🩺 Simple Contract Hypertension 2025/26

💷 How much is this worth to me?

This template supports QOF delivery for two core hypertension indicators:

• HYP008 – Blood pressure control in patients <80

• HYP009 – Blood pressure control in patients ≥80
  It also captures required data for:

• SMOK002 – Smoking status

• SMOK004 – Smoking cessation advice

Ensuring accurate recording through this template protects income while supporting safe and optimised blood pressure management.

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📊 High-level overview of the specification requirements

HYP008: BP Control <80 years

• Target: ≤140/90 mmHg

• If using home/ambulatory BP: ≤135/85 mmHg

HYP009: BP Control ≥80 years

• Target: ≤150/90 mmHg

• If using home/ambulatory BP: ≤145/85 mmHg

SMOK002 & SMOK004

• All patients 15+ should have smoking status recorded (SMOK002)

• All smokers should be offered cessation advice yearly (SMOK004)

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📌 What do you need to know?

This template captures the following:

🔢 Blood Pressure Recording (HYP008/009)

Fields to enter:

• Latest clinic systolic/diastolic

• Average home BP (systolic and diastolic)

• Ambulatory BP (systolic and diastolic)

If target not met:

• You must either intensify treatment or

• Record a PCA (e.g. max tolerated treatment)

❌ BP Exception Reporting

• Tick if BP can’t be taken or controlled

• Acceptable reasons:

  • Maximum tolerated therapy

  • Refusal

  • Other clinical unsuitability

🚬 Smoking Status (SMOK002)

• Dropdown to record current smoking status

• Option to tick "declined"

🚭 Smoking Cessation Advice (SMOK004)

• Tick to confirm advice given

• Tick "declined" if patient refused advice

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💡 Hints and Tips

• Use home/ambulatory readings where in-clinic BP remains above target – thresholds are lower but often easier to meet.

• Ensure systolic and diastolic values are entered — incomplete readings can result in indicator failure.

• Apply PCA codes annually if patient remains uncontrolled or if treatment is clinically inappropriate.

• Review all patients with elevated BP prior to QOF year-end to ensure values are updated.

• Even if BP is well controlled, smoking status and advice must still be recorded for patients ≥15.