About this role
Job summary
As our Clinical Streaming Hub and Integrated Urgent Community Care Teams continue to evolve and grow, we are seeking motivated, autonomous ACPs who thrive on clinical challenge, complex decision-making, and system-wide working.
This vacancy includes available posts across our Health Board in the following areas;
1. Eastgate, Llanelli
2. Cardigan or Aberaeron Integrated Centre, Ceredigion
3. Porth Preseli, Pembrokeshire
Do you want to be part of a genuinely transformational "shift left" model redefining urgent and emergency care across Hywel Dda?
The Role
This is not a traditional community ACP post. You will make autonomous, high-level clinical decisions within your scope of practice, confidently managing risk to keep patients safely at home wherever appropriate.
This role spans:
Hospital at Home & Digital Ward - clinical responsibility for patients safely managed at home Urgent Outreach/ Crisis Response - undertaking assessments in patients' homes, care homes and community settings Clinical Streaming & ED Interface - working with acute physicians and ED teams to safely redirect and manage patients Ambulance Triage & Avoidance - identifying patients suitable for community-based assessment to prevent unnecessary conveyance
Main duties of the job
Who We're Looking For
We are seeking ACPs who are:
Confident autonomous practitioners Experienced in complex decision-making Comfortable working with clinical risk Energised by service development/ innovation Motivated to shape new ways of delivering urgent care Passionate about admission avoidance and improving patient flow A prescribing qualification (or commitment to obtain) is essential in line with the attached JD.
You will:
Undertake complex clinical decision-making across community, intermediate and acute care interfaces. Deliver care within the Clinical Streaming Hub, Hospital at Home, Digital Ward, Urgent Outreach/Crisis Response and associated urgent care services. Assess and manage patients within their own homes, care homes, community settings,clinical environments. Identify patients suitable for admission avoidance pathways and safely support care closer to home. Work collaboratively with Primary Care, ED, Acute Medicine, Welsh Ambulance Services, community teams to ensure patients receive care in the right place and time. Provide senior clinical advice, leadership and support to multidisciplinary colleagues. Contribute to service development, pathway redesign, quality improvement and innovation initiatives. Support education, supervision and professional development of colleagues and learners. Maintain advanced clinical competence, professional registration and prescribing practice in line with national and local requirements
About us
Hywel Dda University Health Board is the planner and provider of NHS healthcare services for people in Carmarthenshire, Ceredigion,Pembrokeshireand its bordering counties. Our 13,000 members of staff provide primary, community, in-hospital, mentalhealthand learning disabilities services to almost 400,000 people across a quarter of the landmass of Wales. We do this in partnership with our three local authorities and public, private and third sector colleagues, including our volunteers, through:
Four main hospitals:BronglaisGeneral in Aberystwyth,GlangwiliGeneral in Carmarthen, Prince Philip in Llanelli andWithybushGeneral in Haverfordwest.
Five community hospitals: Amman Valley Hospital and Llandovery Hospital in Carmarthenshire, Tregaron Hospital in Ceredigion and Tenby and South Pembrokeshire Hospital Health and Social Care Resource Centre in Pembrokeshire.
Two integrated care centres (Aberaeron and Cardigan, Ceredigion).
Community facilities,including:
48 General Practices (GP surgeries), 49 Dental Practices, 98 Community Pharmacies (chemists), 44 General Ophthalmic Practices (including eye health and low vision services), 38 sites providing mental health and learning disability services, care within your own homes.
Highly specialised and tertiary services commissioned by the Welsh Health Specialised Services Committee, a joint committeerepresentingseven health boards across Wales.
Job description Job responsibilities
Within Ceredigion the role also includes rotation within the Same Day Urgent Care (SDUC) assessing, diagnosing, treating, and discharging patients with undifferentiated presentations who attend the current SDUC unit in Cardigan, providing key leadership, clinical advice, and navigation within this service
What Makes This Different?
This is a truly integrated role across:
Primary Care Intermediate Care Acute Medicine Emergency Department Welsh Ambulance Service Community & Frailty Services You will assess and manage a wide range of undifferentiated urgent presentations, working closely with the MDT to ensure patients are seen at the right time, in the right place, by the right clinician. This is advanced practice at its most impactful.
Why Join Us?
Hywel Dda UHB is leading the way in community-based urgent care transformation. Our Clinical Streaming Hub model continues to grow, and we are building a high-performing team of ACPs who want to work differently.
If you want to practise at the edge of your scope, influence how urgent care is delivered, and be part of something that is genuinely changing the system we would love to hear from you.
As an Advanced Clinical Practitioner within the Clinical Streaming Hub and Integrated Urgent Community Care Service, you will provide autonomous advanced assessment, diagnosis, treatment and management of patients presenting with urgent and unscheduled care needs.
The role spans a number of integrated services and may include:
Clinical assessment, diagnosis and treatment of patients presenting with undifferentiated and complex urgent care presentations. Clinical decision-making within the Regional Clinical Streaming Hub, supporting patients to access the right care, at the right time, in the right place. Managing patients within Hospital at Home and Digital Ward pathways, including ongoing clinical review and risk management. Undertaking urgent community assessments within patients homes, care homes and community settings as part of Outreach and Crisis Response services. Supporting ambulance triage and admission avoidance pathways by identifying patients suitable for community-based assessment and management. Working collaboratively with Primary Care, Acute Medicine, Emergency Departments, Welsh Ambulance Services and community teams to coordinate patient care. Providing senior clinical advice and leadership to multidisciplinary colleagues. Supporting service development, pathway redesign, quality improvement and innovation across urgent and emergency care services. Contributing to education, mentorship and professional development of colleagues and learners. This is a unique opportunity to work across organisational boundaries within a progressive and expanding service that is helping to transform urgent and emergency care delivery across Hywel Dda University Health Board.
What We Offer
A progressive and supportive leadership team Structured mentorship and peer support Rotation across SDUC (Ceredigion), Outreach/Crisis Response, Digital Ward and ED / SDEC interface In-house teaching and advanced clinical development Opportunities to contribute to service redesign and system innovation A role that genuinely influences urgent care delivery across the region This is an opportunity to retain your acute skillset while embedding it within a dynamic, forward-thinking community model.
Interviews to be held on 13/07/2026 and 14/07/2026.
This post is advertised as a Band 8a and ideally candidates for this role must have achieved an advance practice / relevant masters course including non-medical prescribing (if applicable). However, applicants who do not currently hold the qualification for the Band 8a role are encouraged to apply, and if successful, will need to attain the qualification within 3 years and will be appointed under the All Wales Annex 21 rules.
This means they will be supported by a development plan. (During the first year payment will be 65% of the top rate of band 8a pay, the second year 70% and the third year 75%). Following successful completion of advance practice / relevant masters course including Non-medical prescribing the post holder will then be paid at Band 8a (minimum point on the scale). Support and supervision will be provided in order to develop the successful applicant to the Band 8a role. Failure to achieve the qualification and required competencies in the designated timeframe could result in re-deployment.
To be considered for this post under Annex 21 conditions, you must have commenced the course or be enrolled on the course.
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 whoare able tocommunicate 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 requirementsduring the course ofyour employment with us.
Person Specification
Qualifications and Knowledge Essential
Registered Health Care Professional (eg HCPC/NMC/GPhC) Relevant Masters Degree Advanced specialist knowledge of patient pathways Advanced theoretical knowledge and practical experience to carry out clinical consultation and/or examination relevant to practice Independent Prescribing qualification (if required for role) Evidence of maintaining an Advanced Clinical Practice portfolio
Desirable
Management/ leadership qualification or possess equivalent skills and experience In receipt or working towards Independent Authorisation of Blood Products (if relevant for role)
Experience Essential
Extensive post registration clinical experience in advanced practice within specialty area Evidence of performing at Advanced Level of Practice Proven track record of working collaboratively with multi-disciplinary teams
Desirable
Clinical skills competence for environment/ setting Demonstrate/ supervision experience
Other 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 Ceredigion, Carmarthenshire, Pembrokeshire
Ceredigion, Carmarthenshire, Pembrokeshire
SA31 3BB
United Kingdom
Employer's website https://hduhb.nhs.wales/ (Opens in a new tab)