Don't Wait to Anticoagulate Project

In the next 4 hours:

10 people with Atrial Fibrillation (AF) in the UK will have a stroke

  • 3 will go home from hospital
  • 5 will need residential care for the rest of their life
  • 2 will die

Through the Don’t Wait to Anticoagulate (DWAC) Project, Bristol Clinical Commissioning Group, in partnership with the West of England Academic Health Sciences Network (WEAHSN), aims to reduce the number of strokes among people with AF in Bristol.

This project has now ended and the results and evaluation are being collated.

One way of reducing strokes in people with AF is to prescribe an anticoagulant. For this reason the DWAC project incentivised Bristol’s GP Practices to contact patients with a diagnosis of atrial fibrillation and were either not on an anticoagulant or were not stable on their medication to come in for a review.

Participating Practices invited patients to discuss their risk of stroke and what could be done to reduce that risk. If the patient and their GP agreed that anticoagulation medication was in their best interests, the most appropriate anticoagulant was then prescribed.

The DWAC Project ran until the end of May 2017, supported primary care providers to improve anticoagulation management for AF patients through a range of supportive measures including:

Clinical Skills Training was offered to all practices to ensure they are familiar with the latest information on the stroke risk that AF presents and the most effective treatments.

Quality Improvement (Q.I.) Training and Support to help practices to continue to refine the project delivery model and offer patients iterative improvement.

Ongoing Clinical and Q.I. Expertise was available to practitioners in the form of contactable experts in the treatment of AF and Q.I.

Prescribing Incentive Scheme Incentivisation helped practices fund the time needed to deliver additional consultations.

Medicines Optimisation Pharmacist Support funded by the CCG facilitated delivery of the project and led the quality improvement elements.

For further information contact DWAC Project Service Improvement Lead, Emma Bedggood at emma.bedggood@nhs.net

Practices can seek advice on cardiac care from the Cardiology Advice and Guidance service by following the pathway included in the documents library below.

As well as the resources contained in the documents library practices can find a raft of excellent information and support tools on the WEAHSN’s Don’t Wait to Anticoagulate website.

Wrap-up event presentations

Cover for Don’t Wait to Anticoagulate: the wider local and national picture

Don’t Wait to Anticoagulate: the wider local and national picture

Presentation by Anna Burhouse, Director of Quality West of England Academic Health Science Network.

Cover for Atrial Fibrillation overview and oral anticoagulants

Atrial Fibrillation overview and oral anticoagulants

Presentation by Shaba Nabi, Cardiovascular Lead at Bristol CCG.

Cover for Don’t Wait to Anticoagulate results: how did we do?

Don’t Wait to Anticoagulate results: how did we do?

Presentation by Kate Davis, Deputy Head of Medicines Management at Bristol CCG.

Cover for Antithrombotic therapy in AF and co-existing vascular disease and Single Episode Atrial Fibrillation

Antithrombotic therapy in AF and co-existing vascular disease and Single Episode Atrial Fibrillation

Presentation by Dr Jim Moore GP and GPSI Cardiology, Cheltenham.