Home monitoring of hypertension in pregnancy (HaMpton)

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Home monitoring of hypertension in pregnancy (HaMpton)

24th November 2017

New care pathway involving the use of an app for monitoring high blood pressure at home, empowering expectant mothers to be involved in their own care.

“This home-monitoring service has been very good for me because I can do it at home, in comfort, and in much more realistic surroundings. If there is a problem, I can call up – there’s always someone to talk to – and if things really get bad, I can get called in. But no time is wasted on either side.”

Patient

Summary:
Home monitoring of hypertension in pregnancy, or HaMpton, is a new care pathway developed by the maternal fetal medicine team at St George’s Hospital, London. This pathway involves the use of an innovative smartphone app for monitoring high blood pressure at home. The app alerts women if they need to attend the hospital, and it also links with a hospital computer system where the data can be monitored by clinicians in real time. HaMpton empowers women to be involved in their own care, reduces the number of hospital visits, and has achieved excellent patient and staff satisfaction.

Challenge/problem identified:
High blood pressure disorders complicate 10% of pregnancies and pre-eclampsia affects between 2% – 8%. Pre-eclampsia can be life threatening for both mother and baby. Standard care pathways for women who have high blood pressure in pregnancy require frequent hospital visits. This has significant cost implications, both to the NHS and to patients, and can cause anxiety to pregnant women.

Impact:

53% reduction in number of appointments for hypertension monitoring, and amount of time per appointment
£300 average cost saving per patient per week according to basic health economic study
£50 million potential annual cost saving if scaled up across the UK

Download a list of supporting evidence here.

Read the patient case study here.

Fellow: Asma Khalil

Category:

2017

Tags:

Safety, quality and efficiency within hospitals