Join Hywel Dda University Health Board’s Inpatient Acute Pain Service as a motivated and forward-thinking Registered Nurse, where you’ll play a key role in delivering safe, high-quality, patient-centred care within a supportive and dynamic team.
We are recruiting a Clinical Nurse Specialist, ideally with experience in pain management services. However, applicants with the relevant knowledge, skills, and a willingness to develop are encouraged to apply, with an Annex 21 training programme available. Experience should include managing patients receiving regional analgesia (e.g. epidurals or nerve blocks), patient-controlled analgesia (PCA), and complex acute or acute-on-chronic pain.
You will join a friendly, supportive team focused on excellent care and continuous professional development. The role requires autonomous working, effective prioritisation, and strong communication with multidisciplinary teams including anaesthetists, pharmacists, ward staff, and allied health professionals. You will also contribute to education across teams and wider service development.
This is a permanent, full-time post working across Glangwili (clincial base site) and Withybush General Hospitals, depending on service need.
We welcome enquiries from candidates interested in developing a career in pain management, even if you don’t currently meet all the criteria or would like to discuss working across two sites —please feel free to get in touch to discuss further.
The successful candidate will:
Autonomously assess and manage patients with acute and acute-on-chronic pain using evidence-based approaches, including PCA, regional analgesia, and other advanced pain management techniques.
Provide professional and clinical leadership in the care of inpatients with acute pain, acting as a key resource for patients, carers, and staff.
Support patients in making informed decisions about managing complex health needs through the provision of high-quality, evidence-based guidance.
Offer expert advice and guidance to multidisciplinary teams to ensure safe and effective pain management.
Lead and contribute to the development of patient information resources and clinical guidelines.
Play a key role in shaping good practice by contributing to protocol and guideline development.
Deliver specialist education and training across multidisciplinary teams, including designing, delivering, and evaluating teaching programmes.
Work collaboratively with colleagues across disciplines and services, fostering strong professional relationships and shared learning.
Contribute to service development through audit, research, and quality improvement initiatives, ensuring high professional standards are maintained.
Engage in networking opportunities locally and across Wale
This role provides excellent opportunities for professional growth, leadership development, and progression within a supportive and forward-thinking service.
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); 97
community pharmacies; 43 general ophthalmic practices; and 8 ophthalmic domiciliary providers
Numerous mental health and learning disabilities services
You will benefit from a structured induction, opportunities to network across Wales, and clear progression pathways. The role offers an excellent work–life balance within a region known for its natural beauty and quality of life.
This post is advertised as a Band 7, however applicants who do not currently hold all the necessary competencies to a Band 7 level are encouraged to apply and, if successful, will be appointed under Annex 21 rules whereby 60% of the top of Band 7 will be payable in the first year, 65% second year, 70% third year and 75% fourth year.
Applicants would be supported to develop their competencies required to fulfil the role within four years via a development plan. Following successful completion and attainment of the skills and competencies for the role, the post holder will then be paid at Band 7 (minimum point on the scale). Failure to achieve the competencies in the designated timeframe could result in re-deployment.
As part of the Annex 21 process, there is no financial penalty to those who apply for this role where the percentage will cause a reduction in pay, subsequently a local protection would be put in place until the pay has caught up.
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 16/07/2026.
