This document is a framework service specification for the delivery of anticoagulation services for people with atrial fibrillation (AF).
The specification was developed by Anticoagulation UK in close collaboration with experts in anticoagulation from across primary, community and secondary care. The standards within this framework reflect best practice for services to adhere to, both during and beyond the COVID-19 pandemic.
This project has been fully funded by Bayer plc. The content is independent of and not influenced by Bayer plc who checked the final document for technical accuracy only.
Earlier this year (March 2020) the NHS issued a clinical guide for the management of anticoagulant services during the COVID-19 pandemic.
The guide suggested a review for some patients on warfarin therapy. For those patients who would be starting oral anticoagulation for the first time it was recommended that, where possible, DOACs should be prescribed to minimise the monitoring burden.
To help explain how DOACs work and the reason for either switching people to or starting people on these medicines, UCL Partners have developed a series of videos to share with patients.
The national roll out of mobile ECG devices by Academic Health Science Networks (AHSNs) was born out of a system-wide procurement initiative to promote the uptake of a digital technology (mobile ECG). This was a novel approach to facilitate innovation adoption which prompted the AHSN Network to commission an independent evaluation of the roll out, at AHSN level, to understand its effectiveness, and in particular what can be learned about: the environments in which the devices are most effective, what characterises an effective implementation package, the impact on the market place, patients (through AF detection) and providers; and the health economic aspects of this type of programme.
Anticoagulant services may not seem to be in the frontline with coronavirus but we do
have a key role in continuing to keep patients on anticoagulants as safe as possible; this
must be planned. In response to pressures on the NHS, the way we deliver
anticoagulants may need to change. We should seek the best local solutions to continue
the safe management of patients on anticoagulation while protecting resources for the
response to coronavirus
A new coalition led by Public Health England (PHE) and NHS England has announced the first ever national ambitions to improve the detection and treatment of atrial fibrillation, high blood pressure and high cholesterol (A-B-C) – the major causes of cardiovascular disease (CVD).