Duties and Responsibilities Operate under appropriate clinical supervision of a named GP supervisor. Provide first point of contact care for patients presenting with undifferentiated and/or undiagnosed problems, utilising history-taking, physical examinations, and clinical decision-making skills to establish a working diagnosis and management plan in partnership with the patient (and their carers where applicable). Recognise and work within own competence and professional code of conduct as regulated by the NMC and RCN General Practice Advanced Nurse Practitioner Competencies (2018) Undertake face-to-face, telephone and online consultations for emergency or routine problems, as determined by the Practice, including management of patients with long-term conditions. Participate in all treatment and preventative healthcare services in the Practice, as delegated and agreed by supervising GP's. Perform diagnostic physical examinations and treatment. Identify, signpost, or refer patients at risk of developing long-term conditions, preventing adverse effects on patients' health. Organise onward investigation, treatment and referral where appropriate. Ensure continuity of care, arranging follow-up consultations or reviews as necessary. Attend regular Practice clinical meetings. Support clinical team with all safeguarding matters in accordance with local and national policies. Under supervision of Practice GP's, make professional, autonomous decisions in relation to presenting problems, whether self-referred or referred from other health care workers within the Practice. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures. Review and act upon laboratory results and clinical communications from hospitals and other providers. Undertake complex clinical coding. Recognise, assess and refer where appropriate, patients presenting with mental health problems. Produce care plans for frequent attendees and undertake initial consultations. Understand Practice and local policies for substance abuse and addictive behaviour, referring patients appropriately. Oversee referral process and intervene where appropriate. Contribute to administrative element of clinical reports and initial observations, prior to GP appointment. Be able to justify choice of medication and support patients in use of their prescribed medication (within own scope of practice). Be able to understand impact of co-morbidities, other medications and polypharmacy. Deliver integrated patient-centred care through appropriate working with the wider multi-disciplinary team and social care network Conduct home visits and care home visits as necessary (follow adequate training). Act on alerts and reminders during consultations (e.g. QOF, local enhanced services etc.). Assist Practice in achieving it's clinical targets and objectives in QOF, local enhanced services etc. Apply infection-control measures within the practice according to local and national guidelines.