Speech and language therapy (SLT) is a rewarding career path focused on helping people of all ages improve their communication and swallowing skills. For many, entering this field through a university degree can feel financially or logistically out of reach. That’s where a speech and language therapy apprenticeship offers a promising alternative.
If you’re interested in becoming a speech and language therapist (SLT) or a speech and language therapy assistant (SLTA), this guide will walk you through the process of starting a speech and language therapy apprenticeship in the UK, the requirements, and what to expect.
1. What Is a Speech and Language Therapy Apprenticeship?
A speech and language therapy apprenticeship is a structured training program that combines on-the-job learning with academic study. These apprenticeships are designed to allow individuals to earn while they learn, gaining both practical experience and a recognised qualification.
There are two main types:
- Level 3/4 Apprenticeship: Often for becoming a Speech and Language Therapy Assistant (SLTA).
- Degree Apprenticeship (Level 6/7): For those training to become a fully qualified Speech and Language Therapist.
2. Why Choose an Apprenticeship?
Choosing an SLT apprenticeship over a traditional university route offers several benefits:
- Earn while you learn – You receive a salary while gaining hands-on experience.
- No student debt – Tuition costs are typically covered by the employer or the government.
- Real-world experience – You work alongside qualified therapists and professionals.
- Defined career pathway – Apprenticeships often lead to full-time employment upon completion.
3. Step-by-Step Guide: How to Start a Speech and Language Therapy Apprenticeship
Meet the Entry Requirements
Depending on the level of apprenticeship, the entry requirements vary:
- Assistant Level Apprenticeship: Usually requires GCSEs (including English and Maths) or equivalent. Some employers may ask for prior experience or a health-related qualification.
- Degree-Level Apprenticeship: Typically requires A-Levels (or equivalent), including biology, psychology, or health sciences. Some providers accept relevant experience in place of formal qualifications.
Decide Your Career Goal
Ask yourself whether you want to become a registered speech and language therapist or work as an assistant.
- Assistants provide vital support but are not licensed to diagnose or create treatment plans.
- If your goal is to become a qualified SLT, a degree apprenticeship (like the BSc (Hons) Speech and Language Therapy) is the right route.
Also, read more about the Communication Skills for Speech and Language Therapy Assistant jobs.
Search for Apprenticeship Opportunities
You can search for apprenticeships through several platforms:
- NHS Jobs website: Most SLT apprenticeships are hosted by NHS Trusts.
- Find an Apprenticeship Service (gov.uk)
- UCAS: Some universities list apprenticeship routes alongside traditional degrees.
- Individual employer websites: Local hospitals, clinics, or community trusts.
Use search terms like:
- “Speech and language therapy apprenticeship”
- “SLT degree apprenticeship”
- “Speech therapy assistant apprenticeship”
Prepare a Strong Application
Once you find a relevant apprenticeship opportunity:
- Tailor your CV and cover letter for the healthcare field.
- Emphasise transferable skills: communication, empathy, patience, and teamwork.
- Include voluntary or paid work in schools, care homes, or hospitals if applicable.
- Showcase your interest in speech and language development or therapy-related areas.
Attend Interviews or Assessment Days
Employers often conduct interviews or assessment sessions to evaluate your suitability. Be ready to:
- Discuss your understanding of the SLT role.
- Provide examples of how you work with others.
- Demonstrate communication and problem-solving skills.
Start the Apprenticeship
If successful, your apprenticeship will begin with an induction. You’ll:
- Be assigned a workplace mentor.
- Attend training sessions at a university or college (usually 1 day/week).
- Gain practical experience across settings: hospitals, schools, community centres, or care homes.
Work and Learn Simultaneously
You’ll typically work around 30–37.5 hours per week, depending on the employer. Study and work go hand-in-hand, covering:
- Speech, language, and communication disorders
- Therapeutic techniques
- Swallowing assessments
- Child development and adult neurology
- Clinical placements
Complete Your End Point Assessment (EPA)
At the end of the apprenticeship, you’ll undergo an EPA, which may include:
- Portfolio submission
- Observation in a clinical setting
- A professional discussion or exam
Successfully passing this assessment will earn you a degree qualification, and you’ll be eligible to apply for registration with the Health and Care Professions Council (HCPC) (for therapists).
Register and Begin Your Career
Once you complete your degree apprenticeship and pass the EPA, you can register with the HCPC and begin practicing as a qualified Speech and Language Therapist in the UK.
If you pursue an assistant-level apprenticeship, you can continue working in that role or choose to progress further by applying for the degree-level program.
Final Thoughts
Starting a speech and language therapy apprenticeship is a smart, accessible way to enter the world of healthcare. Whether you’re fresh out of school or switching careers, it offers a flexible path that blends real-world experience with academic learning.
The demand for qualified speech and language therapists and assistants is only growing, especially across the NHS and educational sectors. If you’re passionate about communication, helping others, and building a meaningful career, now is the perfect time to begin your journey in speech and language therapy.
