The post holder will provide clinical leadership for the Fracture Liaison Service (FLS) within Hywel Dda University Health Board, acting as a highly specialist practitioner with expert knowledge in bone health. Working autonomously within agreed protocols, they will manage a complex caseload while supporting the delivery of the service plan alongside the Clinical Lead for Bone Health. The role requires a high degree of professional autonomy, enabling the post holder to make critical clinical judgements and deliver effective, evidence-based care. They will play a key role in service modernisation, contributing to the planning, development, and evaluation of the service, while maintaining a strong clinical profile and championing high standards of patient-centred care. The ability to speak Welsh is desirable for this post; English and/or Welsh speakers are equally welcome to apply. They will uphold a balance between independent practice and collaborative team working while maintaining a strong professional presence.
Main duties of the job
The post holder will deliver a high-quality, specialist clinical service by undertaking advanced assessment, diagnosis, and management of patients with osteoporosis and fragility fractures, including running FLS clinics, interpreting investigations such as DXA scans, and developing personalised care plans. They will strive towards the constant improvement of KPI's in line with national standards as well as the meeting of targets, as indicated. They will communicate complex and sensitive information effectively, provide expert clinical advice, and ensure accurate reporting and discharge planning. In addition, they will lead on clinical governance activities including audit at both a local and national level, research, and service evaluation, and contribute to the development and maintenance of clinical standards across the Health Board. The role includes supervising and training staff, developing competency frameworks, and delivering education to multidisciplinary teams and external partners. The post holder will promote patient autonomy, support self-care, identify and minimise risks, and actively contribute to continuous service improvement while maintaining a balance between independent practice and collaborative team working.
* 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); 99 community pharmacies; 43 general ophthalmic practices; and 8 ophthalmic domiciliary providers
* Numerous mental health and learning disabilities services
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