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Job summary

Main area
Specialist Anticoagulation manger
Grade
NHS AfC: Band 7
Contract
Permanent
Hours
  • Part time
  • Job share
22.5 hours per week (Tuesday, Wednesday and Friday)
Job ref
393-NMUH-1221-A
Employer
North Middlesex University Hospital NHS Trust
Employer type
NHS
Site
North Middlesex University Hospital
Town
Edmonton
Salary
£49,178 - £55,492 Per annum inclusive of HCAS pro rata
Salary period
Yearly
Closing
Today at 23:59

Employer heading

North Middlesex University Hospital NHS Trust logo

Anticoagulation Nurse Manager

NHS AfC: Band 7

The North Middlesex University Hospital NHS Trust is a medium-sized acute and community trust with over 525 beds and over 600 community staff, serving more than 600,000 people living across Enfield and Haringey and the surrounding areas, including Barnet and Waltham Forest.

The hospital has been on its present site for over 100 years and was established as an NHS trust by statute in December 1990. The Trust’s services are provided on the North Middlesex University Hospital site as well as a range of community sites across the London Borough of Enfield, including at partner hospitals. They provide services in collaboration with a range of partners, including local GPs, acute, mental health and other community health service providers across North Central London.

In the year ending 31 March 2022, the Trust reported a turnover of £419.7m and employed almost 4,000 staff. Following the transfer of Enfield Community Services on 1st April 2023, this has increased as we have welcomed over 600 new staff including District Nurses, Community Matrons, Community Physiotherapists, Psychologists and many more across a wide range of adult and children’s community services in Enfield. It is an exciting time to join North Mid as we continue our journey to become an integrated care organisation to deliver high quality, seamless care in our local communities, with a focus on tackling health inequalities.

Job overview

The Manager/CNS for anticoagulation services will be required to provide a VTE/anticoagulation monitoring service for patients who are undergoing anticoagulation therapy within the Trust. This will involve the Manager/CNS supporting the Lead Nurse with the implementation of VTE/anticoagulation monitoring across the various clinical business units. The role will involve support to the VTE nurse in undertaking root cause analysis, ensuring effective communication of the process to the multidisciplinary staff, embedding VTE/anticoagulation standard in the care delivered to the patients and monitoring of the effectiveness of service delivered.

The Manager/CNS will predominantly lead and support the anticoagulation clinic nurses for anticoagulation services within the outpatient clinics. Ensure the Trust maintains the 95% CQUIN target set by NHS London. Be responsible for education and training of staff and patients in all aspects of anticoagulation care within the trust.

Support with the collection of VTE data required for the CQUIN target, to ensure information is collected in a timely manner.

The post holder will  will manage the Anticoagulant clinic three days a week in the OPD setting to enhance the anticoagulation service.

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

Working for our organisation

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 organizations remain 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

Detailed job description and main responsibilities

 To provide a holistic, autonomous nursing service by attending to physical, psychological and social needs of patients and where necessary implementation an agreed management plan for optimum care and treatment of their complex problems or potential problems.

 To effectively run nurse led outpatient clinics along side specialist nurse.

 To initiate and follow up patients with DOACs and discharge safely to GP care

 To health promote prevention of VTE and treatment.(Root cause analysis, HAT and safety thermometer)

 supported by a Lead nurse or independently in the absence of a
Lead nurse within clinical competency.

 To work along side specialist nurses and Lead nurse undertake rescue work through direct access to patients to provide advice with regards to side effects and symptom management to prevent admissions

 To provide patient centered care supporting adherence to treatment.

 To undertake teaching of patients (and carers if appropriate) in the treatment and management of anticoagulation therapy medicines

 Assist specialist nurse in developing effective links with GP’s and Practice

 nurses to support the continuing care and treatment of patients, including monitoring and sharing of information.

 To provide a telephone help line within work hours, providing direct access for patients and outside agencies including GP’s

 Responsible for patient safety and high standard of specialist care for all patients on anticoagulation therapy within the service

 Be responsible for appropriate action and medical referral for patients in the management of thrombosis and anticoagulation therapy

 To liaise closely with specialist nurses and Lead Nurses to ensure the effective triage of referrals to enable patients to access the appropriate element of the anticoagulation service


To assist specialist nurses and be responsible for making appropriate referrals to hematologist, respiratory consultant , vascular surgeon and other specialist team as required.

 To assist anticoagulation specialist nurses and Lead Nurse in the on going specialist care of patients both in hospital and outpatient settings, acting as a central point of contact.

 Participate in national benchmarking of the anticoagulation service, carry out audit in line with NPSA alert , NICE in conjunction with the Clinical Lead and Pharmacist.

In conjunction with consultant and various members of the multidisciplinary team responsible for development of protocols for investigations, treatments for the management of patients with thrombosis and anticoagulation therapy

 Responsible for contributing to specialty clinical governance group

 Able to act independently within agreed protocols in collaboration with consultant colleagues.

 Being a resource to patients, relatives, GP practice and colleagues on aspects of thrombosis and anticoagulation therapy management.

 To manage physical resources ordering stock, and non-stock and specialist medication and equipment and consumables.

 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 nursing 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 DAWN AC maintain accurate records of all patient encounters in line trust record keeping policy NMC

 To initiate and maintain up to date spreadsheet (computerized) of all patient encounters in line the NPSA alert audit

 To be a resource to GP practices and staff with detailed guidelines and monitoring information.

 To ensure information leaflets are available to patients and GP practices as needed.

 Promote and create a climate of clinical enquiry through practice

 Liaise with company representatives to keep abreast of current treatments and products. To act as a resource for providing advice on choice and use of specialist products to the MDT.

 Inputting data onto an appropriate database to ensure quality data and records.

 Undertake research projects in line with research skills and knowledge with a view to presentation and publication.

Person specification

Education and qualifications

Essential criteria
  • Registered Nurse Degree Level
  • Anticoagulation course/ recognized evidence of education
  • qualification in Health Care Teaching Qualification or equivalent
Desirable criteria
  • Completed and attained the Nonmedical prescriber course

Skills and abilities

Essential criteria
  • 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 criteria
  • 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 criteria
  • Experience of working with DAWN AC anticoagulation software

Employer certification / accreditation badges

Capital Nurse, LondonApprenticeships logoNo smoking policyAge positiveDisability confident employer

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Jodie Edwards-Nurmi
Job title
Lead Nurse
Email address
[email protected]
Telephone number
07715034223