Offer a holistic approach to travel health by providing comprehensive advice to patients prior to travel including; vaccinations and medicines, safe sex, food hygiene, sun protection. Offer advice about childhood and adult vaccinations and ensure vaccines are administered under patient group directions. Running well person clinics and health promotion programmes by providing a holistic assessment and lifestyle advice on diet, smoking, alcohol intake and exercise. Facilitates change. Assessing problems presented opportunistically by patients, dealing with minor illness. Able to document Consultations according to NMC guidelines Ensures awareness of statutory and local clinical protection procedures, including systems of referral. Ability to recognise signs and symptoms of child abuse. Perform a holistic assessment of patients attending for ear irrigation. Perform a holistic assessment of patients attending for cervical cytology smear tests. Perform venepuncture according to local guidelines Provide a holistic approach to wound management and implement wound care in line with current evidence based guidelines. Perform contraceptive reviews Suture removal. Take ECGs Able to recognize and manage anaphylaxis according to current UK guidelines. Able to perform Cardio-pulmonary resuscitation according to current UK guidelines. Ability to obtain and document informed consent (either verbal or written). Ensure infection control guidelines are maintained. Ability to monitor and manage maintenance of stock and equipment to include refrigeration, sterilizer and emergency equipment. Confidentially of information gained at work must be preserved at all times. Provide management of chronic diseases such as Diabetes, COPD and Asthma Spirometry Contribute to the assessment of service needs. Assist patients to identify their health needs. Contribute a nursing perspective to the practice development plan. Manage and organise individual patient consultations. Aware of identification and reporting procedures related to professional standards. To attend staff meetings. Ensure effective relationships and communications with the PHCT and other agencies. Support the Practice clinical governance agenda. Identify changes to clinical practice that are required to implement evidence-based guidelines. Identify personal development and training needs in conjunction with the manager. Participate in clinical supervision. Support others with their training and development needs. To participate in continuing education and maintain a contemporary level of professional knowledge and skills. Maintain good industrial relations. Take reasonable care of his/her own safety and that of other persons who may be affected by his/her act or omission. Co-operation with the practice to ensure all members of the team adheres to statutory regulations/policies and codes of practice and departments safety rules. Offer innovative ways of working and opportunities to facilitate learning. Facilitates a learning environment within the team. Maintains a caring environment through the support of colleagues.