Job summary
- 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
- Employer
- Epsom and St Helier University Hospitals NHS Trust
- Employer type
- NHS
- 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
Employer heading

Anticoagulation Clinical Nurse Specialist
Band 7
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
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
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
Further details / informal visits contact
- Name
- Judith Wolstenholme
- Job title
- Lead Anticoagulant CNS
- Email address
- [email protected]
- Telephone number
- 01372 735170
- Additional information
Email: j.wolstenholme@ nhs.net or [email protected]
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