Primary responsibilities Implement vaccination programmes for adults and children Support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc. Delegate clinical responsibilities appropriately (ensuring safe practice and that the task is within the scope of practice of the individual) Support the clinical team with all safeguarding matters, in accordance with local and national policies Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately Deliver opportunistic health promotion where appropriate Secondary responsibilities In addition to the primary responsibilities, the practice nurse may be requested to: Act as the audit lead, effectively utilising the audit cycle Monitor and ensure the safe storage, rotation and disposal of medicaments Support junior members of the nursing team, providing guidance when necessary Participate in local initiatives to enhance service delivery and patient care Support and participate in shared learning within the practice Continually review clinical practices, responding to national policies and initiatives where appropriate Participate in the review of significant and near-miss events applying a structured approach, i.e. root cause analysis (RCA).