audience:
Newly qualified Speech and Language Therapists (NQPs), employers, clinical supervisors
Period of Validity:
N/A
Approval Date:
N/A
Modification Date:
N/A
Year:
2024
Region / City:
N/A
Subject:
Speech and language therapy, pre-registration education and training
Document type:
Competency sign-off record
Organization / Institution:
Royal College of Speech and Language Therapists (RCSLT)
Author:
N/A
Target audience:
Learners in speech and language therapy training
Period of validity:
N/A
Approval date:
N/A
Date of changes:
N/A
Year:
Not specified
Region / city:
Not specified
Topic:
Eating, drinking, and swallowing difficulties (EDS) in newly qualified speech and language therapists (SLTs)
Document type:
Guideline
Organization / institution:
Royal College of Speech and Language Therapists (RCSLT)
Author:
Angela Penny, Sheiladen Aquino, Christine Hobbs, Fiona Anderson, Gemma Borkowski, Kathleen Graham, Katy Latham, Louise Peart, Rebecca Davidson, Rhiannon Haag, Sandra Robinson, Sarah H. Woodman
Target audience:
Newly qualified practitioners (NQPs) in speech and language therapy
Validity period:
Not specified
Approval date:
Not specified
Modification date:
Not specified
Note:
Year
Theme:
Medical
Document Type:
Consent Form
Target Audience:
Patients
Year:
2024
Region / city:
Northern Ireland
Theme:
Speech, Language and Communication Needs (SLCN), Criminal Justice System, Youth Justice
Document type:
Report
Organization / institution:
RCSLT (Royal College of Speech and Language Therapists)
Author:
Professor Karen Bryan
Target audience:
Criminal justice professionals, healthcare providers, policymakers
Period of validity:
February 2024
Approval date:
Not specified
Date of changes:
Not specified
Note:
Year
Document Type:
Medical Guidelines
Target Audience:
Healthcare professionals and caregivers
Year:
Not specified
Region / Location:
Not specified
Field:
Neurobiology of swallowing, dysphagia management, pediatric feeding therapy
Document Type:
Clinical case study and therapy planning worksheet
Institution / Setting:
Clinical rehabilitation / feeding therapy context
Author:
Not specified
Patient Age:
18 months
Patient Condition:
Developmental delay following brain tumor resection with prolonged hospitalization and intubation
Clinical History:
Two-month hospital stay including two weeks of intubation; discharged with thickened liquids, soft and bite-sized diet, and nasogastric tube feeding
Primary Clinical Issues:
Aspiration of thin liquids, reduced oral intake, impaired chewing, oral motor weakness, attention and feeding behavior difficulties
Diagnostic Assessment:
Modified Barium Swallow Study (MBSS) / VFSS
Feeding Support:
NG tube with overnight continuous formula feeding
Target Areas:
Mealtime behavior, hunger regulation, oral sensory awareness, tongue lateralization, jaw strengthening, attention, self-feeding skills, straw drinking
Therapeutic Approaches:
Environmental adaptation, parent coaching, oral motor exercises, sensory stimulation, task-specific chewing practice, feeding routine structuring
Diet Level at Discharge:
Slightly thick liquids and soft & bite-sized solids
Key Symptoms:
Slow eating, distraction during meals, food pocketing, coughing with oral hygiene, aspiration of thin liquids, weak lip seal and intra-oral pressure
Year:
2026
Region / City:
Ontario, Canada
Topic:
Oropharyngeal Dysphagia Management
Document Type:
Medical Directive
Organization / Institution:
William Osler Health System
Author:
Speech-Language Pathologists under CASLPO authority
Target Audience:
Adult in-patients receiving oral intake
Effective Period:
Continuous until revised
Approval Date:
2026
Review Cycle:
Every two years
Consent Required:
Yes, from patient or substitute decision maker
Implementation Requirements:
Accredited SLP registration and competence in dysphagia management
Documentation Standards:
Bedside Swallowing Assessment form, Patient Care note, Osler Inter-professional Documentation Policy
Related Policies:
CASLPO Practice Standards and Guidelines for Dysphagia Intervention, Osler Consent Policy, Osler Priority Matrix
Note:
Year
Topic:
Eating Disorders, Medical Management
Document Type:
Guideline
Organization / Institution:
Canberra Health Services
Target Audience:
Medical, nursing and allied health staff
Description:
Medical guideline for the management of adult patients with eating disorders in hospital settings.
Year:
2018
Region / City:
London
Topic:
Diabulimia, Integrated Diabetes and Mental Health Pathway
Document Type:
Response Template
Organization:
NHS England
Author:
Not specified
Target Audience:
Health providers, commissioners
Period of Implementation:
15 months
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2024
Region / City:
Sheffield
Theme:
Cognitive Behavioural Therapy, Mental Health, Postgraduate Education
Document Type:
Academic Information Guide
Organization:
University of Sheffield
Author:
University of Sheffield
Target Audience:
Healthcare professionals, postgraduate students
Period of Validity:
Ongoing
Approval Date:
Not specified
Date of Last Update:
Not specified
Year:
2012
Region / City:
Australia
Topic:
Health and Nutrition Policy for Early Childhood Services
Document Type:
Policy Template
Organization / Institution:
Early Childhood Australia
Author:
Unknown
Target Audience:
Early Childhood Educators, Parents, Guardians, Care Providers
Validity Period:
Not specified
Approval Date:
Not specified
Date of Last Revision:
Not specified
Year:
2022-2023
Region / City:
United States
Topic:
Time use, eating habits, health
Document Type:
Questionnaire
Organization / Institution:
U.S. Bureau of Labor Statistics
Author:
U.S. Bureau of Labor Statistics
Target Audience:
Respondents to the American Time Use Survey
Period of Validity:
2022-2023
Approval Date:
July 2021
Revision Date:
Not specified
Year:
2008
Region / City:
N/A
Theme:
Eating Disorders
Document Type:
Questionnaire
Organization / Institution:
N/A
Author:
Fairburn, Beglin
Target Audience:
Individuals experiencing eating disorders or professionals assessing eating disorders
Period of validity:
N/A
Approval Date:
N/A
Date of revisions:
N/A
Year:
2021
Region / City:
United Kingdom
Subject:
Speech and Language Therapy, Eating, Drinking, and Swallowing (EDS) Difficulties
Document Type:
Guidelines
Organization:
Royal College of Speech and Language Therapists (RCSLT)
Author:
Angela Penny, Sheiladen Aquino, Christine Hobbs, Fiona Anderson, Gemma Borkowski, Kathleen Graham, Katy Latham, Louise Peart, Rebecca Davidson, Rhiannon Haag, Sandra Robinson, Sarah H. Woodman
Target Audience:
Newly qualified Speech and Language Therapists (NQPs), employers, clinical supervisors
Period of Validity:
N/A
Approval Date:
N/A
Modification Date:
N/A
Authors:
Josune Martín; Inmaculada Arostegui; Ane Loroño; Angel Padierna; Josu Najera-Zuloaga; José M. Quintana
Type of document:
Peer-reviewed research article
Study design:
Cross-sectional cohort study
Population:
Outpatients with eating disorders
Sample size:
520 patients
Eating disorder subtypes:
Anorexia Nervosa; Bulimia Nervosa; Eating Disorder Not Otherwise Specified
Main variables:
Anxiety symptoms; depressive symptoms; eating disorder symptomatology; general health outcomes; medical comorbidities; sociodemographic factors
Measurement instruments:
Hospital Anxiety and Depression Scale
Statistical methods:
Beta-binomial mixed-effects regression
Institutions:
Galdakao-Usansolo Hospital; University of the Basque Country; REDISSEC; Basque Center for Applied Mathematics
Country:
Spain
Conflict of interest:
No competing interests declared
Word count:
3570
Keywords:
Eating disorders; anxiety; depression; beta-binomial regression
Year:
2024
Region / City:
N/A
Subject:
Speech and language therapy, pre-registration education and training
Document type:
Competency sign-off record
Organization / Institution:
Royal College of Speech and Language Therapists (RCSLT)
Author:
N/A
Target audience:
Learners in speech and language therapy training
Period of validity:
N/A
Approval date:
N/A
Date of changes:
N/A
Year:
2016
Region / city:
Australia
Topic:
Healthy Eating, National Quality Standard, Early Childhood Education
Document Type:
Guide
Organization / Institution:
Department of Education, Nutrition Australia Vic Division
Author:
Department of Education, Nutrition Australia Vic Division
Target Audience:
Early childhood education and care services, educators, coordinators, authorized officers
Validity Period:
Ongoing
Approval Date:
2016
Date of Changes:
Not specified
Year:
2024
Region / City:
North Cumbria
Subject:
Eating Disorder Referral
Document Type:
Referral Form
Author:
Not specified
Target Audience:
Health professionals, parents, and caregivers
Period of validity:
January 2024 - June 2024
Approval Date:
January 2024
Review Date:
June 2024