NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Medicines
Medicines Update

Reducing risk of stroke in AF

Stroke prevention: a work in progress

Three quarters of GP practices in NHSGGC have been successfully running GRASP-AF software since June 2014. This tool aims to help improve the management and care of patients with atrial fibrillation (AF) by assisting interrogation of clinical data to allow GPs to review individual stroke risk and antithrombotic treatment. This work, along with collaboration with British Heart Foundation (BHF) and Prescribing Support Teams, has resulted in significant improvements in management of patients with AF.  Anticoagulation rates in high risk individuals have risen from 57 to 71%, which is conservatively estimated to have saved 30 strokes per year across NHSGGC.


The data highlights up to 20% of patients with AF who are receiving anticoagulation have low risk scores (CHADS2VASC2 = 0). There are a number of possible reasons for this. The anticoagulation may be for a different clinical reason or there may be incorrect coding. The Heart MCN suggests that these patients should be identified by the practice and reviewed. Any practice who may need guidance on implementation should contact Morven Dunn at BHF, Alan Foster, MCN co-ordinator or their local prescribing support team.


A full report will be published in due course. AF guidelines are available on Staffnet. More information on GRASP tool can be found here 



Published 03/08/2016