New RCSLT Guidance for Laryngectomy

The Royal College of Speech and Language Therapists (RCSLT) has published guidance on head and neck cancer for anyone who would like to find out how speech and language therapists (SLTs) work and help people with head and neck cancer.

SLTs have expertise in assessment, diagnosis, management and rehabilitation of voice, speech and swallowing difficulties resulting from head and neck cancer and its treatment.

The new guidance was developed by a working group of SLTs and covers the symptoms, treatment and the role of the SLT when working with people with head and neck cancer.


SLTs can also help patients who have had a total laryngectomy – the removal of the voice box. The RCSLT has published a position paper which sets out the role of SLTS working in this area, alongside a competency framework which reflects the guiding principles in laryngectomy care, to ensure safe and best practice.

Position paper                   LINK

Competency framework     LINK



The HPV Vaccination Reduces the Incidence of Cancer

The connection between HPV infection and cervical cancer has been known for many years. In 2008 a vaccination programme for girls was introduced to try to reduce infection and subsequent development of cancer. However HPV causes other types of cancer, not least head and neck cancer, which has seen a large increase in incidence in the last decade, attributed to HPV. NALC was a member of HPV Action, which campaigned to extend the vaccination programme to boys, and this was implemented in 2018.

HPV is a factor in the majority of oropharyngeal cancers, but not so much in other head and neck cancer such as laryngeal cancer.

Enough time has passed to look at how successful the HPV jabs have been, has the incidence dropped? A recent research study in Scotland has found strong evidence that the vaccination works very well.

Data for women born between January 1, 1988, and June 5, 1996, were extracted from the Scottish cervical cancer screening system in July 2020 and linked to cancer registry, immunization, and deprivation data. No cases of invasive cancer were recorded in women immunized at 12 or 13 years of age irrespective of the number of doses. If vaccinated later, more doses are needed for the same outcome.

Article Here

These excellent findings pose some important questions.

Cervical cancer presents at a younger age than head and neck, when will it be possible for some research to find if the vaccination has had a similar effect in reducing head and neck cancers?

How well is the HPV vaccination programme in schools going? What % of boys and girls are now receiving the vaccination? Since the Covid pandemic, vaccinations of all types have been subject to negative publicity, especially in social media.