Anticoagulation Clinical Nurse Specialist

Job overview

The Anticoagulation clinical Nurse Specialist is a critical role, responsible for the safe, effective, and evidenced-based management of patients requiring anticoagulation therapy.

This includes both initiation and ongoing monitoring of oral and injectable anticoagulants (Warfarin, direct oral anticoagulants, low molecular weight heparin) across a variety of settings, including inpatient admissions and outpatient clinics, to provide support to inpatient teams, community services and primary care.

This clinical role involves the assessment, initiation, monitoring and ongoing management of patients on anticoagulation therapy. They will be responsible for the complex case management of anticoagulation planning, bridging therapy, and management in cases of complexity in high-risk patients.

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• Responsible for the safe management and review of patients on oral anticoagulants
• Administration of low molecular weight heparin to patients
• Lone working at Weekends and Bank holidays
• Current Nursing and Midwifery Council (NMC) registration.

• Evidence of study at degree level in Health/Nursing Related Studies.
• Mentorship module or have experience of teaching and assessing.
• Non-medical prescriber evidenced through NMC register (or working towards non-medical prescriber).
• Formal leadership and management training.
• Minimum of 3 years post registration experience to include at 1 year experience of taking charge of an area.

Working for our organisation

University Hospitals of North Midlands NHS Trust is one of the largest and most modern in the country. Based across two sites, Royal Stoke in Stoke-on-Trent and County Hospital in Stafford, we are proud to serve around three million people and we're highly regarded for our facilities, teaching and research. We are the specialist centre for major trauma for the North Midlands and North Wales.

All of our employees make a valuable contribution regardless of role here at UHNM and we are proud of our wide range of development packages aimed at ensuring that everyone has the opportunity to fulfil their true potential.

UHNM create and encourage a culture of inclusion, providing equal opportunities for career development that are fair and transparent. We are committed to being a diverse and inclusive employer and foster a culture in which all staff feel valued and respected. In return we ask all of our employees to make a commitment to the values, co-created by or staff, patients and carers, and that unite us as a Trust.

At University Hospitals of North Midlands NHS Trust we know that investing in, supporting and developing our staff has a direct impact on the quality of care that we deliver. Our employees are as important as our patients and the population that we serve.

Detailed job description and main responsibilities

• Communication with a range of clinical and non-clinical staff. Communicate using a range of methods to ensure a caring, sensitive and empathetic manner to patients and relatives.
• Communicate sensitive information about patients to other members of the healthcare team and with the consent of the patient.
• To exchange verbal and written information with patients, staff and carers requiring tact and diplomacy. The post holder needs to ensure that all barriers to understanding are overcome by using differing strategies to meet individual need.
• Deputise for the Lead Anticoagulation Nurse at Directorate/Divisional meetings and working groups in relation to improvement in patient care.
• Ensure that patient concerns are addressed and work with the Patient Advice and Liaison Service (PALS) and patient forums. Participate in the resolution of complaints/adverse incidents and support the Lead Anticoagulation Nurse/Anticoagulation Service Manager in the development and implementation of actions plans to prevent re-occurrence.
• To co-ordinate the patients’ journey, acting as a key worker, and lead on patient communication issues.
• It is expected that ALL employees of the Trust will take part in the appraisal process each year with the first appraisal taking place within the first 6 months from appointment.
• Current Nursing and Midwifery Council (NMC) registration.
• Evidence of study at degree level in Health/Nursing Related Studies.
• Mentorship module or have experience of teaching and assessing.
• Non-medical prescriber evidenced through NMC register (or working towards non-medical prescriber).
• Formal leadership and management training.
• Minimum of 3 years post registration experience to include at 1 year experience of taking charge of an area.
• Ability to lead change and lead new ways of working.
• The post holder will be responsible for the assessment of needs, development, implementation and evaluation of programmes of care in line with the NMC and reflect the Trust’s policies, procedures, standards and guidelines
• The post holder will demonstrate the skills for assessing and interpreting specialist acute and other patient conditions, taking actions as appropriate.
• Excellent time management skills.
• Contribute to the principles of clinical governance ensuring that quality standards are set and monitored and to ensure adherence to relevant local and national policy and guidelines.
• To assist in the development of specialist information booklets and leaflets for the care of the patient.
• The post holder will be required to have the dexterity and accuracy required for procedure such as venepuncture and the administration of subcutaneous injections and is able to demonstrate clinical skills.
• The post holder will be required to have standard keyboard skills, use of presentation, projection/multimedia equipment and e-learning resources.
• To act in accordance with the NMC Code of Professional Conduct for Nurses, Midwives and Health Visitors and to always be accountable for own clinical practice and professional actions. Ensure continued and effective registration with the NMC.
• Prescribe medications within locally agreed formulary for Anticoagulation Management.
• Implements policies and procedures, and proposes changes to practices for own area, contributing to the development of specialist protocols.
• Support the development and implementation of local standard operating procedures, patient information and policies.
• Demonstrate safe working practices in the use of equipment and resources in the clinical areas.
• Working with the Lead Anticoagulation Nurse, provide leadership to the clinical team and identify innovation in clinical practice.
• Contribute to the formal induction of all new staff.
• Updates and maintains patient records.
• Participate as an individual in surveys.
• May participate in clinical research, audits and trials.
• Accountable for own professional actions: not directly supervised.
• Leads in the development of care in specific element of care as directed by the Lead Anticoagulation Nurse.
• Combination of sitting, standing, walking; occasional moderate effort for several short periods.
• Concentration on patient assessments / procedures
• May deal with distressed relatives and patients.
• The post holder will have exposure to bodily fluids.
• The post holder will be a lone worker at times (weekends / bank holidays).

Important information about your application

1. All correspondence will be sent to you via the email address you applied from. Please ensure you check your emails regularly.
2. References - please ensure you provide email addresses for all referees for the last three years of employment.
3. We are committed to equality of opportunity and welcome applications from everyone regardless of ethnicity, disability, gender, age, faith or sexual orientation. Appointment will be based on merit alone.
4. Flexible working will be considered in line with Trust policies
5. New recruits are required to pay for their Disclosure and Barring Service check (and admin fee) prior to starting if the role requires a DBS check.
6. We work with ‘trac.jobs’ to support out recruitment process. If you have any queries regarding this please read this privacy notice.

University Hospitals of North Midlands NHS Trust (UHNM) has been awarded the Gold Award for proudly supporting those who serve. We actively encourage applications from the Armed Forces community.

We will communicate with you regarding your job application via email. Please be aware that we cannot guarantee the security of any emails sent/received via non encrypted format.

At UHNM we are fortunate to receive a high volume of applications for many of our roles, on this occasion we would reserve the right to close any advert early, therefore please apply without delay!

If you obtained your qualifications overseas, you will be required to provide an official government translation through ECCTIS (formerly known as NARIC). Please note, this is in addition to any professional registration requirements and not a replacement for your qualifications.

If you are currently in the UK on a visa, you must have at least six months remaining on your visa at the time of your start date to ensure sufficient time for the operational and training process associated with the role. The requirement of at least six months remaining on your visa does not apply to a Skilled Worker Visa, as a new Skilled Worker Visa would be required for a new role.

In line with the change of Immigration rules on 8th January 2026 if you require Sponsorship through the Skilled Worker Visa you must be able to provide B2 English evidence before a Certificate of Sponsorship can be issued.

Visa eligibility notice:
The UK Home Office has imposed an emergency brake on specific visa routes.

1. Skilled Worker visas cannot currently be issued to Afghan nationals.
2. Study visas cannot currently be issued to nationals of Afghanistan, Cameroon, Myanmar or Sudan.
   As a result, we are unable to progress applications requiring sponsorship under these routes.

UHNM supports the responsible use of Artificial Intelligence (AI) to assist in preparing your supporting statement. However, we reserve the right to reject applications where AI has been used in a misleading manner, for example, by implying experience or understanding that the applicant does not possess or where its use is excessive or unfair. If AI has been used to support your application, you must declare this within your submission.