Respiratory Clinical Nurse Specialist

The vacancy sits within the Carmarthen GP cluster locality supporting people with chronic respiratory disease within their homes and community clinics. They will require specialist respiratory assessment skills and work autonomously but alongside partners from Primary, Community and Secondary Care to improve outcomes for those living with long term respiratory conditions. Main responsibilities would include managing a clinical caseload of people living with chronic lung conditions. They'd be required to prioritise their workload, delegate work to other and supervise other staff., The potholder will require specialist respiratory knowledge to support in the management of conditions such as COPD, ILD, bronchiectasis, home oxygen and home ventilation. We'd be expecting the postholder to have a high level of communication skills. Experience and skills in supporting those coming to the later stages of their life would be advantageous as would previous community working. Being able to commute across a wide geographical area is essential. They will be supported by their community respiratory colleagues and the wider respiratory team including general respiratory, bronchiectasis and respiratory failure virtual MDTs. They will have the opportunity to support Pulmonary Rehabilitation Programmes, an active respiratory research programme as well as service development and improvement. They would need to supervise, support and work alongside a Health Care Support Worker. Interviews will be held on 27/05/2026.

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); 99 community pharmacies; 43 general ophthalmic practices; and 8 ophthalmic domiciliary providers
• Numerous mental health and learning disabilities services