We are looking for a Highly Specialist Speech and Language Therapist to manage and deliver Speech and Language Therapy services within the acute hospital setting, while also providing Health Board wide specialist leadership for frailty and elderly care pathways. The role includes contributing to county wide and wider Health Board service development.
The successful post-holder will work as part of the Adult Speech and Language Therapy Service and will have regular access to senior colleagues. We are a friendly and dynamic team who offer Continuing Professional Development, clinical and managerial supervision, and encourage staff to actively engage with service development and improvement. There is a strong emphasis on multidisciplinary team working throughout the Health Board and the Speech and Language Therapy Department has close support networks with other hospital teams and Community based services.
Applicants must have current HPC and RCSLT registration and be able to show evidence of CPD.
The successful applicant will provide highly specialist Speech and Language Therapy assessment and intervention for adults with complex communication and/or dysphagia needs, primarily within acute frailty and elderly care services.
The post holder will:
Deliver clinical and professional leadership across a three‑county remit, supporting consistent, high‑quality Speech and Language Therapy practice within frailty and elderly care pathways.
Lead the operational delivery and ongoing development of Speech and Language Therapy services within the acute setting, working with service leads to manage priorities, pressures and change.
Act as a source of expert clinical advice across hospital sites, supporting multidisciplinary teams in managing complex communication and swallowing needs.
Lead the development, implementation and review of clinical pathways, protocols and standards, ensuring alignment with evidence‑based practice, clinical governance and national guidance.
Support clinical governance activities, including audit, service evaluation and risk management.
Lead and contribute to training, education and workforce development across the three counties, including staff supervision, student education and delivery of specialist training.
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); 99 community pharmacies; 43 general ophthalmic practices; and 8 ophthalmic domiciliary providers
Numerous mental health and learning disabilities services
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.
Interviews will be held on 18.06.2026
