Undertake annual reviews of patients with Chronic disease and long term conditions and ensure full QoF and QP achievement Carry out annual and interim management of patients, in line with Local & National Guidelines for; COPD CKD Asthma Hypertension Chronic Heart Disease Diabetes Immunisation Clinics Cervical Smear and Sexual Health Family Planning Oral Contraception/Depo Injections Venepuncture/ ECG/ Basic Dressing Travel Vaccinations / Advice