Hypertension Implementation Challenges in Primary Care Naomi Stetson Nurse Specialist Watling Medical Center Stanmore Middx Launch: Wednesday 24 th August.

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Presentation transcript:

Hypertension Implementation Challenges in Primary Care Naomi Stetson Nurse Specialist Watling Medical Center Stanmore Middx Launch: Wednesday 24 th August 2011 NICE clinical guideline 127

Challenges Dissemination of the Guidelines Training and Education Costs Lack of Specialist Nurses in Primary Care Availability of ABPM machines Co-operation from GPs Patient Adherence Launch: Wednesday 24 th August 2011 NICE clinical guideline 127

Training and Education Regional study days for Practice Nurses Accessibility of the training Specialist training could be included in Diploma and BSc courses for PNs Include 24 hour ABPM training Launch: Wednesday 24 th August 2011 NICE clinical guideline 127

The biggest challenge? Accessing 24hour ABPM Accuracy Reliability Validated Machines Fully trained personnel Launch: Wednesday 24 th August 2011 NICE clinical guideline 127

Availability of 24-hour ABPM Training From Manufacturers? Should BHS devise training? Produce DVD Primary Care Days Nursing updates Non- medical Prescribing Launch: Wednesday 24 th August 2011 NICE clinical guideline 127

Current Models for ABPM OPD services for GP referrals GP owned monitors for Practice Nurses or HCAs to initialize and fit. GPs or trained specialist nurses to analyse results Independent Services locally commissioned Launch: Wednesday 24 th August 2011 NICE clinical guideline 127

Adherence Short Appointment times Lack of continuity PCT acceptance of combination therapy Launch: Wednesday 24 th August 2011 NICE clinical guideline 127

Launch: Wednesday 24 th August 2011 NICE clinical guideline 127

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