Liverpool Head & Neck Centre

Jo Patterson

Professor Jo Patterson


School of Health Sciences, Institute of Population Health
University of Liverpool, 1.17 Thompson Yates Building, The Quadrangle, Brownlow Hill, Liverpool L69 3GB


I am Professor of Speech and Language Therapy and Associate Head of Research at the School of Health Sciences, University of Liverpool, Honorary Professor at Clatterbridge Cancer Centre and Liverpool University Hospital Foundation Trust. I have over 30 years of clinical experience in head and neck cancer rehabilitation with expertise in the assessment and management of voice and dysphagia. I have received a Royal College of Speech and Language Therapy (RCSLT) Fellowship in recognition of my contribution to the advancement of the profession, both as an academic and a practicing SLT. As their specialist advisor, I represent the organisation on a number of committees and councils, contributing towards policy and strategic direction. Other leadership positions include; British Association for Head and Neck Oncology Research Committee and previous council member; research lead for RCSLT Clinical Excellence Network – Head and Neck Oncology; SLT representative for NIHR ENT Specialty National Group; Editorial Board member for Clinical Otolaryngology and Current Opinion in Otolaryngology & Head and Neck Surgery – Speech Therapy. 

I lead the Improving Patient Outcomes theme at the Liverpool Head and Neck Centre, which aims to optimise functional outcomes and quality of life in head and neck cancer, with strong collaborations regionally, nationally and internationally. This research programme covers a range of topics, such as; holistic prehabilitation, enhanced recovery, psychosocial adjustment and support models, patient-directed consultations, patient-reported outcome measure development, functional assessments and novel swallowing intervention development. Our research spans an array of study designs, with a range of feasibility, pilot and randomised controlled trials. I work in close collaboration with the Liverpool Patient Forum, who provide a strong foundation from research development to dissemination. I am a trustee for Head and Neck Cancer UK, a national charity led by head and neck cancer survivors.

I am highly committed to increasing research capability and capacity for Nurses, Midwives and Allied Healthcare Professionals (NMAHPs), and expediting the translation of evidenced-based care into clinical practice. I chair ‘NRICAM’ (NMAHP Research In Cheshire And Merseyside), a collaborative group of University of Liverpool, Liverpool Health Partners and local Trusts representatives, aspiring to strengthen sustainable partnerships and deliver NMAHP clinical academic leaders of the future.

  • 2013

    NIHR Clinical Lecturer


    Newcastle University ‘Swallowing outcomes in head and neck cancer patients treated with (chemo)radiotherapy’  



    Dept of Health Research Capacity Doctoral Fellow


    Newcastle University Advanced Clinical Studies (Dysphagia)

    MSc (Distinction)


    University of Nottingham Advanced Certificate in Counselling  


    City University Clinical Communication Studies

    BSc (Hons) 2.1


  • 2021      Decision making in older people with frailty and head & neck cancer. Funder Research Capacity Fund, Liverpool CCG (lead applicant)       

    2021      Palliative Partners in Head and Neck Cancer (PP-HANC) - a network approach to addressing the needs of patients and their families. Funder NIHR Cross collaboration (co-lead applicant)                                     

    2021      Exercise as medicine in oncology: a feasibility study investigating a patient-centred approach to exercise for head and neck cancer survivors. Funder NIHR RfPB (lead applicant)                                                  

    2021      EVolution of a patiEnt-REported symptom-based risk stratification sySTem to redesign the suspected Head and Neck cancer referral pathway (EVEREST-HN). Funder NIHR PGfAR  (co-lead applicant)                 

    2020      Exploring the role of health literacy in the diagnosis of head and neck cancer. Funder NIHR     RfPB (co-applicant)                                      

    2017      Understanding pathways to post-traumatic growth; informing intervention development in oral cancer survivors. Funder Newcastle upon Tyne NHS Charitable Trust    (co-lead applicant)    

    2016        Phase III study assessing The “best of” radiotherapy compared to the “best of” surgery (trans-oral surgery (TOS)) in patients with T1-T2, N0 oropharyngeal carcinoma (co-applicant) Funder: Cancer Research UK.

    2014        Postoperative adjuvant treatment for HPV-positive tumours
    Funder: Cancer Research UK. (co-applicant)

  • 2017        Smart Swallow sensor: Development of a prototype Funder MRC Confidence in Concept, Newcastle University (co-applicant)     

    2016        Randomised Controlled Trial of the Clinical and Cost Effectiveness of Low Level Laser in the Management of Oral Mucositis in Head and Neck Cancer Irradiation (Liteform) Funder: NIHR Health Technology Assessment (co-applicant)                                                                      

    2015        Resources for living with altered eating difficulties. Funder North East ESRC Impact Acceleration Fund (co-lead applicant)                                                                                              

    2015        Hypnotherapy for taste dysfunction; a proof of concept study. Funder MRC Confidence in Concept, Newcastle University (co-lead applicant)                                                            

    2014        Improving quality of life and swallowing function in patients with head and neck cancer: Development and feasibility of a Swallowing Intervention Package (SIP)

    Funder: Chief Scientist Office Research Grant Scotland (co-applicant)           

    2013        A feasibility randomised controlled trial of pre-treatment gastrostomy tube versus oral feeding plus as-needed nasogastric tube feeding in patients undergoing chemoradiation for head and neck cancer Funder: NIHR Health Technology Assessment (co-applicant)  

    2012        Resources for Living Pilot, exploring the potential of progressive cuisine for quality of life improvement for head and neck cancer survivors (co-applicant) Funder: NIHR Research for Patient Benefit Programme

  • PhD candidates:                            

    • Ms Jennifer Deane                                        

    • Dr Amal A. Al-Amer                                 

    • Mr James Faraday

    • Dr. Heather Starmer

    • Ms Shamah Alnahham

    • Ms Emily Pearson                                    

    Pre-doctoral NIHR Fellows             

    • Ms Linda Cantwell

    • Ms Alison Felton

    • Ms Laura-Jayne Watson

    • Ms Mandeep Bhabra

  • Peer-reviewed articles

    Orcid ID

    • Watson LJ, Hamilton DW, Patterson JM Patient experience of the acute post-surgical period following total laryngectomy before and during COVID-19 International Journal of Language & Communication Disorders 2022 DOI: 10.1111/1460-6984.12709

    • Hatton R, Crane J, Rogers SN, Patterson JM Peer to peer support in head and neck cancer: A scoping review British Journal of Nursing 2021

    • Stephen S, Murphy J, Goff, Paleri V, Patterson JM  Early post-operative functional outcomes following minimally invasive surgery for oropharyngeal cancer: A systematic review Head and Neck 2022

    • Patterson JM, Lu L, Watson LJ, Harding S, Sharp L. Associations between markers of social functioning and depression and quality of life in survivors of head and neck cancer: findings from the Head and Neck Cancer 5000 study Psycho-oncology DOI:10.1002/pon.5830

    • Hatton R, Patterson JM, Crane J, Rogers SN. A survey to ascertain peer support models available in Head and Neck cancer across the United Kingdom British Journal of Oral & Maxillofacial Surgery 2021

    • Neilson LJ, Sharp L, Patterson J, von Wagner C, Hewitson P, McGregor L, Rees CJ The Newcastle ENDOPREM TM: A validated Patient Reported Experience Measure for Gastrointestinal Endoscopy BMJ Open Gastroenterology 2021

    • Govender R, Behenna K, Brady G, Coffey M, Babb M, Patterson JM How the COVID-19 pandemic affected people with Total Laryngectomy – A UK audit from the first national lockdown International Journal of Language & Communication Disorders 2021 DOI: 10.1111/1460-6984.12656

    • Bradley P, Patterson JM 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 Journal of Voice (in press)

    • Baker J, Barnett C, Cavalli L, Dietrich M, Dixon L, Duffy JR, Elias A, Fraser DE, Freeburn JL, Gregory C, McKenzie K, Miller N, Patterson JM, Roth C, Roy N, Short J, Utianski R, Van Mersbergen M, Vertigan A, Carson A, Stone J, McWhirter L Management of Functional Communication, Swallowing, Cough, and Related Disorders: Consensus Recommendations for Speech and Language Therapy Journal of Neurology, Neurosurgery, and Psychiatry 2021

    • Patterson JM, Lu L, Watson LJ, Harding S, Sharp L. Trends in, and predictors of, swallowing and social eating outcomes in head and neck cancer patients: a longitudinal analysis of Head and Neck Cancer 5000 Oral Oncology 2021

    • North A, Sharp L, Carson L, Patterson JM, Hamilton DW. The unmet needs of patients with advanced incurable head and neck cancer and their carers: a systematic review and meta-ethnography of qualitative data European Journal of Cancer Care 2021 30(4)

    • Lin DJ, Altamimi J, Wilson JA, Patterson JM. Modelling the factor structure for a dysphagia quality of life questionnaire – MD Anderson Dysphagia Inventory (MDADI) Dysphagia 2021

    • Starmer H, Arrese L, Langmore S, Ma Y, Murray J, Patterson J, Pisegna J, Roe J, Tabor-Gray L Hutcheson K. Adaptation and Validation of the Dynamic Imaging Grade of Swallowing Toxicity for Flexible Endoscopic Evaluation of Swallowing: DIGEST™-FEES Journal of Speech, Language, and Hearing Research (2021) (Editor’s prize**)

    • Faraday J, Abley C, Beyer F, Exley C, Moynihan P, Patterson JM How do we provide good mealtime care for people with dementia living in care homes? A mixed-methods systematic review Dementia: the international journal of social research and practice (2021) DOI: 10.1177/14713012211002041/ ID: DEM-20-0066.R3

    • Scott S, Madsen A, Rubek N ,  Charabi B Wessel I  Fredslund H, Jensen H, Stephen S, Patterson JM, Friborg J, Hutcheson KA,  Kehlet H  Von Buchwald C.   Long-term Quality of Life and Functional Outcomes After Treatment of Oropharyngeal Cancer Cancer Medicine (2020)

    • Starmer H, Drinnan M, Bhabra M, Watson LJ, Patterson JM. Development and testing of the Revised Patterson Edema Scale Clinical Otolaryngology 2021;00:1–6

    • Trimble J. Patterson JM Cough reflex testing in acute stroke: a survey of current UK service provision and speech and language therapist perceptions International Journal of Language & Communication Disorders 2020 DOI: 10.1111/1460-6984.12571

    • Patterson JM, Govender R, Roe JN, Carding PN. COVID-19 and ENT SLT/Laryngology services, workforce and research in the United Kingdom; a discussion paper International Journal of Language & Communication Disorders 2020

    • Menger F, Patterson JM, O’Hara J, Sharp L. Research priorities on post-traumatic growth: Where next for the benefit of cancer survivors? Psycho-Oncology 2020 DOI: 10.1002/pon.5490

    • Neilson LJ, Sharp L, Patterson J, von Wagner C, Hewitson P, McGregor L, Rees CJ Patient experience of gastrointestinal endoscopy: informing the development of the Newcastle ENDOPREM Frontline Gastroenterology 2020

    • Stelmes JJ, Gregoire V, Klussmann JP, Evans M, Bourhis J, Leemans R, Spriano G, Dietz A, Hunter K, Zimmermann F, Singer S, Tinhofer-Keilholz I, Patterson JM, Quaglini S, Golusinski W, Broglie M, Giger R, Simon C. Organ Preservation and Late Functional Outcome in Oropharyngeal Carcinoma: Rationale of EORTC 1420, the “Best of” trial Frontiers in Oncology

    • Patterson JM. Psychological Interventions for the Head and Neck Cancer Population who are experiencing dysphagia SIG 13, Perspectives on Swallowing and Swallowing Disorders (Dysphagia) 2019 ASHA

    • Ivy A, Stephens S, Goff D, Patterson JM, Warner L, Paleri V, Goranova R, O’Hara J. Long term swallowing outcomes following transoral surgery and adjuvant radiotherapy versus adjuvant chemoradiotherapy for oropharyngeal carcinoma; Our experience in 37 patients. Clinical Otolaryngology (in press)

    • Patterson JM. Late effects of organ preservation treatment on swallowing and voice; presentation, assessment and screening Frontiers in Oncology 2019 (in press)

    • Nund R, Ward E, Maclean J, Roe J, Patterson JM, Martino R. What are we really measuring? A content comparisons of swallowing outcome measures for head and neck cancer based on the International Classification of Functioning, Disability and Health (ICF) Dysphagia 2019 (in press)

    • Dawson C, Pracy P, Patterson JM, Paleri V. Rehabilitation following open partial laryngectomy in the United Kingdom: a position statement J Laryngology and Otology 2019;33:177–182

    • Patterson JM, Toft, K, McAuley F, King E, McLachlan K, Roe JWG, Wells M. Feasibility and outcomes of Fibreoptic Endoscopic Evaluation of Swallowing in evaluating a prophylactic swallowing rehabilitation programme in head and neck cancer Clinical Otolaryngology 2019;44(4)

    • Goff D, Patterson JM. Eating and drinking with an inflated tracheostomy cuff: A systematic review of the aspiration risk International Journal of Language & Communication Disorders 2019;54(1)

    • Paleri V, Patterson JM, Rousseau N, Moloney E, Craig D, Tzelis D, Wilkinson N, Franks F, Hynes A, Heaven B, Hamilton D, Guerrero-Urbano T, Donnelly R, Barclay S, Rapley T, Stocken D. Gastrostomy versus nasogastric tube feeding for chemoradiation patients with head and neck cancer: the TUBE pilot RCT. Health Technology Assessment 2018;22(16)

    • Patterson JM, McColl E, Carding PN, Wilson JA. Swallowing beyond six years post (chemo)radiotherapy for head and neck cancer  Oral Oncology 2018;83(53-58)

    • Burges Watson D.L, Lewis S, Bryant V, Patterson J, Kelly C, Edwards-Stuart R, Murtagh M.J, Deary V. Altered eating: a definition and framework for assessment and intervention BMC Nutrition 2018;4(14)

    • Sharp L, Redfearn D, Timmons A, Balfe M, Patterson JM. Post-traumatic growth in head and neck cancer survivors: is it possible and what are the correlates? Psycho-oncology 2018;27(6)

    • JM Patterson, Fay M, Exley C, Brekons M, Deary V. Feasibility and acceptability of combining cognitive behavioural therapy techniques with swallowing therapy in head and neck cancer dysphagia BMC Cancer 2018;18(1)1

    • JM Patterson, Dawson C. Critical appraisal of qualitative literature SIG 13, Perspectives on Swallowing and Swallowing Disorders (Dysphagia) 2017 ASHA.

    • Repanos C,  O’Hara J,  Costello D,  Patterson J,  Dawson C, Ofo E,  Homer J, Roland N,  Paleri V. Laryngeal Cancer – Summary of the 12th Evidence Based Management day Clinical Otolaryngology 2017

    • Goff D, Coward S, Fitzgerald A, Paleri V, Moor J, Patterson, JM. Swallowing outcomes for patients with oropharyngeal squamous cell carcinoma treated with primary (chemo)radiation therapy receiving either prophylactic gastrostomy or reactive nasogastric tube: A prospective cohort study Clinical Otolaryngology 2017;42(6) 1135-1140

    • Petkar I, Rooney K, Roe J, Patterson J, Bernstein D, Tyler J, Hall E, Emson M, Morden J, Mertens K, Miles K, Beasley M, Roques T, Bhide S, Newbold K,  Harrington K,  Nutting C. DARS: a phase III randomised multicentre study of dysphagia optimised intensity modulated radiotherapy (Do-IMRT) versus standard intensity modulated radiotherapy (S-IMRT) in head and neck cancers BMC Cancer 2015;16(1) 770

    • Owen S, Puvanendran M, Bowe I, Meikle D, O'Hara J, Patterson J, Paleri V. Baseline swallowing measures predict recovery at 6 weeks after transoral robotic surgery for head and neck cancer Clinical Otolaryngology 2017;42(2);366-372

    • King E, Toft K, MacAulay F, Patterson JM, Dougall N, Hulbert-Williams N, Boa S, Slaven E, Cowie J, McGarva J, Niblock P, Philp J, Roe J, Wells M. Development and feasibility of a Swallowing intervention Package (SiP) for patients receiving radiotherapy treatment for head and neck cancer - the SiP study protocol Pilot and Feasibility Studies 2016;2(40)

    • Hutcheson KA, Barrow MP, Barringer DA, Knott JA, Lin HY, Weber RS, Fuller CD, Lai SY, Alvarez C, Raut J, Lazarus CL, May A, Patterson JM, Roe JR, Starmer H, Lewin  JS. Dynamic Imaging Grade of Swallowing Toxicity (DIGEST): Scale Development and Validation Cancer 2016; 123(1) 62-70

    • Paleri V, Wood J, Patterson J, Stocken D, Cole M, Vale L, Franks J, Guerrero-Urbano T, Donnelly R, Barclay S, Rapley T, Rousseau N. A feasibility randomised controlled trial of pre-treatment gastrostomy tube versus oral feeding plus as-needed nasogastric tube feeding in patients undergoing chemoradiation for head and neck cancer (TUBE trial): study protocol for a randomized controlled trial Pilot and Feasibility Studies 2016;2(29)

    • Patterson J, Brady G, Roe JG. Research into the prevention and rehabilitation of dysphagia in head and neck cancer: a UK perspective Current Opinion in Otolaryngology and Head & Neck Surgery 2016;24(3):208-14  

    • Pedersen A, Wilson JA, McColl E, Carding PN, Patterson J. Swallowing outcome measures in head and neck cancer – how do they compare? Oral Oncology 2016;52:104-8.

    • Owadally W, Hurt C, Timmins H, Parsons E, Townsend S, Patterson J, Hutcheson  K, Powell  N, Beasley  M, Palaniappan  N, Robinson  M, Jones  T, Evans  M. PATHOS: a phase II/III trial of risk-stratified, reduced intensity adjuvant treatment in patients undergoing transoral surgery for Human papillomavirus (HPV) positive oropharyngeal cancer BMC Cancer 2015;15:602

    • Dawe N, Patterson JM, O’Hara J. Functional swallowing outcomes following treatment for oropharyngeal carcinoma: A systematic review of the evidence comparing trans-oral surgery versus non-surgical management. Clinical Otolaryngology 2016;41(4) 371-85

    • O’Hara J, Moor J, Cocks H, Hartley C, Muirhead C, Goff D, Patterson JM. One-year swallowing outcomes following Transoral Laser Microsurgery +/- Adjuvant Therapy versus Primary Chemoradiotherapy for Advanced Stage Oropharyngeal Squamous Cell Carcinoma Clinical Otolaryngology 2016;41(2):169-75

    • Patterson JM, McColl E, Wilson JA, Carding PN, Rapley T. Head and neck cancer patients' perceptions of swallowing following chemoradiotherapy Supportive Care in Cancer 2015;23,(12)3531–3538

    • Patterson JM. Value of qualitative research in dysphagia in the head and neck cancer patient population- the caregiver's perspective/experience SIG 13, Perspectives on Swallowing and Swallowing Disorders (Dysphagia) 2015 ASHA.

    • Khan K, Patterson J, Owen S, Rees S, Gamborini G, Paleri V. Comparing the Performance Status Scale and MD Anderson Dysphagia Inventory as swallowing outcome measures in head and neck cancer: a prospective cohort study. Clinical Otolaryngology 2015;40(4) 321-6

    • O’Hara J, Cosway B, Muirhead C, Leonard N, Goff D, Patterson JM. Transoral Laser Microsurgery +/- Adjuvant Therapy versus Chemoradiotherapy for Stage III and IVA Oropharyngeal Squamous Cell Cancer: A Comparison of Swallowing Outcomes. Head and Neck 2015;37(10)1488-94

    • Brokbank S, Miller N, Owen S, Patterson JM. Pre-treatment information on dysphagia: exploring the views of head and neck cancer patients Journal of Pain and Symptom Management 2015;49(1):90-98

    • Dawe N, Patterson J, Hamilton D, Hartley C. Targeted use of endoscopic CO2 laser cricopharyngeal myotomy for improving swallowing function following head and neck cancer treatment Journal Laryngology and Otology 2014;128(12): 1105-1110

    • Miller T, Deary V, Patterson J. Improving access to psychological therapies in voice disorders: a CBT model Current Opinion in Otolaryngology and Head and Neck Surgery 2014;22 (3) 201-205

    • Patterson JM, McColl E, Carding PN, Hildreth AJ, Kelly C, Wilson JA. Swallowing in the first year following chemoradiotherapy for head and neck cancer; clinician and patient reported outcomes. Head and Neck 2014;36(3): 352-358

    • Miller N, Patterson JM. What does dysphagia mean for older people? Reviews in Clinical Gerontology 2013;24(1) 41-57

    • Patterson JM, Owen S. Dysphagia following radical chemoradiotherapy treatment for HNSCC Otorhinolaryngologist 2013;6(2):104-110

    • Burnip E, Owen SJ, Barker S, Patterson JM. Swallowing outcomes following surgical and non-surgical treatment for advanced laryngeal cancer Journal Laryngology and Otology 2013;127(11)1116-1121

    • Patterson JM, Rapley T, Carding PN, Wilson JA, McColl E. Head and neck cancer and dysphagia; caring for carers Psycho-oncology 2013;22 (8):1815-1820

    • Oozeer NB, Corsar K, Glore J, Patterson JM, Paleri V. The impact of enteral feeding route on patient-reported long term swallowing outcome after chemoradiation for head and neck cancer Oral Oncology 2011;47:980-983

    • Wilson JA, Carding P, Patterson JM. Dysphagia after non-surgical head and neck cancer treatment  Otolaryngology-Head and Neck Surgery 2011;145(5):767-771

    • Patterson J, Wilson JA. The clinical value of dysphagia pre-assessment in the management of head and neck cancer patients Current Opinion in Otolaryngology and Head & Neck Surgery 2011;19(3):177–181

    • Patterson J, Hildreth AJ, McColl E, Carding PN, Hamilton D, Wilson JA. The clinical application of 100mL water swallow test in head and neck cancer. Oral Oncology 2011;47:180-184

    • Paleri V, Patterson J. Use of gastrostomy in head and neck cancer: A systematic review to identify areas for future research. Clinical Otolaryngology 2010;35(3):177-189

    • Moor J, Patterson J, Paleri V. Use of a web based survey to analyse decision making by healthcare professionals recommending prophylactic gastrostomy for patients receiving chemoradiotherapy for advanced head and neck cancer. Clinical Oncology 2010; 22(3):192-198

    • Kerstein R, Patterson JM, Owen S, Johnson K, Hartley C, Cocks H. Severe Hypopharyngeal Stenosis Following Treatment for Head and Neck Cancer-a Case Series Clinical Oncology 2009; 21(8):645-645

    • Patterson J, McColl E, Carding PN, Kelly C, Wilson JA. Swallowing performance in patients with head and neck cancer; A simple clinical test. Oral Oncology 2009;45(10):904-907

    • Patterson J, Hildreth A, Wilson JA. Measuring Oedema in the Irradiated Head and Neck Cancer Patient. Annals of Otology, Rhinology & Laryngology 2007;116(8):559-564


    Book Chapters

    • Stephen S, Patterson JM Rehabilitation of the head and neck cancer patient Oxford Textbook of Otolaryngology. 2020

    • Patterson JM, McHanwell S. The upper digestive tract Chapter 48 Volume 3 Scott-Brown Otorhinolaryngology - Head and Neck Surgery 8th Edition Taylor and Francis; 2018

    • Patterson JM, Powell J. Functional investigations of the upper gastrointestinal tract. Chapter 50 : Volume 3 Scott Brown: Otorhinolaryngology, Head and Neck Surgery 8th Edition Taylor and Francis; 2018

    • Loh C, Evans M, Patterson J, Jones T. Larynx (T3-T4 Supraglottic larynx): Surgical and non-surgical management Chapter 40 Oral, Head and Neck Oncology and Reconstructive Surgery, Bell RB, Andersen PA, Fernandes R. (Ed) 1st Edition Elsevier; 2017

    • Patterson JM, Coffey M. Head and Neck Cancer Chapter 11 Videofluoroscopy – A Multi-disciplinary Team Approach Newman, RD. Nightingale, J. (Ed) Plural Publishers; 2012

    • Patterson J, Owen S, Hurren A, Carding PC. Effective Head and Neck Cancer Management Third Consensus Document  Chapter 8  Rehabilitation in Head and Neck Cancer ENT UK; 2002