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High Blood Pressure: policy context

There is no separate policy on high blood pressure for NHS Scotland, but high blood pressure is identified as a priority within the Better Heart Disease and Stroke Care Action Plan, 2009, which recommended the wider use of blood pressure monitoring in community pharmacies. The NHS Quality Improvement Scotland (now Health Improvement Scotland) Clinical Standards for Heart Disease 2010 included two relevant recommendations: that information on high blood pressure is provided to patients and that blood pressure is recorded for all those aged 40 and over every 5 years. The 2014 Heart Disease Improvement plan does not specifically mention hypertension, but does refer in general to the importance of the prevention of heart disease. Likewise, although hypertension is not specifically identified in the 2009 Long Term Conditions action plan, the actions set out there would clearly apply to high blood pressure as a long term condition.

There is specific guidance on the clinical management of high blood pressure in Scotland in the form of the Scottish Intercollegiate Guideline Network (SIGN) guideline 149 (2017) - Risk estimation and the prevention of cardiovascular disease

UK wide guidance is provided in the NICE clinical guidelines CG127 (2016) Hypertension: clinical management of primary hypertension in adults and in NICE public health guidance 25 Prevention of Cardiovascular Disease (2010). The 2014 Joint British Societies (JBS3) report includes a risk score to guide the treatment of high blood pressure.

High Blood Pressure was included in the Quality and Outcome Framework of the 2004 General Medical Services contract.


Page last updated: 12 September 2017

© Scottish Public Health Observatory 2014