Community Continuing Care Team Sister/Charge Nurse

Job description

Job summary

Become a part of a developing service at the forefront of community-based Continuing Healthcare, Palliative and End of Life Care in Carmarthenshire. We are looking for experienced and motivated Registered Nurses (RN/RMN) to undertake a innovative Band 6 Sister/Charge Nurse role that combines community outreach with acute hospital in-reach.

Working across community and acute settings, you will play a pivotal role in early identification, assessment, care coordination, discharge planning and clinical decision-making, helping people receive the right care, in the right place, at the right time.

We are looking for dynamic nurses with excellent clinical, leadership and communication skills who are passionate about delivering person-centred care and improving outcomes for people with complex, life-limiting conditions. You will provide senior clinical oversight to support safe delegation, governance, and workforce development, while working closely with multidisciplinary teams, families and partner organisations to deliver seamless care across care pathways.

This is an exciting opportunity to contribute to a developing seven-day service that supports people to remain in their preferred place of care, prevents unnecessary hospital admissions and enhances the experience of patients and families at the end of life.

Main duties of the job

The successful candidate will combine expert clinical practice with leadership, care coordination and service development responsibilities across the Carmarthenshire Continuing Care Team.

Working across both acute and community settings, the post holder will support individuals with Continuing Healthcare needs, complex long-term conditions, and palliative and end of life care requirements. This includes hospital in-reach activities to facilitate early identification, timely Continuing Healthcare and Fast Track processes, coordinated discharge planning and seamless transitions of care from hospital to home.

Within the community, you will provide senior clinical oversight, assessment and care coordination, supporting proactive care planning, complex decision-making and multidisciplinary working to help people remain in their preferred place of care wherever possible.

You will provide clinical leadership and supervision, promoting safe delegation, governance and workforce development, while supporting Nursing Support Workers and colleagues to deliver high-quality, person-centred care. Working collaboratively with community teams, specialist services and patient flow teams, you will contribute to improving patient outcomes, experience and service responsiveness across a seven-day service.

Interviews to be held on 08/09/2026

About us

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

Job description

Job responsibilities

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.

Job description
Job responsibilities

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) or Registered Mental Health Nurse (RMN)
• Current NMC Registration
• Bachelor degree (or equivalent experience)
• Pertinent postgraduate diploma (or equivalent development/ experience and a willingness to undertake appropriate post graduate diploma level study)
• Understanding of wider nursing and health care related agenda

Desirable

• Teaching qualification (or equivalent experience)
• Recognised management qualification
• Community Nurse Prescriber
• Specialist Practice Award in District Nursing
• Bronze IQT

Experience

Essential

• Appropriate experience within community/specialty and able to demonstrate sound knowledge, including experience of caring for people with life-limiting illness and/or cognitive impairment.
• Able to demonstrate sound knowledge of NMC Code (2015)
• Experience of working in a multi-professional environment
• Experience of working collaboratively across acute and community settings to support timely assessment, care planning and coordinated patient flow.
• Experience of running a ward/area/department
• Experience of working with preregistration nursing / midwifery students
• Experience of formal /informal teaching and of mentoring preregistration nursing or midwifery students

Desirable

• Experience of coordinating a team
• Experience of facilitating learning in and from practice
• Previous experience of leadership and management
• Awareness of current issues in nursing and specialty
• Awareness of financial and resource management

Language Skills

Desirable

• Welsh Speaker (Level 1)

Person Specification
Qualifications and Knowledge

Essential

• Registered Nurse (Part 1) or Registered Mental Health Nurse (RMN)
• Current NMC Registration
• Bachelor degree (or equivalent experience)
• Pertinent postgraduate diploma (or equivalent development/ experience and a willingness to undertake appropriate post graduate diploma level study)
• Understanding of wider nursing and health care related agenda

Desirable

• Teaching qualification (or equivalent experience)
• Recognised management qualification
• Community Nurse Prescriber
• Specialist Practice Award in District Nursing
• Bronze IQT

Experience

Essential

• Appropriate experience within community/specialty and able to demonstrate sound knowledge, including experience of caring for people with life-limiting illness and/or cognitive impairment.
• Able to demonstrate sound knowledge of NMC Code (2015)
• Experience of working in a multi-professional environment
• Experience of working collaboratively across acute and community settings to support timely assessment, care planning and coordinated patient flow.
• Experience of running a ward/area/department
• Experience of working with preregistration nursing / midwifery students
• Experience of formal /informal teaching and of mentoring preregistration nursing or midwifery students

Desirable

• Experience of coordinating a team
• Experience of facilitating learning in and from practice
• Previous experience of leadership and management
• Awareness of current issues in nursing and specialty
• Awareness of financial and resource management

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 .

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. .
UK Registration

Applicants must have current UK professional registration. For further information please see

Additional information
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 .

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. .
UK Registration

Applicants must have current UK professional registration. For further information please see

Employer details

Employer name

Hywel Dda University Health Board
Address

Pond Street Clinic

Carmarthen

SA31 1RT

United Kingdom

Employer's website