Dr Julia Reynolds describes the programmes of work across the North West Coast to help prevent AF-related strokes

1. Preventing AF-related Strokes
Dr Julia Reynolds
Head of Programmes
@JulsReynolds

2. Kardia by AliveCor – mobile ECG
“This device will not replace the ECG
department, but it will make it quicker. The
fact that the device worked first time, was
easy to use and required no training meant
that from the start it looked like a winner.”
Dr Chris Mimnagh, GP, Wingate Medical
Centre, Knowsley CCG.

3. AF work programme since 2014
• Two public campaigns
• Using innovative technology - Mobile ECG
• Diverse environments - e.g. FRS, care homes
• Involving our citizens - AF Ambassadors
Detect
• Programmes - NWC AF Collaborative
• Self-monitoring - patients using warfarin
• Digital opportunities - integrated systems
Protect
• Geno-type guided dosing
• Data visualization – dashboards, pathways
• AF Audit
Correct

4. Where we work
Intermediate
Care
3rd Sector
Organisations
Leisure
services
Fire & Rescue
Service
GP practices
Pharmacy/
Medicines
Management
Secondary
Care

5. Working with Industry to tackle AF
and stroke
Joint Working Agreements
Case finding
Medical Education Grants

6. Used in GP practices
and with mental
health practitioners
The future
via your
smartphone
ImPulse by
Plessey
Watch-BP
blood Pressure &
pulse – pharmacists
Wearables and
consumer products
Used in campaigns and
by Cheshire Fire and
Rescue Service &
intermediate care

7. AF Ambassadors

8. We’ve won awards!

9. Inputs and impact
Over 500
potential
strokes
avoided
35 Stroke
Ambassadors
recruited
Funding
from
industry
partners to
support our
work
Mobile ECG
device roll-
out to over
250 sites
350 different
partners
working with
us