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.