Job Description

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.

About us
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.
Details
Date posted
11 July 2025
Pay scheme
Agenda for change
Band
Band 7
Salary
51,883 to 58,544 a year pa inclusive of HCAS
Contract
Permanent
Working pattern
Full-time
Reference number
343-7308100-RB-SK
Job locations
Epsom and St Helier
Wrythe Lane
Carshalton
SM5 1AA
Job description
Job 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 Trusts 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. Job description
Job 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 Trusts 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

• RGN
• General training in teaching and assessing

Desirable

• General training in Cannulation, venepuncture

Experience
Essential

• Clinical acute or community
• Management Experience

Desirable

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

Knowledge and Skills
Essential

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

Desirable

• Patient Manager Systems
• Research and Audit

Person Specification
Qualifications and Training
Essential

• RGN
• General training in teaching and assessing

Desirable

• General training in Cannulation, venepuncture

Experience
Essential

• Clinical acute or community
• Management Experience

Desirable

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

Knowledge and Skills
Essential

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

Desirable

• Patient Manager Systems
• Research and Audit