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\u2022 Rehabilitation specialist\u000DPerforming the intake, determining the indication for rehabilitation, applying the patient for the rehabilitation programme and chairperson for the multidisciplinary team (MDT) meetings. Oversees the treatment process and outcome evaluation, together with the head and neck surgeon/oncologist. Carries the main responsibility for the HNR programme.\u000D\u2022 Speech and language pathologist\u000DClinical examination and assessment of voice, speech, language, swallowing, sense of smell and hearing. Interpretation of results and treatment of problems in the area of voice quality, olfaction, hearing function, swallowing function, articulation, facial expression, etc. Guides patients throughout the logopaedic treatment. Evaluation of treatment outcome.\u000D\u2022 Social worker\u000DScreening for distress (Distress Thermometer). Guidance of and information-giving to patients and their partners on potential psychosocial problems that they may experience as a result of, or during, treatment.\u000D4.2 Specific expertise\u000DHaving knowledge of and experience in head and neck cancer rehabilitation is a necessary precondition, as well as working within a head and neck cancer centre recognised by the Dutch Head and Neck Society. Team members are furthermore expected to look beyond the boundaries of their discipline and take active part in further training and team discussions. Research into the efficacy of various treatment forms is part of the continuing development of this treatment programme.\u000D4.3 Preconditions\u000DFor each discipline the diagnostic methods/tools used in the process, and their timing, can be found in the different treatment protocols under \u0027measurement tools\u0027. Per discipline, there is always one therapist who has direct contact with the patient. Therapists may however differ between treatment modules. Staffing for supporting tasks, such as taking questionnaires and performing tests, office assistance and supervision of treating health professionals is coordinated and monitored by the persons mentioned in Chapter 6.\u000D4.4 Evaluation of programme content\u000DEach month a structural team meeting takes place, in which any problematic parts of the programme, discussion guidelines or case discussions are addressed. The content of each structural meeting is determined by the HNR team as a whole. Once every year, the treatment programme is evaluated per module to ensure continued development. Furthermore, HNR team members are encouraged to continue their education and increase their expertise through training. Once every year, learning points that arose in the end assessments of patients are discussed and, where necessary, taken up in the treatment protocols concerned. Incorporated too are the outcomes of process assessment; that is, the programme-specific survey in which patients may indicate to what extent the treatment programme met their expectations and whether they were satisfied with the SMART goals formulated for them (see Appendix 6E). Planning for the next year is generally done in the autumn, and this is initiated by the programme owners. The precise content of the HNR programme is again determined by the team as a whole.\u000D97\u000D