About this role
Job summary
Brighton & Hove Federation are supporting our member GP practices with INR Monitoring for their patients. This is a new service for the Federation and is an exciting opportunity to join a growing team within an organisation delivering high quality clinical services and innovation in Primary Care.
This role supports the delivery of a high-quality, safe, and efficient Primary Careled anticoagulation (INR) monitoring service for patients prescribed warfarin. The post-holder will carry out point-of-care INR testing, support dose management under protocol, and work collaboratively with multidisciplinary teams across Brighton & Hove Federation.
To ensure equity of access for patients, clinics will take place from a small number of sites across Brighton & Hove, including some domiciliary visits for housebound patients.
The service goes live on 1st August 2026 and we will be interviewing as and when suitable applications come in to ensure we have staff in place and trained for the start date. Early applications are recommended to avoid disappointment as this advert may be closed early if the position is filled.
This is a part time role for a maximum of 22.5hrs per week, split between multiple staff to ensure coverage across sites and throughout the week. Employment is on a casual basis.
Main duties of the job
Perform point of care INR testingEnsure accurate recording of INR results and relevant clinical information in INRStar and subsequently in the Patient Medical RecordSupport protocol driven anticoagulation monitoring processes using INRStar within agreed competency limits and escalation pathways Recognise and escalate out of range INR results, red flag symptoms, or clinical concerns to the supervising clinician in accordance with service protocolsProvide basic education on warfarin useUndertake domiciliary visits for housebound or vulnerable patients requiring anticoagulation monitoringPerform PoC INR testing safely within patients homes or other community settingsBook, coordinate and manage patient appointments for anticoagulation and INR monitoring clinicsEnsure patients understand testing procedures, authorised dosing instructions, follow-up arrangements, and when to seek urgent medical adviceRecord INR results accurately in INRStar in line with Point of Care testing SOPsMaintain accurate, contemporaneous PMRs (ensuring appropriate transfer of information from INRStar to the PMR)
About us
Brighton and Hove GP Federation is a practice owned organisation working at city scale to strengthen general practice and support a sustainable local health system. It enables GP practices to collaborate where this adds value, while remaining independent, locally accountable and clinically led.
The Federation delivers services and shared infrastructure at scale, reducing duplication and managing shared operational and financial risk. By coordinating delivery and investment, it supports practices to focus on patient care while addressing system pressures collectively. It works closely with member practices, PCNs, the Integrated Care Board and partners to develop practical, longterm solutions aligned with NHS values.
Any surplus generated is reinvested locally to support the workforce, strengthen primary care and build resilience, without private profit extraction. Membership provides access to shared services, collective problem solving and a stronger voice within the wider system.
The Federations work is guided by collaboration, sustainability, quality, equity and innovation, with the sole purpose of helping general practice thrive now and in the future.
Job description Job responsibilities
Clinical Duties
Perform point-of-care - PoC INR testing using approved devices in domiciliary, community, or GP practice settings
Ensure accurate recording of INR results and relevant clinical information in INRStar and subsequently in the Patient Medical Record - PMR
Support protocol-driven anticoagulation monitoring processes using INRStar within agreed competency limits and escalation pathways
Recognise and escalate out-of-range INR results, red flag symptoms, or clinical concerns to the supervising clinician in accordance with service protocols
Obtain and document relevant information affecting anticoagulation control including adherence, diet, recent illness, medication changes - acute and repeat, and potential drug interactions
Provide basic education on warfarin use, including:
AdherenceDiet and lifestyle considerationsRecognition of bleeding risks and when to seek help
Work within agreed competency frameworks, SOPs, escalation pathways and service protocols at all times
Domiciliary or community visiting
Undertake domiciliary visits for housebound or vulnerable patients requiring anticoagulation monitoring, in accordance with service protocols, risk assessments and lone working procedures
Perform PoC INR testing safely within patients homes or other community settings using approved equipment and processes
Support protocol-led anticoagulation monitoring activities during domiciliary visits
Assess the suitability and safety of the environment for clinical activity and work in accordance with infection prevention, safeguarding, moving and handling, and health and safety policies
Ensure the safe handling, transport, storage, cleaning, and maintenance of point-of-care testing equipment, consumables, and clinical supplies used during community visits
Maintain confidentiality, dignity, professionalism, and a patient-centred approach whilst delivering care in patients homes
Patient Care
Book, coordinate and manage patient appointments for anticoagulation and INR monitoring clinics
Ensure patients understand testing procedures, authorised dosing instructions, follow-up arrangements, and when to seek urgent medical advice
Provide patient centred support and education to promote safe anticoagulation monitoring and treatment adherence
Maintain a patient-centred approach at all times, ensuring dignity, respect, confidentiality, and equal access to the service
Support housebound, vulnerable or high-risk patients where service delivery includes outreach or domiciliary visiting
Assist patients with accessing appropriate follow up care and onward referral where required
Medicines Management
Support the safe monitoring and management of anticoagulation therapy in collaboration with service pharmacists, prescribers and the wider multidisciplinary team
Identify and escalate potential drug interactions or other factors that may impact anticoagulation therapy
Assist in medication review process as directed by supervising pharmacists and prescribers within agreed competency limits and escalation pathways
Promote safe anticoagulation monitoring and medicines management practices
Data Management & Administration
Record INR results accurately in INRStar in line with Point of Care testing SOPs
Maintain accurate, contemporaneous PMRs - ensuring appropriate transfer of information from INRStar to the PMR, in line with information governance and clinical safety standards
Support audit, reporting and data collection activities for service evaluation and quality improvement
Quality & Safety
Report incidents, near misses, equipment failures, or safety concerns in line with organisational policy
Work within national guidance e.g. NICE, MHRA, and local anticoagulation protocols
Monitor and report incidents, near misses, or safety concerns
Participate in clinical governance activities and audits
Maintain competence in PoC INR testing, including basic care and maintenance for the equipment, consumables and clinical supplies used within the service
Person Specification
Experience Essential
Experience working in NHS primary care or urgent care settings Understanding of anticoagulation therapy, particularly warfarin Experience using GP clinical systems (EMIS, SystmOne)
Desirable
Experience in INR/anticoagulation services Familiarity with INR monitoring systems (e.g. INR Star/DAWN)
Personal Qualities Essential
Polite and confident Motivated and proactive Ability to use initiative and judgement Forward thinker with a solutions-focused approach High levels of integrity and loyalty Sensitive and empathetic in distressing situations Ability to work under pressure
Knowledge and Skills Essential
Clinical awareness and patient safety focus Ability to work independently and make autonomous clinical decisions. Committed to data-informed decision making and continuous learning. Excellent communication and interpersonal skills. Effective time management (planning & organising)
Other requirements Essential
Flexibility to work outside core office hours Disclosure Barring Service (DBS) check Maintains confidentiality at all times
Desirable
Full UK driving licence
Qualifications Essential
Registered Pharmacy Technician with the GPhC
Desirable
Completion of anticoagulation or point-of-care testing training
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name Brighton and Hove Federation
Address Brighton & Hove Federation
Unit W4
Knoll Business Centre, 325-327 Old Shoreham Road
HOVE
East Sussex
BN3 7GS
United Kingdom
Employer's website https://www.brightonandhovefed.co.uk/ (Opens in a new tab)