Trial of a Nurse Led Hypertension Clinic in Inner City General Practices

This study has been completed.
Information provided by:
St George's, University of London Identifier:
First received: April 9, 2010
Last updated: NA
Last verified: April 2010
History: No changes posted

The investigators will do a trial in two general practices to see if the introduction of a blood pressure clinic staffed by a specialist nurse supported by visiting consultant improves blood pressure control compared to usual care.

Condition Intervention
Other: Nurse-led blood pressure clinic

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Health Services Research
Official Title: Evaluation of a Nurse-led Hypertension Clinic in Two Inner City General Practices: Randomised Controlled Trial

Resource links provided by NLM:

Further study details as provided by St George's, University of London:

Primary Outcome Measures:
  • Change in systolic blood pressure [ Time Frame: 6 months ] [ Designated as safety issue: No ]
    This will be assessed using two audits of practice records where blood pressure was measured and recorded independently by practice staff

Secondary Outcome Measures:
  • Proportion of patients in each group with final blood pressure below the British Hypertension Society optimal target [ Time Frame: 6 months after recruitment ] [ Designated as safety issue: No ]

Enrollment: 353
Study Start Date: February 2008
Study Completion Date: April 2010
Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Usual care
Patients not invited to the nurse-led clinic will continue with usual GP care
Experimental: Nurse-led blood pressure clinic
Patients randomly allocated to the intervention will be invited to a specialist nurse-led blood pressure clinic.
Other: Nurse-led blood pressure clinic
Blood pressure will be measured according to protocol.For patients with blood pressure above optimal targets, treatment changes will be discussed with the patient, a visiting consultant physician and the patient's GP. If they agree, the GP will intensify anti-hypertensive treatment with monthly follow up by the specialist nurse until BP targets are achieved.


Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Patients with last recorded blood pressure greater or equal to the British Hypertension Society audit standard

Exclusion Criteria:

  • Secondary hypertension
  • Housebound
  • Non-English speaking
  • Another major illness likely to dominate pattern of care e.g. advanced cancer, dementia
  Contacts and Locations
Please refer to this study by its identifier: NCT01101737

United Kingdom
St George's, University of London
London, United Kingdom, SW17 ORE
Sponsors and Collaborators
St George's, University of London
Principal Investigator: Sally Dean, SRN St George's, University of London
Study Director: Pippa Oakeshott, MD St George's, University of London
  More Information

No publications provided

Responsible Party: St George's, University of London Identifier: NCT01101737     History of Changes
Other Study ID Numbers: General Nursing Council 2007
Study First Received: April 9, 2010
Last Updated: April 9, 2010
Health Authority: United Kingdom: National Health Service

Keywords provided by St George's, University of London:
Hypertension, clinical trial, nurse-led clinic, primary care

Additional relevant MeSH terms:
Vascular Diseases
Cardiovascular Diseases processed this record on April 22, 2014