As a registered ANP in Acute Medicine I am actively involved in the management of the ambulatory COVID-19 assessment pathway in CUH. As part of the Acute Medicine team we relocated to the outpatients department where we assisted in establishing a COVID-19 Assessment Unit to provide care to patients presenting to ED triage with symptoms suggestive of COVID-19 in an isolation environment. Over the past few months we have extended our working week to 7 days where we as part of the acute medical team are assessing, diagnosing and treating patients on this ambulatory pathway. Whilst this has been challenging we can see how the Acute Medicine ANP role has made a significant contribution to patient care during this pandemic.