Accountable for their own practice and will work independently managing their own clinical workload responding effectively to patient needs and ensuring patient choice and ease of access to services. Assess, plan, develop, implement and evaluate treatment programmes for patients that promote health and well-being, giving appropriate lifestyle advice and change management. Undertake procedures including: venepuncture, BP management, urinalysis, peak flow, spirometry, ECG, new patient health checks, pregnancy testing, stitch/clip removal, ear syringing, cx cytology, wound management including compression. Managing programmes of care for patients with chronic diseases by planning, providing and evaluating care under agreed guidelines and as per QOF. Maintains disease registers in liaison with administrative staff. Undertake annual reviews of patients having the 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 adequate stock levels are maintained. To organise and carry out nurse run Contraception and Sexual Health clinics. Make professionally autonomous decisions for which they are accountable and provide safe, evidence based, cost effective, individualised patient care. 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. Undertake regular medication reviews for patients for groups of patients deemed suitable by the clinical team. Please see the attached Job Description in Supporting Documents for more information.