Job summary
Your Leadership Can Shape the Future of Care in West Wales
At Hywel Dda University Health Board, we believe that compassionate leadership is the cornerstone of excellent care. As we continue to transform our services to meet the needs of our communities, we are inviting four exceptional individuals to join ourClinical Care Group for Community and Integrated MedicineasService Group Assistant General Managers--one for each of our acute hospital sites:
Bronglais General Hospital
Glangwilli General Hospital
Prince Philip Hospital
Withybush General Hospital
This is more than a management role -- it's a leadership opportunity to champion high standards of care, drivequality improvement, and foster aculture of compassion, collaboration, and visible leadership.
Please indicate clearly in your applicationwhich hospital site(s)you are applying for. We strongly encourage interested candidates to arrange an informal conversation with the relevantSystem General Manager to learn more about the local context and team.
Main duties of the job
What You'll Do
Provide strategic and operational leadership across scheduled and unscheduled care pathways.
Champion patient flow and system-wide coordination from preadmission to admission to discharge and beyond.
Lead service transformation initiatives that improve outcomes and patient experience.
Ensure robust governance, performance, and financial stewardship across services.
Act as a visible leader, supporting staff wellbeing and modelling compassionate leadership.
Deputise for the System General Manager and participate in the senior on-call rota.
You will be instrumental in shaping integrated services that span acute, community, and primary care, ensuring that our patients receive seamless, person-centred care.
What We're Looking For
A passionate and experienced NHS leader with a strong track record in operational management.
Proven ability to lead service transformation, manage complex systems, and deliver performance.
A commitment to inclusive leadership, staff development, and collaborative working.
Excellent communication and stakeholder engagement skills.
About us
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
Job description
Job responsibilities
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.
If successfully shortlisted you will be asked to complete psychometric assessments. Information regarding these and the stakeholder panels/interview will be sent to you following completion of shortlisting.
Stakeholder panels will be held on either 11th, 13th, 14th or 18th August 2025.
Interviews will be held on either, 12th, 14th, 15th or 19th August 2025.
Job description
Job responsibilities
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.
If successfully shortlisted you will be asked to complete psychometric assessments. Information regarding these and the stakeholder panels/interview will be sent to you following completion of shortlisting.
Stakeholder panels will be held on either 11th, 13th, 14th or 18th August 2025.
Interviews will be held on either, 12th, 14th, 15th or 19th August 2025.
Person Specification
Qualifications and Knowledge
Essential
- Educated to Masters Degree level or equivalent experience in an NHS operational management role.
- Specialist knowledge and experience acquired through training and experience over a significant period, including o managing staff and working with Trade Unions o financial management and delivering budgets to target o delivering projects including managing scope and delivering against agreed objectives to quality, cost and time. o introducing service improvement and managing organisational change o long term planning and performance management processes
- Evidence of CPD.
- Clear understanding of the modernisation agenda, the opportunities for redesigning services and the tools and techniques for achieving service change.
- Clear understanding of the key factors critical to the provision of health care, e.g. NHS strategies and policies, local health economy issues, the national performance management framework, financial flows, national initiatives for achieving improved performance etc
Desirable
- Leadership / management qualification or recent exposure to relevant management or leadership development programme.
Experience
Essential
- Substantial acute NHS hospital day-to day operational management experience
- Working as part of a multi-professional team
- Experience of managing and completing programmes of continuous improvement and leading change in a complex environment.
- Business planning and business case development.
- Experience of conducting negotiations relating to highly complex matters
- Experience of working with statutory bodies and trade unions/staff representatives
- Proven track record of staff management
- Experience in achieving a range of complex performance and financial targets.
- Experience in leading clinical teams
Desirable
- Experience in project and Programme Management methodologies
Other
Essential
- Ability to be able to travel between health board sites in a timely manner
Desirable
Person Specification
Qualifications and Knowledge
Essential
- Educated to Masters Degree level or equivalent experience in an NHS operational management role.
- Specialist knowledge and experience acquired through training and experience over a significant period, including o managing staff and working with Trade Unions o financial management and delivering budgets to target o delivering projects including managing scope and delivering against agreed objectives to quality, cost and time. o introducing service improvement and managing organisational change o long term planning and performance management processes
- Evidence of CPD.
- Clear understanding of the modernisation agenda, the opportunities for redesigning services and the tools and techniques for achieving service change.
- Clear understanding of the key factors critical to the provision of health care, e.g. NHS strategies and policies, local health economy issues, the national performance management framework, financial flows, national initiatives for achieving improved performance etc
Desirable
- Leadership / management qualification or recent exposure to relevant management or leadership development programme.
Experience
Essential
- Substantial acute NHS hospital day-to day operational management experience
- Working as part of a multi-professional team
- Experience of managing and completing programmes of continuous improvement and leading change in a complex environment.
- Business planning and business case development.
- Experience of conducting negotiations relating to highly complex matters
- Experience of working with statutory bodies and trade unions/staff representatives
- Proven track record of staff management
- Experience in achieving a range of complex performance and financial targets.
- Experience in leading clinical teams
Desirable
- Experience in project and Programme Management methodologies
Other
Essential
- Ability to be able to travel between health board sites in a timely manner
Desirable
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.
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).
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.
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).
