Edinburgh Napier University

  Background: Understanding Atrial Fibrillation (AF) management in Scotland was identified as a key priority at the Cross Party Group (CPG) for Heart Disease and Stroke which meets regularly at the Scottish Parliament. Therefore, a national inquiry was launched to provide clear recommendations to government to improve health for people living with AF. Methods: An advisory panel was convened comprising major third sector representatives, academics, clinicians, Members of Scottish Parliament (MSPs), and people living with AF. Two questionnaires, one for clinicians; one for people living with AF were circulated through multiple channels and four roundtable events were held. Results: In total there were 262 responses to the questionnaires (n=203 clinician; n=59 people living with AF) and roundtables were attended by 35 people, including members of the advisory panel, MSPs, clinicians, academics and people living with AF. Ten key recommendations emerged relating to Detection and diagnosis of atrial fibrillation; Initial treatment and subsequent management of atrial fibrillation; The use of data to improve detection, diagnosis and treatment of atrial fibrillation in Scotland; and patient information and public awareness. Conclusions: It is hoped that the results of this inquiry will provide the blueprint for change that will improve AF management across Scotland