Community stroke team use of home blood pressure monitoring improves blood pressure control after stroke: a quality improvement report

Correspondence to Sarah Rickard; Sarah.Rickard@nca.nhs.uk Introduction The National Health Service (NHS) England and Improvement (NHSE/I) blood pressure monitoring at home (BPM@Home) initiative was launched in 2020 in response to the COVID-19 pandemic to improve hypertension control while reducing GP appointments.1 Home blood pressure (BP) monitoring (HBPM), a better indicator of long-term morbidity and mortality than clinic readings,2 may reduce costs and complications of unnecessary antihypertension treatment in at least 10%–15% of the population with white coat hypertension,3 while facilitating appropriate treatment of elevated high home BP not detected in clinic. Mean systolic BP readings with 95% confidence intervals for periods within the study (including participant numbers) Discussion BPM@Home can be implemented rapidly in a community stroke setting where thoroughly trained CST nurses supervise and cascade training to other staff and patients and expedite timely HBPM control. Home blood pressure monitoring: methodology, clinical relevance and practical application: a 2021 position paper by the working group on blood pressure monitoring and cardiovascular variability of the European society of hypertension.