Hywel Dda University Health Board 

Hywel Dda University Health Board   

Hywel Dda University Health Board (UHB) is the planner and provider of NHS healthcare services for people in Carmarthenshire, Ceredigion, Pembrokeshire and its bordering counties. Our 9,871 members of staff provide primary, community, in-hospital, mental health and learning disabilities services for around 384,000 people across a quarter of the landmass of Wales. We do this in partnership with our three local authorities and colleagues from the public, private and third sectors, including 377 volunteers, through:

  • Our four main hospitals: Bronglais in Aberystwyth, Glangwili in Carmarthen, Prince Philip in Llanelli and Withybush in Haverfordwest.
  • Our seven community hospitals: Amman Valley and Llandovery in Carmarthenshire; Tregaron, Aberaeron and Cardigan in Ceredigion; and Tenby and South Pembrokeshire Hospital Health and Social Care Resource Centre in Pembrokeshire
  •  54 general practices, 48 dental practices, 99 community pharmacies, 56 opticians and 11 health centres
  • Numerous locations from which mental health, learning disabilities and related services are provided.
  • Highly specialised and tertiary services commissioned for us by the Welsh Health Specialised Services Committee. This is a joint committee with representation from all seven health boards across Wales.

Our aim is to prevent ill health and deliver high quality healthcare for the people we serve. This means providing the right care, in the right place, at the right time, every time and is the basis of our vision to deliver a world class health care system of the highest quality with improved outcomes for the people of Hywel Dda.

Glangwili General Hospital

Glangwili General Hospital in Carmarthen is the largest acute DGH in south west Wales incorporating approximately 330 beds and providing many in-patient services for patients in Pembrokeshire and Ceredigion, as well as Carmarthenshire. In addition to a range of general specialties, there are visiting Consultants in Paediatric

Cardiology, Paediatric Neurology, Paediatric Urology, Genito-Urinary Medicine, Clinical Oncology, Plastic Surgery, Neurosurgery, Mental Illness and Oral Surgery. Glangwili has a state-of-the-art Emergency Unit which includes accommodation suitable for 40,000 patients a year and houses ITU and HDU beds.

Prince Philip Hosptial

Prince Philip Hospital in Llanelli, is a busy, modern, well-equipped hospital built on the nucleus design. There are 225 acute and elective inpatient beds that support General Medicine and Elective General Surgery. Facilities include a Central Treatment Suite, with provision for 40 patients and providing surgical day case theatre, Endoscopic Suite, Hospice, and MRI Scanner.

The hospital launched a new £1.4m capital project and front of house model in 2016 including a Acute Medical Assessment Unit and Minor Injuries Unit front of house services. Emergency patients are now treated a purpose built 16 bed Acute Medical Assessment Unit with a resuscitation unit, two resuscitation bays, a fast positive stroke bed, six ambulatory care chairs, an assessment area, a six-bed step-down area for monitoring patients and a reception and lobby. Patients arrive through a new ambulance entrance and senior doctors and nurses treat patients with a wide range of problems, including strokes and chest conditions. Patients go straight to the medical team so the sickest patients are treated in the shortest possible time.

The new Minor Injuries Unit is run by GPs and Emergency Nurse Practitioners and can treat patients with a range of problems from muscle and joint injuries to burns and scalds, minor head injuries, minor eye injuries and more. This project includes a new frailty area, improved assessment facilities and space for community teams to support discharges, plus significant investment in new equipment such as an electronic system to improve links between care providers.

Breast Care Centre

The £7 million Breast Care centre was designed at Prince Philip Hospital with two ideas in mind, firstly, to provide the very best diagnostic and treatment services with equipment so that breast cancer can be found and treated quickly, and, secondly, to give the best support to women throughout their treatment and recovery so that they can regain their health and confidence to enjoy the rest of their lives. 

We have a purpose built clinic with interior design by Vivid Consultancy. The equipment is state of the art including three dimensional mammography. This is the first such machine in the world to come into general clinical use and was paid for by our charity. Instead of open wards we have individual rooms designed like a hotel. The clinic suite gives women access to specialist doctors (Surgeons, Radiologists, Genetics and Oncologists), specialist nurses in breast care, post operative recovery and chemotherapy, as well as a lymphoedema service and access to the latest research. 

Wherever possible and safe we prefer minimal surgery using advanced techniques such as sentinel node biopsy and intra-operative node analysis. For those who need moreextensive surgery breast reconstruction is routinely available. Research we areconducting with two other local hospitals has allowed us to be the first in Europeto test all women with early disease routinely for cancer gene activity (Oncotype Dx TM). We expect this will reduce the need for chemotherapy, safely avoiding it in women with a very low risk of future problems.

Withybush General Hospital

Withybush General Hospital in Haverfordwest, Pembrokeshire, provides Emergency Medicine, General Surgery, Orthopaedic & Trauma Surgery, Gynaecology, Paediatric Ambulatory Care Unit, Radiology and General Medical Services. 

The 191-bedded hospital has a modern well-equipped theatre suite, a new dedicated day surgery unit, and innovative ways of managing elective inpatients are being developed using a new Same Day Admissions Unit. There is a new 10 bedded combined ITU/HDU and a new Renal Unit on site.

Bronglais General Hospital

Bronglais General Hospital in Aberystwyth, Ceredigion, is uniquely situated in the middle of the West coast of Wales and stands as a model of rural healthcare being one of the smallest acute DGHs in the UK. As well as serving the population of Ceredigion, it also serves the neighbouring counties of Powys and South Gwynedd. 

The hospital has developed a reputation of innovation and forward-thinking and has led the way in adopting new technology to enhance clinical services. Cancer MDT’s, Neurology Clinics and other services utilise teleconferencing facilities to provide local access to Tertiary Services.

The Front of House scheme for Bronglais General Hospital, including enabling works, totals more than £38million of investment directly into Ceredigion healthcare. It provides the following services in either new build accommodation or substantially upgraded facilities:

  • Accident & Emergency Department (A&E)
  • 14 bed Clinical Decisions Unit (CDU) Theatres
  • Maternity Department
  • Outpatients Department (OPD)
  • Integrated Pathology Service
  • Main Entrance

Community Hospitals

Hywel Dda also has seven Community Hospitals, which amongst them have received numerous awards and national recognition for best practice. These hospitals provide Community Care, In-patient beds, rehabilitation, palliative care and numerous Out- patient Clinics. Many are also integrated closely with primary and social services, operation multi-agency and professional teams. 

The Community Hospitals are: 

  • Aberaeron Hospital, Ceredigion 
  • Amman Valley Hospital, based in Glanaman Carmarthenshire 
  • Cardigan Hospital, Ceredigion 
  • Llandovery Hospital, Carmarthenshire 
  • South Pembrokeshire Hospital and Health and Social Care Resource Centre, Pembroke Dock, Pembrokeshire 
  • Tenby Cottage Hospital and Day Care Centre, Pembrokeshire 
  • Tregaron Hospital, Ceredigion 

Doctors Mess

There is a doctors' mess on each site where you are asked to contribute a nominal fee and join the mess. Facilities in the mess include, TV, computer with internet access, newspapers, comfy sofa etc. All doctors will be issued with IT password for access to internal systems and the internet etc. 

Postgraduate / Education Centres

The Education Centre and Postgraduate Centres are integral features of the Health Board, which are the base for the organisational and administrative support which facilitates all educational activities for undergraduates, training grades, career grades and General Practitioners in the area. Formal induction is organised for all new starters and attendance is compulsory. All new starters will be issued with a Handbook. Individual protocols are available on the health board intranet web site. 

Library Service

All sites have a library service - with 24 hour access. 

Staff Restaurants

There are subsidised canteen facilities available throughout the organisation. 

Benefits

You will be joining the Health Board at an exciting time as new organisational structures are established, increasingly based on care pathways. There are close links with the Swansea Medical School, including areas of research & development and multi-professional teaching. 

Commitment to Training and Development

Training and education are central to the function of the Health Board, forming a core element of the Clinical Governance Strategy. Without staff who are appropriately trained and developed the Health Board would be unable to ensure the delivery of the highest quality of healthcare to meet the needs of the local people. 

Onsite Independent Child Care Facilities

Facilities on sites 

There is a mixture of child care facilities available. Further information can be obtained from the Human Resources Department. 

Accomodation

The first month of single accommodation will be free of charge for overseas Doctors.

All accommodation is in close proximity to the main hospitals and car parking facilities are available alongside residences in most areas. There are purpose built on-site residential accommodation blocks at all hospital sites which provide accommodation of 1, 2 and 3 bedroom flats. 

There is single/bed-sit accommodation available for FP1’s if they require it. Coin operated launderette facilities are available in the residences. Car-parking is provided in an adjacent controlled area. There are also local estate agents who are able to provide you with a list of private rental addresses in the area if you so wish. 

The Hywel Dda University Health Board Removal Guidelines will be issued as part of the induction pack, to offer help and support with your move.

Transport

West Wales' fantastic scenery and experiences are easily accessible by road, rail or air. Links to other parts of the United Kingdom are excellent – with good rail, air and motorway links easily accessible providing easy access to England, Scotland and Ireland.

Cardiff international airport is only a short journey away (55 miles from Llanelli and 71 miles from Carmarthen). The Airport offers scheduled flights to the rest of the UK and several European destinations.

Llanelli is

• 11.6 miles from Swansea (26 minute drive)

• 53.3 miles from Cardiff (1 hours drive)

• 200 miles from London (3.5 hour drive)


Carmarthen is

• 28.4 miles from Swansea (44 minute drive)

• 68.5 miles from Cardiff (1.5 hours drive)

• 215 miles from London (4 hour drive)


Aberystwyth is

• 77.7 miles from Swansea (2 hour drive)

• 110 miles from Cardiff (2.5 hours drive)

• 239 miles from London (5 hour drive)

Sports and Leisure

Leisure facilities abound, whether they be indoor or outdoor, water or land based. The location provides an abundance of opportunities for golf, water sports walking, cycling,, rugby, food, health and fitness. 

Primary Care

Within the Hywel Dda University Health Board area we have 53 GP practices, 99 community pharmacies, 49 NHS dental contractors and 50 optometrist practices located against the sunny backdrop of West Wales.

We have several opportunities within  the Health Board for those wanting to work within in Primary Care,  from  GP partnerships, to salaried and sessional roles within Independent Contractors, to roles within our managed practices or sessional roles within the our  Primary Care Support Team.  

We are also developing roles linking with Swansea Medical School to offer a mix of academic/research  and clinical roles and are always keen to discuss the development of portfolio roles with individuals if you have a specialist interest. 

Hear what our Primary Care staff have to say about working and living in West Wales, from our GPs to Advanced Paramedic Practitioners: https://www.youtube.com/watch?v=euVCPHjfAtw or visit our primary care recruitment web pages: http://www.wales.nhs.uk/sitesplus/862/page/87764

The three counties covered by Hywel Dda are: 

Carmarthenshire 

Known as the 'Garden of Wales', and its true beauty lays in its simplicity and wealth of natural assets. Home to many of South West Wales' gems, including the National Botanic Garden of Wales, Aberglasney Gardens, Llanelli Scarlets, the National Wool Museum, Ffos Las Race Course, the Millennium Coastal Park, National Wetlands Centre Wales, to name just a few. The county has a wealth of imposing, historic castles to explore, as well as the largest town in West Wales - the county town of Carmarthen - which has a host of well-known retailers, independent boutiques and famous market. 

Pembrokeshire 

Dubbed 'Little England beyond Wales', with many award winning beaches. The Pembrokeshire Coast National Park, one of Britain's breathing spaces, takes in about a third of the county including the entire coastal strip, the upper reaches of the Daugleddau (two swords) and the Preseli's. It is the only National Park that is almost all coastal and attracts thousands of tourists each year. The National Park run an extensive programme of activities and events for both adults and children, such as rock-pool safaris, crab catching, bat walks and even time travel. The county town of Haverfordwest is a market town full of history, tales and landmarks which illustrate its varied past. 

Ceredigion 

The Coastal Path extends from Ynyslas Beach in the north to Cardigan town in the south, providing 60 miles of beautiful coastal scenery passing lime kilns, churches and providing sightings of atlantic seals and dolphins. The University of Aberystwyth has world renowned departments in political studies and environmental areas. The University is a hub of arts and entertainments hosting many national travelling exhibitions and is a venue for many theatrical and musical tours. 

The National library of Wales sits just above Bronglais Hospital and holds a complete collection of published books just like the British Library. Easy access to the outdoors provides for sailing, surfing and sand yachting whilst the impressive peaks of Cadair Idris and Snowdon are only a short drive North into Gwynedd. 

We provide integrated acute hospital and community services, as well as mental health and learning disability services, across three counties in West Wales Ð Carmarthenshire, Ceredigion and Pembrokeshire in a predominantly rural environment over a large geographical area. All hospitals within Hywel Dda are known for their friendly and welcoming atmosphere, with a 'family' feel within all the hospitals, where doctors are well supported. West Wales provides a wonderful lifestyle opportunity, with each of our major sites in coastal areas abundant with beautiful beaches, spectacular mountains and historic castles. The areas offers excellent quality schools, affordable and attractive residential properties, amenities and activities such as surfing, mountain biking, fishing, sailing, hiking and walking in a natural and clean environment. 

Wherever you choose to work, you will be in the company of dedicated and committed professionals and colleagues, in exciting clinical environments, undergoing major investment, modernisation and integration. 

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