Atrial Fibrillation

Atrial fibrillation (AF) is the most common cardiac arrhythmia and is a major cause of stroke. People with AF have five times the risk of a stroke compared to those with a normal heart rhythm. AF is responsible for around 20-25% of all strokes in the UK and these strokes tend to be more severe.  

Our AF offer

At Imperial College Health Partners we have been working closely with the North West London ICB to support primary care to proactively manage their AF patients through the Innovation for Healthcare Inequalities Programme (InHIP) AF project . 

The programme is nationally funded by NHS England and is running until December 2023 to help the ICB tackle health inequalities for patients in NWL with AF. 

  • It aims to identify, address and minimise healthcare inequalities for patients by increasing access to innovations, in this case the use of medicines called Direct Acting Oral Anticoagulant (DOACs).  
  • The Whole System Integrated Care (WISC) data is being utilised to identify our target groups.  
  • ICHP are also supporting the NWL AF Working Group in the design of PPIE activities to understand how these inequalities can be tackled



Our support focuses on three areas:


1. Detection

Finding new previously undiagnosed cases of irregular heart rhythm caused by AF in the community e.g. through opportunistic health checks, using a manual pulse check or an AF digital detection device. 

2. Protection

Reviewing patients with a diagnosis of AF, assessing their risk of stroke and treating with anticoagulant medicines (DOACs or Warfarin) to protect from AF-related stroke  

3. Perfection

Optimising anticoagulant medicines, ensuring correct dosing, patient education and adherence to treatment and self-monitoring, to reduce risk of adverse events such as bleeding. Patients may be supported in monitoring their treatment (e.g. INR if on Warfarin) by their GP practice or anticoagulation service. 

Explore our AF resources


Learn more about the UCLP proactive care frameworks

Explore the NICE Atrial Fibrillation guidelines

Read the North West London Implementation of the NHS National Framework Agreement for the Supply of DOACs

NHS Overview of Anticoagulant medicines

Video: Starting Anticoagulation with Jack

British Heart Foundation: Living with Atrial Fibrillation

NWL ICB Cardiology resources

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