2016/17 GRASP AF data for Lancashire CCGs (excluding East Lancs CCG)

National Overview The risk of stroke increases five-fold for people with AF AF is a contributing factor to 20% of strokes in England, Wales and Northern Ireland An AF related stroke is more severe and more likely to be fatal than a non-AF stroke; 30 day mortality for patients with AF is estimated at 25% and only approximately 20% of patients live independently afterwards However, anticoagulants continue to be under-prescribed, particularly among people over 80 In England, almost a third (31%) of eligible patients do not receive anticoagulation It is estimated that if AF was adequately treated, around 7,000 strokes would be prevented and 2,100 lives saved every year (England only) Only 4 in 10 (41%) stroke patients with known atrial fibrillation are on anticoagulant treatment on admission to hospital in England, Wales and Northern Ireland However, 8 in 10 (82%) stroke patients with atrial fibrillation are discharged from hospital with a plan to anti-coagulate in England, Wales and Northern Ireland Statistics from: State of the Nation, Stroke Association, January 2016 One Year On Why are patients still having unnecessary AF-related strokes?, ABPI Stroke In AF Initiative (SAFI), April 2016

Lancashire Overview

Data from AF GRASP

Data from AF GRASP

Data from AF GRASP

The cost of these potential strokes in the high risk untreated group of patients for each CCG ranges from £576,000 to £1,070,400 per year. (Based on each stroke costing the NHS an estimated £24K per year). Data from AF GRASP

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