Assist and perform tasks related to patient care as directed by Lead Nurse and GPs following agreed clinical protocols Deliver evidence-based care and structured education to people with diabetes, their families and other health colleagues in a primary care setting. This includes participating in joint clinics and domiciliary visits for patients with diabetes including those living in Care Homes (who have complex needs) whilst educating primary care staff to enhance their skills to provide an excellent diabetes service Participate in local Diabetes Steering Groups, particularly looking at clinical standards, guidelines, pathways and improving outcome measures. Lead the internal diabetes meetings, updating colleagues on new NICE and local guidance and sharing prescribing knowledge Provide holistic assessment of wounds and implement wound care including complex wound management in line with current evidence-based guidelines such as National Wound Care Strategy (Dopplers/Compression) Support NAs/HCAs carrying out wound care by maintaining clear care plans Identify, manage, and support patients at risk of developing long-term conditions, preventing adverse effects on the patients health, promote patients to live healthily, and encourage principles of self-care Maintain chronic disease registers and assist with QOF searches and reporting Participate in developments within the practice and support QOF requirements. Maintain accurate clinical records in conjunction with Practice policies and current legislation Ensure read codes are used effectively Ensure safe storage, rotation and disposal of vaccines and medication. Assist in the completion of weekly stock take and support the cost-effective use of disposable items Support the clinical team with all safeguarding matters, in accordance with local and national policies Provide appropriate self-care advice for patients presenting with minor illness within own level of competency and referring to GP/ANP where appropriate Recognise and manage anaphylaxis, according to the current UK Resuscitation Council guidelines Perform Cardio-pulmonary Resuscitation and the correct use of Automated Defibrillator following training, according to the current UK Resuscitation Council guidelines Manage emergency drug kit and perform weekly checks as appropriate Undertake the collection of pathological & microbiology specimens including venepuncture, swabs, urine culture in line with local guidelines Travel Health Consultations Womens Health including Cervical Screening Provide contraception advice and sexual health guidance. Undertake annual contraceptive reviews and injections in line with practice policies. Offer advice about childhood and adult immunisations and ensure vaccines/injections are administered under patient group directives (PGDs) or individual prescriptions (PSDs) Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary / specialist care as required Deliver opportunistic health promotion Chaperone and assist patients where appropriate who are being examined by another clinician Provide information and advice on prescribed or over-the-counter medication, on medication regimens, side effects and interactions as appropriate and within your level of competency Request pathology tests, for example bloods, microbiology, swabs Process pathology results as required and act on them appropriately Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care. Actively participate in all aspects of infection prevention and control and champion this within the practice Maintain and clean equipment and clinical rooms and re-stocking/rotate items as required Attend and participate in practice meetings as required Actively take part in mandatory and internal/external training as requested