The Respiratory and Long Term Conditions Steward will undertake the following duties: Leadership and Strategy Provide clinical leadership for the programmes of work to improve the care of people living with respiratory and other long term conditions, ensuring alignment with the ICSs eight ambitions, theJoint Forward Plan (JFP), and the Fuller Stocktake recommendations. Work collaboratively with place Stewards to integrate improvements to the care of people with Respiratory and Long Term Conditions with local health inequalities plans and other place-level initiatives. Represent Respiratory and Long Term Conditions care at ICS governance meetings and decision-making forums, ensuring these priorities are reflected in system-wide planning. Operational Integration Collaborate with the Primary Care Commissioning Committee and system partners to ensure the effective and equitable implementation of Respiratory and Long Term Conditions elements of the ICS Clinical Strategy. Support the Medicines Optimisation Team by contributing to formulary decisions, prescribing guidelines, and the development of pathways related to Respiratory and Long Term Conditions.