DOAC Medication Review Service
Safe, accurate DOAC prescribing and monitoring, handled for you
The safe and effective prescribing and monitoring of DOACs in primary care is becoming increasingly challenging. Our DOAC Review Service takes it on: an initial healthcheck and detailed audit report, risk-stratified patient reviews to optimise prescribing and dosing, and the tools and processes your team needs to keep monitoring and recall safe and up to date.
At a glance
- Covers
- apixaban, rivaroxaban, edoxaban, dabigatran.
- Delivery
- remote in your clinical system, with on-site review clinics where needed.
- Suitable for
- GP practices, PCNs, ICB medicines optimisation teams.
- Funding routes
- Project fee, PCN ARRS, ICB programme funding.
- Staffing
- pharmacist independent prescribers specialising in anticoagulation.
The challenge
A growing cohort, narrow dosing rules and monitoring that slips
More patients, more complexity
DOAC prescribing continues to rise, with more older, frailer and multimorbid patients on treatment, often alongside interacting medicines.
Dosing depends on moving targets
Correct dosing relies on renal function, weight, age and indication. When these change and the dose does not, patients are exposed to bleeding or thromboembolic risk.
Monitoring and recall fall behind
Renal function, full blood count and liver function checks are due at least annually and more often as renal function falls. Without a reliable recall process, overdue monitoring builds up unseen.
The service
From healthcheck to a monitored, recalled cohort
- 01
DOAC healthcheck
We validate your DOAC register, check coding, and run a structured search across indication, dose, renal function, weight, age, interacting medicines and monitoring status.
- 02
Detailed audit report
You receive a clear written report: cohort size, patients on an incorrect or unverified dose, overdue or missing monitoring, high-risk interactions, and a prioritised action list.
- 03
Risk-stratified patient reviews
Our pharmacist prescribers review patients in priority order to optimise prescribing, confirm accurate dosing, and make sure monitoring is clinically appropriate, safe and up to date. Changes are agreed with the patient, actioned and coded in your clinical system.
- 04
Tools, processes and handover
We set up searches, recall templates, a monitoring protocol and a standard operating procedure so your team can keep the cohort safe after we hand over, with optional ongoing monitoring support.
Our team
Specialists in DOAC prescribing
Our pharmacist independent prescribers are highly trained, experienced and specialise in DOAC prescribing and anticoagulation review. They work within agreed SOPs and your clinical governance framework, with a clear escalation route to your GPs for complex decisions.
- GPhC-registered pharmacist independent prescribers
- Specialist experience in anticoagulation and high-risk drug monitoring
- Dosing checked against current licensing and national guidance
- Every review documented and coded in your clinical system (EMIS Web or SystmOne)
- Audit trail suitable for CQC and ICB assurance
What you get
Outcomes we work towards
Every DOAC patient on a verified, correct dose
Monitoring complete and recall running to protocol
Reduced bleeding and thromboembolic risk from dosing and interaction errors
Evidence you can show commissioners and regulators
Two ways to take the service
One-off healthcheck and audit
Register validation, structured search, written audit report and prioritised action list. Ideal if you want to understand the scale of the problem first.
Fixed project fee.
Request a proposalFull review service
Everything in the healthcheck plus risk-stratified patient reviews, tools, SOPs and handover, with optional ongoing monitoring support.
Scoped to cohort size. ARRS or ICB funding routes available.
Request a proposalFrequently asked questions
- GPhC registered pharmacists
- Provider of NHS services
- ICO registered
Find out how many of your DOAC patients need a review
Send an enquiry and we will scope a healthcheck for your practice or PCN.