The primary health care team

Practice Manager

Practice Nurse Health promotion Immunization New registration checks Specialists clinics eg Asthma,Diabetes Administration Audit

Nurse Practitioner Specially trained nurses who take on clinical responsibility Can see patients with chronic disease eg hypertension, diabetes, asthma, COPD, Give contraception advice can prescribe antibiotics eg for UTI, otitis media See patients with low back pain, rashes and other minor illness

They alleviate pressure on GPs They are at least as effective as GPs in the roles they perform

District Nurses Have community nursing qualification Look after chronically ill patients and those recently discharged from hospital Pressure sores, continence, palliative care eg syringe drivers, bladder scans

Health Visitor Visit all babies after midwife ceases to attend Carry out developmental assessment checks, advise on general care and immunizations

Midwife Important link between hospitals, GPs and other members of the primary health care team in obstetric care Refer to a doctor in the event of complications but can practice independently when dealing with uncomplicated pregnancies

Receptionist Essential role as the interface between the general public and the GPs and the nursing staff At some practices they have head receptionist who sort out the rotas and repeat prescriptions

Administrative and clerical staff Scanning Referral letters and choose and book Letters for clinics eg flu clinic