Works independently using own initiative and is accountable for their own professional actions. Administers adult and child immunisations and vaccinations in accordance with national and local programmes. Maintain competence in anaphylaxis and resuscitation techniques. Ensures safe storage, rotation and disposal of vaccines and drugs and adequate stock levels are maintained. Offers comprehensive travel health advice for patients prior to travel including malaria prophylaxis, safe sex, food hygiene, sun protection, first aid and emergency medication, health insurance and vaccinations. Undertakes procedures to include but not exclusive to, venepuncture, BP management, urinalysis, peak flow, spirometry, new patient health checks, pregnancy testing, suture/clip removal, ear syringing, cytology and wound management. Undertakes collection, storage and despatch of pathological specimens including intravenous blood samples, swabs, smears etc., and ensure cleanliness of equipment used. Recognises areas of concern and gathers sufficient information to refer e.g. drugs, domestic violence, child protection, vulnerable adults, senior patients, social problems. INR monitoring and warfarin management. On successful completion of independent non-medical prescriber accredited training and registration with the NMC, ensure safe, effective and appropriate practice as defined by current legislative framework and local and practice guidelines. The post holder must only prescribe within their area of competence.