Primary Responsibilities The following are the core responsibilities of the nurse practitioner. There may be on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels: a. Provide a triage service, actively managing or referring patients or treating patients within own scope of practice b. Support the clinical team in the development of individual treatment plans for chronic disease patients c. Identify, manage and support patients as risk of developing long-term conditions, preventing adverse effects on the patients health d. Provide routine nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF e. Request pathology services as necessary, processing and interpreting results as required f. Refer patients directly to other services as appropriate g. Delivering patient care as necessary, referring patients to secondary / specialist care as required h. Maintain accurate clinical records in conjunction with extant legislation i. Ensure read codes are used effectively j. Chaperone patients where necessary k. Prioritise health issues and intervene appropriately l. Support the team in dealing with clinical emergencies m. Recognise, assess and refer patients presenting with mental health needs n. Recognise, assess and refer patients with community health needs, developing strategies for effective care pathways o. Liaise with external services / agencies to ensure the patient is supported appropriately (vulnerable patients etc.) p. Delegate clinical responsibilities appropriately (ensuring safe practice and the task is within the scope of practice of the individual) q. Support the clinical team with all safeguarding matters, in accordance with local and national policies r. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately s. Deliver opportunistic health promotion where appropriate Secondary Responsibilities In addition to the primary responsibilities, the nurse practitioner may be requested to: a. If an independent prescriber, prescribe in a safe an effective manner, in accordance with PGD and extant legislation b. Act as the audit lead, effectively utilising the audit cycle c. Monitor and ensure the safe storage, rotation and disposal of medicaments d. Contribute to the implementation of an effective training programme for staff and students within the practice e. Provide clinical supervision for the nursing team f. Participate in local initiatives to enhance service delivery and patient care g. Support and participate in shared learning within the practice h. Continually review clinical practices, responding to national policies and initiatives where appropriate i. Be aware of and contribute to the planning and implementation of CCG patient pathway initiatives j. Participate in the review of significant and near-miss events applying a structured approach i.e. root cause analysis (RCA). k. Maintain professional registration and adhere to revalidation requirements