Pharmacy Technician (INR)NHS

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 testing
• Ensure accurate recording of INR results and relevant clinical information in INRStar and subsequently in the Patient Medical Record
• 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
• Provide basic education on warfarin use
• Undertake domiciliary visits for housebound or vulnerable patients requiring anticoagulation monitoring
• Perform PoC INR testing safely within patients homes or other community settings
• 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
• 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)

Job description

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:

• Adherence
• Diet and lifestyle considerations
• Recognition 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

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.