The committee discussed rapid blood pressure lowering for young people aged 16 and 17. The evidence reviewed covers adults 18 and over, but the committee agreed that this can be extrapolated for young people after seeking advice from a paediatric specialist. The committee wanted to consider the long-term effect of intensive blood pressure lowering on quality of life, but limited evidence was available to show how it affected quality of life at 6 and 12 months, and no evidence was available on cognitive function or functional ability. Given the lack of evidence for these important outcomes, the committee made a research recommendation about the impact of intensive interventions to lower blood pressure on cognitive function, functional ability and quality of life compared with less intensive interventions. The committee identified a gap in the evidence on the impact of intensive blood pressure treatment on people who are frail. There is currently no guidance or treatment pathway for people who are frail, so the committee also made a research recommendation about the impact of intensive blood pressure lowering on people who are frail, and encouraged the use of frailty scores to evaluate the impact of frailty on outcomes and treatment prognoses. 2022 Other factors the committee took into account The committee were aware of the European Stroke Organisation (ESO) guideline on blood pressure management in acute ischaemic stroke and intracerebral haemorrhage, which suggests 'In patients with hyperacute (presenting within 6 hours) intracerebral haemorrhage, lowering blood pressure to below 140 mmHg (and to keep it above 110 mmHg) to reduce haematoma expansion'. The committee agreed that this is broadly in line with NICE recommendations. How the recommendations might affect practice The recommendations reflect a small change to current best practice. 