The aim of the project was to improve overall control of hypertension for all patients with a particular focus among patients of black African and black Caribbean descent. It is well documented nationally that blood pressure control amongst this community is significantly lower than for white patients.
The programme was led by a senior GP and PCN manager with centralised recall and pharmacist teams working alongside practice-based pharmacists and Health Care Assistants. The team’s work saw 98% of hypertensive patients checked and a blood pressure reading recorded in the last 12 months.
The overall results of the project are:
- AT Medics Streatham PCN has 20% better control than the next best Lambeth PCN for hypertensive patients under 80 years old
- Despite the high levels of deprivation in the communities we serve, our patients have the best blood pressure outcomes of any PCN in Southeast London
- 87% of all patients aged under 80 are now controlled, compared to 61% a year earlier.
- 95% of all patients aged 80 or more are now controlled, compared to 77% a year earlier.