Clinical Assessment, investigation and treatment of patients referred to the service. Provision of a range of clinical interventions as appropriate to the commissioned service (e.g. microsuction, flexible nasendoscopy, audiology etc.) Links with other services to ensure that the full holistic needs of the patient are met (e.g. audiologist & hearing aid services, vestibular physiotherapy, speech and language services etc.). The knowledge to signpost patients to other support services, including local and national patient support groups. Education and liaison Provision of advice and support to local practitioners through non-face-to-face contact (e.g. telephone, internet) in the management of those ENT conditions within the expertise of the GPSI. Provision of support and training to GPs and members of the primary healthcare team in the management of common ENT conditions to enable other clinicians to develop, maintain and improve their level of clinical competence in the management of ENT conditions. The process of education should be supported through commissioning pathways. Liaise with and provide support for other ENT GPSIs in the area and via Community ENT Group nationally. As part of a well-integrated service, GPSIs should have good access to and support from secondary care specialist services. Service development/leadership Work with local secondary care specialists and other groups managing ENT conditions (e.g. audiologist & hearing aid services, vestibular physiotherapy, speech and language services etc.) to develop an integrated ENT service model that facilitates streamlined care pathways linked to the healthcare needs of the local community. In collaboration with other members of the local health community (e.g. GPs, practice nurses, extended primary care team (paramedics, community pharmacists, physicians associates for example), pharmacists, health visitors, school nurses), develop and implement management guidance in the care of common ENT conditions. Become involved in integrated training programmes across primary and secondary care for medical, nursing staff and extended primary care team members. Work with patients, the public and service providers to support an integrated, patient centred approach to commissioning services.