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BP@Home Remote Monitoring

BP@Home: Supporting Hypertension Management Through Remote Monitoring

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Project Summary

BP@Home supports people with hypertension to measure and submit blood pressure readings from home. NIHR ARC NWL evaluated how this digital pathway affects patient outcomes, self-management, and healthcare utilisation across primary care networks in Northwest London.

Background

Hypertension is one of the leading preventable causes of stroke and cardiovascular disease. Remote monitoring enables early detection of deterioration while reducing workload for GPs.

During the COVID-19 pandemic, the need for digital approaches accelerated, leading to the widespread adoption of BP@Home across NWL.

Associated Themes

Information and Intelligence ¦ Multimorbidity and Mental Health

What We Did

NIHR ARC NWL evaluated BP@Home through:

analysis of home blood pressure readings from thousands of patients
assessment of data trends and clinical escalation patterns
evaluation of impact on primary care activity
interviews and observations with clinicians
examination of digital inclusion and patient experience

What We Found

Improved self-management, with patients being more confident in understanding their condition
Reduction in face-to-face appointments, easing pressure on primary care
Earlier escalation for patients with uncontrolled hypertension
Increased guideline-concordant medication adjustments
High patient satisfaction and strong engagement with the remote pathway

What This Means

The evaluation provides strong evidence for the role of digital remote monitoring in managing long-term conditions. BP@Home has informed:

ICS hypertension management models
integrated care pathways for remote monitoring
equality-focused approaches to hypertension management
decision-making on future digital home monitoring tools

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