Key Duties and Responsibilities Alongside the multi-disciplinary team (MDT), to provide a first point of contact within the practice for patients presenting with undifferentiated and undiagnosed problems. Making use of skills in history taking, physical examination, problem-solving and clinical decision-making to establish a diagnosis and management plan To provide assessment, treatment and diagnosis at point of first contact by attending to patients in a variety of clinical or non-clinical settings according to patients needs. To undertake home visits in accordance with the relevant protocols. To make professionally autonomous decisions for which he/she is accountable. To refer patients to an alternative care setting or treat and discharge as appropriate. Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services, PCN services and to self-care. Be able to: Perform specialist health checks and reviews. Undertake the collection of pathological specimens including intravenous blood samples, swabs, etc. Perform investigatory procedures needed by patients and those requested by GPs and the wider PCN. Perform a domiciliary (home) visit. Support the delivery of anticipatory care and end of life care plans and lead certain community services (e.g., monitoring blood pressure and diabetes risk of elderly patients). Provide an alternative model to urgent and same day home visits for the PCN and undertake clinical audits. Communicate at all levels across PCNs and other organisations, ensuring effective, patient-centred service. Communicate proactively and effectively with all colleagues across the multidisciplinary team, attending and contributing to meetings as required and accepting referrals and referring to specialist services where appropriate. Assess, diagnose, plan, implement and evaluate treatment and or interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs within the clinical and domiciliary setting. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. Take an active part in achievement of contractual markers. Implement and participate in vaccination programmes as appropriate.