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.