Primary Duties and Areas of Responsibility CLINICAL ASSESSMENT To provide a first point of contact for patients with undifferentiated and undiagnosed health needs Provides and receives highly complex information develops communication skills/present complex information. To provide advanced assessment skills in history taking and clinical examination to formulate a diagnosis and initiate an appropriate plan of care, including referral to other health and social care professionals, as necessary. Instigate and interpret diagnostic investigations as appropriate. Provide patient and carer information, health education, and health promotion as appropriate. Prescribe appropriate medication and preparations within existing legislative framework in relation to evidence-based practice, NICE guidelines and considering the financial implications of cost-effective prescribing. Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and within scope of practice. Work with patients to support with compliance and adherence to prescribed treatments. Demonstrate the ability to make professionally autonomous decisions when seeing and assessing patients with undifferentiated and undiagnosed problems, based on knowledge and skills, including skills such as physical examination, applied pharmacology and evidence-based prescribing. ACUTE & CHRONIC DISEASE MANAGEMENT Work with all GPs and other members of the practice as directed in developing protocols for diagnosing and managing minor illnesses, and for chronic disease management etc. Work with the nursing, clinical pharmacy, and medical team in providing pro-active management of patients with chronic diseases in accordance with NSF and local requirements. Proactively identify, diagnose, and manage treatment plans for patients at risk of developing a long-term condition (as appropriate) Manage a caseload of complex and frail patients Help support chronic disease management of a PCN defined cohort