Provides a holistic approach to healthcare, drawing form both the nursing and medical model of health and illness where appropriate in order to screen for the early signs of disease and diagnose acute problems. Accepts referrals from other disciplines unsupervised. Undertakes the independent and autonomous assessment of undifferentiated and undiagnosed problems with attention to physical, emotional, social, cultural and mental health issues. Uses sound judgement in assessing conflicting priorities and needs Formulates a diagnosis utilising medical diagnostic problem-solving skills including history taking physical examination, invasive and non invasive investigations which involves contact with potential infectious biological substances on a regular basis. Initiates appropriate diagnostic and therapeutic interventions including radiology and laboratory investigations, with attention to safety, cost, invasiveness, acceptability and efficacy. Prescribes pharmaceutical interventions within own competency Interprets and evaluates diagnostic test results in liaison with the patient and initiates treatment accordingly. Ensure clinical practice is safe and effective and remains within boundaries of competence and to acknowledge limitations. Contribute to the practices management of patients needing regular review including those with dementia, mental health problems, learning disability Participate in the administrative and professional responsibilities of the practice team