AHSNs across the country have been implementing innovations and improvements in the management of atrial fibrillation (AF), and the work of AHSNs, in partnership with their partners in the NHS and industry, has prevented hundreds of strokes already.
The AHSN Network’s AF Community of Practice brings together and utilises the knowledge and experience of people working for or on behalf of AHSNs to enable individual AHSNs to go further and faster in their endeavours to reduce the number of avoidable AF-related strokes.
The community is advancing the spread and adoption of innovations in the detection of AF and the use of therapies to avoid strokes by forming share, adapt and adopt groups.
Through our AF Community we aspire to prevent an additional 4,500 strokes over the next five years. Find out more about our work below…
Prevent Atrial Fibrillation Stroke: Tackling Challenges and Accelerating Improvements
24 November – Manchester, 6 December 2016 – Gatwick
Public Health England’s National Atrial Fibrillation Related Stroke Prevention Programme is working with the AHSN Network, NHS England, Arrhythmia Alliance, British Heart Foundation, AF Association and Stroke Association to host two highly interactive regional events. These events in Manchester and Gatwick set out to accelerate the delivery of high value and seamless care across the Atrial Fibrillation (AF) pathway, to optimise health outcomes and improve efficiencies.
Don’t Wait to Anticoagulate
This quality improvement (QI) programme led by the West of England AHSN supports primary care to reduce the burden of AF-related stroke. Don’t Wait to Anticoagulate offers a range of toolkits for clinicians, pharmacists and patients to enable shared decision making and optimise anticoagulation for patients with AF, supported by QI and clinical skills training.
In phase one the project was tested with 11 GP practices. 133 patients are now being anticoagulated as a result. Modelling shows that that between five and seven strokes were prevented in phase one; a potential saving of up to £163,205.
Phase two has just been completed working with a further 52 GP practices across Gloucestershire. The evaluation report by the University of the West of England will be published shortly.
Find out more and watch this short video:
10 AHSNs are now implementing Don’t Wait to Anticoagulate in their own regions.
Streamlining the patient journey
Wessex AHSN has enabled secondary care specialists to work in partnership with GP practices to provide care in the community and ensured a streamline patient journey linked to on-going care by the community pharmacist. Watch this short video to find out more:
Increasing anticoagulation rates in London
Following success in Camden in 2014, London AHSNs (UCLPartners, Health Innovation Network and Imperial College Health Partners) are now working together with GP practices across London. Based on early results, 70 to 90 lives will be saved and almost £700,000 in added value will be delivered to the NHS (net health cost) each year.
AliveCor is a highly effective mobile heart monitor that detects heart arrhythmias, including instantly highlighting AF in electrocardiograms. The monitor is being adopted by the Innovation Agency, Oxford, Imperial College Health Partners, UCLPartners, West Midlands, and North East and North Cumbria AHSNs.
Find out more here and watch these short videos from North East and North Cumbria AHSN and Greater Manchester AHSN:
The Innovation Agency and Greater Manchester AHSN have produced a dashboard featuring a range of tools associated with the measurement of AF. The dashboard includes data from NHS Digital (QoF, HES, SSNAP) Rightcare (NCVIN), Prescribing, GRASP-AF and therapeutic effectiveness data.
The AF Data Landscape Tool
Developed by Greater Manchester AHSN, the AF Data Landscape Tool provides NHS organisations with a common evidence platform to help stimulate and accelerate improvements to the AF patient pathway. The tool is supported by powerful infographics provided by East Midlands AHSN. Six AHSNs are now using the AF Data Landscape Tool.
Find out more here and watch this short video:
West Midlands Long Term Conditions Network
The West Midlands Long Term Conditions (LTC) Network is engaging with members on best practice in the delivery of clinical management of AF, both detection and treatment.
This work includes development of the AF component within the Manage Your Health (MYH) app, which will be freely available at the end of December 2016, and roll-out of AliveCor (see above) to general practice clinician users.
An AF section of the West Midlands AHSN’s LTC shared management website is being evolved featuring an online AF portfolio resource for clinicians.
Yorkshire & Humber AHSN have developed a commissioning strategy, which has led to an additional 1,940 patients receiving anticoagulation in just seven months.
Work with the Northern England Cardiovascular Network
The North East and North Cumbria AHSN has joined forces with the Northern England Cardiovascular Network to develop the Atrial Fibrillation (AF) Programme. This aims to reduce the number of strokes as a result of undiagnosed and untreated AF through targeted case finding and optimal treatment with anticoagulants.
The Pulse Check Challenge
As part of AF Aware Week 2016 the South West AHSN has invited 20 GP practices in Somerset to do the ‘Pulse Check Challenge’. The invited practices will be required to offer manual pulse checks to patients over a four-week period from 21 November to 9 December to help detect undiagnosed AF.
Supporting GPs and commissioners in Oxford
Oxford AHSN is leading a project to support GPs and commissioners across the region to drive though improvements in the detection and management of AF, leading to a reduction in AF-related stroke.
North West London
Read this blog post and watch the video to find out how partners in North West London with the support of Imperial College Health Partners are using innovative approaches to tackle atrial fibrillation.