Practice independently in accordance with NMC code of conduct and with reference to practice guidelines Maintain accurate documentation of care and utilisation of IT Ensure continuation of own personal and professional development, facilitated by utilisation of clinical supervision networks. Provide focus for nursing expertise within practice, advising nursing staff, appropriate to level of competence Administer adult and child immunisations and vaccinations in accordance with national and local programmes. Is in competent in anaphylaxis and resuscitation techniques. Ensure safe storage, rotation and disposal of vaccines and durgs and adequate stock levels are maintained. Takes a lead in areas such as Asthma and COPD management, undertakes the establishment and running of disease management clinics and provides specialist nursing care for the patients or communities that practice serves. Management of chronic diseases which includes asthma, hypertension, COPD, CVA/TIA, CHD, and CHD risk assessment and management. Initiates the process of diagnosis with patients suspected to have chronic disease Maintain disease registers Initiates and carries our programmes of Health promotion and screening, cervical and sexual health screening. Acting as a coordinator for helping Nurse Lead for Infection Control