Administers adult and child immunisations and vaccinations in accordance with national and local programmes, and competent and up to date with anaphylaxis and resuscitation techniques. Ensures safe storage, rotation and disposal of vaccines and drugs and adequate stock levels are maintained. Undertakes procedures to include venepuncture, basic wound care, BP management, urinalysis, peak flow, spirometry, stitch/clip removal and cervical smears. Works within all relevant practice policies and procedural guidelines e.g. infection control, chaperoning and patient group directions. Initiates the process of diagnosis with patients suspected to have a chronic disease e.g. diabetes, COPD, asthma, CHD referring to other clinicians as appropriate. To manage programmes of care for patients with chronic diseases by planning, providing and evaluating care under agreed local/national guidelines, protocols and patient group directions. Contributes to a satisfactory call and recall system of patients and undertakes annual review of patients. Works collaboratively as a team member to achieve the objectives of the NHS contract and aspirations of the team. Provides expert clinical advice on educational opportunities that will facilitate the development and support of their specialist knowledge and skills to ensure the development of clinical practice. Recognises the development needs of others and provides clinical supervision. Develops own knowledge and practice to meet objectives/changes in service. Makes effective use of the clinical system by ensuring the consistent and accurate entering of data and use of SNOMED Codes, and facilitates the use of up to date information technology in order to collate accurate and timely information as and when required.