Be responsible for the care management of patients with chronic diseases and undertake clinical medication reviews to proactively manage people with complex polypharmacy, especially the elderly, people in care homes, those with multiple co-morbidities and people with learning disabilities or autism. Manage all acute prescription queries, deal with reduction of opiods and controlled drug prescriptions, medication reviews, deal with Diabetic, high risk drugs and Hypertension medicines management clinics that are part of QOF work. Review the on-going need for each medication, ensuring monitoring needs are performed and use the opportunity to support patients achieve better health outcomes through shared decision-making conversations Support patients to take their medications to get the best from them, reduce waste and promote self-care. Manage safety alerts for drugs. To manage repeat prescription requests, resolving queries where possible within scope of practice. To ensure patients have appropriate monitoring tests in place when required. Participate in review and setting of policies relating to medicines management and prescribing and help ensure practices prescribe in accordance with local guidelines and formulary To monitor network practices prescribing against the local health economy and make recommendations for GPs or amend within scope of practice, based on findings.