Warfarin Clinic

Warfarin 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

Joanne Houghton

Lead Nurses

Debbie Cockle

Lisa Coombes

Lead G.P.

Dr S Biswas

Health Care Assistants

Jenn Tinsley

Lorraine McCormick

Katrina Cox

Advice for referrers:

Please refer using the electronic referral system. For urgent referrals please contact us on 01695 736000 and ask to speak to Joanne Houghton, Debbie Cockle 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