Pharmacist Led Anticoagulation Initiation in Primary Care


Specialist anticoagulation pharmacists provided clinical sessions in 12 GP practices. The pharmacists took referrals from GPs but also reviewed the AF registers to identify patients who required review. Over 1,000 patients received a desk-top review and 465 patients received a consultation by a specialist anticoagulation pharmacist.

  • 112 patients were initiated on anticoagulation. 
  • 140 patients with poor TTR on warfarin were transitioned onto a DOAC.
  • 29 patients had their DOAC doses corrected. 
  • Estimates suggest that up to 13 strokes per annum have been prevented as a result of the programme and that a further 10 patients have been protected from medication-related harm as a result of prescribing errors.

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