Clinical Guidance

In this section, you will find examples of clinical guidance relating to Atrial Fibrillation stroke prevention.

This includes an overview of AF Management from the National Institute for Health and Care Excellence (NICE) as well as outlining a typical AF pathway.

There are also examples of clinical guidance from the European Society of Cariology and the Royal College of General Practitioners.

In light of the COVID-19 pandemic, this section also includes guidance from the NHS England on the management of anticoagulant services and Helen Williams, National Clinical Adviser for AF to the AHSN Network, has produced guidance on the safe switching of warfarin to direct oral anticoagulants (DOACs) for patients with non-valvular AF and venous thromboembolism (DVT/PE) during the coronavirus pandemic.

Professor Gary Ford, Vice Chair of the AHSN Network and Chief Executive of Oxford AHSN, has co-authored guidance for adapting stroke services during the COVID-19 pandemic, and reshaping them afterwards, in a collaboration with the Getting It Right First Time (GIRFT) programme.

The guide, ‘Adapting stroke services during the COVID-19 pandemic: an implementation‘, aims to help counter the impact of the crisis on NHS stroke services and build on changes adopted by teams across the UK, which will be beneficial in the post-peak phase of the pandemic. GIRFT’s joint stroke leads, Dr Deb Lowe and Dr David Hargroves also co-authored the guide.

Hosted on the British Association of Stroke Physicians (BASP) resource hub, the guide includes information on:

  • Telemedicine for remote decision-making about thrombolysis/thrombectomy.
  • Care at hospitals without acute stroke units.
  • Virtual clinics for transient ischemic attack (TIA) and minor stroke.

Featured Resources

Getting It Right First Time (GIRFT) programme

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Guidance for the safe switching of warfarin to direct oral anticoagulants (DOACs) for patients with non-valvular AF and venous thromboembolism (DVT / PE) during the coronavirus pandemic

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Clinical guide for the management of anticoagulant services during the coronavirus pandemic

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 read more

Atrial fibrillation: management – NICE guideline (update)

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Overview of AF Management

Examples of clinical guidance relating to Atrial Fibrillation stroke prevention. This includes an overview of AF Management from the ... read more

NHS Standard Contract

NHS Standard Contract 2019/20 Particulars (Shorter Form). Published: March 2019 read more

Risk Calculator

This resource will allow you to produce a specific risk sheet for your patient based on their CHA2DS2-VASc and HAS-BLED scores. Once ... read more

NICE – Patient Decision Aid

Atrial fibrillation: medicines to help reduce your risk of a stroke – what are the options? This information is intended to help ... read more

Lead-I ECG devices for detecting symptomatic atrial fibrillation using single time point testing in primary care

Evidence-based recommendations on lead-I electrocardiogram (ECG) devices (imPulse, Kardia Mobile, MyDiagnostick and Zenicor-ECG) for ... read more

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