Provides overarching responsibility for patient care and handles most serious, acute, and complex issues direct.

Not a clinician, but can advise on service availability, signposting patients to the appropriate clinician, supporting patients in access to social services.

Brings a specialist approach to prescribing protocols and undertakes medication reviews.

Relatively new role in the NHS. Initially will involve providing physiotherapy advice/remedies, but will eventually expand to psychology and paramedic task providers.

The role of Mental Health Practitioner (MHP) in Primary Care is to offer support, triage and consultations to patients with a diagnosis of mild to moderate depression, low-mood and mild to moderate anxiety. Patients will then be supported through the whole pathway if referred to IAPT or secondary care.

Work with people with one or more long term conditions such as type 2 diabetes or COPD, or with risk factors for developing a long-term condition, providing support for issues such as weight management, managing chronic pain, living with depression and anxiety. Work with people over a number of sessions to support them to develop their knowledge, skills and confidence to become active participants in looking after their own health Skilled in coaching, communication and behavioural change skills and are able to work alongside people (individually or in groups) at their starting point.

The role of First Contact Dietitians (FCDs) in Primary Care is to assess, diagnose and treat dietary and nutritional problems such as gastroenterology conditions, overweight or obesity, frailty, and diabetes and to decide on the most appropriate management pathway. FCDs are dietitians working as diagnostic clinicians at the top of their clinical scope of practice, with expertise to assess and manage undifferentiated and undiagnosed presentations. Allowing them to assess, diagnose and treat a range of dietary and nutritional conditions.