Hypertension Case Finding

This service will have 2 stages

1. Stage 1: Identifying people at risk of hypertension and offering them blood pressure monitoring (clinic check).
2. Stage 2: Where clinically indicated, provide ambulatory blood pressure monitoring (ABPM). The blood pressure test results will then be shared with the patient’s GP to then inform a potential diagnosis of hypertension.

Fees

The fees for this service are as follows:

• a set-up fee of £440
• a fee for each clinic check of £15
• a fee for each ambulatory monitoring of £45

Incentive

The incentive fees across years 3, 4 and 5 of CPCF for the service to encourage delivery of ABPM.

Pharmacies must reach a threshold of ABPMs provided to trigger the incentive payment.

• Year 3 threshold 5, incentive payment £1,000 (21/22)
• Year 4 threshold 15, incentive payment £400 (22/23)
• Year 5 threshold 20, incentive payment £400 (23/24)

ABPM to be offered to patients who are clinically indicated (i.e. have had a high BP result as part of their clinical check).

Pharmacies who sign up after year 2021/22 must achieve the ABPM activity threshold specified for the given financial year and will receive £1,000 as a first payment. If a contractor signs up in year 3 and fails to do 5 ABPMs, they can earn £1,000 by doing 15 ABPMs in year 4.

The incentive payments will be funded separately by NHSE&I to incentivise case finding in line with the ambition outlined in the NHS Long Term Plan.

More detail can be found on the PSNC website:

• https://psnc.org.uk/services-commissioning/advanced-services/hypertension-case-finding-service/

Detail to follow:

How clinical checks will be recorded

Training requirements

Equipment requirements