About this role
Job summary
The post holder will provide clinical leadership for the Fracture Liaison Service (FLS) within Hywel Dda University Health Board, acting as a highly specialist practitioner with expert knowledge in bone health. Working autonomously within agreed protocols, they will manage a complex caseload while supporting the delivery of the service plan alongside the Clinical Lead for Bone Health.
The role requires a high degree of professional autonomy, enabling the post holder to make critical clinical judgements and deliver effective, evidence-based care. They will play a key role in service modernisation, contributing to the planning, development, and evaluation of the service, while maintaining a strong clinical profile and championing high standards of patient-centred care.
Vacancies are available in the Ceredigion / Pembrokeshire /Carmarthenshire areas. Location to be discussed upon appointment. Both full time and part time hours will be considered.
Main duties of the job
The post holder will deliver a high-quality, specialist clinical service by undertaking advanced assessment, diagnosis, and management of patients with osteoporosis and fragility fractures, including running FLS clinics, interpreting investigations such as DXA scans, and developing personalised care plans.
They will strive towards the constant improvement of KPI's in line with national standards as well as the meeting of targets, as indicated. They will communicate complex and sensitive information effectively, provide expert clinical advice, and ensure accurate reporting and discharge planning. In addition, they will lead on clinical governance activities including audit at both a local and national level, research, and service evaluation, and contribute to the development and maintenance of clinical standards across the Health Board.
The role includes supervising and training staff, developing competency frameworks, and delivering education to multidisciplinary teams and external partners. The post holder will promote patient autonomy, support self-care, identify and minimise risks, and actively contribute to continuous service improvement while maintaining a balance between independent practice and collaborative team working.
The ability to speak Welsh is desirable for this post; English and/or Welsh speakers are equally welcome to apply.
Interviews will be held on 01/07/2026
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); 99 community pharmacies; 43 general ophthalmic practices; and 8 ophthalmic domiciliary providers Numerous mental health and learning disabilities services
Job description Job responsibilities
You will be able to find a full Job description and Person Specification attached within the supporting documents.
Discussions around working pattern will take place during initial job planning, where preferences, requirements and options can be discussed and explored in full.
Hywel Dda University Health Board is committed to providing healthcare services that are patient-centric, ensuring that our community receives the best possible care. We value inclusivity and foster a workplace culture that embraces diversity and supports every individuals contribution towards a welcoming healthcare environment.
We welcome applications from all sections of society and are committed to creating a diverse and inclusive workplace.
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.
Please see the below links for useful videos relating to this vacancy:
Hywel Dda 3 Counties -https://youtu.be/RUMDpjtu1sY
Lifestyle in Wales -https://www.youtube.com/watch?v=Vgt03XPT6RQ
Medical Leadership in Hywel Dda -https://www.youtube.com/watch?v=jLioZyqIpwk&t=33s
Virtual Tour -https://youtu.be/mETORurxSBU
Person Specification
Qualifications and Knowledge Essential
Educated to Degree level or equivalent experience Evidence of leadership courses/ qualifications. Master's Degree or equivalent level of specialist experience in area of clinical expertise. Professional registration (e.g NMC, HCPC, GPhC, PAMVR)
Desirable
Non-medical prescriber.
Experience Essential
Experience of working within Medicine, Orthopaedics or related speciality. Evidence of advanced clinical practice in area of speciality. Evidence of MDT working Experience in consultant led clinics Significant experience working as an autonomous practitioner Experience managing a complex caseload using an advanced clinical reasoning process Experience in delivering audit Experience in delivering training to staff on complex matters
Desirable
Experience of referring for and analysing the results of tests Experience in assisting in leading service developments
Language skills 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).
Employer details Employer name Hywel Dda University Health Board
Address Withybush General Hospital
Fishguard Road
Haverfordwest
SA61 2PZ
United Kingdom
Employer's website https://hduhb.nhs.wales/ (Opens in a new tab)