Pharmacy Technician (INR)

Carry out point-of-care INR

testing using approved devices in GP practices, community settings and

patients' homes.

appointments for anticoagulation and INR monitoring clinics.

information about warfarin, adherence, diet and lifestyle considerations,

bleeding risk, follow-up arrangements and when to seek urgent help.

out-of-range results, red-flag symptoms, possible bleeding or clotting

concerns, and any other clinical risk.

anticoagulation monitoring and dose management within agreed competency limits,

standard operating procedures and escalation pathways.

service pharmacists, prescribers, GP practices and the wider multidisciplinary

team.

with service protocols, risk assessments and lone-working procedures

collection, service evaluation and quality improvement.

equipment failures and safety concerns in line with organisational policy.

guidance, local anticoagulation protocols, professional standards and the

limits of your role and competence.

testing and complete all required training and updates.

clinical information accurately in INRStar and the patient's clinical record.

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

lifestyle considerations

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

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

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

Administration

Record INR results accurately in INRStar in line with

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

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

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.

Experience

Desirable: - Experience in INR/anticoagulation services; - Familiarity with INR monitoring systems (e.g. INR Star/DAWN)

Personal Qualities

Knowledge and Skills

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