Job summary
Anticoagulation Clinical Nurse Specialist - Band 7
The CNS is will join a nurse-led clinic which manages various aspects of anticoagulant care: commencing treatment, counselling and education, peri-operative management and reviewing / stopping treatment.
As a member of the team you will work closely with Consultants and existing Nurse Specialists to run nurse-led clinics for patients on anticoagulant therapy. You will need advanced communications skills and ability to deal with patients and relatives at a sometimes very anxious time. You will be expected to play an active role in creating individual treatment plans in line with current research and guidelines. As a registered general nurse you will have considerable nursing experience, preferably with an acute or community background. Experience of autonomous working and management will also be beneficial. Excellent time-management skills are essential.
Main duties of the job
Key functions of the post include:
* Review of all new patients
* Overseeing the discharge of patients discharged home on anticoagulants
* Patient training, education and counseling of patients on anticoagulants - vitamin K antagonists, Direct Oral Anticoagulants and low molecular weight heparin.
* Follow up appointments to review patients in nurse lead service.
* To perform INR testing a using Near Patient Testing device.
* To see patients in anticoagulant clinic, review INR and adjust warfarin dose as appropriate.
* Manage patients' anticoagulation peri-operatively.
* Reviewing of patients who have completed their period of anticoagulant treatment.
* Liaise with Lead Haematology Consultant regarding complex patients.
* To be actively involved in the prevention of venous thromboembolism and the Trust's risk assessment and thromboprophylaxis strategy.
* Be involved in the management and supervision of Band 6 CNSs, administrative staff and the Anticoagulant
* Assist the Lead CNS and Haematology Consultant in service development and improvement.
About us
St George's, Epsom and St Helier University Hospitals and Health Group cares for a population of four million people in South West London and North East Surrey.Our sites include St George's Hospital, one of 11 major trauma centres in the UK and the largest healthcare provider and major teaching hospital in the area; St Helier Hospital, home to the South West Thames Renal and Transplantation Unit and Queen Mary's Hospital for Children; and Epsom Hospital, home to the South West London Elective Orthopaedic Centre (SWLEOC). After years of collaboration, our two Trusts became a hospitals group in 2021. While remaining as two separate Trusts, being a hospitals group will help us to collaborate more closely on research, and the development, education, and training of our 17,000-strong workforce.
Details Date posted
11 July 2025
Pay scheme
Agenda for change
Band
Band 7
Salary
£51,883 to £58,544 a year pa inclusive of HCAS
Contract
Permanent
Working pattern
Full-time
Reference number
343-7308100-RB-SK
Job locations
Epsom and St Helier
Wrythe Lane
Carshalton
SM5 1AA
Job description Job responsibilities
Key functions of the post include:
* Review of all new patients
* Overseeing the discharge of patients discharged home on anticoagulants
* Patient training, education and counseling of patients on anticoagulants vitamin K antagonists, Direct Oral Anticoagulants and low molecular weight heparin.
* Follow up appointments to review patients in nurse lead service.
* To perform INR testing a using Near Patient Testing device.
* To see patients in anticoagulant clinic, review INR and adjust warfarin dose as appropriate.
* Manage patients anticoagulation peri-operatively.
* Reviewing of patients who have completed their period of anticoagulant treatment.
* Liaise with Lead Haematology Consultant regarding complex patients.
* To be actively involved in the prevention of venous thromboembolism and the Trusts risk assessment and thromboprophylaxis strategy.
* Be involved in the management and supervision of Band 6 CNSs, administrative staff and the Anticoagulant
* Assist the Lead CNS and Haematology Consultant in service development and improvement.
As a member of the team you will work closely with Consultants and existing Nurse Specialists to run nurse-led clinics for patients on anticoagulant therapy. You will need advanced communications skills and ability to deal with patients and relatives at a sometimes very anxious time. You will be expected to play an active role in creating individual treatment plans in line with current research and guidelines. As a registered general nurse you will have considerable nursing experience, preferably with an acute or community background. Experience of autonomous working and management will also be beneficial. Excellent time-management skills are essential.
Job description Job responsibilities
Key functions of the post include:
* Review of all new patients
* Overseeing the discharge of patients discharged home on anticoagulants
* Patient training, education and counseling of patients on anticoagulants vitamin K antagonists, Direct Oral Anticoagulants and low molecular weight heparin.
* Follow up appointments to review patients in nurse lead service.
* To perform INR testing a using Near Patient Testing device.
* To see patients in anticoagulant clinic, review INR and adjust warfarin dose as appropriate.
* Manage patients anticoagulation peri-operatively.
* Reviewing of patients who have completed their period of anticoagulant treatment.
* Liaise with Lead Haematology Consultant regarding complex patients.
* To be actively involved in the prevention of venous thromboembolism and the Trusts risk assessment and thromboprophylaxis strategy.
* Be involved in the management and supervision of Band 6 CNSs, administrative staff and the Anticoagulant
* Assist the Lead CNS and Haematology Consultant in service development and improvement.
As a member of the team you will work closely with Consultants and existing Nurse Specialists to run nurse-led clinics for patients on anticoagulant therapy. You will need advanced communications skills and ability to deal with patients and relatives at a sometimes very anxious time. You will be expected to play an active role in creating individual treatment plans in line with current research and guidelines. As a registered general nurse you will have considerable nursing experience, preferably with an acute or community background. Experience of autonomous working and management will also be beneficial. Excellent time-management skills are essential.
Person Specification Qualifications and Training Essential
* RGN
* General training in teaching and assessing
Desirable
* General training in Cannulation, venepuncture
Experience Essential
* Clinical acute or community
* Management Experience
Desirable
* Previous anticoagulation experience
* Experience of service development.
* Experience of completing staff appraisals
Knowledge and Skills Essential
* Advanced interpersonal skills
* Sound clinical knowledge
* Current anticoagulation CNS issues
Desirable
* Patient Manager Systems
* Research and Audit
Person Specification Qualifications and Training Essential
* RGN
* General training in teaching and assessing
Desirable
* General training in Cannulation, venepuncture
Experience Essential
* Clinical acute or community
* Management Experience
Desirable
* Previous anticoagulation experience
* Experience of service development.
* Experience of completing staff appraisals
Knowledge and Skills Essential
* Advanced interpersonal skills
* Sound clinical knowledge
* Current anticoagulation CNS issues
Desirable
* Patient Manager Systems
* Research and Audit
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.
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name
Epsom and St Helier University Hospitals NHS Trust
Address
Epsom and St Helier
Wrythe Lane
Carshalton
SM5 1AA
Employer's website
https://www.epsom-sthelier.nhs.uk/work-for-us (Opens in a new tab)
Employer details Employer name
Epsom and St Helier University Hospitals NHS Trust
Address
Epsom and St Helier
Wrythe Lane
Carshalton
SM5 1AA
Employer's website
https://www.epsom-sthelier.nhs.uk/work-for-us (Opens in a new tab)
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