Aims: This article describes and evaluates the outcomes of implementing a novel task shifting approach in rhinology assessment to address gaps and delays in patient care within a publicly funded hospital clinic. Methodology: To address the increased wait times experienced by patients following the COVID pandemic, a clinical nurse specialist at Waikato Public Hospital was trained to perform initial assessment of patients with undifferentiated chronic nasal symptoms, a role traditionally carried out by specialist otorhinolaryngologists (ORL). We describe outcomes from this approach over an initial 18 month period. Results: 309 patients were assessed through this novel pathway. The average wait time from referral for non-urgent assessment was 139 days. In comparison, the average wait time for patients accessing a specialist-led rhinology clinic in the prior 12 months was 221 days. 69% of the patients were discharged following the nurse-led assessment with a treatment plan that did not require or did not meet the criteria for publicly funded specialist otolaryngologist care. 28 patients were surveyed and reported to be either satisfied or very satisfied with a nurse-led consultation. Conclusion: Task shifting presents a promising solution to address resource constraints in healthcare systems. The authors highlight that reallocating roles from ORL specialists to specialty trained nurses can improve efficiency, reduce wait times and maintain a high standard of patient care. This innovative approach holds significant potential for broader applications in improving healthcare delivery and clinician workload in resource constrained environments.