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Carmarthenshire

Consultant T&O - Lower Limb Complex & Revision ArthroplastyNHS

Carmarthen, SA31 2AF Permanent £114,099 to £166,585
Posted 17 September 2026 Closing date 18 October 2026
Carmarthen Rail Station (1.3 miles, direct) Llanbadarn (Vale of Rheidol Railway) (38.4 miles, direct) Carmarthen Bus Station (1.3 miles, direct)

Job summary

Help shape the future of lower limb arthroplasty services in South West Wales as a Consultant in Trauma & Orthopaedics with a specialist interest in complex primary and revision surgery.

The successful candidate will join a supportive department delivering both elective and emergency care across Hywel Dda University Health Board. This role offers the opportunity to contribute to the continued development of our arthroplasty service, with a focus on delivering high-quality outcomes, patient safety and evidence-based care.

We are looking for a clinician with advanced surgical expertise in lower limb arthroplasty and experience in managing complex and high-risk cases, including revision surgery. You will play a key role in service development, work closely with multidisciplinary colleagues, and contribute to training, quality improvement and governance activities.

Based at Glangwili General Hospital, the post provides opportunities to help shape specialist arthroplasty pathways in line with Health Board and regional priorities, supporting the delivery of high-quality care for patients across South West Wales.

Main duties of the job

  • Providing expert clinical care in Trauma & Orthopaedics, including the assessment, diagnosis, and surgical management of patients requiring complex primary & revision lower limb arthroplasty procedures.
  • Contributing to the delivery and ongoing development of a high-quality, sustainable arthroplasty service aligned to Health Board objectives and regional orthopaedic transformation programmes.Sharing responsibility for the acute management of trauma patients, including participation in a 1 in 12 on-call rota, ensuring safe, timely and consultant-led decision making for emergency admissions.
  • Leading and supporting multidisciplinary working across orthopaedics, including close collaboration with specialist nurses, physiotherapists, occupational therapists and orthogeriatric teams to optimise patient outcomes, particularly for frail and elderly patients.
  • Supporting the development of integrated care pathways across hospital and community settings, ensuring continuity of care & improved patient experience.
  • Contributing to clinical governance, quality improvement and audit activities, ensuring practice meets the highest standards of safety, effectiveness and patient-centred care.
  • Playing an active role in teaching, training and supervision of junior medical staff and the wider multidisciplinary team.
  • Demonstrating leadership in service development, including identifying opportunities for innovation, efficiency, and improved clinical outcomes within arthroplasty & trauma services.

Job description

The team establishment consists of 14 Consultants, 11 middle grade doctors, 2 Higher Surgical Trainees, 14 CT level doctors, 2 F2s along with 3.0 wte Trauma Coordinators and a Physicians Associate.

The successful candidate must be comfortable delivering consultant-led care within a district general hospital setting, including participation in a 1:12 on-call rota providing trauma services. This will involve the assessment and management of acute orthopaedic injuries, ensuring timely, safe and effective care for patients presenting with a wide range of traumatic conditions.

This post offers the opportunity to work within a Health Board committed to continuous improvement, innovation and workforce development, in a beautiful part of West Wales with an excellent quality of life.

The successful candidate will play a central role in delivering and developing both elective and trauma orthopaedic services, with a particular focus on complex and revision lower limb arthroplasty.

We are seeking a candidate who demonstrates strong clinical expertise, sound judgement in complex decision-making, and the ability to work effectively both independently and as part of a team. Excellent communication skills, a commitment to high standards of patient care, and the ability to contribute positively to a dynamic clinical environment are essential.

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.

Hywel Dda 3 Counties - https://youtu.be/RUMDpjtu1sY

Lifestyle in Wales - https://www.youtube.com/watch?v=Vgt03XPT6RQ

Medical Leadership in Hywel Dda - https://www.youtube.com/watch?v=jLioZyqIpwk&t=33s

Virtual Tour - https://youtu.be/lN5pVFfxUSc

Glangwili Hospital - https://youtu.be/4quFzdPAT3I

About us

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
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