CARE_02EngagingCare for Focus Patients
Implement Targeted Blood Pressure and Cardiovascular Risk Checks
Summary
Offer opportunistic or outreach-based BP checks and CVD risk assessments to patients known to be under-screened or facing disadvantage.
Supporting information
Cardiovascular disease disproportionately affects Focus Patients, yet these same groups often don't engage with routine screening and care opportunities. Targeted approaches help close this gap.
Approaches to implementation:
- Identify Focus Patients without recent BP recordings or CVD risk assessments
- Offer opportunistic checks during any consultation, not just dedicated appointments and consider templates and popups to facilitate this
- Partner with pharmacies and community venues (faith centres, foodbanks, homeless services) for outreach
- Consider utilising machines in reception areas to provide open access to BP checks
Key benefits: Demonstrates that the practice actively seeks out those who might otherwise be missed, and builds trust through meeting people where they are.
Resources
- What works: Improving case finding of long-term health problems in disadvantaged communities
- What works: Achieving equitable lipid management
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