Table 3

Key changes in policy and practice during the study period, 2004–2018

Policy or evidence changeYear
Requirement for practice AF registers incorporated within QOF.312007
First major NOAC RCT demonstrates effectiveness.322009
Widespread introduction of local incentive schemes (LES) to diagnose and/or treat AF.332011
Expansion of AF within QOF from three to four indicators.312013
NICE guidance suggests a larger proportion of patients with AF are eligible for anticoagulation.342014
  • AF, atrial fibrillation; LES, local enhanced service; NICE, National Institute for Health and Care Excellence; NOAC, novel oral anticoagulants; QOF, Quality and Outcomes Framework; RCT, randomised controlled trial.