Anticoagulation Nurse Manager | Royal Free London NHS Foundation Trust

Royal Free London NHS Foundation Trust; City Of London; On-site; GBP 40,000 - 50,000; Full time

Job summary

A leading NHS Foundation Trust in London seeks a Band 7 Nurse Manager for the Anticoagulation Clinic. This role involves clinical leadership, managing a team, and ensuring patient safety and effective anticoagulation therapy delivery. The ideal candidate will possess a nursing qualification, experience in anticoagulation services, and strong leadership skills. This position offers a dynamic working environment focused on patient-centered care and professional development.

Benefits

Continuous professional development opportunities

Supportive team environment

Flexible working arrangements

Qualifications

• Registered nurse with evidence of continuing professional development.
• Experience managing anticoagulation services is essential.
• Must be a qualified non-medical prescriber or willing to train.

Responsibilities

• Ensure delivery of a safe and effective anticoagulation service.
• Manage the anticoagulation service team and workload.
• Provide clinical assessments and lead on complex case management.
• Ensure compliance with clinical governance standards.

Skills

Leadership

Clinical expertise in anticoagulation therapy

Communication

Teamwork

Education

Nursing qualification

Additional training in anticoagulation

Tools

Helicon anticoagulation software

Job description

Overview

The Band 7 Nurse Manager for the Anticoagulation Clinic provides clinical and managerial leadership to ensure the delivery of a safe, effective, and patient-centered anticoagulation service. The role works with the Lead nurse, consultants, pharmacists, haematology, cardiology, and primary care colleagues to ensure seamless patient care across the pathway. They contribute to clinical governance, service improvement, and training initiatives within the trust. The post holder acts as the clinical expert in anticoagulation therapy, overseeing the care of patients prescribed warfarin, direct oral anticoagulants (DOACs), low molecular weight heparins, and bridging regimens within an outpatient clinic, and provides support to community services and primary care. They ensure initiation, monitoring, dose adjustment, education, and long-term management in line with national and local guidelines.

Responsibilities

• In addition to clinical responsibilities, hold full managerial accountability for the anticoagulation service team, including nurses and healthcare assistants. This includes workforce planning, rostering, recruitment, appraisals, training, and performance management.
• Run nurse-led outpatient clinics alongside the Lead nurse.
• Initiate and follow up patients with Warfarin and DOACs and discharge safely to GP care.
• Work independently in the absence of a Lead nurse within clinical competency.
• Undertake teaching of patients (carers if appropriate) in the treatment and management of anticoagulation therapy medicines.
• Be responsible for patients’ safety and a high standard of specialist care for all patients on anticoagulation therapy within the service.
• Liaise closely with specialist nurses and the Lead nurse to ensure effective triage of referrals to enable access to the appropriate element of the anticoagulation service.
• Contribute to specialty clinical governance group.
• Implement strategies to facilitate succession planning and retention of motivated staff.
• Set up clinics, maintain equipment, and be responsible for clients and staff as laid down by Health and Safety regulations.
• Act as a role model for junior members of staff.
• Involve in initiating DOACs and prevention of VTE (HAT).
• Work as part of the team.
• Be competent in the anticoagulation therapy software Helicon and maintain accurate records of all patient encounters in line with trust record-keeping policy and NMC standards.
• Undertake research projects in line with research skills and knowledge with a view to presentation and publication.

Clinical leadership and governance

• Act as the clinical expert for anticoagulation management across the trust. Undertake comprehensive clinical assessments, care planning, and treatment of patients on anticoagulation therapy.
• Prescribe and adjust anticoagulation therapy (if a qualified non-medical prescriber) or provide recommendations to prescribers.
• Support patients and carers with education, self-management, and adherence to anticoagulation regimens.
• Lead on the management of complex patients and provide advice to multidisciplinary teams.
• Ensure the service delivers safe care in accordance with NICE, MHRA, NPSA, and local clinical governance standards.
• Ensure equitable, timely, and safe access to anticoagulation services for all patients.
• Act as patient advocate, ensuring care is personalized and patient-centered.
• Maintain clinical oversight of caseloads across the anticoagulation service.
• Respond to complaints, incidents, and patient feedback, implementing learning and improvement.
• Ensure safeguarding procedures are embedded in service delivery.

Policies, budgets and information governance

• Develop, implement, and review local anticoagulation guidelines and standard operating procedures. Lead on policy development aligned with national and evidence-based practice.
• Contribute to Trust-wide strategic planning in hematology and long-term conditions management.
• Manage allocated service budgets efficiently, ensuring cost-effective use of resources. Authorize expenditure within delegated limits and maintain financial accountability.
• Ensure clinical equipment, INR monitors, and digital platforms are used safely and maintained appropriately.
• Ensure accurate and timely documentation in electronic patient records. Maintain robust systems for monitoring anticoagulation control (e.g., INR results, DOAC reviews).
• Provide regular reports on service performance, outcomes, and patient safety. Ensure compliance with information governance, confidentiality, and data protection policies.

People, quality and development

• Lead and participate in clinical audits, quality improvement projects, and benchmarking. Contribute to research activity in anticoagulation, thrombosis, and long-term condition management.
• Implement evidence-based practice and disseminate findings within the Trust and wider networks. Support staff engagement in clinical research, innovation, and continuous improvement.
• Undertake day-to-day management of the Anticoagulant Clinic team. Provide visible leadership and line management for the anticoagulation nursing team and support staff. Hold responsibility for rostering, supervision, appraisals, recruitment, induction, absence management, and performance management of staff.
• Promote a positive working culture, ensuring staff wellbeing, motivation, and retention. Lead staff development, ensuring appropriate training, competencies, and CPD. Promote collaborative working across disciplines, primary care, and secondary care.

ICS context and development

North Mid is part of North Central London integrated care system – consisting of the NHS and Local authority organizations in Camden, Islington, Barnet, Enfield and Haringey. As with other ICSs, we are working increasingly closely with partners and many financial and performance objectives are measured at this system level. While standalone statutory bodies, we have an ICS infrastructure for shared decisions and approaches. We are a training unit for medical students from UCL and St George’s University Grenada, and for nursing and midwifery students from Middlesex and City Universities.

Closing

This advert closes on Sunday 12 Oct 2025.