Job Description

Morlais Adult Mental Health Inpatient Ward are looking to welcome an Advanced Clinical Practitioner to their Multi Disciplinary Team



The post holder will hold an independent prescribing qualification and advanced specialist knowledge of Mental Health patient pathways is essential.



This Band 8b post is open to applicants who have Approved Clinician Status or open as a development Band 8b Annex 21 post to a qualified Advanced Practitioner who has a willingness and commitment to achieve Approved Clinician Status within an agreed timeframe. The successful development candidate will be appointed under the All Wales Annex 21 rules.



This means they will be supported by a development plan. (During the first year payment will be 60% of the top rate of band 8b pay, during the second year 65%, during the third year 70% and during the fourth year 75%) and following successful completion the post holder will then be paid at Band 8b (minimum point on the scale). Support and supervision will be provided in order to develop the successful applicant to the Band 8b role. Failure to achieve the qualification and required competencies in the designated timeframe could result in re-deployment.



As part of the Annex 21 process, there is no financial penalty to those who apply for this role where the percentage will cause a reduction in pay, subsequently a local protection would be put in place until the pay has caught up.

The post holder will:

Provide clinical assessment and direct the management of patients



Be autonomous in decision making, including judgments involving highly complex facts/situations that require the analysis, interpretation, and comparison of a range of options in relation to the care/management needs of the patients on a day-to-day basis within the clinical environment



Identify need for change, leading innovation, and managing change including service development, developing a case for change, and negotiate and influence change



Carry out complex patient clinical reviews, and feedback complex clinical information relating to physical and mental health to enable decisions in care management to be agreed upon and/or changed which may involve differences of opinion



Lead and chair ward reviews, including initiating and titrating treatment plans



Prepare medical reports



Support doctors' development by arranging opportunities in other clinical areas for them



Review formal patients and work in collaboration and joint decision making with RCs in respect of ongoing detention and least restrictive principles



Provide clinical assessment using advanced knowledge and clinical skills, to provide diagnoses both differentiated and undifferentiated

patients, and develop management plans for optimal care



Provide Advanced Clinical Practitioner Strategic Service clinical leadership



Responsible for policy and service development



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



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 07/10/2025.



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.