The Royal College of Speech and Language Therapists (RCSLT) recognises that endoscopic evaluation of the velopharynx (nasendoscopy) is within the scope of practice of specialist speech and language therapists (SLTs) in cleft palate/velopharyngeal dysfunction (VPD). Notwithstanding, it is fully acknowledged that this investigation may also be carried out by cleft surgeons in a multidisciplinary context.
The purpose of this document is to set out the Royal College’s position in relation to this practice. This position paper provides the professional clinical context within which SLTs can practice endoscopic evaluation of the velopharynx and the appropriate procedural protocols that should be observed. The document also provides a structured framework for both the acquisition and maintenance of the knowledge and skills required. In addition, there are statements on professional issues of responsibility and health and safety matters