The following are the core responsibilities of a Practice nurse with CDM responsibilities. There may be on occasion a requirement to carry out other tasks; this will be dependent on factors such as workload and staffing levels: a. Implement and embed health promotion and well-being programmes b. Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects on patients health c. Provide routine nursing care to patients as required in accordance with clinical-based evidence, NICE and the NSF d. Provide wound care (ulcer/Doppler etc.) to patients e. Provide immunisations (childhood, seasonal, etc) f. Provide travel medicine services g. Provide Cervical Cytology screening h. Request and process pathology results i. Maintain accurate clinical records in conjunction with extant legislation j. Ensure accurate use of SNOMED codes to support QOF and LES/DES targets k. Chaperone patients where necessary l. Assist GPs with minor surgery when required m. Prioritise health issues and intervene appropriately n. Support the team in dealing with clinical emergencies o. Implement vaccination programmes for adults and children p. Support patients in the use of their prescribed medicines or over-the-counter medicines (within own scope of practice) q. Liaise with external services/agencies to ensure the patient is supported appropriately (vulnerable patients etc.) r. Support the clinical team with all safeguarding matters, in accordance with local and national policies s. Understand practice and local policies for substance abuse and addictive behaviour, referring patients appropriately Deliver opportunistic health promotion where appropriate