AF Way project (January 2024 - March 2025)
Through a grant from Daiichi Sankyo, the West Yorkshire Integrated Care Board and Health Innovation Yorkshire and Humber have partnered together to deliver a West Yorkshire Atrial Fibrillation (AF) project called AF Way.
This project aims to improve the detection, protection and perfection of the treatment for those who could benefit from life-saving direct oral anti-coagulation (DOAC) treatment. We want everyone to have greater control of their health and their wellbeing, and to be supported to live longer, healthier lives by high quality health and care services that are compassionate, inclusive and constantly improving.
The project team includes Consultant Pharmacists in Anticoagulation and Thrombosis, Principal Pharmacy Technician, CVD prevention Clinical Lead, CVD Prevention Programme Manager and Project Manager. This page contains details on the project services, including:
- Integrated Virtual AF Service
- Resources for professionals
- Learning and Education - FREE
- Virtual live and recorded webinars
- In person learning events
- DOAC tool and user vidoes
- PrescQIPP Anticoagulation and Lipid Modification e-learning
What are the project objectives?
- Achieve the target of having 95% of the anticipated number of people with atrial fibrillation diagnosed by 2029
- Attain the target that 95% of patients with AF at high risk of stroke (CHA2Ds2VASc ≥2) are adequately anticoagulated by 2029.
- Understand existing detection pathways for patients and establish new pathways if there are gaps.
- Reduced risk of bleeding through improved dosing of anticoagulation.
- Provide learning, education, tools, resources and support for healthcare professionals to enable greater detection rates and promote long-term sustainable changes.
- Provide access to a competent practitioner close to home to understand their anticoagulation needs.
- Improve communication between care providers.
- Support the patient to have a shared decision-making conversation with the professionals involved in their care to choose the medication and/or management options best suited to their needs along with education focused on reducing risk factors.
What stakeholder engagement has taken place during this project, specifically in primary care?
Stakeholders for the project include the following professionals across all places:
- CVD place and clinical leads
- Medicines optimisation teams
- Improving Population Health Programme
- Public Health and wellbeing leads
- CVD colleagues within NHSE
- PCN staff and Practice Managers
Engagement with all of the above stakeholders is increasing as the project progresses. Project oversight and governance is reported through the West Yorskhire Improving Population Health governance structure.
Learning and education 
Webinars
Learning objectives: :
- Identify patients at high risk of stroke and systemic embolism.
- Understand use of CHA2DS2-VASc and ORBIT tools.
- Assess, prescribe and monitor DOAC use safely.
- Understand the data and how to run the DOAC AF search tool.
- Choose most appropriate DOAC for patients with high risks. Eg extremes of weight/ BMI, low renal function.
- Implement strategies to reduce thrombotic and bleeding risks while ensuring appropriate anticoagulation.
- Consider options if anticoagulation is unsafe. Increase your network and connections.
- Learn the uses of the DOAC tool and how to use it within practice. Click this link to access the AF WAY DOAC tool.
- All webinars will be recorded and can be accessed in the AF WAY Playlist on the West Yorkshire Health and Care Partnership YouTube channel.
Recordings and presentations
All webinars have been recorded and can be viewed on YouTube by clicking the links below. PowerPoint slides for each webinar are also available using the links below.
- DOAC Prescribing webinar PowerPoint slides: Update of DOAC choice, safe prescribing and DOAC AF tool (17.04.2024)
- DOAC Monitoring webinar PowerPoint slides: Management of patients with high thrombotic or bleed risk *01.05.2024)
- DOAC AF Tool webinar PowerPoint slides (08.05.2024).
- DOAC Prescribing and managing patients with Chronic Kidney Disease (CKD) and Atrial Fibrillation (AF) webinar PowerPoint slides (26.06.2024)
- Managing and monitoring patients with AF and frailty (including DOAC tool demo) (27.11.2024)
- DOAC Prescribing webinar PowerPoint slides: Update of DOAC choice, safe prescribing and DOAC AF tool (17.04.2024)
Webinar recordings:
Primary care education events
Practice based virtual and in person training sessions are being delivered between May and August 2024. We have met with over two hundred primary care colleagues. If you and your colleagues would like to attend please email wyicb-wak.
DOAC tool and user video's
The tool was developed during an audit on DOAC dosing in AF by the Pharmacy Technician team. Click this link to access the AF WAY DOAC tool.
The following data is retrieved from the clinical system:
- Name and NHS number
- Age and sex
- Current dose of DOAC
- Weight and serum creatinine with dates
- Date of latest LFTs, FBCs and GFR
The data is added to an excel based tool which calculates:
- The dose according to SPC
- Over or underdosing
- If monitoring is in date
Enables quick audit of DOAC dosing in AF
- Identifies which patients need to be reviewed for dosing
- Identifies any gaps in monitoring
Additional information and resources
The list of resources below is not conclusive but does provide some useful information for professionals that can be viewed online and/or printed.
PrescQIPP E-learning
Sign up today for CPD certification, which is skills for care endorsed - FREE Anti coagulation and Lipid Modification e-learning.
Anticoagulation course covers; NICE guideline 196; assessing stroke and bleeding risk, anticoagulant treatment options, choice of anticoagulant, safe prescribing of DOACs in people with renal impairment, co-prescribing of anticoagulants and antiplatelets and patient information for people taking anticoagulants. It includes three case studies which consider the choice and dose of anticoagulant in different patient scenarios to support learning. The course should take around 1.5 hours, plus additional time to complete the quizzes.
Lipid modification course covers; cardiovascular statistics and risk factors, the recommendations in NICE CG181, the drugs used to treat hypercholesterolaemia; statins, ezetimibe, PCSK9 inhibitors, bempedoic acid, inclisiran and icosapent ethyl. It considers the national lipid management pathway and how the drugs fit into the treatment pathway. It is comprised of 10 modules and three case studies that consider statins for primary prevention, secondary prevention and statin intolerance. The course should take around 3 hours, plus time to complete the quizzes.
Course places are limited and are allocated on a first come first serviced basis. Please click this registration link to apply.
NHS
- NHS: WYHCP: AF WAY FAQ's
- NHS: Decision support tool: making a decision about stable angina
- Healthy Hearts Guide to the Management of AF : updated guide/tips coming soon.
- Healthy Hearts: AF screening tool
British Heart Foundation (BHF)
- British Heart Foundation: Understanding tests for heart and circulatory conditions
-
British Heart Foundation: Heart health information in your language - BHF
National Institute for Health and Care Excellence (NICE)
- NICE Guidance: Cardiovascular conditions: Heart rhythm conditions
- NICE Guideline (NG196): Atrial fibrillation: diagnosis and management
Health Innovation Yorkshire and Humber (HIYH)
- Health Innovation Yorkshire and Humber: Reducing the risk of cardiovascular disease for thousands of people in West Yorkshire
- Health Innovation Yorkshire and Humber: Preventing life-changing strokes with our Atrial Fibrillation programme
- Health Innovation Yorkshire and Humber: Detection and diagnosis of Atrial Fibrillation
Stroke Association
European Society of Cardiology (ESC)
- European Society of Cardiology: Patient versions of ESC Guidelines: What patients need to know
- European Society of Cardiology: Management of Atrial Fibrillation: What patients need to know (booklet)
Patient information and resources
Information and resources for patients can be found in our 'patient information and resources section' using this link.