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Sandy Lane Health Centre, Westgate, Skelmersdale. Lancs. WN8 8LA

Railway Road Surgery, 11 Railway Road, Ormskirk, Lancs. L39 2DN

Hillside Health Centre, Tanhouse Road, Skelmersdale. Lancs WN8 6DS

North Meols Medical Centre, Church Road, Banks Southport PR9 8ET

Tel: 01695 736000   Email: Welaccg.beaconprimarycare@nhs.net  Fax: 01695 556144

Surgery Closed? Not an emergency? Not sure what to do?   CALL 111

Warfarin Clinic:


The end of the cattle market!

Average time is 15 minutes. Including dosing.

Clinics at Ormskirk, Old Skelmersdale and New Skelmersdale.

Clinics on Tuesdays and Thursdays.


Clinic Co Ordinator

Joanne Houghton


Lead Nurses

Lisa Coombes

Debbie Cockle from June 2015



Lead G.P.

Dr S Biswas


Health Care Assistant

Michaela Hume

Carrie-Anne Rossiter

Advice for referrers:


Please refer using the form circulated to West Lancs Practices or using Choose and book. The service is indirectly bookable, and we hope to have it directly bookable in October 2015. For urgent referrals please contact us on 01695 736000 and ask to speak to or leave a message for any of the Anticoagulation team.


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