Main Job responsibilities: Take responsibility for keeping nursing skills and knowledge up to date and in line with current guidelines Working independently alongside the Lead Practice Nurse and Healthcare Assistant team, making decisions and recommendations as appropriate. Oversee Healthcare Assistants when required Undertake relevant training courses in order to advance skills. Keep up to date on changes to national guidelines Take a proactive approach towards planning activities related to own workload in order to complete tasks in a timely manner. Contribute to the achievement of the Quality and Outcomes Framework. Chronic Disease Management run clinics, keep up to date with guidelines. Nurse Prescribing - Where the post holder is an independent prescriber : to prescribe safe, effective and appropriate medication as defined by current legislative framework Routine Treatment Room Activities: Cytology Wound care/Dopplers/Four layer bandaging Removal of Sutures Urinalysis Travel immunisations ECGs Venepuncture Hypertension Management Ear syringing Routine immunizations/Childhood immunisations Chaperoning and assisting patients where appropriate who are being examined by another clinician Requesting pathology tests, for example urine culture, swabs Contraception Therapeutic Monitoring Maintain general tidiness and cleanliness of nurses and treatment room Ordering of Health Promotion Literature Ordering of vaccinations to maintain stock levels Awareness of national standards of infection control and cleanliness and regulatory / contractual / professional requirements, and good practice guidelines 24 hour BP monitor