Specialist Grade Dermatology

Job overview

The Dermatology Service in West Wales provides specialist care across a large, geographically dispersed, and predominantly rural population. The service manages a broad range of dermatological conditions, including suspected and confirmed skin cancers, chronic inflammatory skin diseases, and complex dermatological cases that require assessment and treatment by experienced and highly skilled clinicians. Demand for dermatology services continues to increase, driven by rising skin cancer incidence, an ageing population, and the growing complexity of patients requiring specialist care. 

This post is essential to support the continued delivery of safe, effective, and timely dermatology services across the region. The successful candidate will join a dedicated, experienced, and multidisciplinary team committed to providing high-quality patient-centred care for the population of West Wales. The role will contribute significantly to maintaining service capacity, reducing waiting times, improving patient access to specialist assessment, and supporting the delivery of national and local performance targets. 

The appointment of this post will strengthen the sustainability and resilience of the Dermatology Service, ensuring continued delivery of high-quality care to patients across West Wales while supporting future service transformation and innovation within the specialty. 

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The post holder will undertake a diverse and rewarding clinical role across the full spectrum of dermatology services, with particular responsibility for the diagnosis, treatment, and ongoing management of patients with inflammatory skin diseases and skin cancer. Working as part of a highly skilled multidisciplinary team, post holder will provide expert clinical assessment and management for a wide range of dermatological conditions, ensuring patients receive high-quality, evidence-based care in a timely and compassionate manner. 

The role will include the delivery of outpatient dermatology clinics for patients presenting with both routine and complex dermatological conditions. This will involve the assessment, diagnosis, treatment planning, and long-term management of chronic inflammatory disorders. The post holder will be expected to work collaboratively with primary care colleagues and other specialties to ensure coordinated and patient-centred care pathways. 

A significant component of the role will focus on skin cancer services, including the assessment and management of patients referred through urgent suspected cancer pathways. Responsibilities will include the diagnosis of malignant and pre-malignant skin lesions, formulation of treatment plans, patient counselling, and participation in surveillance and follow-up clinics. Post holder will contribute to achieving national cancer targets by supporting timely access to specialist assessment, diagnosis, and treatment. 

Working for our organisation

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