The Anticoagulation and Thrombosis service is a consultant nurse-led service at Barnet and Chase Farm Hospitals.

The team is supported by haematologists in the absence of consultant nurse.

The aims are to:

• provide access to right anticoagulation therapy for the patient that is evidence based
• achieve and maintain a safe, effective and efficient anticoagulant clinic
• increase patient adherence and attendance to follow up appointments
• reduce over and under anticoagulation and associated hospital admissions
• provide a comprehensive and individualised patient service
• ensure continuity and improve communication between all healthcare professionals
• provide information and education for patients, relatives, carers and healthcare professionals
• contribute to reducing health inequalities.

Reasons to refer to the anticoagulation service include: 

• one-stop specialist assessment anticoagulation service
• commence on anticoagulation therapy 
• assessment of risk versus benefit and review anticoagulation therapy based on suitability and safety 
• patients who are on Warfarin and require monitoring 
• a bridging plan
• patients with thrombosis, review duration and assess requirement for extended anticoagulation therapy
• assessment of adherence to treatment
• ambulatory deep vein thrombosis / pulmonary embolism where urgent appointment required.

The Ambulatory DVT service (day clinic for out-patients) manages patients referred directly from A&E to avoid hospital admission for deep vein thrombosis.

Types of clinics:

• new patient and follow-up patient in Barnet Hospital out-patient department: Monday, Wednesday and Friday 
• new patient and follow-up: virtual / telephone clinics, Monday, Wednesday and Friday 
• warfarin monitoring: Monday to Friday, 9am-5pm
• telephone support line patients and healthcare professionals is available Monday to Friday, 9am-5pm
• nurse consultant joint clinic with haematologist: Thrombosis specialist clinic, once a month on Tuesday afternoons.

Eligibility Criteria

Inclusions

• all patients on anticoagulation therapy or who require anticoagulation

How to Refer