Enhanced Care Practitioner

NHS; Haverfordwest; Remote; GBP 43,000 - 55,000; Full time

Job summary

Hywel Dda University Health Board is seeking an Enhanced Clinical Practitioner to deliver high-quality, evidence-based care for patients with undiagnosed or complex health needs across community and urgent care settings.

The post holder will work autonomously with senior support, contribute to governance and service development, and promote care closer to home while engaging in teaching and competency progression within the ECP framework.

Qualifications

• Registered healthcare professional (NMC/HPC)
• Evidence of in-house training or Level 6 modules in patient assessment/clinical assessment
• Competency portfolio demonstrating progression in assessment/clinical competencies
• Experience as autonomous practitioner within scope of practice
• Willingness to undertake triage, DNACPR and related training when applicable
• Commitment to teaching, mentorship and service development

Responsibilities

• Undertake comprehensive clinical assessments including history, examination and decision-making to develop treatment plans
• Assess, triage and manage patients across varied settings including facilities, homes and virtual environments
• Promote care closer to home and ensure timely access to appropriate care
• Contribute to clinical governance, quality improvement and service evaluation
• Engage in teaching, professional development and maintenance of a competency portfolio

Skills

Registered practitioner

Phlebotomy

Cannulation

IV drug administration

Non-Medical prescribing

Teaching

Clinical governance

Triage training

Welsh language knowledge

Job description

Our Hywel Dda values reflect who we are and how we behave. We continuously work together to be the best we can be as we strive to develop and deliver excellent services, putting people at the heart of everything we do. Throughout our recruitment process you will be asked to think about how you would demonstrate these values in the way that you work with us.

If you are registered Health Care professional considering relocating to the Hywel Dda area in West Wales please don’t hesitate to contact our recruitment campaigns team directly via [e-mail]

To keep up to date with our latest recruitment activity follow us on Facebook (Swyddi Hywel Dda Jobs), LinkedIn or on Twitter @SwyddiHDdaJobs

Hywel Dda University Health Board reserve the right to close vacancies after 24 hours if a large number of suitable applications are received. We encourage early applications to ensure consideration for a post.

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.

Main duties of the job

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

Detailed job description and main responsibilities

This is an exciting opportunity for a registered healthcare professional with experience in urgent, acute, primary or community care who is committed to developing advanced clinical skills and improving patient outcomes through integrated, multidisciplinary working.

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 to be held on 22/10/2026

Person specification

Qualifications and Knowledge

• Registered practitioner (e.g NMC/HPC)
• Evidence of relevant in-house training or Level 6 modules completed in patient assessment and clinical assessment or willingness to work towards
• Evidence of maintaining a competency portfolio demonstrating achievement and progression in the knowledge, skills and clinical competencies required for the assessment and management of patients presenting within their scope of practice.
• Knowledge of working under supervised clinical practice for assessing complex presentations, and evidencing development towards independent practice within their own scope of practice, including training, competency assessment and ongoing proficiency in the use of locally authorised patient group directions (PGD’s) where appropriate.
• Engaging in training, reflective practice and ongoing development within enhanced clinical practice.
• Completed, or willing to achieve within an agreed timeframe following appointment – Triage training, Verification of Death and DNACPR Training if applicable to service
• Competent at phlebotomy / Cannulation / IV drug administration /ILS
• Awareness of Clinical Governance
• Awareness of topical issues in health and social care
• Understanding of collaborative practice and the role of the enhanced clinical practitioner within the multidisciplinary team
• Non-Medical prescribing
• Teaching qualification

Experience

• Urgent Care / Primary Care /Acute Care or relevant community experience
• Evidence of managing clinical workload
• Demonstrates a commitment to developing clinical competence across the breadth of the enhanced care service, supported by competency assessment and supervised practice.
• Relevant experience in the field of palliative care/frailty/Acute Medicine/ED
• Evidence of working as an autonomous practitioner within a scope of practice
• Experience of supervisory management

Other

• Welsh Speaker (Level 1)

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.

IMPORTANT NOTE FOR APPLICANTS: Applications for our roles are carefully reviewed and shortlisted based on specific criteria, which varies from job to job. Using a generic application to apply for multiple roles or relying on automated AI application services, such as Lazy Apply or AI Apply, may not provide the necessary information, leading to your application being overlooked. To ensure your application is given full consideration, we recommend submitting a tailored application that directly addresses the criteria listed in the Person Specification section of the advert.

By submitting your application to NHS Jobs/Trac, you are giving your consent for elements of your application data to be transferred to the NHS Electronic Staff Record (ESR) and other secure, internal NHS Workforce systems in order to support and manage your recruitment and employment within your employing organisation; to be used by Recruitment for purposes of checking your Professional Registration online (where applicable).

These processes are in line with Fair and Lawful processing in line with current Data Protection Legislation especially those in relation to your personal or sensitive personal data (sensitive personal data is defined as any declared physical or mental health conditions, racial or ethnic origin, sexual orientation, trade union membership, political opinion, religious beliefs). As an organisation, we ensure that the legislation defining confidentiality is observed such as use of data for specific, defined purposes, and use of data that is relevant and not excessive whilst practicing data accuracy and security of all held personal identifiable information (PII)

If you are successfully appointed, by completing the application form you authorise the UHB to obtain any previous NHS service details including all electronically held sickness information, via the Inter Authority Transfer process on the national Electronic Staff Record (ESR).

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.

Employer certification / accreditation badges

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.