To provide efficient and safe near patient testing and monitoring of patients disease state and anticoagulation status. To provide specialist advice and support to patients, relatives, and other health care professionals involved in the patients care. To provide the therapeutic adjustments of oral anticoagulants within the Anticoagulant Protocol to ensure patients are kept targeting INR. To perform dose adjustment and titration, by following the Anticoagulant Protocol. To ensure maintenance of anticoagulation kit and equipment. Work as part of the Anticoagulant team. Promote and monitor the appropriate and safe use of anticoagulant therapies within the service under the direction of the Contract Lead. Works under direction of the Anticoagulant Protocol. Performs near patient testing of all anticoagulant patients in a clinic or domiciliary setting. Receive, interpret and dose patients accordingly to maintain their target INR, considering interacting medication, disease state and any other factors. Initiate anticoagulant patients and manage transfer of their care from a hospital setting. Provide advice and support to patients and their relatives and carers as appropriate. Maintain anticoagulant kit and equipment, ensuring adequate supplies to carry out the clinic and domiciliary visits. Participation in NEQAS scheme. Work as part of the anticoagulant team and wider team of health care professionals, fielding queries and offering advice. Maintain appropriate records.