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Job summary

Main area
Specialist Anticoagulation manger
Grade
NHS AfC: Band 7
Contract
Permanent
Hours
Full time - 37.5 hours per week (Monday to Friday)
Job ref
391-NMUH-7492417
Employer
Royal Free London NHS Foundation Trust
Employer type
NHS
Site
North Middlesex University Hospital
Town
Edmonton
Salary
£53,751 - £60,651 Per annum including HCAS
Salary period
Yearly
Closing
12/10/2025 23:59

Employer heading

NHS

Anticoagulation Nurse Manager

NHS AfC: Band 7

Our trust has over 17,000 staff serving 2 million patients every year. It comprises Barnet Hospital, Chase Farm Hospital, the Royal Free Hospital, North Middlesex University Hospital and more than 30 services in the community.  This larger scale organisation provides an unprecedented opportunity for us to continue our pioneering work, particularly in finding ways to deliver even better care to our patients.

Our mission is to deliver world class care and expertise in our clinical services, underpinned by world class teaching and research and we will continue to measure our progress against our five governing objectives: excellent outcomes, excellent patient and staff experience, excellent value for taxpayers’ money, being safe and meeting our external duties, and building a strong organisation.

Everyone is welcome at Royal Free London NHS Foundation Trust. We're proud of our diversity and we continue to undertake new initiatives to advance equality for LGBT+, BME, gender equality, staff carers and people with disabilities and lived experiences to promote good relations and understanding between our staff.

Click here to view our video Welcome to the Royal Free


 

Job overview

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.

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

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 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

Nursing TimesApprenticeships logoNo smoking policyPositive about disabled peopleDisability confident employerTimewise PartnerCare Quality Commission - Requires improvementEnei MemberArmed Forces Covenant

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.

Application numbers

We reserve the right to expire vacancies prior to the advertised closing date once a sufficient number of applications have been received.

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