The following are expectations for the role of Advanced Nurse Practitioner. There may be, on occasion, a requirement to carry out other tasks; this will be dependent upon factors such as workload and staffing levels: these will be discussed beforehand. Manage patients presenting with a range of acute and chronic medical conditions, providing subject matter expert advice Implement and evaluate individual specialised treatment plans for chronic disease patients Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects to the patients health Provide advanced, specialist nursing care to patients as required in accordance with clinical based evidence, NICE and the NSF Request pathology services where required Process and interpret pathology and other test results as required Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required Maintain accurate clinical records Ensure SNOMED CT codes are used effectively and correctly Maintain chronic disease registers Chaperone patients where necessary Prioritise health issues and intervene appropriately Support the team in dealing with clinical emergencies Recognise, assess and refer patients presenting with mental health needs Implement vaccination programmes for adults and children Support patients in the use of their prescribed medicines or over the counter medicines (within own scope of practice), reviewing annually as required Contribute to practice targets (QOF, etc.), complying with local and regional guidance Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients, etc.) Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual) Support the clinical team with all safeguarding matters in accordance with local and national policies Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately Deliver opportunistic health promotion where appropriate Provide supervision and support to other members of staff such as Healthcare Professionals, Practice Nurses, Nurse Associates and Nurse Practitioners Attend clinical, MDT and practice meetings Home visits to housebound patients There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels Undertake any tasks consistent with the level of the post and the scope of the role, ensuring that work is delivered in a timely and effective manner