This toolkit provides methodologies, resources and support for commissioners and clinicians working to reduce AF related strokes.

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Since 2016, the AHSN Network have delivered a nationwide programme focused on identifying and addressing the barriers to stroke prevention in AF across the patient pathway (Detect, Protect and Perfect), ensuring sustainable outcomes by focusing on pathway redesign, skilling frontline staff, spread and adoption of innovation and aligning system incentives. 

This toolkit is designed as a source of inspiration for anyone working in AF stroke prevention in the NHS and pulls together resources, practical tools and case studies. 

Why AF?


Across England Atrial Fibrillation (AF) is sub-optimally detected and managed resulting in avoidable strokes. 


Each year, about 15,000 people in England, Wales and Northern Ireland are admitted to hospital for an AF related stroke. SSNAP


Public Health England modelling suggests there are around 300,000 people in England with undiagnosed AF. NCVIN QOF


The average cost of an AF-related stroke to both health and social care has been calculated as £46,039 over the first 5 years. SSNAP

Opportunities for improvement


To navigate the available resources they are organised around the different elements of the AF pathway. Within each domain there are ‘opportunities for improvement’.



Find more >
Understand the actual local prevalence of AF compared to the expected prevalence.



Treat more >
Identify people with AF not receiving optimal anticoagulation.



Treat better >
Gather local knowledge on anticoagulant services. Ensure you capture data.

AF Improvement Cycle


Whichever domain or opportunities for improvement you concentrate on, our AF Improvement Cycle is designed to inform you of the core elements that make up the foundations of an AF improvement project.

This site is intended for Healthcare Professionals only

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