Enhanced Care Practitioner

Hywel Dda University Health Board; Haverfordwest; On-site; GBP 42,000 - 56,000; Full time

Job summary

Hywel Dda University Health Board is seeking an Enhanced Clinical Practitioner to deliver evidence‑based care to patients with undiagnosed or complex needs across community and urgent care settings. The post holder will undertake assessments, formulate management plans, and deliver person‑centred care within a defined scope of practice.

The role emphasizes timely intervention, admission avoidance and care closer to home, with autonomous practice and support from senior clinicians.

Responsibilities

• Clinical triage, assessment and treatment planning.
• Care coordination and service delivery across health facilities, patients' homes and virtual environments.
• Clinical governance, quality improvement, audit and service development activities.

Job description

Job Overview

We are seeking a motivated and compassionate Enhanced Clinical Practitioner (ECP) to deliver high-quality, evidence-based care to patients with undiagnosed, evolving or complex health needs across a range of community and urgent care settings. Working within an agreed scope of practice and supported by senior clinicians, the post holder will undertake clinical assessment, examination, decision-making and management to provide safe, effective and person-centred care.

The successful candidate will work autonomously whilst recognising the limits of their competence, escalating appropriately when required and collaborating closely with multidisciplinary teams to ensure patients receive the right care, in the right place, at the right time. A key focus of the role is supporting timely intervention, admission avoidance and care closer to home.

The post holder will contribute to clinical triage, assessment, treatment planning, care coordination and service delivery across health facilities, patients' homes and virtual environments. They will play an active role in clinical governance, quality improvement, education and service development while progressing through the Health Board's ECP competency framework.

The post holder will undertake comprehensive clinical assessments, including history taking, physical examination, clinical reasoning and decision-making, to develop and implement appropriate treatment and management plans.

Working autonomously, with support from senior clinicians when required, to assess, triage and manage patients across a variety of settings, including healthcare facilities, patients' homes and virtual consultation environments. The post holder will ensure patients receive timely access to appropriate care, treatment or onward referral, while recognising the limits of their competence and escalating concerns as necessary.

A key responsibility is promoting care closer to home and ensuring patients receive the right care in the most appropriate setting.

The post holder will contribute to clinical governance, quality improvement, audit, service evaluation and service development activities, supporting the delivery of safe and effective care. They will also promote health education and self‑management, participate in teaching and mentorship activities, and maintain a portfolio of evidence to demonstrate progression through the Health Board's Enhanced Clinical Practitioner competency framework.

The role demands excellent communication and teamwork skills, flexibility, professional accountability and a commitment to ongoing professional development to ensure the delivery of person-centred care across urgent, acute, community and integrated care services.

The ability to speak Welsh is desirable for this post; Welsh and/or English speakers are equally welcome to apply.

Working for our organisation

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

Hywel Dda University Health Board operates a bilingual policy. All applicants are invited to apply in Welsh, any application submitted in Welsh will not be treated less favourably than an application made in English.

To work in the UK, all candidates who are not UK or Republic of Ireland (RoI) nationals require sponsorship to obtain either a Health and Care visa or Skilled Worker visa, unless you have permission to work via another route. Non UK / RoI candidates wishing to apply should self‑assess the likelihood of obtaining a Certificate of Sponsorship by visiting Work in the UK . If you are eligible for the Health and Care visa, application costs are lower and you do not need to pay the annual Immigration Health Surcharge.