The programme

Yorkshire and Humber AHSN is leading the transformation of how the prevention of Atrial Fibrillation (AF) related stroke is achieved across the region. By scaling up and spreading AF related stroke prevention strategies across the region  we will see care improved at pace and scale.

Why?

Many strokes associated with AF can be avoided. Each AF related stroke causes life changing morbidity and suffering. We have estimated that there are 38,736 people in Yorkshire and Humber who have AF but are not on their GP’s AF register. Of the 111,074 people known to have AF, 16,580 are at high risk of stroke and are not being adequately protected. The consequences of these facts are 1,312 avoidable strokes per annum. In addition to the obvious benefits for patients, the effective management of AF could result in a £124m per year saving across England as a result of avoided strokes. Reducing the NHS deficit and avoiding unplanned care and mortality are key components of the Five Year Forward View.

How are we helping?

Across Yorkshire and Humber we are capitalising on exemplars of effectiveness such as the West Yorkshire Healthy Futures Stroke Programme, West of England AHSN’s “Don’t wait to anticoagulate” programme and the locally produced Community Pharmacy AF consultation resource to bring about the improvements in care. We have built a programme that has the flexibility to build on the innovations in AF, which have been developed by AHSNs across the country. Examples of which can be found here.

We have partnered with West Yorkshire & Harrogate Health and Care Partnership to target a quality improvement programme to GP practices with the most opportunity to prevent AF related strokes. This innovative programme will work with 80 practices to prevent at least 190 strokes in the next 3 years.

We are supporting GP practices across the region with Quality Improvement methods to identify and treat patients with AF, making best use of technologies such as mobile ECG devices and computerised case-finding.

The Expected Impact

  • A minimum of 190 strokes avoided over the next 3 years.

Next Steps

  • We are recruiting GP practices from across Yorkshire & Humber to take part in our innovative programme of stroke prevention. Details of how to get started can be found in this presentation.
  • We are supporting the roll out of mobile ECG devices funded by NHS England. Any health or social care provider in the Yorkshire & Humber region that wishes to obtain and use one of the mobile ECG devices can enquire here.