Speech and language therapy assistant

Speech and language therapy assistants support people who have difficulties with communication, or with eating, drinking or swallowing.


What you'll do

Day-to-day tasks

In this role, you could:

  • work with clients on a one-to-one basis
  • run group work and activities
  • update patient records
  • work closely with speech therapists and education professionals
  • advise clients and colleagues on cultural and language differences if you're bilingual

Working environment

You could work at a health centre, in an NHS or private hospital, at a client's home, in a nursery or at a school.

Your working environment may be emotionally demanding.

Career path and progression

With experience, you could:

What it takes

Skills and knowledge

You'll need:

  • sensitivity and understanding
  • excellent verbal communication skills
  • knowledge of psychology
  • active listening skills
  • the ability to understand people’s reactions
  • to be flexible and open to change
  • patience and the ability to remain calm in stressful situations
  • the ability to work well with others
  • to be able to carry out basic tasks on a computer or hand-held device

Restrictions and Requirements

You'll need to:

You'll need to be able to speak a second language that is spoken in the community to work as a bilingual speech and language therapy assistant.

Most relevant

  • Psychology - Speech and language therapy assistants need to understand how people learn, develop, and process language. Knowledge of psychology helps them recognise why a client might be struggling with communication and how to support them using appropriate techniques.
  • Biology - Speech and language therapy assistants work with people who have difficulties with communication, eating, drinking, or swallowing – all of which involve understanding how the body works. Knowledge of anatomy, particularly the brain, mouth, throat, and respiratory system, helps them understand the physical basis of these difficulties.
  • English Language - Speech and language therapy assistants work directly with how people use language – from forming sounds and words to understanding meaning and grammar. A strong grasp of how language is structured and how it develops helps them support clients in building their communication skills.

Also relevant

  • Sociology - Speech and language therapy assistants work with people from diverse backgrounds and need to understand how social factors like culture, family, and community affect communication. This awareness helps them adapt their approach and provide sensitive, effective support.
  • Modern Foreign Languages - Speech and language therapy assistants who speak a second language can work as bilingual assistants, advising on cultural and language differences. Understanding how different languages work also builds awareness of the challenges faced by multilingual clients.
  • Physical Education - Speech and language therapy assistants sometimes use physical activities and movement-based exercises in group sessions, particularly when working with children. Understanding coordination, motor skills, and how physical development links to communication can be helpful in this role.
  • Drama - Speech and language therapy assistants often use role play, storytelling, and interactive activities to help clients practise communication in a safe setting. Skills in voice projection, expression, and building confidence through performance-based techniques are genuinely useful in therapy sessions.
  • Music - Speech and language therapy assistants may use rhythm, singing, and musical activities to support clients with speech and language development. Music-based approaches can help with pronunciation, fluency, and building confidence in communication, especially with younger clients.

How to become

You can get into this job through:

  • a college course
  • an apprenticeship
  • working towards this role
  • applying directly

You could do a college course to get into this job. Relevant subjects include:

  • Level 2 Certificate in Health and Social Care
  • Level 2 Certificate in Healthcare Support Services
  • Level 3 Diploma in Healthcare Support

Most health and social care courses include work placements so this could be a good way to get practical experience.

Entry requirements

You'll usually need:

  • 2 or more GCSEs at grades 9 to 3 (A* to D), or equivalent, for a level 2 course
  • 4 or 5 GCSEs at grades 9 to 4 (A* to C), or equivalent, for a level 3 course

More Information

You can do a Healthcare Support Worker Level 2 Intermediate Apprenticeship or a Senior Healthcare Support Worker Level 3 Advanced Apprenticeship.

Entry requirements

There are no set entry requirements but it may help you to get in if you have:

  • some GCSEs, usually including English and maths, or equivalent, for an intermediate apprenticeship
  • 5 GCSEs at grades 9 to 4 (A* to C), or equivalent, including English and maths, for an advanced apprenticeship

More Information

You could start as a healthcare assistant and move into speech and language therapy assistant work, through further training and promotion.

You might have an advantage when looking for jobs if you have volunteering experience in a healthcare setting.

You can also find volunteering opportunities through The National Council for Voluntary Organisations and Do IT.

You can apply directly for jobs if you've got relevant skills and experience from working in a healthcare setting. Some employers may ask for a qualification in healthcare and GCSE subjects like maths, English and science.

Career tips

You'll be expected to show an understanding of the NHS values when applying for jobs and apprenticeships.

Further information

You can find out more about how to become a speech and language therapy assistant from Health Careers.


This page contains original content developed by Coffee With Ltd. You may share this page as a link but you must not copy the content or use it with AI tools. All rights reserved.