The aim of the Anticoagulation (Warfarin Monitoring) Locally Commissioned Service (LCS) is to offer a therapeutic anticoagulation monitoring service to Enfield patients who are receiving VKA (Warfarin) anticoagulant therapy.

The objectives are to:

• To provide increased capacity in the community to meet the appropriate demand for anticoagulation monitoring
• To improve the quality and accessibility of care to patients receiving anticoagulation therapy
• To meet local and national guidance with respect to providing a safe anticoagulation service
• To provide optimum care in terms of INR control
• To provide a service that is near to patients and is easily accessible
• To utilise dosing technology such as computerised decision support software (CDSS) e.g. INR Star
• To provide continuing patient education in understanding their treatment in terms of the condition requiring Warfarin, target INR range, the effects of over or under anti-coagulation, diet, lifestyle, and drug interactions.