IFPHOR0071 Using Football to Identify Undiagnosed Hypertension: A Community-Based Approach in North Manchester

Background Cardiovascular disease remains a leading cause of premature mortality in Manchester, with hypertension a major modifiable risk factor. Despite national and local prevention strategies, a substantial proportion of hypertension remains undiagnosed, particularly in deprived communities. Community-based approaches may help address this gap by reaching populations less likely to access primary care. Methods A series of opportunistic blood pressure screening events were delivered in a non-clinical, community setting at FC United of Manchester’s Broadhurst Park stadium as part of a Health Creation programme. Screenings were conducted across three matchdays using trained staff and standardised measurement protocols. Adults (18+) were recruited via walk-up engagement and targeted promotion. Results A total of 62 adults (aged 18–82 years) participated. Two-thirds (66%) recorded blood pressure in the hypertensive range (≥140/90 mmHg), substantially higher than national estimates. Of those with hypertensive readings, 63% had no prior diagnosis, indicating previously unrecognised cardiovascular risk. Five participants (8%) recorded hypertensive crisis-level readings and were signposted for urgent care. Among participants with a known diagnosis of hypertension, only 18% had controlled blood pressure at the time of screening. The programme successfully engaged groups less likely to access routine care, with 71% of participants being male. Conclusions Community-based blood pressure screening in trusted, high-footfall settings can effectively identify undiagnosed and uncontrolled hypertension, particularly among underserved populations. This approach complements existing NHS provision by supporting early detection, improving awareness, and facilitating timely referral. However, the absence of follow-up data highlights the need for stronger integration with primary care pathways.