Some patients have functional limitations caused by their breathing difficulties. At the Practice we offer Asthma checks, Spirometry test. Patients can also be referred to COPD Services for South Westminster where the services include: Nurse Led Clinics, Pulmonary Rehabilatation. Hypertension/ Chronic Heart Disease CHD, Cardiovascular Disease Clinics To identify hypertension (persistent raised blood pressure above 140/90mmHg), we ask our patients for at least to return for at least two subsequent appointments where blood pressure is assessed from two readings under the best conditions available. Part of our hypertension clinic is to offer Lifestyle Interventions and Cardiovascular Risk. We may need to formally assess their cardiovascular risk. Tests may help identify diabetes, evidence of hypertension damage to the heart and kidneys, and secondary causes of hypertension such as kidney disease.