{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T14:16:35Z","timestamp":1783606595449,"version":"3.55.0"},"reference-count":25,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jvoice.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Voice"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.jvoice.2026.06.033","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T13:28:48Z","timestamp":1783603728000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cost and Service Implications of Speech and Language Therapist-Led Clinics for Persistent Throat Symptoms: A Service Evaluation"],"prefix":"10.1016","author":[{"given":"Natalie","family":"Eastwood","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3570-9648","authenticated-orcid":false,"given":"Diane","family":"Sellstrom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Cosway","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"O\u2019Hara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvoice.2026.06.033_bib1","doi-asserted-by":"crossref","DOI":"10.1186\/s13063-016-1267-7","article-title":"TOPPITS: trial of proton pump inhibitors in throat symptoms. Study protocol for a randomised controlled trial","volume":"17","author":"Watson","year":"2016","journal-title":"Trials"},{"key":"10.1016\/j.jvoice.2026.06.033_bib2","first-page":"1138e1","article-title":"Outcomes of an advanced speech and language therapist-led low-risk 2-week wait clinic for suspected head and neck cancer: a UK-based pilot study","volume":"39","author":"Butler","year":"2023","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.06.033_bib3","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1111\/1460-6984.12650","article-title":"Scoping opinion: speech and language therapists\u2019 views on extending their role to the urgent ear, nose and throat pathway","volume":"56","author":"Occomore-Kent","year":"2021","journal-title":"Intl J Lang & Comm Disor"},{"key":"10.1016\/j.jvoice.2026.06.033_bib4","unstructured":"NHS. NHS Long Term Workforce Plan. Published online June 30, 2023. \u3008https:\/\/www.england.nhs.uk\/long-read\/nhs-long-term-workforce-plan-2\/#2-train-growing-the-workforce\u3009."},{"key":"10.1016\/j.jvoice.2026.06.033_bib5","unstructured":"Nuffield Trust. Expanding skills of existing staff best way to develop NHS workforce for 21st century. \u3008https:\/\/www.nuffieldtrust.org.uk\/news-item\/expanding-skills-of-existing-staff-best-way-to-develop-nhs-workforce-for-21st-century\u3009."},{"key":"10.1016\/j.jvoice.2026.06.033_bib6","article-title":"Barriers and facilitators to the implementation of the advanced nurse practitioner role in primary care settings: a scoping review","volume":"104","author":"Torrens","year":"2020","journal-title":"Int\u00a0J\u00a0Nurs\u00a0Stud"},{"key":"10.1016\/j.jvoice.2026.06.033_bib7","series-title":"Speech and Language Therapy Endoscopic Evaluation of the Larynx for Clinical Voice Disorders","author":"Jones","year":"2020"},{"key":"10.1016\/j.jvoice.2026.06.033_bib8","first-page":"904","article-title":"Outcomes of a multidisciplinary ear, nose and throat allied health primary Contact outpatient assessment service","volume":"45","author":"Payten","year":"2020","journal-title":"Clin\u00a0Otolaryngol"},{"key":"10.1016\/j.jvoice.2026.06.033_bib9","first-page":"3","article-title":"Outcomes from an extended scope of practice speech-language pathology service for low risk ENT outpatients: a 5-year service review","volume":"24","author":"Schwarz","year":"2022","journal-title":"Int\u00a0J\u00a0Speech Lang\u00a0Pathol"},{"key":"10.1016\/j.jvoice.2026.06.033_bib10","first-page":"65","article-title":"Implementation of an extended scope of practice speech-language pathology allied health practitioner service: an evaluation of service impacts and outcomes","volume":"21","author":"Seabrook","year":"2019","journal-title":"Int\u00a0J\u00a0Speech Lang\u00a0Pathol"},{"key":"10.1016\/j.jvoice.2026.06.033_bib11","first-page":"86","article-title":"Attitudes to the implementation of speech and language therapist led low risk two week wait clinic in the UK: a survey exploration using normalization process theory","volume":"38","author":"Bradley","year":"2024","journal-title":"J\u00a0Voice"},{"key":"10.1016\/j.jvoice.2026.06.033_bib12","article-title":"Outcomes of a first point of contact speech language therapy clinic for patients requiring vocal cord check pre and post thyroid\/parathyroid surgery","volume":"59","author":"Davis","year":"2023","journal-title":"Intl J Lang\u00a0Comm Disor"},{"key":"10.1016\/j.jvoice.2026.06.033_bib13","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta25030","article-title":"Lansoprazole for persistent throat symptoms in secondary care: the TOPPITS RCT","volume":"25","author":"Wilson","year":"2021","journal-title":"Health Technol Assess"},{"key":"10.1016\/j.jvoice.2026.06.033_bib14","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1136\/thx.2006.064337","article-title":"Efficacy of speech pathology management for chronic cough: a randomised placebo controlled trial of treatment efficacy","volume":"61","author":"Vertigan","year":"2006","journal-title":"Thorax"},{"key":"10.1016\/j.jvoice.2026.06.033_bib15","doi-asserted-by":"crossref","first-page":"392.e13","DOI":"10.1016\/j.jvoice.2016.10.002","article-title":"A systematic review of voice therapy: what \u201ceffectiveness\u201d really implies","volume":"31","author":"Desjardins","year":"2017","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2026.06.033_bib16","doi-asserted-by":"crossref","first-page":"1611","DOI":"10.1044\/2022_AJSLP-21-00381","article-title":"Effectiveness of the therapy program for management of chronic cough: preliminary data from a randomized clinical trial","volume":"31","author":"Ribeiro","year":"2022","journal-title":"Am J Speech Lang Pathol"},{"key":"10.1016\/j.jvoice.2026.06.033_bib17","first-page":"426.e11","article-title":"Delayed otolaryngology referral for voice disorders increases health care costs","volume":"128","author":"Cohen","year":"2015","journal-title":"Am\u00a0J\u00a0Med"},{"key":"10.1016\/j.jvoice.2026.06.033_bib18","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1016\/j.otohns.2009.06.744","article-title":"Clinical practice guideline: hoarseness (dysphonia)","volume":"141","author":"Schwartz","year":"2009","journal-title":"Otolaryngol Head Neck Surg"},{"key":"10.1016\/j.jvoice.2026.06.033_bib19","first-page":"85","article-title":"Speech therapist led voice clinic: which patients may be suitable?","volume":"30","author":"Vaghela","year":"2005","journal-title":"Logop\u00a0Phoniatr\u00a0Vocol"},{"key":"10.1016\/j.jvoice.2026.06.033_bib20","series-title":"Classification Manual for Voice Disorders-I","year":"2014"},{"key":"10.1016\/j.jvoice.2026.06.033_bib21","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1097\/MLG.0b013e318158f72d","article-title":"Hoarseness: is it really laryngopharyngeal reflux?","volume":"118","author":"Cohen","year":"2008","journal-title":"Laryngoscope"},{"key":"10.1016\/j.jvoice.2026.06.033_bib22","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.jvoice.2009.10.009","article-title":"Pathophysiology and treatment of muscle tension dysphonia: a review of the current knowledge","volume":"25","author":"Van Houtte","year":"2011","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2026.06.033_bib23","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.jvoice.2004.03.007","article-title":"Current and emerging concepts in muscle tension dysphonia: a 30-month review","volume":"19","author":"Altman","year":"2005","journal-title":"J Voice"},{"key":"10.1016\/j.jvoice.2026.06.033_bib24","series-title":"StatPearls","article-title":"Functional Voice Disorders","author":"Naqvi","year":"2025"},{"key":"10.1016\/j.jvoice.2026.06.033_bib25","first-page":"522","article-title":"Evaluating the effectiveness and efficiency of voice therapy using transnasal flexible laryngoscopy: a randomized controlled trial","volume":"18","author":"Rattenbury","year":"2004","journal-title":"J\u00a0Voice"}],"container-title":["Journal of Voice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199726003164?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0892199726003164?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T13:28:51Z","timestamp":1783603731000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0892199726003164"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":25,"alternative-id":["S0892199726003164"],"URL":"https:\/\/doi.org\/10.1016\/j.jvoice.2026.06.033","relation":{},"ISSN":["0892-1997"],"issn-type":[{"value":"0892-1997","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Cost and Service Implications of Speech and Language Therapist-Led Clinics for Persistent Throat Symptoms: A Service Evaluation","name":"articletitle","label":"Article Title"},{"value":"Journal of Voice","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvoice.2026.06.033","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Voice Foundation. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}