Speech and language therapist
Speech and language therapists help people with speaking and communication problems and those with eating and swallowing difficulties.
In this guide
What you'll do
Day-to-day tasks
As a speech and language therapist, you could:
- observe and test patients to assess specific difficulties
- plan and develop therapy programmes
- help patients regain communication after brain injuries or a stroke
- support children and adults with eating or swallowing problems
- work with children with language delays or disorders
Working environment
You could work at a school, in an NHS or private hospital, at a health centre, in a nursery or at a client's home.
Your working environment may be emotionally demanding.
Career path and progression
With experience, you could specialise in working with:
- children with special educational needs
- people who have eating, drinking and swallowing disorders (dysphagia)
After further training, you could move into teaching and research. You could also become self-employed and run your own business.
What it takes
Skills and knowledge
You'll need:
- knowledge of English language
- sensitivity and understanding
- the ability to work well with others
- to be flexible and open to change
- counselling skills including active listening and a non-judgemental approach
- to be thorough and pay attention to detail
- knowledge of psychology
- excellent verbal communication skills
- to be able to use a computer and the main software packages competently
Restrictions and Requirements
You'll need to:
For some roles you'll need to visit clients in their homes, so you'll need a driving licence.
Related subjects
Most relevant
- Biology - Speech and language therapists need a thorough understanding of human anatomy, particularly the structures involved in speech, swallowing, and hearing – such as the mouth, throat, larynx, and brain. They also work with patients recovering from strokes or brain injuries, so understanding the nervous system and how the body functions is essential.
- Psychology - Speech and language therapists use psychological principles to understand how people learn, process language, and develop communication skills. They also need to understand conditions like autism, developmental delays, and the emotional impact of communication difficulties to tailor their therapy effectively.
- English Language - Speech and language therapists work directly with how language is structured, produced, and understood – including phonetics, grammar, and meaning. A deep understanding of how English works helps them assess speech and language difficulties and design targeted therapy programmes.
Also relevant
- Sociology - Speech and language therapists work with people from diverse backgrounds and need to understand how social factors like culture, education, and family environment affect communication development. This awareness helps them provide inclusive, person-centred care.
- Physics - Speech and language therapists benefit from understanding the physics of sound – how sound waves are produced, travel, and are perceived. This knowledge underpins their work with voice disorders and helps them understand how hearing difficulties affect speech.
- Mathematics - Speech and language therapists use data to assess patients, track progress, and measure outcomes of therapy programmes. Understanding statistics helps them interpret standardised assessment scores and evaluate whether a patient's development falls within expected ranges.
- Modern Foreign Languages - Speech and language therapists often work with bilingual or multilingual children and families, and studying another language builds awareness of how different languages are structured. This understanding of phonology, grammar, and how languages are acquired is directly useful when assessing communication in diverse populations.
How to become
You can get into this job through:
- a university course
- an apprenticeship
You'll need a degree in speech and language therapy approved by the Health and Care Professions Council (HCPC) and the Royal College of Speech and Language Therapists (RCSLT).
If you've got a relevant degree, you could do a 2-year fast-track postgraduate course in speech and language therapy.
You may be able to get extra student financial support through the NHS Learning Support Fund.
Entry requirements
You'll usually need:
- 2 to 3 A levels, or equivalent, for a degree
- a degree in a relevant subject for postgraduate study
More Information
You may be able to do a Speech and Language Therapist Level 6 Degree Apprenticeship.
The apprenticeship will take around 4 years to complete.
If you already have a relevant degree it may be shorter and you may be able to get a master's qualification as part of the apprenticeship.
If you are working as a speech and language therapy assistant you might be able to apply to do the degree apprenticeship with your current employer. You would need to meet all their entry requirements for the apprenticeship.
The Royal College of Speech and Language Therapists (RCSLT) has more information on this apprenticeship.
Entry requirements
You'll usually need:
- 4 or 5 GCSEs at grades 9 to 4 (A* to C) and A levels, or equivalent, for a degree apprenticeship
More Information
You'll find it helpful to get some paid or voluntary experience in a healthcare setting before you apply for a course.
You can also find volunteering opportunities through The National Council for Voluntary Organisations and Do IT.
Registration
- you'll need to register with the Health and Care Professions Council
Career tips
You'll be expected to show an understanding of the NHS values when applying for degree courses and apprenticeships.
Further information
You can find out more about becoming a speech and language therapist from:
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