Clinical Director of Speech and Language Therapy

Ms. Melissa Avis

Communication is central to how we connect with others, express our needs and participate in everyday life. I aim to make therapy practical and meaningful, working closely with each person and their family to build on strengths and support greater confidence and independence.
Ms. Melissa Avis

Biography

Melissa Avis is a Highly Specialist Speech and Language Therapist with extensive experience in adult neurorehabilitation, stroke and acquired brain injury. She currently works within a Stroke Early Supported Discharge Team, providing specialist assessment and treatment in patients’ homes following stroke, with particular expertise in aphasia, dysarthria, dyspraxia, dysphagia and cognitive communication difficulties.

Melissa has worked across acute hospitals, specialist neurorehabilitation services, community settings and private neurological rehabilitation, supporting individuals with stroke, traumatic and hypoxic brain injury, Parkinson’s disease, brain tumours, dementia, motor neurone disease and other neurodegenerative conditions. Her clinical work includes the assessment and treatment of communication, speech, language and swallowing difficulties, as well as augmentative and alternative communication where required.


A central part of Melissa’s approach is multidisciplinary and family-centred rehabilitation. Throughout her career, she has worked closely with physiotherapists, occupational therapists, psychologists, dietitians, medical teams, rehabilitation assistants, case managers and families to develop coordinated rehabilitation goals and support patients through different stages of recovery.

Melissa also has substantial experience supporting patients and families through the transition from hospital to community rehabilitation. Her work has given her a strong understanding of the practical challenges families may face when navigating discharge planning, ongoing rehabilitation and longer-term support, and she places particular importance on clear communication and helping families understand the options available to them.

She has additional specialist experience in dysphagia management, Facial Oral Tract Therapy, LSVT LOUD, Talking Mats and the use of surface electromyography within rehabilitation. She has also undertaken training towards FEES competency and has experience working with tracheostomy, complex swallowing needs and patients requiring highly specialist neurological rehabilitation.


Melissa has also contributed to professional education and service development. In 2026, she worked as a Visiting Lecturer at Canterbury Christ Church University, delivering teaching within the MSc Speech and Language Therapy programme.

Awards & Education

Melissa completed her Bachelor of Speech Pathology at Flinders University in Adelaide, Australia, before developing a career spanning Australia and the UK in neurological and rehabilitation Speech and Language Therapy.

She is registered with the Health and Care Professions Council (HCPC) and is a member of the Royal College of Speech and Language Therapists (RCSLT). She also participates in a number of specialist Clinical Excellence Networks, including the Acquired Brain Injury CEN, London Adult Neuro CEN, FEES/VF CEN and Mouth Care CEN, reflecting her continued commitment to specialist professional development.

Her additional training includes Facial Oral Tract Therapy (FOTT), LSVT LOUD, Talking Mats, FEES-related training, dysphagia assessment and intervention, cognitive communication disorders, cough reflex testing and specialist acquired brain injury education.

Across her clinical practice, Melissa remains committed to evidence-based, person-centred rehabilitation and to working collaboratively with patients, families and multidisciplinary teams to support communication, swallowing and meaningful participation in everyday life.

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Other Team Members

Dr. Sara Simblett
Chief Executive Officer (CEO)

Dr. Sara Simblett

As the Chief Executive Officer (CEO) of the London Neurocognitive Clinic, Dr Simblett is committed to the provision of neuropsychological assessment,
Patrick Litani
Chief Operating Officer (COO)

Patrick Litani

Patrick holds a Master of Business Administration (MBA) from the University of Exeter, complementing his academic background in International Relations and Politics from Birkbeck, University of London.
Dr. Fergus Gracey
Head of Clinical Directors

Dr. Fergus Gracey

Dr Fergus Gracey is a clinical neuropsychologist, with over 20 years of clinical and research experience supporting individuals of all ages with acquired brain injuries.
Dr. James Pamment
Clinical Director for Adult Neuropsychology

Dr. James Pamment

Dr Pamment recognises the importance of developing strong working relationships with patients and professionals alike.
Dr Carleen Scott
Clinical Director for Paediatric Neuropsychology

Dr Carleen Scott

Dr Scott is an experienced and motivated Clinical Psychologist with a wealth of qualified experience in the field.
Ms. Melissa Avis
Clinical Director of Speech and Language Therapy

Ms. Melissa Avis

Melissa Avis is a Highly Specialist Speech and Language Therapist with extensive experience in adult neurorehabilitation, stroke and acquired brain injury.
Dr Lawson Falshaw
Clinical Psychologist specialising in Neuropsychology

Dr Lawson Falshaw

Dr. Lawson Falshaw is a clinical psychologist specialising in neuropsychology, with extensive experience in working with individuals across a range of neurological and psychological conditions.
Dr Vignesh Paleri
Clinical Psychologist specialising in Neuropsychology

Dr Vignesh Paleri

Dr. Vignesh Paleri is a clinical psychologist specialising in neuropsychology, with extensive experience in supporting individuals recovering from neurological conditions..
Dr Grace Lakey
Clinical Psychologist specialising in Neuropsychology

Dr Grace Lakey

Dr. Grace Lakey is a Clinical Psychologist specialising in Neuropsychology, with expertise in supporting both adults and children facing neurological, cognitive, and psychological challenges.
Dr. Lauren Burns
Clinical Psychologist specialising in Neuropsychology

Dr. Lauren Burns

Dr Lauren Burns is a Clinical Psychologist specialising in Neuropsychology, with experience supporting individuals living with neurological conditions and acquired brain injuries.
Rafael Terespolsky
Physiotherapist specialising in neurorehabilitation

Rafael Terespolsky

Rafael is a skilled Physiotherapist with vast experience and expert knowledge in neurological and musculoskeletal conditions and cardiovascular health.
Ms Betty Chodewa
Occupational Therapist specialising in Neurorehabilitation

Ms Betty Chodewa

Ms Betty Chodewa is an Occupational Therapist specialising in Neurorehabilitation, with experience supporting individuals living with neurological conditions, cognitive difficulties.
Naomi Williams
Assistant Psychologist

Naomi Williams

Naomi Williams is an Assistant Psychologist at The London Neurocognitive Clinic, where she supports qualified clinicians in the assessment and rehabilitation of individuals presenting with neurological, cognitive and psychological difficulties.
Oindrila Das
Marketing and Administrative Assistant

Oindrila Das

Oindrila Das is an aspiring neuropsychologist and neuroscientist with a background in clinical neuroscience, neuropsychology, and psychology.
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