Job Summary
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.

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

Details
Date posted: 15 July 2026
Pay scheme: Hospital medical and dental staff
Grade: Doctor - other
Salary: £123,573 a year
Contract: Permanent
Working pattern: Full-time
Reference number: 100-MED-GP-117
Job locations: Prince Philip Hospital, Bryngwyn Mawr, Llanelli, SA14 8QF, United Kingdom
Closing date: 09 August 2026

Job responsibilities
The GPwER will play an active role in service development, quality improvement and pathway redesign, supporting the delivery of sustainable dermatology services across the healthcare system. This includes contributing to audit, clinical governance, education and training activities, and working collaboratively with primary care colleagues to develop integrated care pathways that improve patient outcomes and experience.

The post holder will be expected to maintain high standards of clinical practice, demonstrate ongoing professional development, and work closely with consultants, specialist nurses, allied health professionals and administrative teams to deliver safe, effective and efficient dermatology care.

Clinical Responsibilities

• Undertake specialist dermatology outpatient clinics for patients referred to secondary care services, assessing, diagnosing and managing a wide range lesions and suspected cancer skin conditions.
• Independently manage patients and formulating treatment plans and arranging appropriate follow-up.
• Provide expert clinical opinion and advice to referrers and members of the multidisciplinary team.
• Ensure patients receive care in the most appropriate setting, supporting pathways that avoid unnecessary consultant appointments while maintaining high standards of clinical governance.

Skin Cancer and Lesion Management

• Undertake dedicated Skin Cancer Clinics, assessing patients referred via urgent suspected cancer pathways and providing timely diagnosis, management and onward referral where required.
• Deliver Lesion Assessment Clinics, including the evaluation of pigmented and non-pigmented skin lesions using dermoscopy and other recognised diagnostic techniques.
• Participate in the assessment and management of patients presenting with suspected melanoma, non-melanoma skin cancer and other cutaneous malignancies, escalating cases appropriately in accordance with local and national guidance.
• Support delivery of rapid-access skin cancer pathways to ensure achievement of national cancer targets and timely patient treatment.

Referral Triage and Advice & Guidance

• Participate in consultant-supported and autonomous referral triage processes.
• Review and prioritise referrals to ensure patients are directed appropriately to urgent, routine, surgical or community pathways.
• Provide Advice and Guidance to primary care clinicians to support effective patient management and reduce unnecessary referrals.
• Contribute to service efficiency through the utilisation of digital pathways and virtual assessment models.

Teledermatology and Teledermoscopy

• Participate in Teledermatology and Teledermoscopy Sessions, reviewing clinical images and dermoscopic images submitted through approved digital platforms.
• Provide remote assessment, triage and management recommendations in line with agreed service protocols.
• Support the development and delivery of digital dermatology services aimed at improving access and reducing waiting times.
• Work collaboratively with primary care colleagues to improve the quality and effectiveness of teledermatology referrals.

Minor Operations and Procedural Activity

• Undertake Minor Operative Procedure Clinics within agreed competencies and accreditation.
• Perform diagnostic and therapeutic skin procedures, including punch biopsies, shave biopsies, curettage and excision of appropriate lesions.
• Ensure all procedures are undertaken in accordance with local policies, infection control standards and consent procedures.
• Maintain accurate procedural records, audit data and outcome monitoring to support clinical governance requirements.

Multidisciplinary Team Working

• Actively participate in Dermatology Multidisciplinary Team (MDT) Meetings, contributing to clinical decision-making and treatment planning.
• Present and discuss complex cases with consultant colleagues and wider specialist teams.
• Work collaboratively with professionals to facilitate safe and effective patient care.
• Contribute to integrated working across primary, community and secondary care services.

Service Development and Governance

• Support the delivery of waiting-list initiatives, pathway redesign and service improvement programmes.
• Participate in clinical audit, quality improvement projects and service evaluation activities.
• Contribute to the development of clinical guidelines, standard operating procedures and best-practice pathways.
• Maintain high standards of record keeping, clinical governance and patient safety.

Education and Training

• Support the education and development of healthcare professionals across primary and secondary care.
• Participate in teaching, mentorship and clinical supervision activities where appropriate.
• Promote best practice in dermatology assessment, diagnosis and management.
• Maintain ongoing professional development and GPwER accreditation requirements.

You will be able to find a full job description and person specification attached within the supporting documents.

Person Specification
Qualifications and Knowledge
Essential

• Entry on the GP Register
• Full registration and a License to Practice with the General Medical Council
• MRCGP
• Certificate of Completion of Training (CCT) in General Practice / Certificate Confirming Eligibility for General Practice Registration (CEGPR), or equivalent
• Included on a Medical Performers List or eligible
• Evidence of continuous professional development
• Conducting sessions in a General Practice Setting

Desirable

• Additional Higher qualification(s)

Clinical Experience
Essential

• Broad based experience within the specialty area
• Able to demonstrate core competencies and clinical skills relevant to the post
• Experience of leading a team

Desirable

• Previous experience working in the UK or NHS

Teaching
Essential

• Ability 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

Desirable

• Teaching qualification

Research and Scholarship
Essential

• Demonstrates 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
• Communicating and interpreting research evidence in a meaningful way

Desirable

• Active participation in research

Clinical Governance
Essential

• Understanding 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

Desirable

• Knowledge of risk management

Safeguarding
Essential

• Demonstrates knowledge of safeguarding requirements and takes appropriate responsibility
• Evidence of applying appropriate equality and diversity legislation

Skills and Attributes
Essential

• Ability to work autonomously and be responsible for actions
• Ability to work flexibly
• Ability to remain calm whilst working under pressure
• Undertake responsibility for leading and supervising a team.
• Excellent interpersonal skills and team-working skills.

Other
Essential

• Flexible approach to the needs of the service

Desirable

• Welsh Speaker (Level 1)

This 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.

Applications 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.

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.

Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details
Employer name: Hywel Dda University Health Board
Address: Prince Philip Hospital, Bryngwyn Mawr, Llanelli, SA14 8QF, United Kingdom
Employer's website: Apply through our website

Employer contact details
For questions about the job, contact: Service Delivery Manager, Ceri Wisdom, Ceri.Wisdom@wales.nhs.uk