Hypertension
Conditions
Keywords
Hypertension, clinical trial, nurse-led clinic, primary care
Brief summary
The investigators will do a trial in two general practices to see if the introduction of a blood pressure clinic staffed by a specialist nurse supported by visiting consultant improves blood pressure control compared to usual care.
Interventions
OTHERNurse-led blood pressure clinic
Blood pressure will be measured according to protocol.For patients with blood pressure above optimal targets, treatment changes will be discussed with the patient, a visiting consultant physician and the patient's GP. If they agree, the GP will intensify anti-hypertensive treatment with monthly follow up by the specialist nurse until BP targets are achieved.
Sponsors
St George's, University of London
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patients with last recorded blood pressure greater or equal to the British Hypertension Society audit standard
Exclusion criteria
* Secondary hypertension * Housebound * Non-English speaking * Another major illness likely to dominate pattern of care e.g. advanced cancer, dementia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in systolic blood pressure | 6 months | This will be assessed using two audits of practice records where blood pressure was measured and recorded independently by practice staff |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of patients in each group with final blood pressure below the British Hypertension Society optimal target | 6 months after recruitment |
Countries
United Kingdom
Outcome results
None listed