Justin is a consultant-level, clinical-academic and service lead, specialising in dysphagia in benign and malignant head and neck disorders. He works at 2 internationally renowned centres of excellence. He has been employed at the Royal Marsden NHS Foundation Trust (RMH) since 2008 and is currently Head of the Speech and Language Therapy Department. He was appointed as the Clinical Service Lead at the National Centre for Airway Reconstruction and Ear, Nose and Throat Service at Imperial College Healthcare NHS Trust (ICHT) in 2016. He received his honorary academic appointment in the Department of Surgery and Cancer at Imperial College London in 2016. Alongside these roles, Justin is on the board of the Clinical Oversight Group for the RM Partners Accountable Cancer Network.
Justin completed his first degree, majoring in psychology, in 1993. He trained to diploma level in therapeutic hypnosis and advanced psychotherapy in 1996. He qualified as a Speech and Language Therapist with a post-graduate diploma in Language and Communication Science at City University, London in 1999. In 2005, he completed a research masters at the Faculty of Medicine, University of Newcastle upon Tyne. He was awarded his PhD from the Institute of Cancer Research in 2013 in which he evaluated swallowing outcomes following treatment with intensity-modulated radiotherapy (IMRT) for head and neck cancer.
As a specialist advisor to the Royal College of Speech and Language Therapists (RCSLT) in head and neck oncology and palliative care, Justin represents the organisation at a national level. He has also contributed to a number of key policy and position papers, including RCSLT’s response to the Assisted Dying Bill. He chaired their Head and Neck Oncology Clinical Excellence Network from 2014-2018 leading on the provision of continuing professional development opportunities. As well as encouraging members to present their clinical and research work, during his tenure speakers included patient experts and international leaders in the field of head and neck cancer rehabilitation. In 2018, Justin was awarded a prestigious RCSLT Fellowship for his contribution to the profession.
He is a member of the RM Partners Living with and Beyond Cancer Pathway Group. He chaired the Speech and Language Therapy Professionals subgroup within the London Cancer Alliance which preceded RM Partners. In this role, he led a project to successfully implement consistent outcome measurement in patients being treated with radiotherapy across North, West and South East London head and neck cancer services and agreed protocols for prophylactic swallowing exercises in this population. He is now a steering committee member for the Head and Neck National Audit (HANA). He is an invited member of Macmillan's virtual multidisciplinary team (V-MDT). He has served on scientific committees including the United Kingdom Swallowing Research Group (UKSRG), the swallowing committee for the American Speech-Language-Hearing-Association’s (ASHA) convention and the academic committee for the British Academic Conference in Otolaryngology (BACO). He has represented the profession and Allied Health Professionals (AHPs) on a number of national work streams with Health Education England and NHS England. In 2019, he was elected as AHP Council Member for the British Association of Head and Neck Oncologists.
Justin has completed clinical observerships at a number of international centres of excellence. In 2006, he visited The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital (NKI-AVL) in Amsterdam. He was awarded the Catherine Renfrew Travelling Fellowship by the RCSLT in 2012 and spent time at the Center for Voice and Swallowing Research at Boston Medical Centre, Boston University School of Medicine, the Head and Neck Cancer Center, Massachusetts General Hospital, Boston and the Thyroid Head and Neck Cancer (THANC) Foundation Research Center, Beth Israel Medical Centre in New York. Most recently, Justin has worked with the head and neck cancer service Tata Memorial Hospital in Mumbai where he holds a visiting faculty appointment.
Justin’s academic work is focused on people diagnosed with head and neck/ lung cancers and laryngotracheal stenosis. He is involved in a number of NIHR and Cancer Research UK-funded research studies, including multinational cooperative studies as a co-applicant, co-investigator and trial management group/ trial steering committee member (see "Research").
Justin is committed to quality improvement and patient-centred care. He is leading a qualitative study evaluating the rehabilitation needs of patients with advanced lung cancer funded by the Royal Marsden Cancer Charity. He has completed training in experience-based co-design (EBCD) with the Point of Care Foundation and is working with quality improvement specialists to deliver on an co-production initiative with patients with airway disorders at ICHT, as well as an EBCD project with head and neck cancer patients at RMH. In 2018, Justin was awarded a Certificate of Excellence based on patient feedback submitted to IWantGreatCare.org, the online healthcare review site. In March 2018, he was awarded an Imperial Health Charity/ Imperial NIHR Biomedical Research Centre Post Doctoral Fellowship, and from April 2019, he will continue his work in partnership with healthcare professionals and patients to produce a Patient Concerns Inventory for people diagnosed with Airway Stenosis (PCI-AS).
Justin provides academic supervision and mentorship to clinicians completing post-graduate research programmes and has examined at doctoral level. As well as being a reviewer for several journals, he has published a number of peer-reviewed papers on head and neck cancer, lung cancer, palliative care and ethical issues and spoken at meetings and conferences internationally.
Justin is a member of the British Association of Head and Neck Oncologists, British Laryngological Association, Dysphagia Research Society, European Head and Neck Society and United Kingdom Swallowing Research Group.
et al., 2019, What Are We Really Measuring? A Content Comparison of Swallowing Outcome Measures for Head and Neck Cancer Based on the International Classification of Functioning, Disability and Health (ICF)., Dysphagia, Vol:34, Pages:575-591
et al., 2019, Feasibility and outcomes of fibreoptic endoscopic evaluation of swallowing following prophylactic swallowing rehabilitation in head and neck cancer, Clinical Otolaryngology, Vol:44, ISSN:1749-4478, Pages:549-556
Brady GC, Goodrich J, Roe JWG, 2019, Using experience-based co-design to improve the pre-treatment care pathway for people diagnosed with head and neck cancer, Supportive Care in Cancer, ISSN:0941-4355
et al., 2018, An investigation of the prevalence of swallowing difficulties and impact on quality of life in patients with advanced lung cancer, Supportive Care in Cancer, Vol:26, ISSN:0941-4355, Pages:515-519