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ID 366: Is there a case for an integrated care approach to detect and manage hypertension? A retrospective cohort study to better understands factors associated with poor controlled blood pressure and risks of developing hypertension using a regression modelling and AI algorithm across primary and social care settings - conditionally approved subject to changing proposed start date
Safe People
Organisation name
Harrow Council
Applicant name(s)
Funders/ Sponsors
Safe Projects
Project ID
ID 366
Lay summary
This study aims to take a population health management approach to help understand Harrow’s population with hypertension or at risk of developing this condition (using an Artificial Intelligence system) in both primary and social care.
Public benefit statement
This study offers the following benefits through: - Better understanding of population with hypertension (and for those who are still undetected) in Harrow from a PHM approach that can benefit from early and tailored interventions to prevent risk of developing cardiovascular diseases and premature mortality. - Identify better risk factors for poorly controlled population to help prioritise and understand where interventions can have the best impact. Page 5 of 24 - Quantify undetected hypertension and their demographic profile making use of linked GP primary and adult social care data and AI system. No current studies of hypertension management in adult social care yet. - Building applied research capacity within the Council and across North West London to make informed decisions about tailored interventions and integrated care. - Offer evidence to help design an integrated care approach to make the best use of public resources and services between GPs and social care workers, if more people with poorly controlled BP are found in social care. There are already successfully examples in Harrow where joint efforts can provide the best alternative ways of care especially where cultural and language barriers to care exist (for example, improving vaccination and health checks uptake at community centres). - The join up care will allow for more flexibility in BP recording and reviews, referrals, and BP meds prescriptions at different settings and at more flexible time (not only at pharmacies but also local Council or community buildings). - This approach will align with the NHS Long Term Plan CVD prevention programme, with its ambition to prevent 150,000 heart attacks and strokes, by changing the current primary care requirements and doing things differently.
Other approval committees
Latest approval date
20/07/2023
Safe Data
Dataset(s) name
Safe Setting
Access type
TRE