Work as part of the MDT within the PCN. Working across 5 Practices and supporting the Care Homes and frail, elderly population. Consults with patients, their family, and the multi-professional team to undertake assessments of patient need and devise and evaluate complex care plans in patients home and/or in Care Homes. Demonstrate initiative and are creative in finding solutions to problems. Provide supervision to trainee nurse associates, nurse associates and general practice nurses that may be employed by the PCN. Maintain quality patient records and use a database to store details of referrals and care pathways for specific patients. Participate in clinical audits and research projects and implements changes as required, including the development, and updating of practice protocols / guidelines and procedures locally. Develop effective working relationship with PCN member practices and Care Homes. Develop and maintain productive relationships with key stakeholders; GPs, consultants, district nurses, social services, Trusts, voluntary sector etc.