Hypertension Case Finding Service

Hypertension Case Finding Service (BP Checks)

The NHS Community Pharmacy Hypertension Case-Finding Advanced Service was announced on 24 August 2021 as part of the Year 3 Community Pharmacy Contractual Framework and was launched on 1st October 2021.

The aims and objectives of this service are to:

  • identify people aged 40 years or older with high blood pressure, who have previously not had a confirmed diagnosis of hypertension, and to refer them to general practice to confirm diagnosis and for appropriate management (this can include people under 40 years, at the discretion of a pharmacist)
  • undertake clinic and ambulatory blood pressure checks when necessary, at the request of a general practice.
  • promote healthy behaviours to service users.

Who is eligible for this service?

The service specification lists the following inclusion and exclusion criteria for the service:

Inclusion criteria

  • Adults who are 40 years old or over, who do not have a current diagnosis of hypertension;
  • Patients, by exception, under the age of 40 who request the service because they have a recognised family history of hypertension may be provided the service at the pharmacist’s discretion;
  • Patients between 35 and 39 years old who are approached about or request the service may be tested at the pharmacist’s discretion; and
  • Adults specified by a general practice for the measurement of blood pressure (clinic and ambulatory blood pressure checks). This process should be agreed locally with general practices.

Exclusion criteria 

  • people who are unable to give consent to participate;
  • People under the age of 40 years old, unless at the discretion of the pharmacist or unless they have been specified by a general practice for the measurement of blood pressure; and
  • People who have their blood pressure regularly monitored by a healthcare professional, unless the general practice requests the service is provided for the patient. Requests should be sent via a process which is agreed locally with general practices.

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