This folder supports achievement of the HYP008 and HYP009 indicators, which focus on blood pressure control in patients with hypertension:

• HYP008 – BP ≤140/90 mmHg in patients aged 79 or under

• HYP009 – BP ≤150/90 mmHg in patients aged 80 and over

These searches help practices follow up on invitations, borderline results, high-risk cases, and exception coding opportunities.

The searches have been built to look at the contract year (1st April to 31st March), so it is recommended to run the search WITHOUT a relative run date.

🔍 [HYP008] One invitation sent

Patients aged ≤79 who have had one invitation for a hypertension review. Send a second invitation to enable exception coding under HYP008 if they do not attend. If the patient has had a raised blood pressure recorded this year, there must be at least two invitations after the most recent BP result.

🔍 [HYP008] Two invitations sent

Patients aged ≤79 with two invitations and no BP to target. Now eligible for exception coding under HYP008.

🔍 [HYP009] One invitation sent

Patients aged ≥80 who have received one invitation for review. Send a second invitation if the patient hasn’t attended to support future exception coding for HYP009. If the patient has had a raised blood pressure recorded this year, there must be at least two invitations after the most recent BP result.

🔍 [HYP009] Two invitations sent

Patients aged ≥80 with two invitations but no qualifying BP recorded. These are now eligible for exception coding under HYP009.

🧾 BORDERLINE | HYP008 would have achieved surgery BP target

Patients aged ≤79 whose latest BP reading was home or ambulatory that would have been within target if taken in surgery. Home/ambulatory thresholds are lower than surgery thresholds, so these patients may achieve HYP008 if a surgery reading is taken.

🧾 BORDERLINE | HYP009 would have achieved surgery BP target

Same as above, but for patients aged ≥80 under HYP009. Surgery BP could allow QOF achievement. These patients might meet HYP009 if they are invited in for a surgery-based reading.

🧾 CHECK BORDERLINE | HYP008 BP this year not to target NO previous PCA

Patients aged under 80 with BP not to target this year, but no history of PCAs recorded in the last 3 years. These cases may be borderline or newly raised — worth reviewing or repeating.

🧾 CHECK BORDERLINE | HYP009 BP this year not to target NO previous PCA

Patients aged 80+ with raised BP this year, but no history of PCAs recorded in the last 3 years. These may reflect isolated events or measurement variation — worth rechecking.

🧾 HIGH RISK | HYP008 no BP reading this QOF year but latest was raised

Patients aged ≤79 with no BP this year, and last BP was above target. Likely to fail HYP008 if not reviewed before year-end.

🧾 HIGH RISK | HYP009 no BP reading this QOF year but latest was raised

Patients aged ≥80 with no BP this year and previously raised readings. At risk of failing HYP009 without a current check.

🧾 HIGH RISK | HYP no BP reading this QOF year but latest was raised

Catch-all list for hypertensive patients of any age with no BP this year and raised BP previously. Use to prioritise reviews and close gaps.

🧾 PCA CHECK | HYP008 BP this year not to target on 3+ antihypertensives

Patients under 80 who are not to BP target and already on 3 or more antihypertensives. Consider PCA for maximal tolerated therapy under HYP008.

🧾 PCA CHECK | HYP009 BP this year not to target on 3+ antihypertensives

Same as above, but for patients aged 80+ and HYP009. May qualify for PCA if further escalation is not appropriate.

🧾 PCA CHECK | HYP008 BP this year not to target previous PCA

Patients aged ≤79 who have not met BP target and had a previous PCA within the last 3 years. Review whether the exception remains appropriate.

🧾 PCA CHECK | HYP009 BP this year not to target previous PCA

Patients aged ≥80 who have not met BP target this year and had a previous PCA within the last 3 years. May need reapplying if clinical picture is unchanged.

🧾 QUICK WIN VALUE | HYP no BP reading this QOF year and latest was normal

Hypertensive patients with no BP recorded this year, but last BP was in target. A quick win if a BP check is done — likely to meet HYP008 or HYP009 with a single update.