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700 patients undergo AF screening in NHS England-funded pharmacy pilot

University College London researchers predict nationwide version could prevent 1,700 strokes
University College London researchers predict nationwide version could prevent 1,700 strokes

"Nearly 700" patients have been screened for atrial fibrillation in pharmacies as part of an NHS England-commissioned pilot in London.

The pilot launched in 16 pharmacies in the capital last year, as part of NHS England’s “test-beds programme” to “test the treatments and care models of tomorrow”.

Under the scheme, patients aged 65 and over are tested for atrial fibrillation in a pharmacy, using a handheld mobile device. Patients with abnormal results are then directly referred to Whipps Cross University Hospital to undergo further diagnostic tests, before being handed back to community pharmacies to manage their ongoing care.

In the first stage of the pilot, 7% of the “nearly 700” patients screened were identified as having atrial fibrillation, according to Care City, the collaborative project behind the scheme.

Researchers from University College London predict that if replicated across England, an estimated 1,600-1,700 strokes would be prevented per year.

Care City collaboration

The Care City pilot brings together North-East London local pharmaceutical committee (LPC), Barts Health NHS Trust, Waltham Forest clinical commissioning group (CCG) and healthcare software company Sonar Informatics. It is one of five "test bed" pilots currently being rolled out by NHS England.

Hemant Patel, North-East London LPC secretary, said the pilot scheme is reflective of the LPC’s “high-street clinic” model, designed to establish community pharmacists as “clinical experts on the high street”.

“Community pharmacy is an ideal place for screening and managing stable and long-term conditions like atrial fibrillation, diabetes, cardiovascular [disease] and asthma,” he told C+D last week (September 12).

“We want to work with the NHS to develop diagnostic and screening services in community pharmacy, and this is one of the first initiatives that we have invested in.”

The pilot scheme has benefits for patients by cutting down waiting time to see a consultant, as well as reducing burdens on GPs, Mr Patel added.

3 Comments
Question: 
Would you consider offering atrial fibrillation screening?

Hemant Patel, Community pharmacist

In NEL 2,800 BP and ECG checks were done but that is not as inspiring to me as the fact that our pharmacists found in 250 patients problems of high and low BP, all kinds of heart rhythm problems, and two patients who needed immediate hospitalisation. The families of two patients showed incredible gratitude for the very timely help. As this is part of NHS Test bed under the direct supervision of the NHS Chirf Executive we hope it will generate support for a very much needed service.

Sachin Badiani, Pharmacy owner/ Proprietor

 

 

We did this 3 years ago in Dartford, Gravesham and Swanley CCG area, but the CCG did not go ahead to fund a service. The scheme was therefore paid by Alphega Pharmacy.

 

 

Kevin Western, Community pharmacist

yes

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