Organisational Expectations: To carry out the duties as outlined and be proactive in continuously improving service delivery. To work in a professional manner with a client focus, ensuring that respect and courtesy is shown to patients, colleagues, other service providers and all those in contact with the organisation. Outline of the post: To undertake duties governed by the PMS & GMS contract and Objectives of Direct and Local Enhanced Services including: Face to face and telephone consultations. Patient Home visits and Nursing Home visits. Checking and signing repeat prescriptions. Administration - dealing with queries, patient test results, referral letters NHS/ private, task, emails and other paperwork and correspondence in a timely manner. Cover all the clinical management of the patients in surgery as appropriate including initiating investigations, reviewing results, making referrals to secondary care or to other providers as appropriate. Develop care and treatment plans in consultation with patients and in line with current Practice disease management protocols as well wider guidance such as that from NICE. Main Tasks: Clinical Recording clear and contemporaneous I.T. based consultation notes to agreed standards Provide safe, evidence-based, cost-effective, individualised patient care within the surgery, patients own home or other environment where patient care is carried out. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly referring patients to other services/agencies in a timely manner, utilising Practice, PCN and local guidelines. To recognise the need for and be able to perform and interpret investigatory procedures, including laboratory and radiology. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. Ensure appropriate follow up of patients. Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care. Support the delivery of anticipatory care plans. Recognise and work within your own competence and in accordance with professional codes of conduct, maintaining accurate and contemporaneous health records. Independently prescribe for patients within your scope of practice. Prescribing in accordance with locally agreed or national guidelines. Compiling and issuing computer-generated acute and repeat prescriptions. Review medications following the appropriate policies, NICE/local clinical guidelines and local care pathways. To maintain an awareness of developments in clinical practice. Awareness of and compliance with all relevant practice policies/guidelines e.g., prescribing, confidentiality, data protection, health and safety and QOF standards. Be aware of your duties and responsibilities regarding current legislation and adhere to our policies and procedures on Safeguarding Children and Safeguarding Adults. Confidentiality: You will have access to confidential information relating to patients and their Carers, practice staff and other healthcare workers. Patients entrust us with, or allow us to gather, sensitive information in relation to their health and other matters. They do so in confidence and have the right to expect that staff will respect their privacy and act appropriately. Information relating to patients, carers, colleagues, other healthcare workers or the business of the practice may only be divulged to authorised persons in accordance with the practice policies and procedures relating to confidentiality and the protection of personal and sensitive data Health and Safety - The post-holder will assist in promoting and maintaining their own and others health, safety and security as defined in our Health & Safety Policy, to include: Using personal security systems within the workplace according to PCN guideline. Identifying the risks involved in work activities and undertaking such activities in a way that manages those risks. Making effective use of training to update knowledge and skills. Using appropriate infection control procedures, including maintaining a tidy and safe way work area free from hazards. Effective hand hygiene. Provide advice on the correct and safe management of the specimen's process, including collection, labelling, handling, use of correct containers, storage and transport arrangements. Correct use of personal protective equipment (PPE) in both routine and extraordinary circumstances. Directly managing all incidents of accidental exposure. Safe use of sharps, storage and disposal. Reporting potential risks identified. Equality and Diversity - The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognises the importance of peoples rights, interpreting them in a way that is consistent with practice procedures and policies, and current legislation. Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues. Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights. Training, Personal/ Professional Development Training requirements will be monitored in accordance with PCN requirements. Relevant personal development will be encouraged and supported by the PCN. You will be expected to take responsibility for maintaining a record of own personal and/or professional development. Undertake mandatory and statutory training as required and attend courses/ study days as deemed appropriate/necessary. Continually review clinical practice, responding to national policies and initiatives where appropriate. Participation in an annual individual performance review / internal appraisal and annual external GP appraisal including taking responsibility for maintaining a record of own personal and/or professional development. Provide leadership and education for members of the multi-disciplinary team, providing guidance and support when necessary. Assess own performance and take accountability for own actions, either directly or under supervision.