Job responsibilities Management of long term conditions: Diabetes Respiratory - Asthma and COPD Enable individuals with long term conditions and their carers to make informed choices concerning their health and well being and to organise their own support, assistance and action and promoting self care Support individuals with long term conditions and their carers to change their behaviour and to reduce the risk of complications Manage programmes of care for patients with acute and chronic disease by planning and evaluating care Work across boundaries and in partnership with primary and secondary care clinicians and social services, coordinating care promoting a multi-disciplinary approach. Review prescribed medication and provide advice on all aspects of medicines management, within scope of practice. Refer to relevant clinicians where appropriate.