Consultant T&O - Lower Limb Complex & Revision Arthroplasty

Job summaryHelp 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 jobProviding 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.About usHywel 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 HaverfordwestFive community hospitals: Amman Valley and Llandovery hospitals in Carmarthenshire; Tregaron Hospital in Ceredigion; and Tenby and South Pembrokeshire hospitals in PembrokeshireTwo integrated care centres: Aberaeron and Cardigan in Ceredigion, and several other community settings47 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 providersNumerous mental health and learning disabilities servicesDetailsDate posted17 September 2026Pay schemeHospital medical and dental staffGradeConsultantSalary 114,099 to 166,585 a year per annum ContractPermanentWorking pattern Full-time Reference number100-MED-GGH-456Job locationsGlangwili HospitalDolgwili RoadCarmarthenSA31 2AFUnited KingdomJob descriptionJob responsibilitiesThe 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/RUMDpjtu1sYLifestyle in Wales - https://www.youtube.com/watch?v=Vgt03XPT6RQMedical Leadership in Hywel Dda - https://www.youtube.com/watch?v=jLioZyqIpwk&t=33sVirtual Tour - https://youtu.be/lN5pVFfxUScGlangwili Hospital - https://youtu.be/4quFzdPAT3I Job description Job responsibilitiesThe 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/RUMDpjtu1sYLifestyle in Wales - https://www.youtube.com/watch?v=Vgt03XPT6RQMedical Leadership in Hywel Dda - https://www.youtube.com/watch?v=jLioZyqIpwk&t=33sVirtual Tour - https://youtu.be/lN5pVFfxUScGlangwili Hospital - https://youtu.be/4quFzdPAT3IPerson Specification Qualifications and Knowledge EssentialFull registration and a License to Practice with the General Medical Council.On the GMC Specialist Register (including via Portfolio Pathway (CESR)/European Community Rights) or will have CCT due within six months of interview date.Valid Certified Advanced Life Support.Where a sub-specialty interest is required sub-specialty training should be to a level appropriate for UK consultant sub-specialist practice - fellowship or equivalent level experience.DesirableAdditional Higher qualification(s). Clinical Experience EssentialBroad based experience within the specialty area.Able to demonstrate core competencies and clinical skills relevant to the post.Experience of leading a team.DesirablePrevious experience working in the UK or NHS. Teaching EssentialAbility to critically assess learning requirements for self and others.Evidence of organising programmes and teaching all staff groups.Willingness to teach all grades of professional multidisciplinary staff.DesirableTeaching qualification. Research and Scholarship EssentialDemonstrates knowledge of current research and best practice in the specialty area.Evidence of keeping up to date with current research and best practice.Evidence of locating and using clinical guidelines appropriately.Evidence of communicating and interpreting research evidence in a meaningful way.DesirableActive participation in research. Clinical Governance EssentialUnderstanding of the role of Clinical Governance.Participation in clinical audit (or quality improvement project) and understanding role of audit in improving medical practice.Knowledge of annual job planning/appraisal review process.DesirableKnowledge of risk management. Safeguarding EssentialDemonstrates knowledge of safeguarding requirements and takes appropriate responsibility.Evidence of applying appropriate equality and diversity legislation. Other DesirableWelsh Speaker (Level 1) Person Specification Qualifications and Knowledge EssentialFull registration and a License to Practice with the General Medical Council.On the GMC Specialist Register (including via Portfolio Pathway (CESR)/European Community Rights) or will have CCT due within six months of interview date.Valid Certified Advanced Life Support.Where a sub-specialty interest is required sub-specialty training should be to a level appropriate for UK consultant sub-specialist practice - fellowship or equivalent level experience.DesirableAdditional Higher qualification(s). Clinical Experience EssentialBroad based experience within the specialty area.Able to demonstrate core competencies and clinical skills relevant to the post.Experience of leading a team.DesirablePrevious experience working in the UK or NHS. Teaching EssentialAbility to critically assess learning requirements for self and others.Evidence of organising programmes and teaching all staff groups.Willingness to teach all grades of professional multidisciplinary staff.DesirableTeaching qualification. Research and Scholarship EssentialDemonstrates knowledge of current research and best practice in the specialty area.Evidence of keeping up to date with current research and best practice.Evidence of locating and using clinical guidelines appropriately.Evidence of communicating and interpreting research evidence in a meaningful way.DesirableActive participation in research. Clinical Governance EssentialUnderstanding of the role of Clinical Governance.Participation in clinical audit (or quality improvement project) and understanding role of audit in improving medical practice.Knowledge of annual job planning/appraisal review process.DesirableKnowledge of risk management. Safeguarding EssentialDemonstrates knowledge of safeguarding requirements and takes appropriate responsibility.Evidence of applying appropriate equality and diversity legislation. Other DesirableWelsh Speaker (Level 1)Disclosure and Barring Service CheckThis post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.Certificate of SponsorshipApplications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window). Additional information Disclosure and Barring Service CheckThis post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.Certificate of SponsorshipApplications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).UK Registration Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).Employer detailsEmployer nameHywel Dda University Health BoardAddressGlangwili HospitalDolgwili RoadCarmarthenSA31 2AFUnited KingdomEmployer's websiteEmployer detailsEmployer nameHywel Dda University Health BoardAddressGlangwili HospitalDolgwili RoadCarmarthenSA31 2AFUnited KingdomEmployer's website