Swallow assessments / therapy - assessment of swallow ability with the aim of improving and optimising function, ensuring appropriate oral intake, guiding recommendations for therapy and exercises, identification of techniques to aid swallowing. 

Nasendoscopy / FEES - insertion of a thin tube with a small camera to the back of the nose to allow a view of the throat. This allows detailed assessment of swallowing and/or voice and can identify silent aspiration (food, fluid or saliva enters the airway with no coughing). This is a short, painless procedure lasting a few minutes with immediate results. No preparation or recovery is required.  

Phagenyx - this relatively new treatment involves delivering a pain-free electrical stimuli to the throat area with the aim of regenerating nerve pathways required for swallowing that have become damaged. Treatment is offered, if appropriate, following assessment and FEES (see above) and involves insertion of a tube via the nose and throat. Electrical stimulation is calculated on an individual basis and delivered for ten minutes a day for three consecutive days. 

SCV Solutions is the only private SLT service in the UK offering Phagenyx. For more information, see www.phagenesis.com   

Communication therapy / assessments - the type of assessment administered will vary depending on the requirements of each person. Results will be discussed and used to guide therapy if indicated. Intervention will always be relevant, purposeful and agreed between therapist and patient or patients’ advocate if appropriate with clear gowns reviewed at agreed timescales. 

Nasendoscopy / voice assessment - direct visualisation of the voice box in action is required to accurately identify the problem to target and optimise voice therapy. A thin tube with a small camera is inserted to the back of the nose. This allows a detailed assessment of voice function. Therapy can also be trialled with the camera in place to ensure effectiveness and inform a patient-specific therapy plan. 

Voice therapy - patient-specific therapy may include:

-vocal hygiene education.

-exercises to reduce tension in muscles of the voice box. 

-changing voice production at the level of the vocal cords. 

-posture and breath control. 
 -safe projection.

-basic counselling techniques. On occasion, referral to a specialist may be recommended. 

Expert reports - formal written reports for medico-legal purposes among others.