Job summary
If you are interested in applying for the secondmentposition, you must obtain permission from your current linemanager prior to applying for this post.
We are looking for an experienced nursing lead who is passionate about improving patient experience, driving system-wide change, and enabling people to safely return home sooner . We're looking for a dynamic and motivated Clinical Lead Nurse to join our Pembrokeshire team, who will play a pivotal role in shaping safe, effective, and person-centred discharge pathways.
In this senior role, you will champion the Home First philosophy - ensuring patients receive timely assessment, coordinated discharge planning, and the right support. You'll provide daily operational leadership across acute, community, and intermediate care settings, working closely with nursing, therapy, social care, and third-sector partners to reduce length of stay and maximise time spent at home.
You will lead and develop several key teams, including Discharge Liaison, Porth Preseli Clinical Streaming Hub, Hospital @ Home, Acute Response, Home Support, and Community Falls services.
This is an exciting opportunity for a credible, forward-thinking nurse leader with substantial experience across acute and community care. You will bring well-developed clinical expertise, a passion for service improvement, and the ability to influence, negotiate, and collaborate across the wider health and social care system.
Main duties of the job
If you thrive in a high-impact role, enjoy multi-agency working, and want to make a tangible difference to the lives of people across Pembrokeshire, we would love to hear from you.
This role supports improved patient experience and outcomes by ensuring people can return home safely and promptly after a hospital admission. Guided by the "Home First" approach, the post holder will provide credible leadership across the wider Health and Social Care system to achieve this goal.
They will deliver daily operational coordination to ensure effective patient flow, focusing on timely assessment and discharge from acute, community and step-down settings to reduce length of stay, minimise readmissions and maximise time spent at home.
The post holder will line manage the Discharge Liaison, Porth Preseli Clinical Streaming Hub, Hospital @ Home, Acute Response, Home Support and Community Falls teams.
They will lead discharge planning, offering specialist knowledge on commissioning care and implementing local and national improvement initiatives. They will also drive pathway development to enhance flow.
Working autonomously, the post holder will apply highly developed specialist knowledge to support colleagues, promote professionalism and act as a model of integrity and leadership.
The ability to speak Welsh is desirable for this post; Welsh and/or English speakers are equally welcome to apply.
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
They will also contribute to the strategic development of community services, ensuring alignment with Health Board and national objectives, and effectively communicate Pembrokeshire System priorities to staff within their remit.
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 11/03/2026.
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.
Job description
Job responsibilities
They will also contribute to the strategic development of community services, ensuring alignment with Health Board and national objectives, and effectively communicate Pembrokeshire System priorities to staff within their remit.
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 11/03/2026.
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
Essential
- Registered Nurse with current NMC registration
- Masters (MSC) level study in health care related subject or equivalent experience
- Evidence of continuous practice / management development
- Recognised management qualification or equivalent demonstrable experience
- Demonstrable knowledge of quality improvement methodologies
- Must have knowledge and understanding of current policy and issues in professional practice, compliance, standards and the wider NHS
Desirable
- Mentoring / Coaching qualification
- Teaching / Assessing Qualification
- Recent post graduate study
Experience
Essential
- Significant experience in senior leadership roles
- Experience of working within the community in a multi-agency environment.
- Specialised knowledge and skills within acute and community setting to provide credible clinical leadership
- Demonstrable experience of innovation, managing and sustaining change.
- Must have experience of service and organisation change and knowledge of how to navigate a service through a successful change programme.
- Must have experience of managing staff and working with staff Trades Unions / staff representatives
Language Skills
Desirable
Person Specification
Qualifications and Knowledge
Essential
- Registered Nurse with current NMC registration
- Masters (MSC) level study in health care related subject or equivalent experience
- Evidence of continuous practice / management development
- Recognised management qualification or equivalent demonstrable experience
- Demonstrable knowledge of quality improvement methodologies
- Must have knowledge and understanding of current policy and issues in professional practice, compliance, standards and the wider NHS
Desirable
- Mentoring / Coaching qualification
- Teaching / Assessing Qualification
- Recent post graduate study
Experience
Essential
- Significant experience in senior leadership roles
- Experience of working within the community in a multi-agency environment.
- Specialised knowledge and skills within acute and community setting to provide credible clinical leadership
- Demonstrable experience of innovation, managing and sustaining change.
- Must have experience of service and organisation change and knowledge of how to navigate a service through a successful change programme.
- Must have experience of managing staff and working with staff Trades Unions / staff representatives
Language Skills
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).
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.
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).
