A nurse practitioner or paramedic practitioner responsible to the partners (clinically) and practice manager (managerially). Must maintain registration with NMC or HCPC. Must demonstrate critical thinking, acting within professional boundaries, safe and competent decision making. Must communicate and work collaboratively with the team. Assesses, diagnoses and treats patients at the surgery or in their own home. Directly admits patients to secondary care in acute medical need. Refers patients to other specialities if deemed appropriate. Where medication is required advise patients of appropriate over the counter treatment or follow practice formularies and utilise prescribing authorisation to generate prescriptions for endorsement by a GP. Participate in evidence based practice. Be aware of current evidence based approaches to patient care. Hours of work would be 37 hours per week. We also currently offer extended hours appointments until 8pm on Wednesdays and some Saturdays 09:00 - 17:00 which are covered on a rotational basis.