The following are the core responsibilities of the practice nurse. There may be on occasion a requirement to carry out other tasks; this will be dependent on factors such as workload and staffing levels: Develop, implement and embed health promotion and well-being programmes Implement and evaluate individual treatment plans for chronic disease patients Identify, manage and support patients at risk of developing long-term conditions, preventing adverse effects on patients health Provide routine nursing care to patients as required in accordance with clinical-based evidence, NICE and the NSF Provide wound care (ulcer/Doppler etc.) to patients Provide travel medicine services Request pathology services as necessary Process pathology results as required Provide chronic disease clinics, delivering patient care as necessary, referring patients to secondary/specialist care as required Maintain accurate clinical records in conjunction with extant legislation Ensure read codes are used effectively Maintain chronic disease registers Develop, implement and embed well woman clinics Develop, implement and embed well man clinics Chaperone patients where necessary Assist GPs with minor surgery when required Prioritise health issues and intervene appropriately Support the team in dealing with clinical emergencies Recognise, assess and refer patients presenting with mental health needs 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).