Hywel Dda University Health Board

Lead Enhanced Clinical Practitioner

Hywel Dda University Health Board View all jobs


North East England
Permanent
GP/General Practitioner
GBP 50,129 - 57,365 per year

Posted 2 hour(s) ago

Reference: 2412505


Job summary

An opportunity has arisen for a permanent Lead Enhanced Clinical Practitioner to join the community team to support Carmarthenshire's Clinical Streaming Hub based in Intermediate Care at Eastgate in Llanelli.

This post will require an enthusiastic, motivated and dynamic practitioner that has a broad understanding and experience of acute and chronic conditions. Experience of autonomous practice in the emergency/urgent/Community arena is essential.

The team has the single goal of ensuring the best outcomes for our patients. We actively encourage continuing professional development, leading to the enhancement of your clinical skills and theoretical knowledge. You will have the opportunity to develop and consolidate skills in advanced clinical assessment and treatment and be involved in improving integration across the community.

If the successful candidate does not meet all the criteria for this Band 7 Enhanced Clinical Practitioner post, an Annex 21 can potentially be applied where the candidate will work towards the necessary competence level required to fulfil the post.

Main duties of the job

The service is constantly developing, in line with changes in local and national healthcare provision and as such we are looking for a forward- thinking, competent, and caring Practitioner with the skills and experience needed for triaging and assessing patients and carrying out treatments working closely with the Advanced Clinical Practitioners and the Intermediate Care MDT.

The post holder will be expected to undertake in depth advanced assessments and have the experience and training to develop care plans with the community/primary and acute MDT. Diagnostic skills and the ability to multi-task are essential.

The successful candidate will be committed to service improvements with an acceptance of change, and desire to work in a positive environment that embraces the challenges urgent care faces as the service moves forward. You will demonstrate a calm and confident approach to your work, demonstrating excellent clinical and communication skills and the ability to manage and prioritise workloads effectively. Team working and a flexible approach to work is important to ensure service provision can be delivered efficiently and effectively.

Currently, the role involves shift work covering 7 days a week, day shifts between 08:00-20:00.

About us

Hywel Dda University Health Board plans and provides NHS healthcare services for people living in Carmarthenshire, Ceredigion, Pembrokeshire, and bordering counties.

We have over 13,000 staff and together we provide primary, community, in-hospital, mental health and learning disabilities services.

We work in partnership with the three local authorities, as well as public, private and third sector colleagues, including our valued team of volunteers.

Our services are provided in:

  • Four main hospitals: Bronglais Hospital in Aberystwyth; Glangwili Hospital in Carmarthen; Prince Philip Hospital in Llanelli; and Withybush Hospital in Haverfordwest
  • Five community hospitals: Amman Valley and Llandovery hospitals in Carmarthenshire; Tregaron Hospital in Ceredigion; and Tenby and South Pembrokeshire hospitals in Pembrokeshire
  • Two integrated care centres: Aberaeron and Cardigan in Ceredigion, and several other community settings
  • 47 general practices (six of which are health board managed practices); dental practices (including four orthodontic); 97
  • community pharmacies; 43 general ophthalmic practices; and 8 ophthalmic domiciliary providers
  • Numerous mental health and learning disabilities services
Details
Date posted

08 October 2026

Pay scheme

Agenda for change

Band

Band 7

Salary

£50,129 to £57,365 a year per annum pro rata

Contract

Permanent

Working pattern

Part-time

Reference number

100-NMR293-1026

Job locations

Eastgate Offices, Llanelli

Llanelli

SA15 3YF

United Kingdom


Job description
Job responsibilities

This post is advertised as a Band 7, however, applicantswho do not currently hold all the necessary competencies to a Band 7level are encouraged to applyand, if successful,will be appointed under Annex 21 rules whereby 75% of the top of Band 7 will be payable in the first year. Applicants would be supported to develop their competencies required to fulfil the role within a 12monthperiod. Following successful completion and successful attainment of the skills and competencies for the role, the post holder will then be paid at Band 7 (minimum point on the scale). Failure to achieve the competencies in the designated timeframe would follow Workforce policy.

As part of the Annex 21 process, there is no financial penalty to those who apply for this role where the percentage will cause a reduction in pay, subsequently a local protection would be put in place until the pay has caught up.

You will be able to find a full job description and person specification attached within the supporting documents.

The Health Board is committed to supporting its staff to fully embrace the need for bilingualism thereby enhancing patient and service user experiences. In our commitment to increase the number of staff who are able to communicate in Welsh with patients and professionals, we welcome applications from Welsh speakers.

The ability to communicate in Welsh is desirable for this post. If you do not meet the Welsh Language requirements specified, the Health Board offers a variety of learning options and staff support to help you meet these minimal desirable requirements during the course of your employment with us.

Interviews will be held on 23/10/2026.

Job description
Job responsibilities

This post is advertised as a Band 7, however, applicantswho do not currently hold all the necessary competencies to a Band 7level are encouraged to applyand, if successful,will be appointed under Annex 21 rules whereby 75% of the top of Band 7 will be payable in the first year. Applicants would be supported to develop their competencies required to fulfil the role within a 12monthperiod. Following successful completion and successful attainment of the skills and competencies for the role, the post holder will then be paid at Band 7 (minimum point on the scale). Failure to achieve the competencies in the designated timeframe would follow Workforce policy.

As part of the Annex 21 process, there is no financial penalty to those who apply for this role where the percentage will cause a reduction in pay, subsequently a local protection would be put in place until the pay has caught up.

You will be able to find a full job description and person specification attached within the supporting documents.

The Health Board is committed to supporting its staff to fully embrace the need for bilingualism thereby enhancing patient and service user experiences. In our commitment to increase the number of staff who are able to communicate in Welsh with patients and professionals, we welcome applications from Welsh speakers.

The ability to communicate in Welsh is desirable for this post. If you do not meet the Welsh Language requirements specified, the Health Board offers a variety of learning options and staff support to help you meet these minimal desirable requirements during the course of your employment with us.

Interviews will be held on 23/10/2026.

Person Specification
Qualifications and Knowledge
Essential
  • Registered practitioner (e.g NMC/HPC)
  • CPD to Masters level
  • Relevant Level 7 Module covering enhanced assessment, clinical examination and decision making skills
  • ALS /EPALS and in-house Trauma Training or ATLS (If relevant to Service)
  • Level 7 module or equivalent covering assessment and autonomous management of minor injury and illness presentations (If relevant to service)
  • Evidence of developing and maintaining a professional portfolio mapped against the four pillars of enhanced clinical practice, demonstrating competence, reflective practice, and ongoing professional development
  • Specialist knowledge within own scope of practice of enhanced clinical practice and supports the development of colleagues through clinical supervision, education and shared learning
  • Knowledge of applying Clinical Governance principles to support safe, effective and evidenced-based practice
  • Actively contributes to clinical governance activities, including audit, incident learning, quality improvement and implementation of best practice
  • Maintains an up-to-date understanding of national and local policy, guidance and emerging issues relating to enhanced clinical practice in Urgent and Emergency Care
  • Administration of agreed drugs in accordance within locally agreed patient group directions (PGD's)
Desirable
  • Non-Medical prescribing
  • Evidence of urgent care professional development
  • Specialist Practitioner Community
  • Teaching qualification
  • Awareness of topical issues in health and social care
Experience
Essential
  • A&E Nursing / Urgent Care / Community or Primary Care experience - working in a senior capacity as part of the MDT
  • Evidence of managing clinical workload
  • Experience of providing specialist clinical advice within the multidisciplinary team
  • Experience of actively contributing to clinical governance activities, including audit, incident learning, quality improvement and implementation of best practice.
  • Experience of critically applying clinical knowledge, evidence and professional judgement to support safe, effective and person-centred decision-making
  • Evidence of leading or contributing to quality improvement methodology resulting in service improvement
  • Experience of leading or significantly contributing to service redesign, pathway development or implementation of service improvement
  • Experience of delivering education programmes
  • Digital healthcare or virtual care experience
  • Experience of providing clinical supervision and supporting the development of juniors
  • Experience of coordinating patients flow and clinical decision-making across multidisciplinary teams
  • Experience of supervisory management
Desirable
  • Development of expertise within urgent care areas.
  • Relevant experience in the field of palliative care/frailty/Acute Medicine/ED
  • Evidence of working as an autonomous practitioner
Other
Essential
  • Flexible approach to the needs of the service
  • Ability to travel between sites/locations in a timely manner
Desirable
  • Welsh Speaker (Level 1)
Person Specification
Qualifications and Knowledge
Essential
  • Registered practitioner (e.g NMC/HPC)
  • CPD to Masters level
  • Relevant Level 7 Module covering enhanced assessment, clinical examination and decision making skills
  • ALS /EPALS and in-house Trauma Training or ATLS (If relevant to Service)
  • Level 7 module or equivalent covering assessment and autonomous management of minor injury and illness presentations (If relevant to service)
  • Evidence of developing and maintaining a professional portfolio mapped against the four pillars of enhanced clinical practice, demonstrating competence, reflective practice, and ongoing professional development
  • Specialist knowledge within own scope of practice of enhanced clinical practice and supports the development of colleagues through clinical supervision, education and shared learning
  • Knowledge of applying Clinical Governance principles to support safe, effective and evidenced-based practice
  • Actively contributes to clinical governance activities, including audit, incident learning, quality improvement and implementation of best practice
  • Maintains an up-to-date understanding of national and local policy, guidance and emerging issues relating to enhanced clinical practice in Urgent and Emergency Care
  • Administration of agreed drugs in accordance within locally agreed patient group directions (PGD's)
Desirable
  • Non-Medical prescribing
  • Evidence of urgent care professional development
  • Specialist Practitioner Community
  • Teaching qualification
  • Awareness of topical issues in health and social care
Experience
Essential
  • A&E Nursing / Urgent Care / Community or Primary Care experience - working in a senior capacity as part of the MDT
  • Evidence of managing clinical workload
  • Experience of providing specialist clinical advice within the multidisciplinary team
  • Experience of actively contributing to clinical governance activities, including audit, incident learning, quality improvement and implementation of best practice.
  • Experience of critically applying clinical knowledge, evidence and professional judgement to support safe, effective and person-centred decision-making
  • Evidence of leading or contributing to quality improvement methodology resulting in service improvement
  • Experience of leading or significantly contributing to service redesign, pathway development or implementation of service improvement
  • Experience of delivering education programmes
  • Digital healthcare or virtual care experience
  • Experience of providing clinical supervision and supporting the development of juniors
  • Experience of coordinating patients flow and clinical decision-making across multidisciplinary teams
  • Experience of supervisory management
Desirable
  • Development of expertise within urgent care areas.
  • Relevant experience in the field of palliative care/frailty/Acute Medicine/ED
  • Evidence of working as an autonomous practitioner
Other
Essential
  • Flexible approach to the needs of the service
  • Ability to travel between sites/locations in a timely manner
Desirable
  • Welsh Speaker (Level 1)
Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information
Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details
Employer name

Hywel Dda University Health Board

Address

Eastgate Offices, Llanelli

Llanelli

SA15 3YF

United Kingdom


Employer's website

https://hduhb.nhs.wales/ (Opens in a new tab)

Employer details
Employer name

Hywel Dda University Health Board

Address

Eastgate Offices, Llanelli

Llanelli

SA15 3YF

United Kingdom


Employer's website

https://hduhb.nhs.wales/ (Opens in a new tab)