NHS Community Pharmacy and PCN Hypertension Case Finding (NHS CVD) are running a pilot to test the model of care for risk identification and prevention of cardiovascular disease (CVD).
Only community pharmacies within the specified Primary Care Network (PCN) localities will be allowed to register for this service.
Aims of NHS CVD service pre-pilot
This project aims to:
- identify people over the age of 40 who have previously not been diagnosed with high blood pressure, and to refer them for appropriate management
- promote healthy behaviours to service users
- test a community pharmacy model that is able to refer people identified as likely to have high blood pressure (hypertension) to general practice for ongoing care to manage their blood pressure
- explore accessibility, engagement and impact in areas of differing demographics and deprivation levels
What the service will provide
The agreement is for a pharmacist or trained pharmacy team member to opportunistically measure the blood pressure of adults.
At the end of a patient consultation, where readings indicate:
- normal blood pressure, the pharmacist or trained pharmacy team member will promote healthy behaviours
- high blood pressure, the pharmacist or trained pharmacy team member will offer Ambulatory Blood Pressure Monitoring (ABPM) either from the pharmacy or through a local diagnostic pathway and will also promote healthy behaviours
- very high blood pressure, the pharmacist or trained pharmacy team member will urgently refer the patient to see their GP within 24 hours and the pharmacist will inform the patient’s GP practice by NHSmail or via another locally agreed platform
- low blood pressure, the pharmacist or trained pharmacy team member will provide appropriate advice
How patients access the service
To access the service, patients must:
- be 40 years old or over
- not previously have been identified as having hypertension or a related condition
- not have had their blood pressure measured by a health professional within the previous 6 months
- have walked into the pharmacy and either requested the service or been opportunistically offered it by a member of the pharmacy team
- Adults who are 40 years old or over, who do not have a current diagnosis of hypertension or a related condition.
- Any patient under the age of 40 who requests the service because they have a recognised family history of hypertension may be seen under this. service (with notes provided on the recording spreadsheet to this effect) if the pharmacist thinks this is appropriate.
- Patients between 35 and 39 years old who are approached about or request the service may be tested at the pharmacist’s discretion.
- Adults specified by a local GP practice for the measurement of blood pressure.
- People who are unable to give consent to participate.
- People under the age of 40 years old, unless at the discretion of the pharmacist.
- People who have their blood pressure regularly monitored by a healthcare professional, unless at the request of a local GP practice.
- The pharmacy contractor must ensure the service is accessible, appropriate and sensitive to the needs of all service users. The service must also be delivered ensuring all appropriate infection control and risk management procedures are followed with respect to COVID-19. No eligible service user shall be excluded or experience particular difficulty in accessing this service, with regards to protected characteristics or age.
- Any patient who is identified as suitable to be included under the criteria but where the smallest / largest cuff available does not fit and therefore an accurate blood pressure cannot be obtained, should be directed to their GP.
Register to provide the service
You can register for this service if you are a community pharmacy in one of the specified PCN areas. These areas include:
- Chesterfield and Dronfield PCN
- Darlington PCN
- Dudley Netherton PCN
- Urban Health PCN
You must register your pharmacy’s details with NHS England and NHS Improvement (NHSEI). As this is an online sign-up, there is no need to return a signed SLA back to your regional team.