AF Virtual Clinics in NW London


Brent and Harrow CCGs received NHSE investment to provide approximately 12 months of anticoagulation pharmacist capacity to case find over 1,500 untreated AF patients from GP records. The Virtual Clinic (VC) model involved these specialist pharmacists reviewing the patients, either via a multidisciplinary team (MDT) meeting or 1:1 with the GP, to confirm diagnosis and agree initiation of anticoagulation. If necessary, the anticoagulation pharmacist (linked to the local Trust) obtained cardiologist or haematologist advice to support the GP with their diagnosis, decision to anticoagulate or rationale for exception reporting.

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