Hypertension – Camden Integrated Service (CICS)

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Camden
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Under Review — this page was due to be reviewed by 13/11/2021. The information shown here may be outdated.

Advice and guidance on how to better manage patients referred through a virtual clinic. Hypertension referrals will be screened by a Consultant.

Referrals may be triaged to a community nurse, who takes referrals to nurse-led clinics. Patients are seen, on average, five times, with urine drug metabolite testing on first visit and Ambulatory Blood Pressure Monitoring (ABPM) with Directly Observed Therapy (DOT) on discharge.

Behavioural support and referrals to lifestyle services (e.g. IAPT stress workshop) offered. 

Nurse-led clinics held at Mary Rankin unit in St Pancras on Mondays; mobile, community-based clinics across Camden are sometimes available.


Eligibility criteria

Inclusions

  • Those on three or more blood-pressure-lowering agents yet still have blood pressure measurements of >140/90mmHg
  • Patients with multiple drug intolerances/interactions
  • Patients with additional co-morbidity making management more difficult e.g. CKD
  • Other complexity/uncertainty requiring specialist advice

Exclusions

  • Patients presenting with malignant hypertension (refer urgently to secondary care)
  • Those with a clear suspicion of secondary hypertension (refer to secondary care for full diagnostic assessment)
  • Accelerated hypertension

How to refer

The following clinicians can refer to this service: GPs

EMIS form Download Form

Referral methods: EMIS managed referral

CICS referral form to be sent via Managed Referrals on EMIS Web (see Downloads for guide on how to refer).

All referrals are reviewed in the consultant-led virtual clinic before they are reviewed in the nurse-led clinic.


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