Anti-Coagulation Monitoring Service Providers


Patients who are stable on warfarin or acenoumarol can have their anticoagulant monitored in primary care within the South Kent Coast CCG locality.  Patients may wish to have their anticoagulant monitoring at any of the pharmacies or GP practices shown at the link below.  For some patients they may be able to have their monitoring carried out closer to home or at a more convenient location

Please note that this service does not cover warfarin initiation.  Patients who require warfarin initiation should be referred to East Kent Hospitals


Eligibility criteria

This INR service is for the ongoing monitoring of patients who have already been initiated on warfarin treatment and who have the following diagnoses:

  1. non-valvular and valvular atrial fibrillation (CHA2DS2VASc ≥ 1)
  2. a confirmed diagnosis of DVT or PE, who have been discharged from a recognised diagnostic service and have been referred by a specialist with a clear duration of treatment and INR target range specified
  3. Stable mechanical valves
  4. Other diagnoses where the specialist and anticoagulant monitoring provider agree that ongoing monitoring in primary care is appropriate


Location of services and how to book

Call the chosen provider directly to arrange regular monitoring appointments - Click here for full details


CHA2DS2-VASc Stoke Risk Score

Please use the CHA2DS2-VASc Stroke risk score to estimate the risk of stroke in patients with atrial fibrillation (AF).  This score is used to determine whether or not treatment is required with anticoagulation or antiplatelet therapy



Please use the HAS-BLED score table to assess the risk of bleeding in people who are starting or have started anticoagulation

Stroke Prevention in Atrial Fibrillation Risk Tool

Alternatively, you can use the interactive Stroke Prevention in Atrial Fibrillation Risk (SPARC) Tool to assess the risk of stroke in patients with atrial fibrillation, as well as the risk of major bleeding.  Click here for the tool

Advice and Guidance is being made available for all specialties, and is being provided by consultant specialists at East Kent Hospitals.  To make a request or to check to if a query has been answered, you will need to log in via the electronic Referral System (eRS)

Click here for the "how to access" e-Referral Advice and Guidance Manual for instructions on how to make a request and check responses

Have a question or query?

Get in touch