Job summary
We are looking for an enthusiastic and motivated registered nurse to join our Anticoagulation Service as an Anticoagulation Specialist Nurse. This is an exciting opportunity to deliver high-quality, nurse-led anticoagulation care across hospital and community settings, working autonomously to manage a diverse patient caseload. The successful candidate will play a key role in improving patient access to specialist anticoagulation services while supporting the safe and effective use of anticoagulant medicines.

Main duties of the job
You will lead and deliver anticoagulation clinics, undertaking comprehensive patient assessments, interpreting clinical information and blood test results, and developing evidence-based management plans. The role involves providing expert advice and education to patients, monitoring anticoagulation therapy, identifying and escalating clinical concerns, and working closely with the wider multidisciplinary team to coordinate care. You will also contribute to service development, governance, audit activities and quality improvement initiatives within the service.

About us
Our mission, vision and values are at the heart of North Cheshire and Mersey NHS Foundation Trust (NCM). They underpin everything we do and everything we aspire to be as an organisation

Our mission is to be exceptional for our patients, our communities and each other

Our vision is to be a great organisation providing excellent healthcare and opportunities to work and learn

Our approach to healthcare is founded on our four core values:

Kind - we are caring, supporting and respectful to everyone

Open - we are honest, transparent and open to new ways of working

Fair - we listen, value our differences and are inclusive to all

One team - we work well together and with our communities

We employ almost 6,500 people from more than 80 nationalities and are fully committed to being an equal, diverse and inclusive employer. Our culture and values ensure that everyone is treated with dignity and respect, and that no job applicant or employee is disadvantaged at any stage of their journey.

We are also proud to be an Armed Forces Friendly organisation and welcome applications from members of the Armed Forces community, including veterans, reservists and families.

Working at NCM means becoming part of a dedicated team of clinical and support staff who are passionate about keeping people well and supporting wellbeing. If you share our values and are motivated by making a difference for our patients, we'd be delighted to receive your application

Job responsibilities
The Anticoagulation Specialist Nurse is responsible for delivering safe, effective and patient-centred anticoagulation care through independent clinical practice. Key responsibilities include:

• Managing an independent caseload within nurse-led anticoagulation clinics across hospital and community locations.
• Assessing, monitoring and reviewing patients receiving anticoagulation therapy in accordance with local and national guidance.
• Providing specialist advice, education and support to patients, carers and healthcare professionals.
• Interpreting clinical information and laboratory results to support treatment decisions and ongoing management.
• Maintaining accurate clinical records in accordance with professional and organisational standards.
• Working collaboratively with multidisciplinary teams to ensure coordinated care and effective patient outcomes.
• Supporting clinical governance activities including audit, service evaluation and implementation of best practice.
• Contributing to the development and improvement of anticoagulation services and pathways.
• Promoting high standards of patient safety, safeguarding, equality, diversity and inclusion.
• Acting as a clinical role model and supporting colleagues through advice, education and professional leadership.

For this role, we are seeking a registered nurse with post-registration experience, excellent communication and organisational skills, the ability to work autonomously, and a commitment to delivering high-quality patient care. Experience in anticoagulation services is desirable but not essential.

Person Specification
Experience
Essential

• Post registration experience

Desirable

• Anticoagulation nursing experience
• History taking

Qualifications
Essential

• Registered nurse with a degree or equivalent

Desirable

• Specialist anticoagulation qualification
• Degree with honours or equivalent
• PhD qualification
• Clinical examination module

Skills, knowledge and competencies
Essential

• Basic IT skills in e-mail, word processing and spreadsheets

Essential

• Clinically competent
• Initiation and implementation of change
• Communicate in a variety of settings with patients of varying levels of understanding
• Ability to communicate unpleasant and sensitive information
• Ability to present written information in a logical manner
• Able to manage your own workload, plan the work of others and work autonomously
• Effective delegation skills
• Experience in staff management, able to persuade and influence and handle conflict
• Knowledge of professional NHS issues
• Ability to develop effective interpersonal relationships with colleagues in the healthcare setting
• Be a reflective practitioner

Desirable

• Participation in service development projects
• Experience of developing care pathways relevant to the speciality

Specific role requirements
Essential

• Willing to work at pace and multitask

Physical effort
Essential

• Patient handling
• Use of manual handling equipment
• Non-patient manual handling

Physical skills
Essential

• Team player
• Flexible
• Motivated
• Good time management skills
• Able to use initiative
• Demonstrate a commitment to lifelong learning
• Use of computer for Lorenzo and ICE requests

Essential

• Assertive

Mental effort
Essential

• Able to rise to the challenge of a busy environement
• Able to use problem solving techniques
• Is able to recognise when to escalate concerns to a higher level

Emotional effort
Essential

• Can confidently manage patients experiencing long waits for treatment
• Can address the needs of patients with mental health disorders or escalate concerns beyond personal ability

Working conditions
Essential

• Can work in a busy clinical setting in a sometimes noisy environment with occasional interruptions

Disclosure and Barring Service Check
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.

Certificate of Sponsorship
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.

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

Employer details
Employer name
North Cheshire and Mersey NHS Foundation Trust (WHH)

Address
Warrington Hospital (with requirement to travel to Halton Hospital and other clinic locations)
Warrington
WA5 1QG
United Kingdom

Employer's website
https://northcheshireandmersey.nhs.uk/

Employer contact details
For questions about the job, contact:
Anticoagulation Specialist Nurse Lead
Rachel Nisbet
rachel.nisbet@nhs.net
01925664217