The post-holder will work in accordance with specific practice guidelines and protocols, assisting the practices clinical teams in the provision and delivery of prescribed programmes of patient care. Undertaking delegated duties mostly without direct supervision in the Surgery, ensuring continuity and a high standard of care to all patients. The post-holder will develop good working relationships with: Patients GP, AP, nurses and other Surgery staff Clinical Responsibilities: To undertake a variety of delegated duties that are within the guidelines and protocols set by the Surgery. To deliver a high standard of patient care as indicated in the care plan, reporting back as required. Participate in the care of patients with long term conditions. If competent, undertake reviews of patients with long term conditions e.g. diabetes, following Surgery guidelines and protocols, and reporting back to the senior nurse. Engage in health promotion activity, giving life style advice to patients and carers according to Surgery policies, procedures and guidelines. Undertake delegated nursing and rehabilitation procedures, for example: Phlebotomy INR testing Blood Pressure measurement Dressings Administer seasonal flu and other vaccinations and injections under PSDs. ECG recording Ear Syringing Diabetic Foot Checks Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care. Recording clear and contemporaneous consultation notes to agreed standards. Other Responsibilities within the Organisation: Awareness of and compliance with all relevant Surgery policies/guidelines, e.g. confidentiality, data protection, health and safety. Assisting in the assessment and surveillance of patients health and well-being. Chaperoning duties. Daily clearing and restocking of clinical rooms. Preparing and maintaining environments and equipment before, during and after patient care interventions, including assisting GPs during the performance of minor operations. To undertake any other duties commensurate with the post holders grade as agreed with the Nurse Manager or Surgery Manager. Contribute to service developments as requested. A commitment to life-long learning and audit to ensure evidence-based best practice. Contributing to evaluation/audit and clinical standard setting within the organisation. Contributing to the development of computer-based patient records. Contributing to the summarising of patient records and Read-Coding patient data, contributing to the maximum Surgery performance under QOF. Attending training and events organised by the Surgery or other agencies, where appropriate.