These resources bring together methodologies, resources and support for commissioners and clinicians.

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Anticoagulation in Primary Care Service Specification

This service specification replaces all previous specifications for the provision of anticoagulation of service provision in primary ... read more

Primary Care Atrial Fibrillation Pathway

Primary Care AF pathway for patients with suspected Atrial Fibrillation. read more

Screening secondary care patients for atrial fibrillation: The SOS-AF service

This service is called Screening and Optimising Stroke Prevention in Atrial Fibrillation – SOS-AF. All people admitted to medical 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

AF Pathway

Best practice pathways ensure that we provide our patients with consistent, safe, high quality care across the entire network. read more

Clinical pathway for people with atrial fibrillation or at risk of atrial fibrillation

This clinical pathway has been prepared to support providers, public health commissioners and NHS commissioners to develop services and read more

Network of AHSNs’ partnership with the BMS-Pfizer Alliance for stroke prevention in AF

The BMS-Pfizer Alliance has partnered with the network of AHSNs to provide independent grant support to organisations for healthcare ... read more

Scarborough and Ryedale CCG

NHS Scarborough and Ryedale CCG (SRCCG) commissions healthcare on behalf of its local population across primary, secondary and tertiary read more

Anticoagulant Treatment in Atrial Fibrillation for Thromboprophylaxis

This card deck has multiple cards on diagnosing AF and Non-Valvular AF related stroke risk assessment and management. read more

2019 Wessex AHSN Pharmacists Anticoagulation Education

Wessex AHSN have focused on delivering a programme of education for community and practice pharmacists to enhance their ability to ... read more

Early prolonged ambulatory cardiac European Journal of Medical Research Open Access monitoring in stroke (EPACS): an open-label randomised controlled trial

Cardioembolism in paroxysmal atrial fibrillation (PAF) is a preventable cause of transient ischaemic attack (TIA) or ischaemic stroke; ... read more

SWAHSN Atrial Fibrillation Poster – Opportunistic AF screening in a podiatry setting

Atrial fibrillation (AF) is the most common cardiac arrthymia and often goes unnoticed until complications occur, the most significant ... read more

Atrial Fibrillation in Patients with Cryptogenic Stroke

Atrial fibrillation is a leading preventable cause of recurrent stroke for which early detection and treatment are critical. However, ... read more

Cryptogenic Stroke and Underlying Atrial Fibrillation

Current guidelines recommend at least 24 hours of electrocardiographic (ECG) monitoring after an ischemic stroke to rule out atrial ... read more

Opportunistic Atrial Fibrillation (AF) screening in a podiatry setting, Torbay, Devon

Atrial fibrillation (AF) is the most common cardiac arrthymia and often goes unnoticed until complications occur, the most significant ... read more

AF Standard Operating Procedure Final

The purpose of this document is to use a standardised and comprehensive process to check podiatry patients for possibly atrial ... read more

AF Quality Improvement Toolkit for Primary Care

Making improvements in primary care is a challenge. Many practices are under-resourced plus patient loads and demands are high.  ... read more

Know Your Pulse: Raising awareness to reduce atrial fibrillation-related strokes for the public and health professionals

The Innovation Agency, North West Coast Academic Health Science Network has run several campaigns to help highlight awareness of Atrial read more

Overview of AF – Don’t Wait to Anticoagulate

AF is a condition that affects the heart, causing it to beat irregularly and too fast. When this happens, blood does not flow ... read more

AF Flow Chart

Anticoagulation for AF-Related Stroke Prevention Guidance read more

Primary Care Clinical Pathway for AF Detection and Management

Primary care clinical pathway for Atrial Fibrillation detection and management. read more

IMpulse – Improving outcomes for AF patients in the West Midlands

Presentation detailing what IMpulse are doing to improve the outcomes of AF patients including Primary Care Upskilling Workshops. read more

Diabetes Podiatry and Atrial Fibrillation

Pilot work in County Durham & Darlington showed that for every 500 people having their annual diabetes foot check, 1 new ... read more

AF Raising Awareness Scratch Card

This scratch card developed by North East and North Cumbria AHSN is designed for use in community pharmacies and community settings to ... read more

Using Kardia by AliveCor

Tips to take a good reading using the AliveCor. Including possible outcomes and recommended action. read more

Using AF patient activation personas to inform the self-management approach

Higher levels of patient activation for self-managing health are associated with positive clinical and health care utilisation ... read more

IMpulse – AF – Improving Outcomes for AF Patients in the West Midlands

The West Midlands Academic Health Science Network (WMAHSN) recognised that there was considerable variation in pathways for the ... read more

Newham CCG Atrial Fibrillation Pathway Link

Newham CCG Atrial Fibrillation Pathway Commissioning Model. read more


This is a link to the SSNAP results portal. Here you will find results for the clinical, organisational, and post-acute organisational ... read more

NHS Blackpool make effective use of GRASP-AF

Since 2011, NHS Blackpool has been using the GRASP-AF quality improvement tool, in conjunction with other initiatives, to develop a ... read more

Pharmacist-led virtual clinics to optimise anticoagulation in AF

Lambeth and Southwark clinical commissioning groups (CCGs) delivered pharmacist-led virtual clinics to ensure all atrial fibrillation ... read more

West Yorkshire AC Clinic Provision – Baseline Review

The purpose of the baseline exercise is to identify opportunities for service improvement that could be delivered through collaborative read more

Excellence in anticoagulant guide

Excellence in anticoagulant care is a guide for commissioners and service providers, to help deliver a high quality anticoagulation service. read more

Newham CCG Anticoagulation Guide Link

Newham CCG, Initiating Anticoagulation: A Guide for Primary Care. This worksheet details the steps you have to complete in order to ... read more

North West Coast AHSN – Identification of AF Link

North West Coast AHSN. Innovative approaches to increase the identification of AF in the community and primary care. Including MyDiagnostick. read more

HIN AF Detection Device Review Link

Health Innovation Network’s AF Detection Devices Review – This report aims to capture current practice, summarise the ... read more

QIPP Case Study – Microlife Link

QiPP Case study, use of Microlife Watch BP Home A. NHS Erewash CCG Board identified the reduction of health inequalities with a ... read more

HIN AF Detection Device Review – Purchasing Issues Link

Issues to consider when purchasing devices for AF detection. read more

Wandsworth CCG Pulse Check Link

Wandsworth CCG undertook pulse checks in Flu clinics. read more

Heywood, Middleton and Rochdale CCG Link

Heywood, Middleton and Rochdale CCG Locally Commissioned Service Specification for AF Check in Influenza Vaccination Programme. read more

Dorset CCG Screening Link

Opportunistic screening for Atrial Fibrillation for over 65 year olds during flu clinics and anticoagulation for the ... read more

AHSN North East and Cumbria Podiatry Link

The Academic Health Science Network for North East and Cumbria, Podiatry and AF case finding. Patients with diabetes undergo an annual ... read more

Bromley CCG Pulse Check Link

Bromley CCG has embedded pulse checks within all of their commissioned services. read more

Southwark CCG Link

Southwark CCG raising awareness with the Know your Pulse at work campaign. read more

Pan-London information on patient self monitoring Link

Coagulators are used to monitor blood clotting using a standardised number called the International Normalised Ratio (INR) in people ... read more

Promoting adherence during anticoagulation therapy Link

Here is a road map of the different points that adherence support can be provided during a patient’s journey following initiation of ... read more

Pan-London patient information leaflet Link

This document aims to outline the process for delivering self-monitoring of International Normalisation Ratio (INR) in clinical ... read more

Mobile ECG Evaluation Report

The rollout of mobile ECG devices by the Academic Health Science Network programme was established to test if an intervention in the ... read more

Global Atrial Fibrillation Awareness Week – Match Day Programme

As part of global awareness week, the Health Innovation Network published this article in the Millwall match day programme to raise ... read more

Stroke Prevention in Atrial Fibrillation Leaflet

This leaflet aims to improve the detection of AF and optimise use of anticoagulants through the implementation of a package of tools ... read more

KSS AHSN Stroke Prevention in AF Project

KSS AHSN Alliance for Atrial Fibrillation (AF) aims to reduce the number of people dying or disabled by AF-related stroke, by ... read more

Opportunistic testing for Atrial Fibrillation using Alivecor in an Urgent Care Centre

It is well-known that early identification of atrial fibrillation (AF) has the ability to reduce AF-related strokes that are associated read more

ICHP AF Virtual Clinic in North West London

This case study aims to find and review patients with Atrial Fibrillation in order to confirm diagnosis, anticoagulate where ... read more

GP data cleansing initiative for atrial fibrillation and hypertension

Data cleansing of coding atrial fibrillation and hypertension in GP practices. The NHS Long Term Plan (Jan 2019) describes an ambition ... read more

CES – AF – A guide for Southwark General Practice

Primary care professionals are busy and operate in a complex system. Clinical Effectiveness Southwark approach strives to put the right read more

Specialist Pharmacy Service – Medicines Optimisation in AF

The first section of this document shows how to use nationally available data to build a picture of care for people who have atrial ... read more

Excellence in AF – Oxford AHSN

A collaborative project that utilised clinical audit and review by specialist pharmacists to identify patients with AF who were at a ... read more

Oxfordshire Anticoagulation Optimisation

We undertook a project to demonstrate that an outreach education and support service by specialist anticoagulation pharmacists, with ... read more

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 ... read more

NENC Scratchcard Case Study

NENC developed a scratch card for use by people coming into community pharmacies which would stimulate people to ask the community ... read more

Opportunistic pulse checks in primary care to improve recognition of atrial fibrillation

This case study evaluates the impact of a systematic programme to promote pulse regularity checks in general practice on their uptake ... read more

GP Upskilling Presentation

This presentation is a detailed overview of the burden of AF and the implications for Primary Care. read more

Innovation Agency Case Study – Precision medicine with Genotype guided dosing

Personalising medicine has the potential to completely transform the way we deliver health care. In Cheshire and Merseyside, gene ... read more

Self-monitoring of INR in Warfarin management of patients with Atrial Fibrillation

The aim of this evaluation was to determine the effectiveness, acceptability and practicalities of the introduction of a read more

Innovation Agency Case Study – Warfarin Patients Self-Monitoring

Patients in East Lancashire are using technology and an app to monitor their atrial fibrillation (AF) at home. Around 200 people are ... read more

Atrial Fibrillation (AF) Webinar Questions

A set of questions and answers from the 24th September Webinar delivered by Dr Yassir Javaid. read more

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 ... read more

North East and North Cumbria AHSN – Implementation of a Small Hand-Held Pulse- Checking Device

In the North East and North Cumbria region, 86,626 people are estimated to be living with AF, with approximately 16,209 of those ... read more

GP Incentives Paper

This study aims to look at the effects of a local intervention for atrial fibrillation (AF) and hypertension, with surgeries rewarded ... read more

Intervention to improve pulse regularity check over age 65 years

A list of how to improve pulse checks for patients age 65 years and over. Including educational sessions, on screen alerts and ... read more

Standard Operating Procedure (SOP) for ECG Machine

An ECG is a simple and useful test which records and traces the rhythm and electrical activity of the heart. The aim of the ECG ... read more

Pulse checks for Atrial Fibrillation detection during diabetes foot checks

This case study discusses whether training podiatrists to provide opportunistic screening for atrial fibrillation (AF) during read more

Diabetes Podiatry & Atrial Fibrillation Brochure

A three-month pilot foot pulse-checking project aimed at increasing the diagnosis of Atrial Fibrillation (AF) identified a number ... read more

AF Champions

  The management of atrial fibrillation (AF) has become more complex over the last decade which, coupled with the increasing ... read more

Innovation Agency Case Study – AF Ambassadors

This case study details the Atrial Fibrillation Ambassadors programme. The AF Ambassador role has been created by the Innovation ... read more

Kardia in ED Paper

Multi-centre randomised controlled trial of a smartphone-based event recorder alongside standard care versus standard care for patients read more

Mobile ECG Devices Project Report (HIN)

This report covers the importance of detecting and treating Atrial Fibrillation with Mobile ECG devices. It aims to ... read more

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