Table 2

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

	Quality standard: the patient record shows that	Total number of patients with available data	Total number of patients meeting quality standard	Quality standard achieved for patients with available data (%)	Quality standard met for all patients (%)^*
1a	Blood pressure (BP) has been documented in the last 12 months	163	147	90.2	NA
1b	Most recent BP ≤130/80 mm Hg	147	57	38.8	35.0
2a	Total cholesterol has been documented in the last 12 months	163	110	67.5	NA
2b	LDL has been documented in the last 12 months	163	90	55.2	NA
2c	Total cholesterol and LDL have been documented in the last 12 months	163	90	55.2	NA
2d	Most recent total cholesterol <4 mmol/l	110	45	40.9	27.6
2e	Most recent total cholesterol <4.0 mmol/l or 25% reduction in total cholesterol, whichever achieves the lowest absolute value	106	17	16.0	10.4
2f	Most recent LDL <2 mmol/l	90	37	41.1	22.7
2g	Most recent total cholesterol <4.0 mmol/l and most recent LDL <2.0 mmol/l	90	26	28.9	16.0
3a	Antihypertensives are prescribed if BP >130/80: ACE inhibitor or ARB or CCB or thiazide-type diuretic	90	64	71.1	67.0
	Calcium channel CCB	64	29	45.3	NA
	Thiazide diuretic	64	17	26.7	NA
	ACE inhibitor	64	32	50.0	NA
	ARB	64	15	25.0	NA
	1 Class of antihypertensive	64	39	60.9	NA
	2 Classes of antihypertensive	64	21	32.8	NA
	3 Classes of antihypertensive	64	4	6.3	NA
3b	Antithrombotics are prescribed: aspirin and dipyridamole, aspirin alone, clopidogrel or anticoagulation	163	151	92.6	NA
	Aspirin and dipyridamole	163	57	35.0	NA
	Aspirin alone	163	60	36.8	NA
	Clopidogrel alone	163	15	9.2	NA
	Other antiplatelet(s)	163	8	4.9	NA
	Anticoagulant	163	14	8.6	NA
	No antithrombotics prescribed	163	9	5.5	NA
3c	Statins are prescribed if total cholesterol >3.5 mmol/l or LDL >2.5 mmol/l (ie, both measured)	72	58	81.0	77.9
4a	Documented in the last 12 months
	Smoking status	163	140	85.9	NA
	Dietary advice	163	48	29.4	NA
	Exercise advice	163	55	33.7	NA
	BMI	163	72	44.2	NA
	Smokers have been given cessation advice	19	17	89.5	NA
	Overweight (BMI≥25) and obese (BMI≥30) patients have been given weight loss advice (dietary or exercise advice)	58	27	46.6	NA
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	87	12	13.8	7.4
5b	Combined secondary prevention medication: prescribed an antihypertensive, a statin and an antithrombotic	163	90	55.2	NA

↵* 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.