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.
Main duties of the job
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.
Detailed job description and main responsibilities
Dedicated minor operative procedure sessions will form part of the job plan, enabling the post holder to undertake a range of dermatological procedures within their clinical competence. This may include diagnostic biopsies, excisions of skin lesions, curettage, and other minor surgical interventions. The role will support the delivery of efficient patient pathways by providing treatment closer to home and reducing the need for onward referral where appropriate.
The post holder will play an active role in clinical triage processes, reviewing referrals to ensure patients are directed to the most appropriate service and prioritised according to clinical urgency. This will contribute to effective demand management, improved patient flow, and optimal utilisation of available clinic capacity.
Participation in teledermatology and teledermoscopy services will be a key element of the role, supporting innovation in patient care and enabling earlier assessment of suspected skin cancers and other dermatological conditions. The post holder will provide specialist interpretation of clinical and dermoscopic images, facilitating timely diagnosis and reducing unnecessary patient travel across the rural geography of West Wales.
The successful candidate will be expected to contribute fully to multidisciplinary team (MDT) working, including regular attendance at Skin Cancer MDT meetings and collaboration with colleagues. MDT participation is essential to ensuring high-quality clinical decision-making, effective treatment planning, and the delivery of integrated care for patients with complex conditions.
In addition to clinical duties, the post holder will have opportunities to contribute to the ongoing development and transformation of dermatology services. This may include involvement in quality improvement initiatives, service redesign projects, pathway development, audit activity, and implementation of innovative models of care aimed at improving patient experience, clinical outcomes, and service efficiency.
The role will also include a commitment to clinical governance, continuing professional development, teaching, and supervision where appropriate. The post holder will contribute to maintaining high standards of clinical practice and support the development of medical, nursing, and allied health professional colleagues within the service.
Overall, this post provides an excellent opportunity to contribute to a progressive dermatology service that is committed to delivering safe, sustainable, and high-quality care for the population of West Wales.
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.
Please see the below links for useful videos relating to this vacancy:
Hywel Dda 3 Counties - https://youtu.be/RUMDpjtu1sY
Lifestyle in Wales - https://www.youtube.com/watch?v=Vgt03XPT6RQ
Medical Leadership in Hywel Dda - https://www.youtube.com/watch?v=jLioZyqIpwk&t=33s
Virtual Tour - https://youtu.be/Y4JGdD6EHjE
Person specification
Other
Essential
- • Ability to travel between sites in a timely manner.
- • Flexible approach to the needs of the service.
Desirable
- Welsh Speaker (Level 1)
Teaching
Essential
- • Ability to critically assess learning requirements for self and others.
- • Evidence of organising programmes and teaching all staff groups.
- • Willingness to teach all grades of professional multidisciplinary staff.
Desirable
- • Teaching qualification.
Safeguarding
Essential
- • Demonstrates knowledge of safeguarding requirements and takes appropriate responsibility.
- • Evidence of applying appropriate equality and diversity legislation.
Clinical Experience
Essential
- • Minimum of 12 years’ experience since primary medical qualification with a minimum of 6 years within the specialty area (either continuous period or in aggregate).
- • Evidence of leading a team.
- • Able to demonstrate core competencies and clinical skills relevant to the post.
- • Evidence of change management, quality improvement or audit.
Desirable
- • Previous experience working in the NHS.
Clinical Governance
Essential
- • Participation in clinical audit (or quality improvement project) and understanding role of audit in improving medical practice.
- • Engagement in annual job planning/appraisal review process.
Desirable
- • Evidence of leading a clinical audit (or quality improvement project).
- • Knowledge of risk management.
Research and Scholarship
Essential
- • Demonstrates knowledge of current research and best practice in the specialty area.
- • Evidence of keeping up to date with current research and best practice.
- • Evidence of locating and using clinical guidelines appropriately.
- • Evidence of communicating and interpreting research evidence in a meaningful way.
Desirable
- • Evidence of engagement in research.
Qualifications and Knowledge
Essential
- • Full registration and a License to Practice with the General Medical Council.
- • Valid Certified Advanced Life Support ATLS / ALS / PALS.
Desirable
- • Additional clinical qualification(s).
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Applying for this NHS job
This advert is for Specialist Grade Dermatology with Hywel Dda University Health Board in Haverfordwest, West Wales, Wales. It is listed as a Senior Medical doctor Dermatology role. The advertised salary is £104,401 - £115,343 per annum. The contract type is Permanent. The application deadline is 16 Aug 2026.
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