Medical Practice modernised its long-established community-based
anticoagulation service in preparation for a forecast increase in numbers of
patients that would require treatment. The practice took full advantage of the
local primary to secondary shift schemes at that time and was at the forefront
of quality improvements with local commissioners in becoming an accredited
provider of community based anticoagulation services. The service has gone far
beyond its original specification of monitoring stable patients, as passed from
the hospital service, and now initiates patients and offers a range of options
from warfarin, NOACs, self-monitoring, as well as domiciliary care. It also
operates opportunistic screening to identify patients with AF, while to those
already known to have AF it seeks to educate them about anticoagulants.
The number of patients needing anticoagulation
intervention has been increasing rapidly, and hospitals have been struggling to
cope with demand, resulting in a poor experience. Westcliffe has already become
an accredited provider of community-based anticoagulation services – as part of
a general shift into the community setting under the wing of general practice, providing
a safe and more holistic, personalised approach to care - but needed to
modernise its offering.
The main objectives were to empower patients and
improve their experience; improve clinical outcomes; provide value for money;
bring services closer to the patient in the community; ensure safe, continuous
care and gain a substantial market share as a provider of community-based
anticoagulation services in the local health economy.
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