Job summary
The Band 7 Nurse manager for the Anticoagulation Clinic will provide clinical and managerial leadership to ensure the delivery of safe, effective, and patient-centered anticoagulation service. The role requires effective working with the Lead nurse, consultants, pharmacists, haematology, cardiology, and primary care colleagues to ensure seamless patient care across the pathway. They will also contribute to clinical governance, service improvement, and training initiatives within the trust. The post holder will act as the clinical expert in the anticoagulation therapy, overseeing the care of patients prescribed warfarin, direct oral anticoagulants (DOACs), low molecular weight heparins, and bridging regimens within an outpatient clinic, and to provide support to community services and primary care. They will ensure patients receive appropriate initiation, monitoring, dose adjustment, education, and long-term management in line with national and local guidelines.
In addition to clinical responsibilities, the post holder will have full managerial accountability for the anticoagulation service team, including nurses and healthcare assistants. This includes workforce planning, rostering, recruitment, appraisals, training, and performance management.
Main duties of the job
To effectively run nurse led outpatient's clinics alongside the Lead nurse.
To initiate and follow up patients with Warfarin and DOACs and discharge safely to GP care.
Work independently in the absence of a Lead nurse within clinical competency.
To undertake teaching of patient's (carers if appropriate) in the treatment and management of the anticoagulation therapy medicines.
Responsible for patient's safety and high standard of specialist care for all patients on anticoagulation therapy within the service.
To liaise closely with specialist nurses and Lead nurse to ensure the effective triage of referrals to enable patients to access the appropriate element of the anticoagulation service.
Responsible for contributing to specialty clinical governance group.
To implement strategies to facilitate succession planning and retention of motivated staff.
To set up clinics, maintain equipment and be responsible for clients and staff as laid down by Health and Safety regulations.
Act as a role model for junior members of staff.
Involving in helping in initiating DOACs and prevention of VTE (HAT).
Work as part of the team.
To be competent in the anticoagulation therapy software Helicon maintain accurate records of all patient encounters in line trust record keeping policy NMC.
Undertake research projects in line with research skills and knowledge with view to presentation and publication.
About us
North Mid is part of North Central London integrated care system - consisting of the NHS and Local authority organizations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICS's, we are working increasingly closely with partners and indeed many of our financial and performance objectives are measured at this system level. Whilst all organizationsremain as standalone, statutory bodies we have an ICS infrastructure for making shared decisions and agreeing shared approaches.
We are proud of our staff and want to ensure their training allows them to provide excellent clinical care. We are also a training unit for medical students from UCL and St George's University Grenada, and for nursing and midwifery students from Middlesex and City Universities.
Take a tour of our hospital here
Job description
Job responsibilities
Act as the clinical expert for anticoagulation management across the trust. Undertake comprehensive clinical assessments, care planning, and treatment of patients on anticoagulation therapy.Prescribe and adjust anticoagulation therapy ( if a qualified non-medical prescriber) or provide recommendations to prescribers.Support patients and carers with education, self-management, and adherence to anticoagulation regimens.Lead on the management of complex patients and provide advice to multidisciplinary teams.Ensure the service delivers safe care in accordance with NICE, MHRA, NPSA, and local clinical governance standards. Ensure equitable, timely, and safe access to anticoagulation services for all patients.Act as patient advocate, ensuring care is personalized and patient centered.Maintain clinical oversight of caseloads across the anticoagulation service.Respond to complaints, incidents, and patient feedback, implanting learning and improvement.Ensure safeguarding procedures are embedded in the service delivery.
Develop, implement, and review local anticoagulation guidelines and standard operation procedures.Lead on policy development aligned with national and evidence-based practice.Contribute to Trust-wide strategic planning in hematology and long-term conditions management. Manage allocated service budgets efficiently, ensuring cost-effective use of resources.Authorize expenditure within delegated limits and maintain financial accountability.Ensure clinical equipment, INR monitors and digital platforms are used safely and maintained appropriately.
Undertake day-to-day management of the Anticoagulant Clinic team. Provide visible leadership and line management for the anticoagulation nursing team and support staff.Hold responsibility for rostering, supervision, appraisals, recruitment, induction, absence management, and performance management of staff. Promote a positive working culture, ensuring staff wellbeing, motivation, and retention.Lead staff development, ensuring appropriate training, competencies, and continuing professional development (CPD).Promote collaborative working across disciplines, primary care, and secondary care.Contribute to budget management and resource allocation, ensuring efficient use of staffing and equipment.
Ensure accurate and timely documentation in electronic patient records.Maintain robust systems for monitoring anticoagulation control (e.g., INR results, DOAC reviews).Provide regular reports on service performance, outcomes, and patient safety.Ensure compliance with information governance, confidentiality, and data protection policies.
Lead and participate in clinical audits, quality improvement projects, and benchmarking.Contribute to research activity in anticoagulation, thrombosis, and long-term condition management.Implement evidence-based practice and disseminate findings within the Trust and wider networks.Support staff engagement in clinical research, innovation, and continuous improvement.
Job description
Job responsibilities
Act as the clinical expert for anticoagulation management across the trust. Undertake comprehensive clinical assessments, care planning, and treatment of patients on anticoagulation therapy.Prescribe and adjust anticoagulation therapy ( if a qualified non-medical prescriber) or provide recommendations to prescribers.Support patients and carers with education, self-management, and adherence to anticoagulation regimens.Lead on the management of complex patients and provide advice to multidisciplinary teams.Ensure the service delivers safe care in accordance with NICE, MHRA, NPSA, and local clinical governance standards. Ensure equitable, timely, and safe access to anticoagulation services for all patients.Act as patient advocate, ensuring care is personalized and patient centered.Maintain clinical oversight of caseloads across the anticoagulation service.Respond to complaints, incidents, and patient feedback, implanting learning and improvement.Ensure safeguarding procedures are embedded in the service delivery.
Develop, implement, and review local anticoagulation guidelines and standard operation procedures.Lead on policy development aligned with national and evidence-based practice.Contribute to Trust-wide strategic planning in hematology and long-term conditions management. Manage allocated service budgets efficiently, ensuring cost-effective use of resources.Authorize expenditure within delegated limits and maintain financial accountability.Ensure clinical equipment, INR monitors and digital platforms are used safely and maintained appropriately.
Undertake day-to-day management of the Anticoagulant Clinic team. Provide visible leadership and line management for the anticoagulation nursing team and support staff.Hold responsibility for rostering, supervision, appraisals, recruitment, induction, absence management, and performance management of staff. Promote a positive working culture, ensuring staff wellbeing, motivation, and retention.Lead staff development, ensuring appropriate training, competencies, and continuing professional development (CPD).Promote collaborative working across disciplines, primary care, and secondary care.Contribute to budget management and resource allocation, ensuring efficient use of staffing and equipment.
Ensure accurate and timely documentation in electronic patient records.Maintain robust systems for monitoring anticoagulation control (e.g., INR results, DOAC reviews).Provide regular reports on service performance, outcomes, and patient safety.Ensure compliance with information governance, confidentiality, and data protection policies.
Lead and participate in clinical audits, quality improvement projects, and benchmarking.Contribute to research activity in anticoagulation, thrombosis, and long-term condition management.Implement evidence-based practice and disseminate findings within the Trust and wider networks.Support staff engagement in clinical research, innovation, and continuous improvement.
Person Specification
Education and qualifications
Essential
- Registered Nurse Degree Level
- Anticoagulation course/ recognized evidence of education
- qualification in Health Care Teaching Qualification or equivalent
Desirable
- Completed and attained the Nonmedical prescriber course
Skills and abilities
Essential
- Record keeping, data collection, collation of statistics and audit
- Venipuncture
- IT skills
- Proven team leadership skills
- Evidence of managing staff and training staff
- Be able to communicate complex information.
Experience
Essential
- Substantial experience as an Anticoagulation Nurse with proven abilities
- Substantial experience as Nursing Level Band 6 or above
- Initiation of patients on DOAC and Warfarin
- Complaints management knowledge
Desirable
- Experience of working with DAWN AC anticoagulation software
Person Specification
Education and qualifications
Essential
- Registered Nurse Degree Level
- Anticoagulation course/ recognized evidence of education
- qualification in Health Care Teaching Qualification or equivalent
Desirable
- Completed and attained the Nonmedical prescriber course
Skills and abilities
Essential
- Record keeping, data collection, collation of statistics and audit
- Venipuncture
- IT skills
- Proven team leadership skills
- Evidence of managing staff and training staff
- Be able to communicate complex information.
Experience
Essential
- Substantial experience as an Anticoagulation Nurse with proven abilities
- Substantial experience as Nursing Level Band 6 or above
- Initiation of patients on DOAC and Warfarin
- Complaints management knowledge
Desirable
- Experience of working with DAWN AC anticoagulation software
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
Additional information
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).
From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).
UK Registration
Applicants must have current UK professional registration. For further information please see
NHS Careers website (opens in a new window).
