Anticoagulant Clinic

Anticoagulant Clinic

Average time is 15 minutes including dosing.

Clinics at Ormskirk, Old Skelmersdale and New Skelmersdale and Banks.

Clinics are held at different site locations Monday to Friday please ask reception for more details.  

Clinic Coordinator

  • Michaela Norton

Lead Nurses

  • Lisa Coombes

Clinical Leads

  • Dr A Oyeyele 
  • Jack Winter
  • Lisa Coombes

Health Care Assistants

  • Jodie Mackin
  • Claire Toole
  • Katrina Cox 
  • Michaela Norton
  • Liz Pointon
  • Ellie Mehnert 

​Advice for referrers:

Please refer using the electronic referral system. For urgent referrals please contact reception on 01695 317920 and ask for Michaela Norton or Lisa Coombes.

Please note that the following are absolute contraindications:

  • Active peptic ulcer, oesophageal varices, aneurysm, and proliferative retinopathy
  • Epistaxis and Haematuria
  • Recent organ biopsy
  • Recent trauma or surgery to the head, orbit, or spine
  • Recent stroke
  • Confirmed intracranial or intraspinal bleed
  • Uncontrolled hypertension >180/110
  • Infective endocarditis.
  • Pregnancy
  • Allergy to Warfarin
  • Blood borne Viruses
  • Antiphospholipid syndrome

These patients should be referred via haematology to the hospital clinic

And the following are relative contraindications:

  • History of gastrointestinal bleeding
  • Liver disease
  • Renal failure
  • Alcoholism
  • Mental impairment
  • Thrombocytopenia
  • Coagulation disorders
  • Interacting drugs, in particular non-steroidal anti-inflammatory drugs
  • Poor concordance
  • Poor attendance for regular blood tests.

These patients may be referred but please inform the provider.