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
  • Adults who stammer
  • Children with speech, language and swallowing difficulties
  • Long Covid

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:

  • 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.


Long Covid referrals are made by the GP referring to the Pennine Lancashire Long Covid Service.

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 and Clitheroe Community Hospital
  • Rakehead Rehabilitation Centre


Adults and children with voice disorders

Adults and children with voice disorders are seen individually or in groups at St Peter’s and/or Royal Blackburn Teaching Hospital

The service operates between Monday to Friday, 8.00 am – 4.00 pm and operates an open referral system for adults with communication and swallowing difficulties.

Speech and Language Therapy Departments

Burnley General Teaching Hospital  01282 804075
Royal Blackburn Teaching Hospital  01254 732866

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

Dysphagia / swallowing information

Dysphagia information  
Confusion on swallowingConfusion on swallowingDysphagia in DementiaDysphagia in DementiaDysphagia in DementiaDysphagia in DementiaDysphagia in dementia  
Confusion on swallowingConfusion on swallowingConfusion on swallowing  
Swallowing advice for dementia  
RCSLT care homes document.pdf  

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. 

IDDSI Framework - Complete Framework.pdf  
IDDSI Framework - Testing Methods.pdf  
IDDSI Frequently asked questions.pdf  
SLT IDDSI level 3 liquidised.pdf  
SLT IDDSI level 4 pureed.pdf  
SLT IDDSI level 5 minced and moist.pdf  
SLT IDDSI level 6 soft and bite sized.pdf  
SLT IDDSI level 7a.pdf  
New difficult foods  
IDSSI mixing instructions A4  
IDSSI mixing instructions A5  
IDSSI Christmas Guidance  


IDDSI Audit sheets

Level 4-Puree audit sheet.pdf  
Level 5-Minced and Moist audit sheet.pdf  
Level 6-Soft and Bite-sized audit sheet.pdf  
Level-7 New Difficult Foods audit sheet  
Liquids audit sheet.pdf  
Communication information
What is aphasia?  
Speech - Memory difficulties                        
Speech - Dysarthria  
Speech - Cognitive difficulties  
Voice Information
Top 10 Voice Tips ELHT 2105.pdf   
Vocal Hygiene.doc  



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 on 01282           804075.

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

Related sites

Giving Voice

British Voice Association

Health and Care Professions Council (HCPC)

Royal College of Speech and Language Therapists (RCSLT)

Patient Experience