Proportion of Direct Acting Oral Anticoagulants (DOACs) not prescribed as edoxaban by all Sub-ICB Locations

Why it matters: In January 2022 the NHS in England announced a national procurement programme for DOACs, which states:

• For patients commencing treatment for AF: subject to the criteria specified in the relevant NICE technology appraisal guidance, clinicians should use edoxaban where this is clinically appropriate. If edoxaban is contraindicated or not clinically appropriate for the specific patient then, subject to the criteria specified in the relevant NICE technology appraisal guidance, clinicians should then consider rivaroxaban first, then apixaban or dabigatran.
• For patients already prescribed a DOAC for the treatment of AF: subject to the criteria specified in the relevant NICE technology appraisal guidance, commissioners may wish to consider developing local policy to review patients currently prescribed apixaban, rivaroxaban or dabigatran, where clinically appropriate.

The 2022-2023 PCN Investment and Impact Fund (IIF) now includes the following indicator:

• CVD-06: Number of patients who are currently prescribed edoxaban, as a percentage of patients on the QOF Atrial Fibrillation register and with a CHA₂DS₂-VASc score of 2 or more (1 or more for patients that are not female) and who are currently prescribed a direct-acting oral anticoagulant (DOAC).

Please note: as prescribing data does not contain patient information or indication, this measure uses prescription items of DOACs prescribed for all indications in primary care, and therefore will not exactly match the IIF indicator. OpenPrescribing.net measures also have a consistent way of visualising measures, where 'lower is better' and therefore in this case we show the proportion of DOACs which are NOT prescribed as edoxaban.

Description: Percentage DOACs items not prescribed as edoxaban

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Tagged as: Cardiovascular system, Standard, Cost Saving, NHS England Investment and Impact Fund (or browse all measures)

Sub-ICB Locations are ordered by mean percentile over the past six months. Each chart shows the results for the individual Sub-ICB Location, plus deciles across all Sub-ICB Locations in the NHS in England.

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