Camden Community Hypertension Service offers advice and guidance on managing hypertension through a virtual clinic, with referrals screened by a consultant. Services include urine drug metabolite testing, Ambulatory Blood Pressure Monitoring, behavioural support, and referrals to lifestyle services. Clinics may be nurse or pharmacy-led.

Eligibility Criteria

Inclusions

• patients on three or more blood-pressure-lowering agents who still have blood pressure measurements of >140/90mmHg
• patients with multiple drug intolerances/interactions
• patients with additional co-morbidity making management more difficult (e.g. chronic kidney disease)
• patients with other complexities/uncertainties requiring specialist advice.

Exclusions

• patients presenting with malignant hypertension (refer urgently to secondary care)
• patients with a clear suspicion of secondary hypertension (refer to secondary care for full diagnostic assessment)
• patients with accelerated hypertension.

How to Refer