Services Database Level 4 Anticoagulation Monitoring in Primary Care

Aims and objectives of service
The overall aim is to provide a safe and effective VKA prescribing and management
service across primary care in Derby and Derbyshire. In particular, the Enhanced
Service will:
• Ensure a safe, effective, timely and consistent high quality service is delivered to
patients by all anticoagulation service providers using appropriately trained staff;
• Ensure shared decision making is carried out between health care professional and
patient to achieve desired improvements in healthcare outcomes
• Ensure consistent procedures relating to testing, sampling and dosing across
service providers and between Primary and Secondary Care services;
• Ensure that maintenance of patients is controlled and the need for continuation of
therapy is reviewed regularly and therapy is discontinued where appropriate;
• Enhance the confidence and develop the skills of all service provider staff who have
an interest in anticoagulation management;
• Provide face to face or telephone consultation with an accredited practitioner for all
mobile service users
• Dosing done by an accredited practitioner
• Provide more services that are near to service users and are easily accessible and
flexible.