Job Description

###

Band 7

Main area

Clinical and Cancer Services

Grade

Band 7

Contract

Permanent: Mon-Fri 9am-5pm

Hours

Full time - 37.5 hours per week (Monday- Friday)

Job ref

343-7308100-RB-SK

Site

Epsom and St Helier

Town

Carshalton

Salary

51,883 - 58,544 pa inclusive of HCAS

Salary period

Yearly

Closing

25/07/2025 23:59
###

Job overview

###

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.



###

Working for our organisation

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.
###

Detailed job description and main 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 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.

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 criteria

RGN General training in teaching and assessing #####

Desirable criteria

General training in Cannulation, venepuncture ####

Experience

#####

Essential criteria

Clinical acute or community Management Experience #####

Desirable criteria

Previous anticoagulation experience Experience of service development. Experience of completing staff appraisals ####

Knowledge and Skills

#####

Essential criteria

Advanced interpersonal skills Sound clinical knowledge Current anticoagulation CNS issues #####

Desirable criteria

Patient Manager Systems Research and Audit ###

Employer certification / accreditation badges

###

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.