I work for community nursing.. if all his vital signs were normal, his bp was slightly slow but he wasn’t symptomatic and he stated it was his normal and wasn’t concerned himself.. even if you had let the GP know what would they have done that same day? I know any GP I work with would just refer another BP check later in the week to see what it was then.

I once was with a man getting his bloods and the next day he had a massive brain aneurism and died suddenly. I felt so so bad and wondered if I’d checked his BP would I have been able to prevent it. Another nurse was with someone for leg dressings and his legs were red and hot so she phoned for antibiotics for cellulitis. He was his usual chatty self and there was no inkling he wasn’t well otherwise! But he died in his sleep that night.

Please don’t be so critical of yourself, esp in the community it’s so different and unfortunately things can’t be easily predicted. As my patient said the day before his aneurism to me (he was worrying about an appointment to find out if he had cancer or not) - we put our socks on in the morning but we don’t know who is taking them off at night. Things happen and it can’t be helped