The post holder is expected to see patients autonomously providing both face- to- face appointments, home visits and telephone consultations for patients within the Practice and within the patients residence and demonstrate the use of critical thinking in the clinical decision-making process. The post-holder will operate within their own sphere of competence and agreed acceptable limits of practice to provide expert professional clinical advice to patients, carers and colleagues, ensuring clinical safety and excellence. The Practitioner will need to prioritize and triage the needs of patients, accordingly, making any necessary referrals for investigations in the appropriate manner. The post-holder will use skills, knowledge and competencies as a qualified Practitioner in order to be responsible and accountable for managing patient caseloads for treatments, referral, admission and discharging patients as appropriate. The post-holder will work collaboratively with the general practice team to meet the needs of patients, supporting the delivery of policy and procedures. Promoting self-care, in order that patients are empowered to manage their own healthcare needs. Support from the supervising doctor will be available if needed. Clinical Practice Assess, diagnose, plan, implement care for patients presenting with an undifferentiated diagnosis. Clinically examine and assess patient needs from a physiological and psychological perspective and plan clinical care accordingly. Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan. Provide specific evidence based practical skills and knowledge in the following: Coughs, colds and flu Sore throats Earache Skin rashes Diarrhoea / vomiting Soft tissue and ligament injuries Wound toileting and closure Abdominal pain Urine infection / vaginal discharges Sexual health assessments and investigations Emergency contraception Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs, within the post holders knowledge and skills and in accordance with National and Local Guidelines. Prevent inappropriate hospital admissions or attendances to the emergency department by providing/co-coordinating the provision of specialist care by other agencies for the patient in the most appropriate and agreed environment. Demonstrate the ability to work independently and perform comprehensive patient assessments based upon the patients clinical record and physical examination. Work with patients in order to support compliance with and adherence to prescribed treatments. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions. Prioritize health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care. Support and manage health needs of men and women presenting for family planning or sexual health consultations. Liaise with patients, carers and colleagues to assess the safety of a patients home environment, acting quickly to protect patients and staff from potential risk. Participate in audits and inspections as appropriate. Work closely with the doctors and managers / admin in the setting up and/or improving of practice systems for monitoring/measuring performance against Clinical Governance and Quality Indicator targets.