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Eve Knight (Chief Executive, AntiCoagulation Europe)

Clinical Articles, Lead Article

Commissioning effective anticoagulation services for the future

A commissioning resource pack has been developed by Anticoagulation Europe (ACE), with the input of a wide range of experts, to support the development of anticoagulation services fit for purpose in the modern NHS. Chief Executive Eve Knight spoke to BJC Arrhythmia Watch on its implications:

“For a long time ACE has held the view that anticoagulation services need to be re-designed. There are approximately 1.25 million people in the UK on anticoagulation therapy. This burden is expected to increase in the coming years as the UK population ages and more people are identified as requiring anticoagulation therapy.”

“As people live longer there will be a huge increase in the numbers of people needing anticoagulant services. Atrial fibrillation (AF) alone accounts for an increase of 10% to 15% year on year. Plus it is estimated that 40% of people with AF at risk of stroke are not being anticoagulated. Effective anticoagulation services are required urgently to deal with this ever increasing burden.”

Eve Knight, Chief Executive, Anticoagulation Europe

Eve Knight, Chief Executive, Anticoagulation Europe

“As new treatment options have become available there is an ideal opportunity to consider the most appropriate service design that will provide a good patient experience, offer patient choice and provide high quality patient outcomes this would also provide value for money to the NHS. However, Introducing new treatment options, and ensuring that they become part of everyday practice, can be challenging for the NHS particularly in the current climate in light of the cost savings that the NHS is required to make.”

“ACE has already been alerted to postcode prescribing for the new orals and in some cases patients being refused repeat prescriptions by the GP when the drug has been initiated by a secondary care consultant.”

“Patients need to be given sufficient information to make informed decisions with their doctor about the full range of treatments open to them, and with this in mind we decided to convene a group of experts, including GPs, nurses, representatives from clinical networks and patient organisations to produce ‘Commissioning Effective Anticoagulation Services for the Future’. This resource pack will support commissioners in assessing local need and designing services based on that need,” Ms Knight concluded.

The pack is available at

Published on: February 28, 2013

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