Job summary
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

• 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)
• To work within and promote Trust protocols for Anticoagulation
• To run daily weekday outpatient anticoagulant clinics utilising point of care testing device
• Counselling and education of new anticoagulant patients
• To provide a telephone advisory service to answer patients', medical staff and primary healthcare providers' enquiries regarding anticoagulation
• 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)
• To assist in the treatment of over-anticoagulated patients in line with established protocols
• To work to relevant PGDs relating to anticoagulation until NMP course achieved

About us
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.

Details
Date posted: 11 September 2026
Pay scheme: Agenda for change
Band: Band 6
Salary: £39,959 to £48,117 a year per annum pro rata
Contract: Permanent
Working pattern: Part-time
Reference number: 249-8214638
Job locations: Great Western Hospital, Marlborough Road, Swindon, SN3 6BB, United Kingdom

Job responsibilities

• 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)
• To collate and store information and statistics for all anticoagulated patients
• To maintain accurate records in line with Trust policy and NMC records and record keeping guidelines
• To work within and promote Trust protocols for Anticoagulation
• To run daily weekday outpatient anticoagulant clinics utilising point of care testing device
• Counselling and education of new anticoagulant patients
• To provide a telephone advisory service to answer patients, medical staff and primary healthcare providers enquiries regarding anticoagulation
• 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)
• To assist in the treatment of over-anticoagulated patients in line with established protocols
• To work to relevant PGDs relating to anticoagulation until NMP course achieved
• Together with team members ensure accurate maintenance of the Anticoagulation computer database
• To dose adjust oral anticoagulation for inpatients within SwICC
• To liaise with medical and nursing teams regarding anticoagulant related clinical problems with inpatients
• To support and facilitate early discharge of anticoagulant inpatients to maximize patient flow
• Together with team members run the Outpatient DVT clinic facilitating outpatient management, teaching patients/carers to administer low molecular weight heparin injections if appropriate
• 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
• 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
• To comply with and support the Trust complaints procedures
• To assist in research and clinical trials as approved by the Trust
• To communicate urgent results and give appropriate advice to patients and GPs according to protocol
• To work in a professional manner with external agencies to promote good working relationships
• 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

• 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

• Completion of any anticoagulation related course
• PACR course or similar
• NMP

Experience
Essential

• 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

• Experience with anticoagulant therapy including warfarin and the DOACs
• Experience of running nurse lead clinics

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website.

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants.

Applicants must have current UK professional registration. For further information please see NHS Careers website.

Employer details
Employer name: Great Western Hospitals NHS Foundation Trust
Address: Great Western Hospital, Marlborough Road, Swindon, SN3 6BB, United Kingdom
Employer's website: https://www.gwh.nhs.uk/

Employer contact details
For questions about the job, contact:
Specialist Pharmacist
Sarah Bond
sarah.bond6@nhs.net
01793605575