The information below relates to the CVD prevention pathway.

• Undertake systematic audit across practices.
  • Identify people with possible undiagnosed hypertension.
  • Identify people who are not treated to target.
• Work with practices and local authorities to maximise NHS Health Check uptake and follow up.
• Build local primary care leadership to challenge unwarranted variation and drive quality improvement in detection and management.
• Use practice-based pharmacists to optimise management of hypertension.
• Commission ambulatory blood pressure monitoring service for diagnosis.
• Consider commissioning:
  • Systematic support for adherence from community pharmacists through medicine use reviews (MURs).
  • BP self-test units eg in surgery waiting rooms, community pharmacies, leisure centres.
  • Digital solutions for self-monitoring and treatment optimisation.

Further information

• NICE pathwayon hypertension
• PHE NHS Health Check: Best practice guidance
• Case study 1: Blackpool: Identifying and treating people with undiagnosed high blood pressure
• Case study 2: Stockport: ‘Know your numbers’ blood pressure campaign
• Case study 3: Stoke-on-Trent: Telehealth helps patients manage their own conditions

Return to the CVD prevention pathway.