Job summary NHS Wales has an ambition to provide care closer to home to patients who would otherwise be admitted into hospital. West Wales is at the forefront of managing those patients that are more acutely unwell or complex preventing avoidable admission or expediting earlier discharge through our clinical streaming hub, crisis response and hospital at home services. This role plays a pivotal role in providing the day-to-day clinical oversight and supervision of delivery of these services. This is an exciting opportunity to be part of the development and implementation of the Health Boards Intermediate and Urgent Primary Care model. You will be joining a growing cohort of similar clinicians and a multidisciplinary team who are passionate about providing holistic person-centred care and managing risk to support people in their own homes. You will be working as part of the wider system with similarly minded clinicians including SDEC and Frailty, OOH, WAST, and Primary care working together to ensure a joined up integrated coordinated response with a Home First ethos. Main duties of the job We are looking for an innovative, proactive individual who will join and enhance our integrated working model. You will support the development and delivery of our enhanced community/Hospital at Home model, engaging with a wide range of clinical stakeholders for the management of patients on the virtual ward. You will provide clinical leadership to the wider multidisciplinary team and work at the interface between acute care, acute frailty, Out of Hours and existing primary and community services. You will deliver high quality specialist assessment/interventions and use appropriate point of care testing, digital monitoring and support to facilitate care. You will provide support of the development of pathways that support admission avoidance and / or early discharge particularly for frail older patients and shape the role of the urgent and intermediate care MDT and response. You will provide mentorship and support to advanced practitioners/other urgent care clinicians. You will clinical triage with Welsh Ambulance Services NHS Trust (WAST) and mitigating conveyance to acute hospital where appropriate and manage patients in step up/step down beds to support recovery, rehabilitation and timely discharge as part of the intermediate care response. About us Hywel Dda University Health Board is the planner and provider of NHS healthcare services for people in Carmarthenshire, Ceredigion, Pembrokeshire and its bordering counties. Our 11,000 members of staff provide primary, community, in-hospital, mental health and learning disabilities services for around 384,000 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: Bronglais General in Aberystwyth, Glangwili General in Carmarthen, Prince Philip in Llanelli and Withybush General in Haverfordwest; Seven community hospitals: Amman Valley and Llandovery in Carmarthenshire; Tregaron, Aberaeron and Cardigan in Ceredigion; and Tenby and South Pembrokeshire Hospital Health and Social Care Resource Centre in Pembrokeshire; 48 general practices (four of which are managed practices), 47 dental practices (including three orthodontic), 99 community pharmacies, 44 general ophthalmic practices (43 providing Eye Health Examination Wales and 34 low vision services) and 17 domiciliary only providers and 11 health centres; Numerous locations providing mental health and learning disabilities services; Highly specialised and tertiary services commissioned by the Welsh Health Specialised Services Committee, a joint committee representing seven health boards across Wales. Date posted 22 January 2025 Pay scheme Hospital medical and dental staff Grade Doctor - other Salary £77,832 to £107,226 a year per annum pro rata Contract Fixed term Duration 21 months Working pattern Part-time Reference number 100-MED-GP-107 Job locations Withybush General Hospital Haverfordwest SA61 2PZ Job description Job responsibilities For full details of the role requirements please see attached Job Description and Person Specification for this vacancy. Discussions around working pattern will take place during initial job planning, where preferences, requirements and options can be discussed and explored in full. Please see the below links for useful videos relating to this vacancy: Hywel Dda in three Counties:https://youtu.be/RUMDpjtu1sY Medical Leadership in Hywel Dda:https://www.youtube.com/watch?vjLioZyqIpwk&t33s Site Virtual Tour:https://youtu.be/mETORurxSBU Job description Job responsibilities For full details of the role requirements please see attached Job Description and Person Specification for this vacancy. Discussions around working pattern will take place during initial job planning, where preferences, requirements and options can be discussed and explored in full. Please see the below links for useful videos relating to this vacancy: Hywel Dda in three Counties:https://youtu.be/RUMDpjtu1sY Medical Leadership in Hywel Dda:https://www.youtube.com/watch?vjLioZyqIpwk&t33s Site Virtual Tour:https://youtu.be/mETORurxSBU Person Specification Qualifications and Knowledge Essential Full GMC Registration with a license to practice and entry on the GP Register Certificate of Completion of Training (CCT) in General Practice / Certificate Confirming Eligibility for General Practice Registration (CEGPR), or equivalent Included on a Medical Performers List or eligible Evidence of continuous professional development Desirable MRCGP Experience Essential Broad based experience in Primary Care Knowledge of UK Hospital systems (or equivalent) Knowledge & participation in CPD Desirable Experience of NHS General Practice, including Out of Hours Experience with local NHS Services Evidence of above average performance Person Specification Qualifications and Knowledge Essential Full GMC Registration with a license to practice and entry on the GP Register Certificate of Completion of Training (CCT) in General Practice / Certificate Confirming Eligibility for General Practice Registration (CEGPR), or equivalent Included on a Medical Performers List or eligible Evidence of continuous professional development Desirable MRCGP Experience Essential Broad based experience in Primary Care Knowledge of UK Hospital systems (or equivalent) Knowledge & participation in CPD Desirable Experience of NHS General Practice, including Out of Hours Experience with local NHS Services Evidence of above average performance 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). Additional information 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 Haverfordwest SA61 2PZ Employer's website https://hduhb.nhs.wales/ (Opens in a new tab)