Reviewed on : 4 Jul 2025

Reviewed by : Area Prescribing Committee, Sandeep Panikker Consultant Cardiologist, Gateway Editor

Expires : 4 Jul 2027

Primary Care Initiation of Direct Oral Anticoagulants (DOACs) for Stroke Prevention in Atrial Fibrillation (AF)

Guidance for the safe selection and prescribing of DOACs in primary care in consultation with UHCW Department of Cardiology Haematology and Area Prescribing Committee

Please use the following information in consultation with your patients to initiate preventative treatment

Refer to the following algorithm when Atrial Fibrillation is suspected clinically or on ECG

Primary Care Prescribing of DOACs

Compliance Aids / Dosette Box

Swallowing Difficulties / Feeding Tubes

Taken with food

Antidote

Compliance / Missed Doses

Monitoring

Monitoring via Primary Care IT System Templates

From: Tomlinson Jagdish (05A) NHS Coventry & Rugby CCG On Behalf Of Contracting PC (05A) NHS Coventry & Rugby CCG
Sent: 17 March 2020 10:03
Subject: DOAC Initiation and Management Scheme – EMIS Template

Dear Colleague,

 RE: Recording and reporting of DOAC initiation management for EMIS practices. 

On 1st January 2020 CRCCG launched the new DOAC initiation and management contract within primary care. Alongside this, a template was created to record and report the activity in partnership with Vision. This process covers 2 elements:

• Vision Outcomes Manager will run a report via Bluebay automatically at each reporting period.
• The Template to offer guidance and record activity has also been made available to all practices. This can be found and named: ID1386 – AF with Anticoag Coventry and Rugby CCG

However, it has come to our attention that the template is not as readily accessible on all clinicians computers who are using EMIS and as a consequence many EMIS practices may be using the wrong template. EMIS systems are able to access the template devised by Vision by following the attached guidance. However, following conversations with practices,  the CCG recognise that this may not be practical for all practices and are working at re-creating the template on EMIS (with the support of Tim Morris) which will be shared once this is complete and tested. In the mean time, the below codes can be entered into the system so that the activity is recorded in the interim until the new template is made available.

If you have any further questions please contact Yasser Din on yasserdin@warwickshire.gov.uk

EMIS Clinical Template

Follow link to EMIS template. Save to your Desktop and import to EMIS Template manager