Sandwell Pharmacy Group
Health Hub · NHS services

What Your Blood Pressure Numbers Actually Mean

By the Sandwell Pharmacy Group team · Clinically reviewed by Jeetender Singh Sahota, Superintendent Pharmacist (GPhC 2048691) · Updated September 2026 · 4 min read
What Your Blood Pressure Numbers Actually Mean

Two numbers, and most people only remember the first. Both matter.

The top and bottom number

The top one is the pressure while your heart pushes blood out. The bottom one is the pressure while it refills. A reading of 128 over 78 means both, in millimetres of mercury.

What counts as high

Broadly, under 120 over 80 is ideal, up to 140 over 90 in a clinic is the normal range, and consistently above that is treated as high blood pressure. Home readings run slightly lower, so the thresholds shift down a little.

Why one reading proves nothing

Blood pressure moves all day. It rises when you are rushed, in pain, cold, or sitting in a clinic being measured, which has its own name — white coat effect. A single high reading is a reason to measure again, not a diagnosis.

How the NHS check works

Free for anyone 40 and over. It takes a few minutes. If your reading is high, we offer 24-hour monitoring, which records automatically through a normal day and night and gives a far more honest picture than a snapshot at a counter.

What to do before you come

No coffee or cigarette for half an hour, empty your bladder, and sit still for five minutes first. Wear something with a sleeve that rolls up easily.

Find your nearest branch →All services →Contact us & opening hours →
0121 500 5756