Most head and neck cancers and their treatments affect speech and swallowing and this section therefore concentrates on the rehabilitation of these functions.1–6 Allied health professional (AHP) head and neck cancer rehabilitation pathways are required as part of the implementation of the Improving Outlines Guidance rehabilitation measures and are required for peer review. These pathways should cover all stages of the patient's journey from diagnosis, through treatment, to survivorship and end of life care and should include relevant intervention from dietetics, physiotherapy, occupational therapy and speech and language therapy. Pathways for oral rehabilitation with input from hygienists, restorative dentists, dental implantologists, prosthetic technicians should also be considered. The stages of the pathways and the allied health professional interventions appropriate to each stage are detailed along with an extensive evidence review in the National Cancer Rehabilitation Pathway for Head and Neck Cancers. Responsibility for the rehabilitation of voice, speech and swallowing rests with the whole multidisciplinary team (MDT), but is the specific role of the speech and language therapist within this team. Speech and language therapists should discuss their role and outline the need for the patient's active participation in therapy to maximise outcomes. The patient's family and carers are also involved in this rehabilitation. Within the MDT, the decision on an appropriate course of treatment should take into account the effects on functions such as voice, speech and swallowing as well as survival so as to suit each individual's preferences and lifestyle.