1. 2016/17 GRASP AF data for Lancashire CCGs (excluding East Lancs CCG)

2. 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

3. Lancashire Overview

4. Data from AF GRASP

5. Data from AF GRASP

6. Data from AF GRASP

7. 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

8. Thank you for your time…