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Atrial Fibrillation (AF) Population Health Dashboard

Description

Atrial fibrillation (AF) is the most common heart arrhythmia in the UK. People with undetected AF are at increased risk of experiencing a stroke (nearly 500%), which may lead to death or significant disability. This means early detection of AF to allow initiation of protective anticoagulant therapy is vital. The national and locally reported prevalence has been rising for the last 4 years, mainly due to the fact that patients over 65 are most likely to develop AF. Over time, as the local population ages, the risk of stroke will increase. It is estimated that around 14,000 people across North West London have undiagnosed AF and a further 4,500 are undertreated. Stroke prevention is a key priority for the North West London Sustainability and Transformation Plan (STP) and is being addressed through cross sector collaborative work. The aim of the Stroke Prevention Programme is to reduce strokes caused by undetected or poorly managed AF and Hypertension. Please refer to the dashboard user guide – https://www.nwlondonicb.nhs.uk/download_file/view/8920/1927

Results/Insights

Clinical uses of the AF Radar Dashboard: There are a number of scenarios where we envisage that the Stroke Prevention Dashboard may be of use:

  1. Case finding of undiagnosed AF patients: • Practices should check whether the prevalence of recorded AF is lower than expected - based on the characteristics of their population • Identify high risk patients by a number of parameters including red flags, risk factors, age etc. who have not had a check for pulse rhythm in the last year
  2. Prioritising patients for review: • The Dashboard allows the clinician to sort patients by a number of parameters including number of red flags, number of risk factors, TTR out of range, CHA2DS2VASC score or age
  3. Virtual clinics: • Exception reporting • Poorly controlled / off target patients o The dashboard allows the clinicians to review a list of patients sorted by e.g. TTR if on warfarin (or other parameters) quite rapidly without necessarily having to open every patient’s set of notes in the GP system.
  4. Recall for appointments o The medication review section allows a health professional to see who has not had medication review in any previous given period.

Details

License

Not specified

Last Updated

17/04/2026

Associated Authors

North West London ICB - Whole Systems Integrated Care (WSIC)

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