Undertake, record and follow guidelines for the tasks for which you have received appropriate training and achieved competence; Prepare and maintain environments and equipment before, during and after patient care, procedure, intervention. Assess, plan, develop, implement and evaluate treatment programmes that promote health and well-being. Support patients to adopt health promotion strategies in healthy living. Assess, plan, implement and evaluate individual treatment plans for patients with long term conditions. Work with other health professionals to diagnose, monitor, manage and treat patients with long term conditions. Review medication for therapeutic effectiveness appropriate to patients needs and evidence-based practice Support adherence for the recall of patients with long term conditions and adherence to prescribed medication. Proactively identify, diagnose and manage treatment plans for patients at risk of developing conditions in line with the National service Frameworks. Participate in and promote the national screening programmes, including cervical cytology. Participate in and promote the national immunisation programmes for children and adults with appropriate training. Administer Adult/Child vaccinations under agreed PGD/PSD directives Participate and support patients attending for travel vaccination, with appropriate training. Perform opportunistic and planned NHS health screening checks. Support patients in general health promotion, healthy lifestyle and promote self-well-being with appropriate referral as indicated. Participate with QoF, enhanced services and medicines management initiatives to maintain practice high achievements in these areas. Undertake appropriate activities/responsibilities related to own lead areas. Support the PCN initiative. Support and participate in shared learning across practice and wider organisation. Support the nurse team and respond to requests for home visits to housebound patients; Assist GPs in Family Planning procedures/chaperone as necessary for intimate examinations. Assist GPs in the running of child developmental assessments. Provide support and guidance to the health care assistants and junior staff as needed. Support the Nurse Manager in her role on behalf of the Partners/Managers.