Hypertension Control in Lewisham
Explore the challenges and opportunities in managing hypertension in Lewisham, including underdiagnosis rates, barriers to patient engagement, and potential health outcomes. Learn how improving hypertension control can prevent adverse health effects and save lives.
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Presentation Transcript
Lewisham Hypertension Control Lewisham Hypertension Control Programme Presentation Programme Presentation Jonathan McInerny Head of LTC and Cancer Lewisham-place based team SEL ICB
Underdiagnosis of Hypertension in Lewisham Underdiagnosis of Hypertension in Lewisham Lewisham has a relatively low rate of hypertension diagnosis in comparison to the rest of country (Source SEL Pathfinder Nov 23) 35.00% 30% 30.00% 28% 25.00% 20.00% 15.00% 12.10% 10.00% 5.00% 0.00% Lewisham London England
Low Hypertension Control in Lewisham Low Hypertension Control in Lewisham Lewisham has the lowest rate in South East London of blood pressure that is controlled within the age-adjusted range of NICE thresholds amongst diagnosed hypertensive patients (Target - 80%) Source: SEL Pathfinder Nov 2023 Hypertension control across SEL Lewisham 54.64% Bexley 60.02% Greenwich 62.16% Bromley 62.60% Lambeth 62.87% Southwark 64.11% Figure 1: People age <80 with BP at 140/90 mmHg or less
Why patients may not be engaging Why patients may not be engaging From a patient perspective, lack of trust in the system, appointment availability, understanding of hypertension risks, dealing with multiple conditions, prescription costs and motivation or ability to adhere to medication are among some of the barriers to effective management of hypertension. Those not achieving good blood pressure control more likely to be younger (<60 years old), of Black African or Black Caribbean background, male and living in the two most deprived quintiles. Only 23% of the hypertensive population have hypertension alone. 50% of hypertensive people have two or more conditions and a further 27% have one additional long-term condition
Improved health outcomes Improved health outcomes Uncontrolled or poorly controlled blood pressure increases the risk of stroke, heart disease, heart attack, kidney disease, dementia and many related poor health and life outcomes. By improving hypertension control, in Lewisham, Clinical Effectiveness South-East London (CESEL) estimate that if we reduce the average systolic blood pressure in people with hypertension by 10 mmHg, in one year, we could prevent: 50 people from developing heart failure. 63 people from having a stroke. 67 people from developing ischaemic heart disease. 208 deaths
