What we do

Speech and Language Therapy is provided to adults across Pennine Lancashire in their own homes, in hospital and out patient clinics.  Services are delivered by qualified and registered Speech and Language Therapists.

The service is open to people over 16 years of age who have acquired problems with speech, voice, language and/or swallowing, often as a result of an illness or surgical procedure. We also provide a service to some children with voice difficulties.

Speech and Language Therapy students from various universities gain clinical experience in the department, working under the supervision of experienced staff.

Adults with acquired disorders of communication and swallowing, including:

  • Neurological conditions & progressive disease
  • Stroke
  • Acquired brain injury
  • Adults with head & neck cancer
  • Adults and children with voice disorders

Assessments provided: 

  • Assessment and therapy for communication difficulties, including provision of communication aids
  • Assessment and therapy for swallowing difficulties, including videofluoroscopic assessment & FEES (Fibroptic Endoscopic Evaluation of Swallowing).
  • Assessment and therapy for voice disorders, including group therapy and objective assessment
  • Assessment and therapy for speech, voice and swallowing difficulties related to head and neck cancer, including laryngectomy management


Please note the following services are provided by Lancashire Care Foundation Trust:

  •  Blackburn with Darwen stroke team
  •  Babies and children in Royal Blackburn Hospital / Burnley General Hospital.

You can refer yourself to Speech and Language Therapy or can be referred by a medical consultant, your GP or another member of the hospital or community team.

Adults with acquired disorders of communication and swallowing:

  • Community locations across East Lancashire and Blackburn with Darwen
  • East Lancashire Hospitals Trust Stroke Therapy Team
  • Rakehead Community Neuro-rehabilitation Team
  • Royal Blackburn Teaching Hospital and Burnley General Hospital in-patients and out patients
  • Pendle Community Hospital, Clitheroe Community Hospital, Accrington Victoria ComunityHospital in-patients
  • Rakehead Rehabilitation Centre


Adults and children with voice disorders

Adults and children with voice disorders are seen at St Peter’s. The voice department at the Royal Blackburn Hospital see adults with the occasional child.

  • St Peter’s Primary Health Care Centre    
  • Royal Blackburn Teaching Hospital

The service operates between Monday to Friday, 9.00 am – 5.00 pm and operates an open referral system for adults with communication and swallowing difficulties.

The main Speech and Language Therapy department, East Lancashire and Blackburn with Darwen Community teams – 01282 804075


St Peters Primary Healthcare Centre for Voice patients in East Lancashire:    01282 628359
Royal Blackburn Hospital for Voice patients in Blackburn with Darwen:            01254 732866

Please be aware all new Voice/head and neck referrals are made via the ENT Dept.

Dysphagia / swallowing information

Title Size
Dysphagia information 291 KB
Confusion on swallowingConfusion on swallowingDysphagia in DementiaDysphagia in DementiaDysphagia in DementiaDysphagia in DementiaDysphagia in dementia 2051 KB
Confusion on swallowingConfusion on swallowingConfusion on swallowing 140 KB
Swallowing advice for dementia 170 KB
RCSLT care homes document.pdf 858.25 KB

International Dysphagia Diet Standardisation Initiative

The way we describe modified diet/fluids for patients with swallowing problems is changing internationally. Please see the documents below for more information. 

Title Size
IDDSI Framework - Complete Framework.pdf 1,787.36 KB
IDDSI Framework - Testing Methods.pdf 1,377.30 KB
IDDSI Frequently asked questions.pdf 298.37 KB
SLT IDDSI level 3 liquidised.pdf 236.03 KB
SLT IDDSI level 4 pureed.pdf 239.36 KB
SLT IDDSI level 5 minced and moist.pdf 410.52 KB
SLT IDDSI level 6 soft and bite sized.pdf 410.32 KB
SLT IDDSI level 7a.pdf 273 KB
New difficult foods 126 KB
IDSSI mixing instructions A4 101.1 MB
IDSSI mixing instructions A5 928 KB
IDSSI Christmas Guidance 350KB


IDDSI Audit sheets

Level 4-Puree audit sheet.pdf 268.60 KB
Level 5-Minced and Moist audit sheet.pdf 279.08 KB
Level 6-Soft and Bite-sized audit sheet.pdf 201.01 KB
Level-7 New Difficult Foods audit sheet 129 KB
Liquids audit sheet.pdf 325.97 KB
Communication information
Title Size
What is aphasia? 64.5 KB
Speech - Memory difficulties                       221.47 KB 
Speech - Dysarthria 141.72 KB
Speech - Cognitive difficulties 291.36 KB
Voice Information
Title Size
Top 10 Voice Tips ELHT 2105.pdf  378 KB
Vocal Hygiene.doc 47 KB



Referral forms

Adult SLT Referral Form - Please download this form to your computer and then complete the saved version. This form will not work if opened in the web browser!

1.    Download the form to your device
2.    Complete all Fields before submitting
3.    Press the 'Save As' button, save in a secure folder and email as an attachment. Email the form to                                                       speechtherapycommunity.elht@nhs.net
4.    Any issues please contact the Speech and Language Therapy Service

If you do not receive email confirmation after submitting a Referral Form, please email speechtherapycommunity.elht@nhs.net for advice.

Related sites

Giving Voice

Health and Care Professions Council (HCPC)

Royal College of Speech and Language Therapists (RCSLT)

Patient Experience