Integrated Community Team Lead

NHS; Fishguard; Remote; GBP 45,000 - 65,000; Full time

Job summary

Hywel Dda University Health Board is seeking an experienced nurse leader to join the Integrated Community Team in Fishguard, delivering 7-day home-based care across Pembrokeshire. You will manage a district nursing team and hold a Specialist Practice Award in District Nursing, with a view to pursuing a Masters.

The role requires strong clinical leadership, budget management, and collaboration with senior clinical leads. Welsh language ability is desirable; interviews scheduled for 28/10/2026.

Qualifications

• Registered Nurse with Part 1 registration and NMC registration in good standing.
• Specialist Practice Award in District Nursing (postgraduate) required.
• Willingness to pursue a relevant Masters qualification if not held.
• Demonstrated leadership and budget management experience in a community setting.

Responsibilities

• Lead and develop the community nursing team delivering 7-day home-based care.
• Provide professional nursing leadership and guidance per NMC standards.
• Offer expert clinical advice on complex issues and ensure evidence-based practice.
• Manage allocated budget and resources effectively and escalate expenditure concerns.
• Address complex patient needs and review continuing health care packages as required.
• Collaborate with senior clinical leads and deputise when needed.

Skills

Leadership

Budget management

Team mentoring

Welsh language (desirable)

NMC Code knowledge

Education

Registered Nurse (Part 1)

Specialist Practice Award in District Nursing (postgraduate)

Current NMC Registration

Teaching/Coaching qualification

Knowledge of legislation pertinent to role

Recognised management qualification

Recognised leadership qualification

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.

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

Are you a passionate and experienced nurse leader ready to make a real difference? Join our Integrated Community Team and play a pivotal role in delivering high-quality, person-centred care, shaping services, supporting teams, and improving outcomes for patients in their own homes and communities.

Applicants must be a Registered Nurse in possession of their Specialist Practice Award in District Nursing (postgraduate) qualification. Additionally, candidates must either hold or be willing to pursue a relevant Masters qualification.

The successful applicant will manage and lead a team of community nurses, ensuring the seamless and safe delivery of 7 day a week community nursing care to a large caseload of acute and chronically ill patients. There is a minimum requirement for a highly flexible and enthusiastic approach to this challenging role as well as an ability to travel between sites in a timely manner.

The post is based with the North Coastal Integrated Community Team based in Fishguard Health Centre, although the post-holder may be required to work across both North and South Pembrokeshire Localities to meet the needs of the Service.

Main duties of the job

Accountable for management of nursing caseload to include leading/developing core nursing establishment in delivering compassionate, high quality, patient-centred nursing care, providing fair, honest and measured people management.

Provide professional nursing leadership with support/guidance (in line with NMC standards).

Provide expert clinical advice/intervention on specialist complex issues within own field and undertake management/monitoring activities in line with legal/professional requirements, statutory rules and Health Board policies relating to evidence-based practice.

Responsible for efficient management of allocated budget effectively deploying the nursing team, utilising allocated resources to timely raise financial expenditure concerns to appropriate personnel.

Ensure complex needs of patients with multiple pathologies and families are addressed in a sensitive/empathic manner including supporting the assessment/implementation/re-evaluation of continuing health care packages of care.

Work/communicate effectively as a member of senior clinical/nursing leadership team, collaborating with other Team Leads and Clinical Lead Nurse, including deputising for Clinical Lead Nurse when required.

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); 97 community pharmacies; 43 general ophthalmic practices; and 8 ophthalmic domiciliary providers
• Numerous mental health and learning disabilities services

Detailed job description and main responsibilities

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

Interviews to be held on 28/10/2026.

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 isdesirable 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.

Person specification

Qualifications and Knowledge

• Registered Nurse (Part 1)
• Current NMC Registration
• Specialist Practice Award in District Nursing (post graduate)
• Teaching/Coaching qualification (or equivalent experience)
• Knowledge of legislation pertinent to role
• Recognised management qualification
• Recognised leadership qualification

Experience

• Proven and relevant experience at Band 6 within a community setting
• Appropriate experience within specialty and able to demonstrate sound knowledge of relevant specialty
• Able to demonstrate sound knowledge of NMC Code (2018)
• Proven post-registration experience and evidence of coordinating and managing a team of staff.
• Able to demonstrate an awareness of professional issues and developments.
• Evidence of leadership skills
• Experience of working in a multi-professional environment
• Experience in budget management
• Experience of effective staff management
• Experience of mentoring pre-registration nursing/midwifery students
• Good knowledge of information governance/data protection requirements
• Experience of working in a Band 7 role
• Understanding of financial and resource management processes
• 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.