Job summary
Hywel Dda University Health Board is seeking a highly motivated and experienced Band 7 Clinical Nurse Specialist (CNS) to play a pivotal role in stabilising and improving the prostate cancer pathway at Glangwili General Hospital, Carmarthen and across the Health Board.
This is a keyworker and pathway leadership role, supporting prostate cancer patients from diagnosis through treatment, surveillance and survivorship. The post holder will work across the entire prostate pathway, ensuring timely diagnostics, effective MDT functioning, high-quality patient communication, and protocol-driven follow-up in line with national cancer standards.
This role is being established to convert recent diagnostic capacity improvements into sustained pathway performance, improved patient experience, and reduced harm from delays.
Interviews to be held on 16/7/2026
Main duties of the job
The CNS will:
- Act as the designated keyworker for prostate cancer patients, providing consistent, personalised support across diagnosis, treatment and follow-up
- Lead and coordinate the prostate cancer diagnostic pathway, including straight-to-MRI and LATP biopsy pathways
- Play a central role in MDT preparation, attendance and follow-up, ensuring complete, high-quality clinical information and timely communication of outcomes
- Deliver CNS-led clinics, including PSA surveillance, active monitoring and treatment follow-up, supporting the Health Board's wider follow-up transformation agenda
- Support patients undergoing surgery, radiotherapy and systemic therapies, providing education, symptom management and early escalation of concerns
- Deliver holistic needs assessments, treatment summaries and survivorship care planningin line with national cancer standards
- Support the rollout of remote monitoring and digital tools(e.g. Patients Know Best) for prostate cancer follow-up
- Work collaboratively across Urology, Radiology, Pathology, Oncology, Cancer Services and Primary Care to improve pathway flow and experience
- Contribute to service development, audit, quality improvement and performance recovery, with a clear focus on Faster Diagnosis Standard and 62-day USC compliance
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 12,000 members of staff provide primary, community, in-hospital, mental health and learning disabilities services to almost 400,000 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.
- Five community hospitals: Amman Valley Hospital and Llandovery Hospital in Carmarthenshire, Tregaron Hospital in Ceredigion and Tenby and South Pembrokeshire Hospital Health and Social Care Resource Centre in Pembrokeshire.
- Two integrated care centres (Aberaeron and Cardigan, Ceredigion).
- Community facilities, including:
- 48 General Practices (GP surgeries), 49 Dental Practices, 98 Community Pharmacies (chemists), 44 General Ophthalmic Practices (including eye health and low vision services), 38 sites providing mental health and learning disability services, care within your own homes.
Highly specialised and tertiary services are commissioned by the Welsh Health Specialised Services Committee, a joint committee representing seven health boards across Wales.
Job description
Job responsibilities
The ability to speak Welsh is desirable for this post; English and/or Welsh speakers are equally welcome to apply.
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.
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 (v300)
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
- Welsh Speaker (Level 1)
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
Glangwili General Hospital, to cover all 4 sites
Carmarthen
SA31 2AF
United Kingdom
Employer's website
This listing was aggregated from publicly-available sources. The employer holds an A-rated sponsor licence at the time of this listing, but sponsorship of this specific role is not guaranteed — the employer's offer and UK Visas and Immigration are the final authority. Details may have changed since our last update — verify with the employer via the Apply link.