Job Description

Assess / triage patients, including a range of same-day access / chronic patients. Provide advice, treatment, care planning and review I line with patient health needs. This will include prescribing a range of medications within your scope / policy and under PGDs , PSDs, NICE, local clinical guidelines or pathways. Make referrals to other members of the primary care team or secondary care services where appropriate.



Manage a range of patients with previously undifferentiated diagnosis identifying any red flags or underlying serious pathology and take appropriate action. Use complex decision-making / clinical skills and experience to inform the potential diagnosis, investigation, and complete management of episodes of care within a broad scope of practice. Actively take a personalised care approach and population-centred care approach to enable shared decision-making with the presenting person. Complete all mandatory training in line with both local and national policy.



Complete the relevant clinical / local training in order to provide multi-professional clinical practice and CPD supervision to other roles within the primary care team, such as first contact practitioners, medicines management staff, junior nursing staff, care co-ordinators and well-being practitioners. Undertake assessment on site, in the patients home (or other care setting) or via any digital platform or telephone system utilised by the Practice / PCN. Make home visits to those who are too unwell to come into the clinic in person including those patients living in sheltered / supported / residential accommodation where appropriate. Support the PCN / Practice care homes in partnership with the wider practice team to ensure safe effective care of patients in residential care.



Make professionally autonomous decisions for which you are accountable in line with local / national policy. Provide assistance to GPs / other clinical staff when seeing and treating patients as appropriate. Instigate necessary invasive and non-invasive diagnostic tests or investigations and interpret findings/reports. Prescribe safe, effective and appropriate medication as defined by the current legislative framework in accordance with the Practice prescribing formulary whenever this is clinically appropriate.



Avoid the use of grey drugs. Provide safe, evidence-based, cost-effective, individualised patient care. Offer a holistic service to patients and their families, developing where appropriate an ongoing plan of care/support, with an emphasis on prevention and self-care. Promote health and well-being through the use of health promotion, health education, screening and therapeutic communication skills.



Refer patients directly to other services/agencies as appropriate. Work with the team within the Practice, and across the wider NHS, to promote integrated and seamless pathways of care. Contribute to the practice achieving its quality and performance targets to sustain the high standards of patient care and service delivery. Participate in the identification of community health needs and develop patient/family-centred strategies to address them.



Help develop and set up new patient services and participate in initiatives to improve existing patient services. Offer support, supervision and training to junior members of the team.