AF screening and rapid resolution - Community Pharmacies and Care City working together to develop a new Atrial Fibrillation Pathway
PHE ePoster Library. Craig J. Sep 12, 2018; 221429; 67
Mr. John Craig
Mr. John Craig
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Abstract Care City's innovative One Stop Atrial Fibrillation (AF) Pathway finds people with undiagnosed AF, reduces the number of appointments needed to confirm diagnosis and waiting times for treatment. It offers a cost-effective way to prevent 1600 strokes across England. It also demonstrates how public access to screening services and subsequent patient experience can be improved by delivering these interventions using digital innovation.Care City collaborated with North East London Pharmaceutical Committee, First Care Connection, Barts Health NHS Trust, Waltham Forest CCG and Sonar Informatics to trial early screening of AF using a KardiaTM Mobile, a handheld mobile ECG device funded by these partners, which can spot AF in 30-seconds. Those with an abnormal result were reviewed by a Specialist Arrhythmia Nurse and where necessary were invited to attend an appointment at the One Stop AF Clinic at Whipps Cross Hospital for further diagnostic tests and, if appropriate, treatment. Over the 6 month pilot, part of the NHS England and locally funded Test Bed programme, nearly 700 patients were screened across 21 pharmacies in Waltham Forest. Of those screened, 110 were referred for specialist review and of these 30 patients attended the clinic. Patients valued the efficiency of the pathway which enabled rapid access to information about their health. Professionals valued the multidisciplinary approach of this screening initiative which enabled working across traditional boundaries. This pilot contributed to pharmacy workforce development by enabling community pharmacists to expand their role in creating awareness and screening of AF in their local communities.
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