Presentation by Jane Briers, Programme Manager - Innovation Agency at the Supporting recovery in Primary Care using Proactive Frameworks for Long Term Conditions event on Thursday 15 September 2022.

1. Supporting Optimal Detection and Management of
Hypertension across Primary Care.

2. Blood Pressure Quality Improvement Framework
• Locally developed following feedback from across Cheshire and
Merseyside
• Aligns with both the Proactive Care Framework and BP@home.
• Supports IIF in case finding for hypertension
• Easily downloaded via portal
https://qitoolkits.innovationagencynwc.nhs.uk/
• Data Quality Specialist are commissioned via MLCSU to support
getting up and running if needed.
• Currently being used by 172 practices across Cheshire and Merseyside
• A detailed demonstration of BPQI can be seen here.

3. So what is BPQI?
A practice level dashboard
benchmarks at practice level that
supports data cleansing,
identifies named patients at risk
or not optimally managed.,
A practice protocol that outlines key
interventions and targets , which is
made available in paper and electronic
format. The protocol also gathers
targets from other NICE guidelines into
one place. Easy at a glance summaries
also supplied.
An EMIS Web/ System One
template targeted at nursing
pharmacy staff , that provides
clinical support throughout the
consultation process. In effect
learning through action
A patient leaflet, able to be
printed from directly from
template that provides key
information and links to local
well-being services. Also
provides patients current and
target blood pressure. . Leaflet
is formatted to one side of A$,
black and white to keep
printing costs low.

6. Quotes from Cheshire and Merseyside
practices.
• My practice had the privilege of being shown this innovative risk tool which brings up so much useful
information at a glance and click of the key . It’s going to transform how we monitor and manage those
current and impending hypertensives at our practice . User friendly and easy to use for clinical and non
clinical staff . It has already prompted a flurry of chronic disease action at our practice .
(GP. Liverpool)
• I love this bp@home monitoring approach, the digital enablers [BPQI and AccuRX floreys] have made it
really easy for me to target support to patients with raised blood pressure.
(GP. Wirral)
• Wow! To say that I’m excited by this tool is understatement. It is so useful to be able to monitor as a
practice our management of BP. Exactly what is needed!
(GP. Knowsley)
• This approach is great , we need this across all of our long term conditions.
(Nurse Practitioner, Sefton)
• The template contains loads of useful resources that gives me the confidence to know I am delivering the
best care for my patients, and lets me know when I need to escalate to the GP’s.
(HCA. Warrington)

7. Local examples
• Pre-AccuRx (baseline) - data from one Wirral PCN has shown 154 new Hypertensives in the last 3
months.

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Healthier South Wirral PCN