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Our services

Speech and Language Therapy Voice Service

Who are we?

A team of Speech and Language Therapists specialising in working with patients with voice disorders.

Speech and Language TherapistEsther Capes

Speech and Language Therapist

Karen Lederer

Speech and Language Therapist

Hannah Racher

Speech and Language Therapist

Fergus McGlone

Speech and Language Therapist

What do we do?

Mission Statement

A high quality, research and evidence based expert service, working as part of the Ear Nose and Throat (ENT) Voice Service to: assess, diagnose, and treat voice disorders; and enable patients to understand and overcome their voice disorder, improve voice quality and throat comfort level, optimise voice use, and prevent future problems.

Main objective

To enable patients to achieve a voice quality that serves their daily needs.

Description of service

Voice Clinics, run jointly with ENT Consultants:

  • contributing to assessment, differential diagnosis, identifying of influencing factors, and likely prognosis

  • facilitating selection of appropriate management strategies

Individual therapy, which may include:

  • education in how the voice works

  • education in the specific difficulty an individual is experiencing

  • advice on vocal hygiene ~ how to look after the voice and throat

  • exercises designed to make the throat feel easier and the voice to work better

  • physical (manual) therapy designed to ease the throat and improve the voice

  • psychological therapy related to voice

Individual therapy sessions are held in the Speech and Language Therapy department, which is in the Head and Neck/ENT Department, off junction 1a of York Hospital

Individual therapy sessions usually last for an hour.

There can be some flexibility in negotiating dates and times, within the normal working week of 9am to 5pm, with some availability of 8am slots.

The number of sessions required varies from patient to patient.

How do you access us?


  • GPs refer patients with voice problems to the Voice Clinic.

  • Patients are jointly assessed at the Voice Clinic by the ENT Consultant and Speech and Language Therapist.

  • Patients assessed as needing voice therapy are then given an appointment with a member of the Speech and Language Therapy voice team.

  • Referrals are also accepted from ENT Consultants in General ENT Clinics.

  • Usually the patient would be referred to the Voice Clinic for joint assessment before proceeding with voice therapy.

Useful links:

Royal College of Speech & Language Therapists

British Voice Association

To return to the Speech and Language Therapy home page click here.


Our Hospitals



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Blood taking, York Hospital

Due to COVID-19, from Monday 6 April the Phlebotomy service at York Hospital outpatient department will be closed until further notice.

We will continue to offer a blood taking services for patients who have urgent bloods requests only, at the nearby Nuffield Hospital. The urgency will have been identified during your medical appointment. Please access the Nuffield Hospital via the main reception and from there you will be directed to Phlebotomy. Please take a seat and wait to be called.

Patients who have routine blood test for yearly check-ups should not attend. Instead, please contact your GP to request an appointment at the GP surgery for your bloods to be taken.

Maternity services

If you are due to have a baby, please visit our website for up to date information about maternity services at this time

Haematology and Oncology services

With effect from Monday 6 April there will be temporary changes to the Haematology and Oncology services at Scarborough and York Hospital.  These decision have been made on the grounds of patient safety in the current coronavirus pandemic.  Find out more here.

Visiting cancelled

Due to the increasing number of cases of coronavirus across the UK, York Teaching Hospital NHS Foundation Trust has made the decision to cancel all visiting to all its hospital sites in order to ensure the safety of patients and staff.

There are three exemptions to the ruling which are for one parent of a sick child under 18, for the partner of a woman giving birth and end of life patients at the discretion of the ward sister.

We would ask people to respect this decision and to treat our staff, who will be enforcing the visiting restrictions, with courtesy and respect.  For more information visit our website.

Outpatient appointments

We know that NHS services will come under intense pressure as the coronavirus spreads, and as a Trust we need to redirect staff, free up staff for refresher training and carry out any works as necessary, so we are able to maximise capacity for patients for when the number of infections peak.  We also need to reduce the number of people coming into our hospitals to protect our patients, as well as keeping our staff safe, well and able to come into work.

To do this, with effect from Tuesday 24 March 2020, along with other trusts in the Humber Coast and Vale partnerships, we have made the collective decision to suspend all non-urgent routine outpatient appointments for at least three months.  Urgent and emergency cases and cancer appointments will be carrying on as normal.

These are unprecedented times and we thank you for your understanding.  We know many people waiting for treatment will be disappointed or worried but please not contact the hospital as we will be contacting everyone directly affected in the coming days and weeks.

If you do not receive a letter or a phone call from the hospital, please turn up for your scheduled appointment as normal unless you have symptoms of coronavirus, a cold, flu or norovirus in which case you should contact us to cancel your appointment by clicking here.