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June 2026 Br J Cardiol 2026;33:50–2 doi:10.5837/bjc.2026.027

Training and referral patterns for hypertension in the UK: huge demand for an untrained work force

James F Brady, Oliver I Brown, C Fielder Camm, Raj Thakkar, Jim Moore, Adrian J B Brady

Abstract

Introduction Hypertension is a highly prevalent condition affecting nearly a third of UK adults.1 It is estimated that 12.8% of worldwide mortality is caused by hypertension.2 The disease affects all ages, all genders and does not differentiate for deprivation, with incidence grossly unchanged in 20 years and numbers of people potentially undiagnosed ever rising.3 Treating blood pressure costs an estimated £2.1 billion to the National Health Service (NHS) every year.4 Blood pressure control is not optimised in around three million people, putting them at an even greater risk.5 In the UK, >90% of hypertension is managed in primary care. Ye

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