Atrial Fibrillation

The 15 Academic Health Science Networks (AHSNs) in England are working together to support improvements in AF practice.

Atrial Fibrillation (AF) is an irregular heartbeat and is the most common form of cardiac arrhythmia. NICE Guidance CG180 seeks to improve the detection and management of AF, however, Public Health England (2017) states that:

  • There are 1.4 million people with AF but 1 in 4 are undiagnosed.
  • People with AF have a five-times higher risk of stroke
  • AF accounts for approximately 20% of all strokes and 62% these people were not prescribed oral anticoagulation prior to their stroke.
  • 66% of AF related strokes can be averted with treatment.
  • AF related stroke is more devastating than other forms of stroke

[Reference – Public Health England: Five key interventions 2017]

Across the SW AHSN footprint it is estimated there are:

  • 18,650 people with undiagnosed AF
  • 2,984 people with AF who have not been risk assessed for stroke
  • 8,731 people eligible for anticoagulation, but not on it
  • 10,138 people likely to be receiving inadequate anticoagulation

[Reference – Public Health England & Great Manchester AHSN: Budget Impact Model 2015/16]

The 15 Academic Health Science Networks (AHSNs) are working together to support improvements in AF practice using the ‘Detect, Protect, Perfect’ framework. Through this, we aim to prevent AF-related stroke and associated mortality through better identification, treatment and on-going management of people with AF.

This can be achieved through:

  • DETECT – Increasing the detection and diagnosis AF in the population (case finding).
  • PROTECT – Increasing risk assessment and anticoagulation of people diagnosed with AF.
  • PERFECT – Improving the quality of anticoagulation and supporting people to self-manage aspects of their AF.

Resources

Below are a range of tools and services to support partners to deliver best practice for people with AF. Please click on the link for more information or if you would like to discuss further, please contact suzy.taylor@swahsn.com.

  • NHS England funded mobile ECG devices – available at no cost, via AHSNs. Expressions of interest NOW CLOSED. 
  • NICE guidance CG180 – (DETECT, PROTECT, PERFECT) – Overarching guidance from The National Institute for Health and Care Excellence (NICE) for the management of AF.
  • Budget Impact model 2016/17 – (DETECT, PROTECT, PERFECT) – Coming Soon!
  • Primary and Secondary Care Atrial Fibrillation Pathways – (DETECT, PROTECT, PERFECT) – Examples of AF pathways for primary and secondary care, developed by Kent, Surrey, Sussex AHSN and South East Clinical Networks.
  • Atrial Fibrillation: A guide for GPs – (DETECT, PROTECT, PERFECT) – A video by the South West Clinical Network on improving the detection and management of atrial fibrillation in Primary Care.

  • Starting Anticoagulation with Jack – (PROTECT and PERFECT) – A video by Wessex AHSN with advice and information for patients and carers about anticoagulant medicines, how they work and their potential side effects.