Hywel Dda University Health Board is seeking a highly motivated and experienced Band 7 Clinical Nurse Specialist (CNS) to play a pivotal role in stabilising and improving the prostate cancer pathway at Glangwili General Hospital, Carmarthen and across the Health Board.
This is a keyworker and pathway leadership role, supporting prostate cancer patients from diagnosis through treatment, surveillance and survivorship. The post holder will work across the entire prostate pathway, ensuring timely diagnostics, effective MDT functioning, high‑quality patient communication, and protocol‑driven follow‑up in line with national cancer standards.
This role is being established to convert recent diagnostic capacity improvements into sustained pathway performance, improved patient experience, and reduced harm from delays.
Interviews to be held on 16/7/2026
The CNS will:
Act as the designated keyworker for prostate cancer patients, providing consistent, personalised support across diagnosis, treatment and follow‑up
Lead and coordinate the prostate cancer diagnostic pathway, including straight‑to‑MRI and LATP biopsy pathways
Play a central role in MDT preparation, attendance and follow‑up, ensuring complete, high‑quality clinical information and timely communication of outcomes
Deliver CNS‑led clinics, including PSA surveillance, active monitoring and treatment follow‑up, supporting the Health Board’s wider follow‑up transformation agenda
Support patients undergoing surgery, radiotherapy and systemic therapies, providing education, symptom management and early escalation of concerns
Deliver holistic needs assessments, treatment summaries and survivorship care planning in line with national cancer standards
Support the rollout of remote monitoring and digital tools (e.g. Patients Know Best) for prostate cancer follow‑up
Work collaboratively across Urology, Radiology, Pathology, Oncology, Cancer Services and Primary Care to improve pathway flow and experience
Contribute to service development, audit, quality improvement and performance recovery, with a clear focus on Faster Diagnosis Standard and 62‑day USC compliance
Hywel Dda University Health Board is the planner and provider of NHS healthcare services for people in Carmarthenshire, Ceredigion, Pembrokeshire and its bordering counties. Our 12,000 members of staff provide primary, community, in-hospital, mental health and learning disabilities services to almost 400,000 people across a quarter of the landmass of Wales. We do this in partnership with our three local authorities and public, private and third sector colleagues, including our volunteers, through:
Four main hospitals: Bronglais General in Aberystwyth, Glangwili General in Carmarthen, Prince Philip in Llanelli and Withybush General in Haverfordwest.
Five community hospitals: Amman Valley Hospital and Llandovery Hospital in Carmarthenshire, Tregaron Hospital in Ceredigion and Tenby and South Pembrokeshire Hospital Health and Social Care Resource Centre in Pembrokeshire.
Two integrated care centres (Aberaeron and Cardigan, Ceredigion).
Community facilities, including:
48 General Practices (GP surgeries), 49 Dental Practices, 98 Community Pharmacies (chemists), 44 General Ophthalmic Practices (including eye health and low vision services), 38 sites providing mental health and learning disability services, care within your own homes.
Highly specialised and tertiary services are commissioned by the Welsh Health Specialised Services Committee, a joint committee representing seven health boards across Wales.
The ability to speak Welsh is desirable for this post; English and/or Welsh speakers are equally welcome to apply.
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.
