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What needs to be done next and what do I do? Needs to be done. What do you need to do? BP >140/90 mmHg & ABPM/Home BP/Pharmacy <179/119 mmHg Check for DM & CKD See duty Dr / ANP BP >180/120 mmHg CVD Risk >20% See GP/ANP/Pharm Start a statin See GP/ANP/Pharm, CVD Risk 10-19% recommend a statin CVD Risk <10% NHS Health Check in 5 years See GP, check full lipid profile, TC>7.5 mml/L thyroid, liver, kidney, diabetes. Consider FH QDiabetes > 5.6 Check HBa1c Cambridge > 0.2 Leicester practice > 4.8 Leicester risk assessment >= 16 See duty Dr/ANP/Pharm HbA1c >48 Diabetes prevention HbA1c 42-48 programme Lifestyle advice HbA1c 37-42 Lifestyle advice HbA1c <37 Weight management BMI >30 programme, Diabetes prevention programme Complete rest of Audit C Audit C>5 Audit C 8-19 Offer advice, Drink Aware app Referral to specialist alcohol Audit C >20 services Irregular pulse ECG Smoker Stop smoking services Lifestyle Local and national services Better Health https://www.healthcheck.nhs.uk/commissioners-and-providers/national-guidance/