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As of 1 April 2018 Liverpool Community Health Trust has been acquired by Mersey Care NHS Foundation Trust.

For more up to date information please visit: www.merseycare.nhs.uk/our-services/physical-health-services/ to access Physical Health Services.

You can contact Liverpool Community Services' Patient Advice and Liaison Service on:

Tel: Freephone 0300 7900 224 or 0151 295 3019 Email: csd@liverpoolch.nhs.uk

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Anticoagulation Service

What We Do

Liverpool Anticoagulation Service 

Liverpool Anticoagulation Service is collaboration between Liverpool Community Health (LCH) NHS Trust and the Royal Liverpool and Broadgreen University Hospitals NHS Trust.

The service operates in a range of community settings and cares for over 7000 patients registered with Liverpool GPs, who are maintained on an oral vitamin K antagonist anticoagulant (Warfarin or Sinthrome).  

Patients have access to 35 clinics in 24 community settings across Liverpool and a domiciliary service is available for housebound patients.

The service is jointly managed by 2 Clinical Leads who are supported by a Service Support Manager.

The service consists of an experienced team of Pharmacists and Specialist Nurses as well as Anticoagulant Specialist Technicians, Phlebotomists and Administration Clerks.  

In a recent survey, 99% of all patients surveyed rated the overall service as excellent or good.

The team won LCH Healthcare Awards in 2014 and 2015 and are currently a Northern finalist in the Royal Pharmaceutical Society’s ‘I Love My Pharmacist’ national awards.

If you have any questions please call the help line on 0151 247 6066. The line is open Monday to Friday 08.30am – 18.30pm

What do Warfarin and other anticoagulants do?

Anticoagulants are a group of medicines which prevent harmful blood clots from forming in blood vessels by increasing the time it takes for blood to clot. They are used to treat several medical conditions including Atrial Fibrillation, bloods clots in the legs and lungs, blood clotting disorders, and they are also used for patients with mechanical/tissue heart valves.

Who is our Anticoagulation Service for?

Our Anticoagulation Service is provided for adult patients in Liverpool who are already on anticoagulant therapy for any medical condition. The service is also able to start patients on Warfarin following a referral from their GP.

What does our Anticoagulation Service do?

Our Anticoagulation Team measures the time it takes for blood to clot. This test is called the INR. If the result is out of range i.e. too high (blood is too thin) or too low (blood is too thick), the team will adjust the dose of oral anticoagulant. The team will take into account any factors which may have affected the INR, such as a course of antibiotics.

The anticoagulant dose required to achieve the target INR varies for each patient. By keeping the INR inside the required range, this reduces the risk of a clot and minimises the risk of bleeding.

What can you expect from our Anticoagulation Service?

In a clinic setting patients will be seen face to face and will receive a finger prick test to determine the INR value. The patient will then have an opportunity to discuss any changes that may affect the INR e.g. changes to medication, missed doses, lifestyle factors etc. We will also discuss the results of the test and decide a suitable dose of oral anticoagulant. This dose will be printed on a form and the patient will be given their next appointment date and time before they leave the clinic.

The finger prick test is also offered to housebound patients and patients in residential care homes.

Occasionally it may be necessary to carry out venous testing (blood sample from the arm) if the condition that the patient is being treated for, or the results of the finger prick test requires it. 

North Liverpool Clinics

Where do we provide our Anticoagulation Service?

The service operates several clinics on different days and at different times across Liverpool. These are:

North Liverpool

Clinic

Opening Times

Breeze Hill Neighbourhood Centre L9 1AD

Monday AM, Thursday PM, Friday PM

Croxteth Clinic L11 0BS

Thursday AM, Thursday PM

Norris Green Health Centre L11 5AF

Wednesday PM 

Oriel Drive Health Centre L10 6NJ

Thursday PM 

Taron House Medical Centre L9 0EH

Friday AM 

Townsend Lane Neighbourhood Health, 98 Townsend Lane Centre L6 0OY

Wednesday AM

For housebound patients, the service is also provided in patients’ homes and in residential / care homes.

Central Liverpool Clinics

Where do we provide our Anticoagulation Service?

The service operates several clinics on different days and at different times across Liverpool. These are:

Central Liverpool

Clinic 

Opening Times

Derby Lane Medical Centre – L13 3DN

Tuesday AM, Tuesday PM

Dovecot Health Centre – L14 ONL

Monday AM

Everton Road Health Centre – L6 2EH

Tuesday PM

Kensington Neighbourhood Health Centre   L7 2PF

Monday PM Thursday AM  

Mere Lane Neighbourhood Health Centre – L5 0QW

Friday PM

Old Swan Health Centre – L13 2GA

Friday AM

Picton Neighbourhood Health Centre  L7 6HD

Friday AM

Priory Medical Centre – L6 4EW

Wednesday AM

Riverside Centre for Health – L8 6QP

Tuesday AM

Ropewalks General Practice – L1 5DL

Monday AM

Sandringham Medical Centre – L17 4JP

Wednesday AM

Vauxhall Medical Centre – L5 8XR

Tuesday AM

West Derby Medical Centre -L12 8QT

Thurs AM

 

 

 

For housebound patients, the service is also provided in patients’ homes and in residential / care homes.

South Liverpool Clinics

Where do we provide our Anticoagulation Service?

The service operates several clinics on different days and at different times across Liverpool. These are:

South Liverpool

Clinic

Opening Times

Belle Vale Health Centre L25 2XE

Friday AM

Childwall Neighbourhood Centre L15 6UT 

Monday AM, Wednesday PM

Fulwood Green Medical Centre L17 5AR

Thursday PM, Friday PM 

Greenbank Road Surgery L18 1HG

Wednesday PM, Thursday AM

Hunts Cross Avenue Surgery L25 8QT 

Monday PM, Wednesday AM, Wednesday PM

South Liverpool Treatment Centre L19 2LW

Tuesday AM, Tuesday PM

Speke Neighbourhood Centre L24 2SF

Thursday AM

For housebound patients, the service is also provided in patients’ homes and in residential / care homes.

Referrals

Who does our Anticoagulation Team work with?

Our Anticoagulation Team works closely with the patient's GP and the wider GP practice team, secondary care Trusts (hospitals), community pharmacists and other healthcare professionals. When the team has seen a patient, they inform the patient’s GP of the INR results, dose and next appointment date.

Who works in our Anticoagulation Team?

Our Anticoagulation Service is run by Nurses, Pharmacists and Anticoagulation Technicians who are specialists in anticoagulation and have many years of experience in this area of work.

How can you access our Anticoagulation Service?

Access to Liverpool Anticoagulation Service is by referral by a GP or hospital. Once the service has received a referral, they will contact you to arrange a convenient appointment.

How can you contact our Anticoagulation Service?

Patients under the service can telephone a patient advice line on 0151 247 6066, to discuss any concerns that they may have about their anticoagulant therapy or any changes that may affect their INR control e.g. medication changes and side effects, diet changes, appointment changes, hospital admissions or discharges.

The following information is for Healthcare Professionals ONLY

Information for GPs and other Healthcare Professionals who refer patients to our Anticoagulation teams:

How do you refer to our Anticoagulation Service?

Click here to download a copy of the referral form.

Waiting times for our Anticoagulation Service

Urgent referrals are actioned within 2 working days.

Non urgent referrals are actioned within 10 working days. 

Discharge criteria for our Anticoagulation Service

Patients can be discharged when they:

  • No longer require Anticoagulation Therapy
  • Are no longer registered with a Liverpool GP
  • Repeatedly fail to attend appointments (DNA)

Contact Details

Address:
Baylis 2, Liverpool Innovation Park,
Digital Way,
Liverpool
L7 9NJ

Tel:
0151 247 6066
Fax:
0151 247 6060
Email:
anticoagulation.services@liverpoolch.nhs.uk
Joint Clinical Leads: Lyndsey Stanley / Janet Davies

Service Support Manager : Mary Hayden

Rate the Service

If you have any feedback for our services, please feel free to contact us via our Patient Advice and Liaison Services (PALS).