Powys Teaching Health Board

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Powys Teaching Health Board (PTHB) covers a large rural area – a quarter of Wales in fact. It stretches all the way from Ystradgynlais (just north of Swansea) in the South, to Machynlleth (just south of Snowdonia) in the north. However Powys has the smallest population of any health board, serving a population of only 133,000.

This presents interesting challenges and opportunities for health care in the region and exciting opportunities for staff working in the area.

Powys is a wonderful place to live and work.  It provides a setting where you can personally and professionally grow and patients are truly at the heart of care provision. If you are an ambitious professional in search of job satisfaction that others can only dream about, then Powys is the place to be. We are looking for staff who have energy, enthusiasm, commitment and drive and who are patient-centered. Whatever your career aspirations, we are committed to supporting and developing you.

As a rural health board we provide as many services as possible through GP surgeries, community hospitals, health & care centres, dental practices, ophthalmic practices, pharmacies, local clinics and community services. District general hospital services are provided in neighboring health boards and across the border in England, which ensures excellent opportunities for innovative primary and community care in the county. 

Health professionals in Powys often enjoy smaller patient lists, giving the chance to get to know their patients and provide real benefit to their lives rather than simply treating illnesses and injuries.

PTHB leads the way with new service development for rural health care, bringing more and more services into the county, often led by Nurses, Midwives and Allied Health Professionals.

Powys provides the opportunity for staff to quickly develop their skills and to become leaders in their field. 

Postgraduate Centre

The postgraduate centre is located at Bronllys Hospital. The centre provides access to seminar rooms, video conferencing facilities and library services. Postgraduate meetings are held on a weekly basis, at either Bronllys or St Cadocs, offering protected learning time activities for all medical staff and students. 

PTHB's Postgraduate Centre Manager is available to provide advice and support to trainees, as well as overseeing postgraduate activities in Powys.

Library Facilities

PTHB’s library service provides information services and library facilities for all working, or training, in health and care in Powys. The library offers a full range of information and knowledge services, including enquiry and research service; information skills training; book and article request service; current awareness services; study space; and access to a suite of networked computers providing access to a range of local and national electronic resources. We have links with Cardiff University and all NHS Wales libraries, as well as other libraries across the UK including psychiatric libraries, nursing libraries and the British Library. 

The library service also operates a range of outreach sessions at sites across Powys, including community hospitals and GP practices.

IT Facilities

Powys hospitals are provided with internet cafes which are available to any member of staff. They can be used to support both personal use and personal training and development requirements. Any person working for PTHB is entitled to a network account which can be used to access our computers. While our computers have a primary role to support the day to day operation of the organisation when not being used for that purpose can be used to support personal activities and development / research subject to our acceptable use policies. 

Other Facilities

The Occupational Health Department offers an independent advisory service which is available for the benefit of all staff. A broad range of services are available to staff, including immunisations and vaccinations, health promotion, staff physiotherapy services and internal counselling service. 

Local Amenities

As one of the most rural counties in the United Kingdom, Powys is home to some of the country’s most stunning countryside. From the Brecon Beacons in the south, via the Elan Valley of mid-Powys, to the rolling hills of North Powys, and the mighty power of the rivers Severn and Wye, there is a wonderful variety of scenery and landscape to appeal to all tastes. 

Life in Powys is centred on traditional market towns, villages and hamlets, each with their own distinctive character and history. For those wanting to be actively involved in community life, there are many clubs and groups to join. There are award winning pubs and restaurants to visit; and quirky and eclectic shops. For families, there are excellent schools and a safe environment in which children can learn and play. Those in search of a quieter life can also find many places which offer peace and solitude. 

With the scenery comes an array of outdoor activities, including kayaking, fishing, walking, riding, cycling, climbing, caving, gliding, rallying and star-gazing. Sporting festivals include the annual World Bog Snorkelling Championships and Man versus Horse competition. For the more culturally inclined, there are castles, country house gems, art galleries, museums, antique fairs, and more. Powys is home to many festivals, including the Hay Festival of Literature, and annual music festivals such as Brecon Jazz, the Green Man, Gregynog, and Presteigne. 

Powys caters extensively for those with an interest in country life and pursuits, playing host every year to the Royal Welsh Agricultural show, whilst many villages and towns host their own annual agricultural shows and festivals. Those looking at environmentally friendly lifestyles, have the Centre for Alternative Technology to provide advice and support. 

Nature lovers have a host of environments to explore and special wildlife to discover: the Brecon Beacons National Park; nature reserves and sites of special scientific interest; as well as bridle ways, rivers, lakes, canals, waterfalls, caves, and the world renowned UNESCO Global Geopark. 

For more information, visit www.midwalesmyway.com

Parking Arrangements

Parking Arrangements All hospitals within Powys have free parking facilities available for staff and patients. 

Accolade / Achievements

NHS Wales Awards 2016 - Developing a Flexible and Sustainable Workforce Award (supported by NHS Wales Shared Services Partnership). Our work to redesign primary and community care in and around Machynlleth Medical Practice won a prestigious NHS Wales Award in 2016. The strategy for change focused on workforce models that would enable alternative health care professionals to deliver a range of services for patients that did not require a GP consultation. This was intended to reduce the pressure on, and demand for, the single GP at the practice, and ensure patients received the optimum care appropriate to their clinical need.

A number of potential changes were identified and developed through a PDSA (Plan, Do, Study, Act) cycle, which have resulted in four new clinical models being introduced: trial of an external clinical triage service, recruitment of an Advanced Nurse Practitioner, service of an Advanced Physiotherapist and the introduction of a practice-based pharmacist.

These changes have led to a triage system that is managing and / or redirecting 48% of ‘on the day’ patient demand away from the GP, while over 300 total GP hours have been saved as a result of pharmacy intervention. 

'Teaching' Local Health Board Status

As a Teaching Health Board, our aims are to : 

Create new attractive posts which offer wider career opportunities linked to part time clinical and part time teaching / learning roles; 

Attract and retain high quality staff across all disciplines; 

Contribute to the growing body of research into the particular health care issues in rural areas and to establish / reinforce strong links with academic bodies through the creation of joint academic partnerships; 

Support the development of a strategic approach to Continuing Professional Development in primary and community health services locally; 

Promote 'a learning culture' throughout the PTHB area and in particular to establish G.P. training practices and provide 'GPs with Special Interest' greater support and opportunities for learning and development; 

Work with the Centre of Excellence for Rural Health and Care to develop and establish new models of rural health care


At Bronllys Hospital there are three modern bungalows built specifically for doctors in training. They can be used either as single or married accommodation each with a small private garden looking out toward the Black Mountains. They are fully equipped with all modern appliances. Separate accommodation exists for medical students which affords comfortable accommodation. A full range of local facilities, including shops, schools, GP surgery and dentists can be found in nearby Talgarth, Hay on Wye and Brecon. Bronllys is located within 45 minutes drive of Hereford and Merthyr Tydfil, with Cardiff, Swansea and Carmarthen just over an hour’s drive. 

Transport Links

For information on public transport in Powys, visit : www.traveline-cymru.info.

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