To help develop the nursing services offered by the practice. To provide clinical leadership within the nursing team. To ensure the highest standards of care are provided for patients. To manage and develop a clinical acute and chronic case load, dealing with presenting patients needs in a primary care setting. Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. To deliver a high standard of patient care using specialist practice Nurse skills Primary Duties and Areas of Responsibility Clinical Role. Where necessary evaluate patient test results in conjunction with the patient and their GP and ensure the appropriate course of treatment is initiated. Make appropriate referrals to other members of the primary, community and secondary care teams. Help the practice develop and deliver specialist primary nurse led services including chronic disease management. Initiate the role of diagnosis for patients suspected to have a chronic disease e.g. diabetes, COPD, asthma and CHD, referring to other clinicians as appropriate. Manage programmes of care for patients with chronic diseases by planning, providing and evaluating care under agreed guidelines and patient group directions. Maintain disease registers in liaison with administrative staff. Undertake annual review of patients understanding and ability to self-manage. Administer child and adult immunisations and vaccinations in accordance with national and local programmes. Competent in anaphylaxis and resuscitation techniques. Ensuring safe storage, rotation and disposals of vaccines and drugs and that adequate stock levels are maintained. Be able to undertake procedures including: venipuncture, glucose tolerance tests, BP management, urinalysis, peak flow, spirometry, pregnancy testing, cytology, wound management and cryosurgery. Provide support and chaperoning to the doctors for minor surgery and other procedures. Promote health and wellbeing, giving general education advice on diet, contraception, smoking chronic disease management, exercise etc. Contribute to the practice achieving its GMS contract obligations. Maintain accurate records according to NMC rules. Ensure all data protection requirements are met when gathering, recording and storing patient data. Liaise and maintain good working relationships with all members of the practice team. Work within the multi-disciplinary team within the practice and across the wider health system Teaching and Mentoring Role. Promote a learning environment for patients, nurses and other health professionals Assist with the planning and implementation and teaching for practice staff including medical students, nurse students, nurses and health care assistants Act as mentor for more junior staff and students, assessing competence against set standards. Undertake regular appraisals for the practice nursing team Professional Role. Attend and contribute to relevant internal and external meetings as required including practice clinical meetings, nurse team meetings and gold standard framework meetings. Maintain a personal progress and training plan to keep up-to date with current thinking and developments as well as identifying own training deficiencies and attending suitable courses as appropriate. Promote evidence based practice through use of the latest research based guidelines. Maintain professional registration and work within the latest NMC Code of Professional Conduct. Record accurate consultation data in patients records in accordance with NMC guidance and other standards and keep up to date with pertinent health policy and work with the practice team to consider the impact and strategies for implementation. Demonstrate leadership Use technology and appropriate software packages as an aid to the planning, implementation and monitoring of care, presenting and communicating information. Work as an effective and responsible team leader, supporting others and exploring the mechanisms to develop new ways of working. Prioritise own and others workload and ensure effective time management strategies are embedded within the culture of the team. Manage the nurse rotas/ holiday/ study leave. Manage nursing staff appraisal