Principal Responsibilities: A key member of the clinical team, the advanced practitioner will manage a caseload, dealing with a wide range of presenting healthcare problems and needs. The advanced practitioner may see both self-referred or internally referred cases and make professional autonomous decisions in relation to their problems. Patients with previously undifferentiated and undiagnosed problems will be seen and an assessment of their healthcare needs will be made. This will comprise both face to face and telephone consultations Whilst making an assessment of healthcare needs the opportunity for disease risk management will also be recognised and taken. A plan of care will be developed which is both individualised and patient focused. Implementation and evaluation of the plan of care will involve the patient and other members of the primary care team, where appropriate. Preventative measure for achieving optimum healthcare gain will be emphasised. Communicates current health care measures and strategies, for health education, to the patient in both a realistic and therapeutic manner. Admits and discharges patients to and from a caseload and refers them to other care providers both internally and externally as appropriate. Following the completion of the Extended Nurse Prescribing Course the ANP/ACP will be expected to prescribe medication from the Extended Nurse Prescribing Formulary and in line with evidence based practice. Responsible for the assessing, diagnosing, prescribing and treating of patients who are registered within the GP practice as well as for non registered patients from other practices whom the practice has responsibility for through any of its enhanced services schemes. The post holder will participate fully in the delivery of a high quality, co-ordinated health care system delivery for patients catered for by the practice. There will also be responsibility for training, supervision of and mentoring of the Nursing Team including Practice Nurses, Healthcare Assistants and GP Assistants. The role also involves participating collaboratively with partner practices and their patients as part of collaborative working arrangements provided by the practice to Nursing Home and physical health element of mental health inpatients registered at EMP. The role involves visits, ward rounds and triage and assessments of Nursing Home/Care home patients and well as housebound patients. The nurse practitioner may see both; self-referred or internally referred cases and make professional autonomous decisions in relation to their problems. Managerial Responsibilities: To offer support and advice to other members of the nursing team within the GP Practice. To liaises with other members of the primary health care team/other agencies To contribute to the Practice Business plan To support the IPA and PDP process of other practice nurses