UCLPartners worked with 12 of their Clinical Commissioning Groups (CCGs) in the development and implementation of new models of care for people with atrial fibrillation.
Through engaging a variety of key stakeholder groups, including charities, clinicians and industry partners, UCLPartners identified areas of improvement along the care pathway for people with AF to improve outcomes. This involved looking at existing good practice across the local health economy in north east London and beyond, which could be adapted and spread across the region.
The programme primarily involved UCLPartners facilitating the adoption and spread of the model of care developed by the north east London Clinical Effectiveness Group (CEG). Specifically, UCLPartners worked directly with Camden CCG to improve the number of people with AF recorded on their GP registers over a period of six months using an AF dashboard.
- Integration of a clinical decision support tool into each GP practice
- Promoting screening initiatives in GP practices to identify and target specific at-risk populations for AF screening
- Providing all GPs with best practice information on the management of AF and the appropriate local anticoagulation pathways
- Conducting workshops and 1:1 educational sessions for clinicians and practice staff on the AF pathway
In addition to local improvements, UCLPartners worked collaboratively with the Health Innovation Network, Imperial College Health Partners, the London Clinical Network and charities to develop a pan-London AF programme. The aim of the programme being to reduce mortality and morbidity by preventing 1500 – 2000 AF-related strokes across London, saving between 350 – 450 lives over five years. Whilst also generating projected cumulative net savings of up to £5 million over the same period to the local health economy.
The objectives of achieving this were to:
- Increase the detection of people with undiagnosed AF
- Increase the proportion of people with known AF and at high risk of stroke who are receiving anticoagulation therapy
- Improve the quality of anticoagulation services
- Create a pan-London AF programme series of community of practice events, to support spread and adoption of best practice and optimal management of patients with AF.
The outcome of this collaboration has been creation of an online interactive toolkit (LINK) to guide and support commissioners, clinicians and the wider AF network through steps and resources to improve the detection and treatment of people with AF.