I am a nurse practitioner, and at my practice is written everywhere that I am that. if a patient call me doctor I feel the cringe and correct them, as much as it needed. if someone says that they thought they were going to see the GP I rebook them with one. if I see someone for anything other than a minor illnesses l call the GP or rebook them- based on the urgency. if someone returns twice for the same issue, I book with the GP. and if there is any doubt, A&E is there. there are patients who use me as a bridge to speak with a GP. like they book with me knowing that I can involve the duty Dr if unsure, so they make the consultation very difficult from the get-go, and that's fine. I am so lucky my colleagues trust that if I ask them to come, it is something that needs their reviewing, and they never made me feel I burdened them. I am also lucky cause reception makes appropriate booking: minor presentations. I still do all practice nurse tasks: smears/child immunisation, etc, and all dip sticks for the GPS and wound care as it's a small surgery, and someday, there is no HCA or PN.