Location
London

Hours
Flexible working across hubs, boroughs, or practices according to service demand. May include extended hours or weekend clinics to support patient access.

Salary
£17.00 per hour

About the Role
The post holder will contribute to the delivery of a comprehensive Warfarin Monitoring Service and Direct Oral Anticoagulant (DOAC) Initiation and Review Service, operating across primary care hubs, GP practices, and community settings. This flexible and dynamic role involves close collaboration with GPs, pharmacists, nurses, and administrative colleagues to ensure continuity of care, safe prescribing, and robust follow-up. Some staff may undertake home visits for patients unable to attend clinic appointments due to mobility or health constraints. The clinician will maintain high standards of clinical governance, support quality improvement initiatives, and help develop and expand the service.

Teamworking and Collaboration
Collaborate effectively with the multidisciplinary team including GPs, nurses, pharmacists, HCAs, and administrative staff. Work across multiple primary care hubs or boroughs to share expertise and ensure consistency in service delivery. Attend regular team meetings, contribute to clinical discussions and service improvement planning. Provide mentorship and informal training for new or junior staff within the anticoagulation team. Liaise with secondary care anticoagulation clinics to ensure smooth transitions for newly discharged patients or complex cases.

Patient Care and Communication
Deliver compassionate, patient-centred care with an emphasis on education and empowerment. Use clear communication tailored to patients’ understanding, language, and cultural needs. Support self-management and encourage patients to take an active role in their anticoagulation therapy. Coordinate care with GP practices, community services, and hospital anticoagulation clinics to maintain continuity.

Clinical Safety and Governance
Maintain meticulous and contemporaneous records, ensuring compliance with data protection regulations and information governance standards. Adhere to local clinical governance frameworks, ensuring all activity aligns with agreed protocols and best practice. Report adverse drug reactions, significant events, and near-misses through appropriate mechanisms. Ensure equipment calibration, maintenance, and infection control procedures are consistently upheld. Participate in clinical audit and contribute to quality improvement cycles focused on safety and effectiveness. Follow lone working and risk assessment policies to ensure personal and patient safety.

Home Visiting (Where Applicable)
Provide safe and professional anticoagulation monitoring services to housebound patients. Manage portable INR testing devices and supplies safely, ensuring equipment integrity and infection control standards. Document outcomes immediately after visits and communicate findings to the wider team. Treat patients and carers with respect and sensitivity within their home environment. Note: Not all staff will undertake home visits; allocation depends on individual contracts and local service configuration.

Flexible Working and Mobility
Work flexibly across hubs, boroughs, or practices according to service demand. Participate in extended hours or weekend clinics if required to support patient access. Be adaptable to new models of care, including digital and virtual consultations. Provide cover for colleagues during absences to ensure service continuity.

Leadership and Support of the Clinical Lead
Support the Clinical Lead in maintaining a safe, effective, and high-quality anticoagulation service. Assist with implementing quality improvement initiatives and clinical governance actions. Provide feedback from frontline service delivery to inform leadership decisions and strategic planning. Represent the service professionally at local or borough-level meetings when delegated.

Data, Systems, and Record Management
Use clinical systems (e.g. INRstar, EMIS, SystmOne) to record results, doses, and patient communications accurately. Ensure data integrity and contribute to regular audits of record quality. Support collection and reporting of performance indicators such as number of patients reviewed, INR control, and safety incidents. Comply with data security and confidentiality standards at all times.

Education, Training, and Patient Empowerment
Deliver patient education regarding Warfarin and DOAC therapy, including dietary guidance, side effects, and red-flag symptoms. Provide written and verbal advice to support medication adherence and lifestyle choices. Participate in staff training, peer review, and clinical updates to ensure continuous learning. Keep up to date with current anticoagulation evidence, national standards, and device innovations. Support or deliver internal training sessions for new team members or students under supervision.

Equality, Diversity, and Inclusion
Provide equitable and accessible care to all patients, respecting cultural and linguistic diversity. Adapt communication and educational materials to meet varying literacy levels and patient needs. Promote inclusion within the team and uphold the organisation’s equality and diversity policies.

Health, Safety, and Infection Control
Follow infection prevention and control procedures at all times, both in clinics and home visits. Maintain safe disposal of sharps and clinical waste according to policy. Conduct dynamic risk assessments for patient interactions and report safety concerns promptly. Ensure personal safety through adherence to lone working and incident reporting procedures.

Service Values
The Anticoagulation Service is guided by the following principles:
- Safety: Prioritising the prevention of harm and maintenance of high clinical standards.
- Quality: Continuous improvement through data, feedback, and reflective practice.
- Collaboration: Multidisciplinary teamwork and shared learning.
- Accessibility: Flexible care models that meet diverse patient needs.
- Empowerment: Educating patients to understand and manage their anticoagulation therapy safely.
- Innovation: Embracing technology and new models of care delivery.

Career Development
Depending on qualifications and professional registration, opportunities for progression include:
- For Nurses or Pharmacists: Development toward independent prescribing, clinical leadership, or specialist anticoagulation practitioner roles.
- For HCAs: Advanced training in point-of-care testing, clinical support roles, or nursing apprenticeships.
- Participation in quality improvement projects, clinical audit, or research activities.

Experience
Previous experience in healthcare or clinical support roles is desirable. Experience working within anticoagulation or primary care settings is advantageous but not essential.

About you
Compassionate and patient-centred with excellent communication skills. Ability to work flexibly across multiple locations and adapt to changing service needs. Strong team player with the ability to collaborate effectively across multidisciplinary teams. Commitment to maintaining high standards of clinical governance and patient safety. Willingness to undertake home visits where required and adhere to lone working policies.

Qualifications
Relevant healthcare assistant qualifications or equivalent experience preferred. Basic clinical skills and knowledge of anticoagulation therapy beneficial. Willingness to engage in ongoing training and professional development. Compliance with local and national clinical governance and data protection standards.