The post holder will be an experienced nurse, will provide high quality, care for their patients in a safe, multi-disciplinary environment. The role includes delivering nursing care including specialist clinics, health education and carrying out smears and immunizations. NMC requirements will be met and the individual will work within the NMC Code of Conduct to agreed practice standards and protocols. Scope & Purpose of the Role To deliver a high standard of patient care using specialist practice skills. To manage a clinical case load, dealing with presenting patients needs in a primary care setting. To ensure the highest standards of care are provided for patients. Primary Duties & Areas of Responsibility Clinical Role Make professionally decisions for which he/she is accountable and provide safe, evidence based, cost effective, individualized 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. Help the practice develop and deliver specialist primary nurse led service, including chronic disease management (including for all areas of QOF). Initiates the role of diagnosis for patients suspected to have a chronic disease e.g. diabetes, COPD, asthma and CHD, referring to other clinicians as appropriate. Manages programmes of care for patients with chronic diseases by planning, providing and evaluating care under agreed guidelines and patient group directions. Maintains disease registers in liaison with administrative staff. Undertakes annual reviews of patients understanding and ability to self-manage. Undertake regular medication reviews for patients for groups of patients deemed suitable by the clinical team. Provide comprehensive travel health advice for patients prior to travel including malaria prophylaxis, safe sex, sun protection, food hygiene, first aid and emergency medication, health insurance and vaccinations. 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 that adequate stock levels are maintained Undertake procedures including: venepuncture, glucose tolerance tests, BP management, urinalysis, peak flow, spirometry, new patient health checks, pregnancy testing, stitch/clip removal, ear syringing, cytology, wound management. Provide support and chaperoning to the doctors for minor surgery and other procedures. Promote health and wellbeing, giving general education advice on diet, contraception, smoking chronic disease management and exercise Initiate and carry out programmes of health screening as agreed with the practice clinical team. Enable support and encourage individuals, families and groups to address issues which affect their health and social wellbeing. Contribute to the practice achieving its GMS contract obligations including quality, organizational and access targets. Maintain accurate records according to NMC rules. Ensure all data protection requirements are met when gathering, recording and storing patient data. Liaise and maintain good working relationships with all members of the practice team. Work within the multi-disciplinary team within the practice and across the wider health system. Professional Role Attend and contribute to relevant internal and external meetings as required including practice clinical meetings, nurse team meetings and gold standard framework meetings. Maintain a personal progress and training plan to keep up-to-date with current thinking and developments as well as identifying own training deficiencies and attending suitable courses and appropriate. Promote evidence based practice through use of the latest research based guidelines. Monitor the effectiveness or their own clinical practice through quality assurance strategies such as the use of peer audit and review. Maintain professional registration. Work within the latest NMC Code of Professional Conduct. Record accurate consultation data in patients records in accordance with NMC guidance and other standards. Keep up to date with pertinent health policy and work with the practice team to consider the impact and strategies for implementation. Work collaboratively with colleagues both internally and externally. Demonstrate leadership. Pro-actively promote the role of specialist nursing expertise within the practice and with the public.