Westcliffe community anticoagulation service: a modernised approach

Summary

Westcliffe 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.

Challenge

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.

Objectives

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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QiC Anticoagulation Winner 2015
Modernising services, to include NOACs (Novel Oral Anticoagulants)
Westcliffe community anticoagulation service: a quality: a modernised approach
by Westcliffe Anticoagulation Service

Contacts

Bernadette Cahill

Job title:
Assistant Practitioner in cardiology
Place of work:
Westcliffe Medical Centre, Westcliffe Road, Shipley, BD18 3EE
Telephone:
01274 609682
Email:
bernadette.cahill@bradford.nhs.uk

Julie Winterbottom

Job title:
Managing Partner
Place of work:
Westcliffe Medical centre, Westcliffe Road, Shipley, BD18 3EE
Telephone:
01274 609682
Email:
Julie.winterbottom@bradford.nhs.uk