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Job summary

Main area
Anticoagulation
Grade
NHS AfC: Band 6
Contract
Permanent
Hours
Part time - 22.5 hours per week (3 days of 7.5 hours per shift)
Job ref
249-8214638
Employer
Great Western Hospitals NHS Foundation Trust
Employer type
NHS
Site
Great Western Hospital
Town
Swindon
Salary
£39,959 - £48,117 per annum pro rata
Salary period
Yearly
Closing
24/09/2026 23:59

Employer heading

Great Western Hospitals NHS Foundation Trust logo

Anticoagulant Clinical Nurse Specialist

NHS AfC: Band 6

Great Western Hospitals NHS Foundation Trust is a unique organisation, serving as the sole integrated provider in the Bath and North East Somerset, Swindon, and Wiltshire system. Our scope extends beyond boundaries as we oversee adult community services in Swindon and provide acute care from the Great Western Hospital. 

Our 5,500 staff have 1.2m patient contacts a year, with 13,000 operations carried out in our Theatres, around 4,000 babies born, and our emergency attendances are now well over 100,000 per year. Those numbers only tell part of our story about what an exciting time it is to join Great Western Hospitals.

We are cultivating a culture that fosters our ambitions, prioritising equality, diversion, inclusion, wellbeing, and leadership. We aim to create an environment where every member of our team can truly thrive.

Applications for this role should be written by the applicant. If artificial intelligence (AI) programmes are used, then the application may be rejected due to this document being an important part of the assessment process. This does not prevent applicants seeking appropriate support with applications should they need to for the purposes of any declared disability.

If we receive a high volume of applications, we may close adverts prior to the published closing date. Therefore, we advise you to complete and submit your application as soon as possible.

Job overview

The Anticoagulant Clinical Nurse Specialist will be responsible for providing a Nurse/Pharmacist Led Anticoagulation Service offering advice and expertise within the area of Anticoagulation and also providing a dosing service for all oral anticoagulants for outpatients. It is expected that once competencies in anticoagulation have been gained that the post holder will undertake the NMP course.

Other duties will include: discharge planning, an outpatient DVT service, management of obstetric patients requiring anticoagulation, perioperative planning for anticoagulated patients and new patient clinics.

They will provide advice on all areas of anticoagulation therapy to colleagues and clients.

Main duties of the job

  1. To provide a practitioner-led Anticoagulation Service working within the Integrated Care and Community Directorate team working autonomously making independent clinical decisions (a Training program to reflect the achievements required will be commenced with the expectation that all competencies are signed off within 6 months)
  2. To work within and promote Trust protocols for Anticoagulation
  3. To run daily weekday outpatient anticoagulant clinics utilising point of care testing device
  4. Counselling and education of new anticoagulant patients
  5. To provide a telephone advisory service to answer patients’, medical staff and primary healthcare providers’ enquiries regarding anticoagulation
  6. To assist in the running of daily weekday outpatient postal clinics accurately adjusting warfarin doses according to protocol with the support of the specialised computer database (this requires working independently and also requires a high level of IT competency)
  7. To assist in the treatment of over-anticoagulated patients in line with established protocols
  8. To work to relevant PGDs relating to anticoagulation until NMP course achieved

Working for our organisation

We are proud to be part of BSW Hospitals Group – a formal partnership between Great Western Hospitals NHS Foundation Trust, Royal United Hospitals Bath NHS Foundation Trust and Salisbury NHS Foundation Trust. With a combined workforce of over 17, 600 colleagues, and budget of 1.6 billion the Group is united by a common purpose to deliver the best possible care to over 1 million people.

We are creating a health and care system that works with the people we care for, reducing the differences people currently face in access, experience and outcomes, improving the experience of our colleagues and tackling shared challenges like sustainability and finances. Every improvement we make across our Group will be guided by what creates the greatest benefit for our colleagues, our patients, our communities and our partners.

Detailed job description and main responsibilities

  1. To provide a practitioner-led Anticoagulation Service working within the Integrated Care and Community Directorate team working autonomously making independent clinical decisions (a Training program to reflect the achievements required will be commenced with the expectation that all competencies are signed off within 6 months)
  2. To collate and store information and statistics for all anticoagulated patients
  3. To maintain accurate records in line with Trust policy and NMC records and record keeping guidelines
  4. To work within and promote Trust protocols for Anticoagulation
  5. To run daily weekday outpatient anticoagulant clinics utilising point of care testing device
  6. Counselling and education of new anticoagulant patients
  7. To provide a telephone advisory service to answer patients’, medical staff and primary healthcare providers’ enquiries regarding anticoagulation
  8. To assist in the running of daily weekday outpatient postal clinics accurately adjusting warfarin doses according to protocol with the support of the specialised computer database (this requires working independently and also requires a high level of IT competency)
  9. To assist in the treatment of over-anticoagulated patients in line with established protocols
  10. To work to relevant PGDs relating to anticoagulation until NMP course achieved
  11. Together with team members ensure accurate maintenance of the Anticoagulation computer database
  12. To dose adjust oral anticoagulation for inpatients within SwICC
  13. To liaise with medical and nursing teams regarding anticoagulant related clinical problems with inpatients
  14. To support and facilitate early discharge of anticoagulant inpatients to maximize patient flow
  15. Together with team members run the Outpatient DVT clinic facilitating outpatient management, teaching patients/carers to administer low molecular weight heparin injections if appropriate
  16. In collaboration with the Obstetric Department initiate and monitor anticoagulation for obstetric patients under the direction of the Consultants Haematologists and Obstetricians according to protocol
  17. To actively participate in the arrangements pre-operative surgical patients receiving anticoagulation within established protocols providing advice to Day Surgery and other areas undertaking surgical procedures
  18. To comply with and support the Trust complaints procedures
  19. To assist in research and clinical trials as approved by the Trust
  20. To communicate urgent results and give appropriate advice to patients and GPs according to protocol
  21. To work in a professional manner with external agencies to promote good working relationships
  22. To work within a multidisciplinary team and have an understanding of the role of each member within the team

Person specification

Education, Qualifications and Training

Essential criteria
  • Accredited Anticoagulant Course
  • NMP or willingness to undertake as soon as sufficient anticoagulant experience has been gained (normally after 12 months)
  • PACR or similar course
Desirable criteria
  • Completion of any anticoagulation related course
  • PACR course or similar
  • NMP

Experience

Essential criteria
  • Experience of anticoagulation in course of work
  • Experience of caring for patients receiving anticoagulation
  • In depth experience of leading a team or holding a managerial position
  • In depth experience of working under own initiative and capable of critical decision making
Desirable criteria
  • Experience with anticoagulant therapy including warfarin and the DOACs
  • Experience of running nurse lead clinics

Employer certification / accreditation badges

NHS Pastoral Care Quality AwardVeteran AwareApprenticeships logoNo smoking policyPositive about disabled peopleAge positiveDisability confident leaderInvestors in People: GoldCare Leaver CovenantStonewall equality policy. Equality and justice for lesbians, gay men, bisexual and trans people.Step into healthArmed 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.

Documents to download

Apply online now

Further details / informal visits contact

Name
Sarah Bond
Job title
Specialist Pharmacist
Email address
[email protected]
Telephone number
01793 605575
Additional information

Karen Curtis or Martin Percival

Anticoagulant Clinic 01793 604344

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