To undertake patient facing and patient supporting roles to ensure effective medicines use, through shared-decision making conversations with patients; To carry out medicines optimisation tasks including effective medicine administration (e.g. checking inhaler technique), supporting medication reviews, and medicines reconciliation. Where required, utilise consultation skills to work in partnership with patients to ensure they use their medicines effectively; To assist in the delivery of medicines optimisation and management incentive schemes and patient safety audits; To support, as determined by CPPCN, medication reviews and medicines reconciliation for new care home patients and synchronising medicines for patient transfers between care settings and linking with local community pharmacists. To provide specialist expertise, where competent, to address both the public health and social care needs of patients, including lifestyle advice, service information, and help in tackling local health inequalities; To take a central role in the clinical aspects of shared care protocols and liaising with specialist pharmacists for more complex patients; To support initiatives for antimicrobial stewardship to reduce inappropriate antibiotic prescribing; To support the implementation of national prescribing policies and guidance within GP practices, care homes and other primary care settings. This will be achieved through undertaking clinical audits (e.g. use of antibiotics), supporting quality improvement measures and contributing to the Quality and Outcomes Framework and enhanced services;