Clinical Responsibilities: Assess and prioritise patients clinical needs in accordance with NEMS policies and guidelines. Without supervision undertakes consultations with patients presenting with undifferentiated, undiagnosed problems, practising autonomous skills in history taking, physical examination, problem-solving and clinical decision-making, to establish a diagnosis and management plan. Makes professionally autonomous decisions for which she/he is accountable. Encourage patients to carry out self-care where appropriate, supported by direction to other sources of health and social care information. Acts as a second opinion senior clinical colleague to others within the team. Prescribes independently in a safe and effective manner in accordance with the appropriate policy and guidance including the current antimicrobial guidance. Directs others in the clinical team to provide care in a safe effective manner in accordance with the appropriate policy and guidance. Liaise directly with GPs and consultants regarding medicines outside of the individuals normal sphere of competence and medicine-related uncertainties. Provide advice and support to other clinical staff. Liaise and communicate clinical information verbally and via technical links with NEMS and health system partners to ensure continuity of care for the patient. Maintain accurate, contemporaneous record keeping of all interventions with patients, fully utilising computer software systems in place and/or other mediums. Maintain confidentiality at all times in accordance with legislative and policy requirements. Act as the patients advocate when required to. Participate and assist in service evaluation, clinical audit and research as required. Participate in developing and delivering teaching to colleagues within the service. Participate in the investigation of complaints, incidents and accidents. Be aware of the impact your decisions may have upon the patient and their General Practitioner. Liaise with other professionals to facilitate direct referrals to other health care providers within the policies of the organisation. Participate in the mentorship of visiting health professionals and students on recognised training programmes. Recognise and act upon opportunities through consultation to promote public health. Please see the attached job description / person specification for a more comprehensive description of the role.