Hippo Labs uses the official NHS England QOF Business Rules v50.0 to help practices maintain systematic blood pressure monitoring across their adult population — ensuring early detection and management of hypertension.
💬 Just a reminder: this indicator isn’t a clinical guideline — it’s an operational definition used for QOF measurement. It determines which patients appear for recall, how achievement is calculated, and where gaps may occur.
🩺 The Indicator
Unlike other QOF domains, there’s no register for Blood Pressure.
Instead, the indicator applies to all patients aged 45 or over who are registered at the practice.
📊 BP002 — Blood Pressure Recording
Measures:
The percentage of patients aged 45 years or older who have a recorded blood pressure reading within the last 5 years.
Counts as complete if:
The patient has any coded blood pressure measurement in the past 5 years (from the payment period end date).
Exclusions (Personalised Care Adjustments):
Patient has declined a blood pressure check (decline code recorded within the 5-year window).
Newly registered within the last 3 months (excluded for payment).
⚠️ Common pitfalls:
Recording BP in free text or as part of a consultation note without using a valid SNOMED code.
Using an estimated or self-reported BP — must be a formal measurement.
Missing older patients who’ve not been seen recently and are overdue for opportunistic BP checks.
✅ In short: every patient aged 45+ should have a coded blood pressure reading within the last 5 years — if not, recall them for measurement.
🧩 Putting It All Together
Indicator | Focus | What It Shows | What to Do |
BP002 | Blood pressure measurement | How consistently adult patients are being screened for hypertension | Recall and record BP for all patients aged 45+ who haven’t had one in the last 5 years |
🌟 Why This Matters
Regular BP recording helps practices:
Identify undiagnosed hypertension early
Support proactive cardiovascular risk management
Maintain accurate patient data across the adult population
Demonstrate QOF compliance and prevention activity
✅ In short: BP002 ensures systematic blood pressure monitoring for all adults aged 45 and over — supporting early detection and intervention.
📚 Sources
NHS England QOF Business Rules v50.0 (Blood Pressure, April 2025)
Primary Care Domain Reference Sets (TRUD Portal)