Table 2

Royal College of Physicians (RCP) standards (n=163 patients followed up for ≥12 months)

Quality standard: the patient record shows thatTotal number of patients with available dataTotal number of patients meeting quality standardQuality standard achieved for patients with available data (%)Quality standard met for all patients (%)*
1aBlood pressure (BP) has been documented in the last 12 months16314790.2NA
1bMost recent BP ≤130/80 mm Hg1475738.835.0
2aTotal cholesterol has been documented in the last 12 months16311067.5NA
2bLDL has been documented in the last 12 months1639055.2NA
2cTotal cholesterol and LDL have been documented in the last 12 months1639055.2NA
2dMost recent total cholesterol <4 mmol/l1104540.927.6
2eMost recent total cholesterol <4.0 mmol/l or 25% reduction in total cholesterol, whichever achieves the lowest absolute value1061716.010.4
2fMost recent LDL <2 mmol/l903741.122.7
2gMost recent total cholesterol <4.0 mmol/l and most recent LDL <2.0 mmol/l902628.916.0
3aAntihypertensives are prescribed if BP >130/80: ACE inhibitor or ARB or CCB or thiazide-type diuretic906471.167.0
 Calcium channel CCB642945.3NA
 Thiazide diuretic641726.7NA
 ACE inhibitor643250.0NA
 ARB641525.0NA
 1 Class of antihypertensive643960.9NA
 2 Classes of antihypertensive642132.8NA
 3 Classes of antihypertensive6446.3NA
3bAntithrombotics are prescribed: aspirin and dipyridamole, aspirin alone, clopidogrel or anticoagulation16315192.6NA
 Aspirin and dipyridamole1635735.0NA
 Aspirin alone1636036.8NA
 Clopidogrel alone163159.2NA
 Other antiplatelet(s)16384.9NA
 Anticoagulant163148.6NA
 No antithrombotics prescribed16395.5NA
3cStatins are prescribed if total cholesterol >3.5 mmol/l or LDL >2.5 mmol/l (ie, both measured)725881.077.9
4aDocumented in the last 12 months
 Smoking status16314085.9NA
 Dietary advice1634829.4NA
 Exercise advice1635533.7NA
 BMI1637244.2NA
 Smokers have been given cessation advice191789.5NA
 Overweight (BMI≥25) and obese (BMI≥30) patients have been given weight loss advice (dietary or exercise advice)582746.6NA
5a
  • Combined risk factor control: most recent BP ≤130/80 mm Hg and

  • most recent total cholesterol <4.0 mmol/l and most recent LDL <2.0 mmol/l and antithrombotics are prescribed

  • Aspirin and dipyridamole, aspirin alone, clopidogrel or anticoagulation

871213.87.4
5bCombined secondary prevention medication: prescribed an antihypertensive, a statin and an antithrombotic1639055.2NA
  • * Assuming that patients with unavailable data did not meet the quality standard.

  • ACE, angiotensin-converting enzyme; ARB, angiotensin receptor blocker; BMI, body mass index; CCB, calcium channel blocker; LDL, low-density lipoprotein; NA, not applicable.