BP@Home Pathway Evaluation

Overview

BP@Home is a digital intervention (powered by Viso/Omron).  It drives a hybrid model of care (HMoC) designed to connect patients and clinical teams to capture, monitor and manage hypertension. It automatically codes blood pressure readings, provides evidence-based support, guides active condition management and enables remote approval of medication titrations. Patients complete their readings from home and submit in a monitoring week (as per NICE guidance) and the average is coded into the patient record. Trend analysis and education is provided via the digital app to the patient. During 2024/25, BP@Home was scaled to all PCNs across Dorset (18 in total). In 2024, NHS Dorset successfully applied to the Health Innovation Wessex Real World Evaluation programme to investigate  the productivity and efficiency of BP@Home, as an example of a hybrid model of care (HMoC), and to understand facilitators and barriers to the wider implementation of this type of care model. We conducted a multi-methods evaluation using surveys, Nominal Group Technique, pathway mapping interviews and economic modelling. Pathway mapping showed that the BP@Home pathway has been implemented differently by each of the PCNs in the evaluation, including different methods for monitoring patients using the pathway. Where data completeness allowed, efficiencies were observed compared to the standard care pathway.