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Implications of Update for Secondary Care Michaela Watts Hypertension Nurse Specialist Addenbrookes Hospital Cambridge. Launch: Wednesday 24 th August 2011. NICE clinical guideline 127. Offering an efficient service Assess likely local demand for ABPMs in collaboration with PCTs
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Implications of Update for Secondary Care Michaela Watts Hypertension Nurse Specialist Addenbrookes Hospital Cambridge Launch: Wednesday 24th August 2011 NICE clinical guideline 127
Offering an efficient service • Assess likely local demand for ABPMs in collaboration with PCTs • Assess existing services offered – if any • Develop business case to include likely cost implications for space, equipment and staff Launch: Wednesday 24th August 2011 NICE clinical guideline 127
Most Cost effective use of Staff • HCAs or band 5 nurses for fitting of monitors only • Results interpreted by appropriately trained nurses/registrars/consultants • Offer service to diabetes, cardiac or renal specialties Launch: Wednesday 24th August 2011 NICE clinical guideline 127
Improving attendance • Monitors returned to GPs with courier pick up • Satellite clinics • Provide ABPM service at existing non-urgent walk-in services Launch: Wednesday 24th August 2011 NICE clinical guideline 127
Benefits of service • Fast and accurate diagnosis • Individualised care and improved patient experience • Potentially time-saving if patient needs specialist referall • Research opportunities for treatment-naive patients usually cared for in the community • Audit data Launch: Wednesday 24th August 2011 NICE clinical guideline 127