Barnsley Hypertension ProtectSpecification of Support Requirements Name of Your GP Surgery: Please Select the Associated PCN: Central Dearne North North-East Penistone South Please confirm the Type of Support Service for Activation: Community Pharmacy Hypertension Protect How’s Thi Ticker Campaign Step 1: Contacting Patients Do You Consent for Patients Within the Selected Cohort to be Contacted Through Eclipse Patient Engagement Interface? Yes Possibly - need more information No Do You Prefer for the GP Surgery to Contact the Patients Themselves? Yes No Step 2: Reviewing Patients Are You Happy for Patients to be Offered Assessments at the Community Pharmacy? Yes Possibly - need more information No Would you be happy for community pharmacy to have access to your patients’ medical records to help them complete this review? *Please see image below for more information. Yes No Are you happy for patients to collect Blood Pressure Self-Monitoring Devices from the Surgery? (These devices will be provided for you) Yes Possibly - need more information No Step 3: Follow Up Would you like training for your own team? * Yes No Would you be happy for the Barnsley Clinical Pharmacists/PPF Pharmacy team to provide anonymised regional surveillance to ensure high blood pressures have been reviewed? * Yes No Can you please confirm that your practice would be happy to follow up patients with a high blood pressure from community pharmacy? * Yes No Please confirm that you are happy for patients to receive a standardised follow-up questionnaire for evaluation of the programme? * Yes No Proposed start date: This month Next month Within 3 months Within 6 months Key Contact 1 - Practice Admin Lead for this Programme First Name Last Name Tel: Email Key Contact 2 - Practice Clinical Lead for this Programme First Name Last Name Tel: Email Thank you for completing your surgery application for the Barnsley Hypertension Protect.
