Atrial fibrillation (AF)

Learn more about the work done in the follow up Sutton & Merton pilot

National Priority Project

In our National Priority Project (NPP) focussing on AF we worked with four pilot sites in South London to improve the identification and management of AF in primary care.

Examples of some initiatives used within the pilot sites are:

  • Raising awareness of opportunistic pulse palpation
  • Increasing timely access to diagnostic and anticoagulation provision
  • Developing a simple and localised AF pathway
  • Optimising treatment
  • Preparing for the anticipated arrival of the new anticoagulant agents

Sharing the experiences

Using the experiences from the pilot sites, the SLCSN are now in a position to recommend approaches to deliver on this area of work and can provide ideas to identify initiatives tailored to your local priorities and situation.

Steps to focus on AF

It recommended that a lead person (ideally a GP/commissioner) is identified within each borough to promote the work, with support provided by the SLCSN if required. It is also recommended you identify your PCT PRIMIS facilitator for assistance using the GRASP-AF toolkit.

Suggested starting points

In order to begin this piece of work it is important to understand the current management for this cohort of patients. This will identify areas which may require further support or development, allowing an individual project plan to be developed.

The following information may prove helpful:

  • AF prevalence (age adjusted per practice)
  • Diagnostic availability and current cost
  • Current anticoagulation provision
  • Stroke prevalence and mortality
  • Identify a clinical champion
  • Locate your PCT PRIMIS facilitator

Information for




Stroke Improvement Project

Department of Health stroke links