General Practitioner with Extended Role in Dermatology

Job Overview

The GP with an Extended Role (GPwER) in Dermatology will provide expert assessment, diagnosis, treatment and ongoing management of patients referred to secondary care dermatology services. Working autonomously within agreed competencies, governance frameworks and scope of practice, the post holder will manage a the skin cancer pathway, supporting the delivery of high-quality, patient-centred care and ensuring timely access to specialist services.

The role is integral to the delivery of modern dermatology services, acting as a key interface between primary and secondary care. The GPwER will support consultant dermatologists by independently managing appropriate referrals, contributing to the reduction of waiting times, improving patient flow through the service, and ensuring patients receive care in the most appropriate setting from the outset.

Working as part of the multidisciplinary dermatology team, the post holder will undertake specialist outpatient clinics, provide expert clinical advice and guidance, participate in triage processes, and contribute to the management of skin cancers and skin lesion assessment with local and national guidelines. Where appropriately accredited, the post holder may undertake teledermoscopy, skin biopsies and minor surgical procedures within agreed competencies.

Main duties of the job

The post holder will undertake independent outpatient activity, working within agreed competencies and governance arrangements, and will collaborate closely with consultant dermatologists, specialist nurses, surgical teams and multidisciplinary colleagues to ensure safe, effective and timely patient care.

The post holder will be expected to work flexibly across outpatient, procedural, virtual and multidisciplinary settings, contributing to the delivery of a modern, patient-centred dermatology service that improves access, supports cancer pathways and provides high-quality specialist care closer to patients' needs.

Working for our organisation

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

Hywel Dda University Health Board operates a bilingual policy. All applicants are invited to apply in Welsh, any application submitted in Welsh will not be treated less favourably than an application made in English.

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