The morphodynamic response of a mixed-energy ebb-tidal delta (Guadiana estuary, southern Portugal) and its down-drift barrier island (Canela Island) to channel relocation and stabilisation by jetties is examined using a series of sequential bathymetric maps and vertical aerial photographs spanning five decades. Morphological analysis indicates that the ebb delta is in an immature state, characterized by weak sediment bypassing. Landward-migrating shoals on the swash platform have been produced by the jetty-induced artificial bank-breaching and by the collapse of the eastern portion of the delta. The welding of these shoals has largely controlled the evolution of the coast, with local accretion and erosion lasting for years, and large amounts of regional accretion occurring over decades due to sand accumulation against jetties located further down-drift. These observations provide insights into the potential response of a coast to very large, locally concentrated sand nourishment in the form of shoals. The main effects of the jetties on the coast are observed at the centre of Canela Island, with the production of an erosion hot-spot associated with a temporally persistent and divergent longshore transport providing sand to the adjacent areas. Significant accretion is anticipated for the next decade along the entire island due to the ongoing attachment of the presently observed shoals. After the depletion of this sediment source, and in the context of weak sediment bypassing, the most severe down-drift erosion induced by the jetties is predicted to occur some decades after their construction. This study demonstrates that the geomorphic response of an ebb-tidal delta to jetty construction must be considered at multiple temporal and spatial scales when assessing the impacts of jetties on the down-drift coast.