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AF Virtual Clinic

Originating from Lambeth and Southwark CCGs and rolled out in South London by the Health Innovation Network, the AF Virtual Clinic model is an award-winning new care model, referenced in the NHS Long Term Plan, that aims to improve anticoagulation provision for people with AF.

The AF Virtual Clinic utilises anticoagulation specialists (usually a pharmacist or nurses) to complete an in-practice review of GP records to case-find people who have already been diagnosed with AF but are not receiving optimal treatment. The specialist anticoagulation pharmacist or nurse discusses these patients with the GP, in a virtual clinic, and develops a recommended treatment plan for the patient. The GP then discusses this with the patient, using shared decision-making skills, and they jointly decide on the best course of treatment.

By targeting help at those people most at risk of illness, and training up specialist clinicians, the NHS in England will help families across the country avoid the pain and loss associated with stroke.

NHS medical director, Professor Stephen Powis

In 2018, following the success of the model in South London, NHS England provided funding to 23 Clinical Commissioning Groups (CCGs) across England in a demonstrator programme to deliver AF virtual clinics and further evaluate this approach. Further information from NHS England regarding this can be found here.

The AHSN was heavily involved in supporting the CCGs throughout this programme and developed a suite of resources to support the delivery of the model including a baseline assessment of capacity, specifications for the anticoagulation specialist, and a data collection tool which can be accessed in this section. You will also find case studies from sites that have successfully delivered AF virtual clinics, including their impressive results on improving anticoagulation uptake and the number of AF-related strokes that have been prevented.

Featured Resources

Baseline assessment of capacity to undertake AF Virtual Clinic Programme

Confirmation of CCG capacity to take part in Atrial Fibrillation (AF) patient optimisation demonstrator programme read more

Example AF Virtual Clinic data collection form

Example AF Virtual Clinic data collection form read more

Template – AF Virtual Clinic Service Spec

Service Specifications read more

The Atrial Fibrillation (AF) Virtual Clinic Model – Slides

The Atrial Fibrillation (AF) Virtual Clinic Model - Slides read more

Virtual Clinics Webinar – FAQs

Virtual Clinics Webinar - FAQs read more

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