Undertake consultations with patients taking a comprehensive patient history, carry out physical examination and use their expert knowledge and clinical judgement to identify the potential diagnosis Exercise a higher degree of personal and professional autonomy using advanced clinical practice skills to include clinical interventions Refer patients for investigations when necessary/appropriate Make a final diagnosis, decide on and carry out treatment, including the prescribing of medicine or referring to primary or secondary care specialist services within local agreed pathways and protocols as appropriate Ensure that all treatments and care provided are based on best practice/evidence based care Plan and provide skilled competent care to meet the patients health and social care needs, involving other members of the healthcare team as appropriate Work with multidisciplinary and multiagency teams in order to ensure patient needs are met Asses and evaluate, with the patient, the effectiveness of the treatment and care provided and make changes as needed Use independent/supplementary prescribing skills for benefits of patient care Work independently and as part of a team Taking responsibility and being accountable for managing own workload, risk assessment and management, acting within professional codes and appropriately to the clinical team leader for advice and support Undertaking other duties when required, such as audits or administrative tasks Maintain contemporaneous records of the consultation and action using the computer software and where necessary written records, in line with NMC guidance and local policies, guidelines and procedures This job description is an outline only it is not definitive or restrictive in any way. It will be regularly reviewed and may be amended in the light of changing circumstances following consultation with the post holder.