Job responsibilities To provide general and specific health screening to the practice population, in line with agreed protocols and reference to the General Practitioner, where necessary. Make professionally autonomous decisions for which they are accountable and provide safe, evidence based patient care. Be responsible for managing clinics and carrying out associated tasks including the following: Cytology, wound care, removal of sutures, travel vaccinations, ECGs, peak flow readings, venepuncture, management of long term conditions, ear irrigation, routine, travel and childhood immunisations, chaperoning patients who are being examined by another clinician, urine testing, dietary advice, anaphylaxis and CPR. Make appropriate referrals to other members of the primary, community and secondary care teams. Deliver specialist primary nurse led service, including chronic disease management (including for all areas of QOF, the requirements of the Universal offer and the standard PCN direct enhanced service). Administer child and adult immunisations and vaccinations in accordance with national and local programmes. Be competent in anaphylaxis and resuscitation techniques. Ensuring safe storage, rotation and disposals of vaccines and drugs and that adequate stock levels are maintained To act as or ensure there is a nurse scheduled to carry out on the day clinical activity to patients, requiring an urgent duty appointment or clinicians requiring nursing support. Provide support and chaperoning to the doctors for minor surgery, specialist contraception and other procedures. Promote health and well being, giving general education advice on diet, contraception, smoking chronic disease management, exercise etc Contribute to the practice achieving its PMS contract obligations including quality, organisational and access targets. Working within the requirements of the CQC. Where the post holder is an independent prescriber: to ensure safe, effective and appropriate medication as defined by current legislative framework. Maintain accurate records according to NMC rules. Ensure all data protection requirements are met when gathering, recording and storing patient data. Liaise and maintain good working relationships with all members of the practice team. Be flexible and provide clinical cover for sessions in extended hours and contribute towards meeting the extended access requirements. Teaching & Mentoring Role Promote a learning environment for patients, nurses and other health professionals. Assist with the planning and implementation and teaching for practice staff. To mentor Practice Nurses, pre-registration students and Healthcare Assistants To undertake clinical audit and research in line with service development and evidence based practice. Ensure that health updates, alerts, policies and relevant newsletters are accessed and acted on, where necessary. Professional Role Attend and contribute to relevant internal and external meetings as required including practice clinical meetings, nurse team meetings and clinical supervision meetings. Promote evidence based practice through use of the latest research based guidelines. Monitor the effectiveness or their own clinical practice through quality assurance strategies such as the use of peer audit and review. Maintain professional registration. Work within the latest NMC Code of Professional Conduct. Work collaboratively with colleagues both internally and externally. Participate in audits and inspections as required. As part of the nursing team ensure all appropriate practice policies are fully implemented. Promotes effective communication, relationships and team working within the practice. Provides clinical educational advice to support development of the team and range of services provided. Partake in clinical supervision for own development purposes and in order to develop the nursing staff. Demonstrate due regard for the safeguarding of children and vulnerable adults.