Job summary
We are seeking a Band 7 Palliative Care Clinical Nurse Specialist (CNS) in Carmarthenshire, primarily based in Llanelli. This is an excellent opportunity for an experienced specialist palliative care nurse to develop and enhance local services, delivering high-quality, patient-centred care for those with life-limiting conditions.
This role will mainly be community based, with some requirement to support secondary care for approximately one day per week
As a Band 7 - Clinical Nurse Specialist, you will provide expert clinical assessment, symptom management and psychological support. You'll act as a key contact for patients, carers and professionals, offering advice, education and coordinating care across settings.
You'll work closely with multidisciplinary teams to support seamless care pathways and promote best practice. The role includes delivering specialist training across primary and secondary care and contributing to audit and quality improvement initiatives.
Applicants must be NMC-registered with substantial specialist palliative care experience, advanced clinical knowledge and skills, strong leadership, advanced communications skills, emotional intelligence, resilience and the ability to work both independently and collaboratively are key.
Main duties of the job
The purpose of this role is to provide specialist nursing care, advice, guidance, and leadership, and to take responsibility for a specialist nursing service (as required).
You will assess, plan, implement, and evaluate evidence-based nursing care and provide expert advice and clinical practice.
You will be able to work autonomously and manage your own workload whilst leading and managing a team of specialist nurses, providing specialist education and training.You will be expected to work collaboratively and co-operatively with clinical colleagues to develop services and the quality of care delivered, providing leadership in the development of clinical services within the specialist field.
You will at all times demonstrate the Health Board's values and ensure that others demonstrate the same values.
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 17/03/2026.
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 find a full Job description and Person Specification attached as 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 increasing the number of staff who can 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.
Job description
Job responsibilities
You will find a full Job description and Person Specification attached as 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 increasing the number of staff who can 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.
Person Specification
Qualifications and Knowledge
Essential
- Registered Nurse (Part 1)
- Current NMC Registration
- Masters Degree or equivalent experience
- Specialist qualifications
- Expert level of knowledge in clinical speciality
- Knowledge of service improvement
- Able to undertake a literature search and critically appraise research papers
Desirable
- Teaching qualification
- Management qualification
- Advanced clinical skills
- Non-medical Prescribing course
Experience
Essential
- Experience in the relevant specialty
- Experience of working in a multi-professional environment
- Experience of managing a ward/area/department
- Experience of working with pre-registration nursing/midwifery students in a mentorship role
- Experience of undertaking audit
Desirable
- Experience of participating in research
Language skills
Desirable
Other
Essential
- Flexibility in working pattern to ensure maximum visibility of CNS team
- Ability to travel to all areas of the UHB in a timely manner
Person Specification
Qualifications and Knowledge
Essential
- Registered Nurse (Part 1)
- Current NMC Registration
- Masters Degree or equivalent experience
- Specialist qualifications
- Expert level of knowledge in clinical speciality
- Knowledge of service improvement
- Able to undertake a literature search and critically appraise research papers
Desirable
- Teaching qualification
- Management qualification
- Advanced clinical skills
- Non-medical Prescribing course
Experience
Essential
- Experience in the relevant specialty
- Experience of working in a multi-professional environment
- Experience of managing a ward/area/department
- Experience of working with pre-registration nursing/midwifery students in a mentorship role
- Experience of undertaking audit
Desirable
- Experience of participating in research
Language skills
Desirable
Other
Essential
- Flexibility in working pattern to ensure maximum visibility of CNS team
- Ability to travel to all areas of the UHB in a timely manner
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).
