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Type and Title of Submission


Title:

Implementing guidelines on lipid modification & hypertension to our primary care team

Description:

Power point presentation to all clinicians (prompted by learning need on what to do with all those cholesterol results) Simple guidelines on management of new and ongoing hypertensives.

Category:

Clinical

Does the submission relate to the general implementation of all NICE guidance?

No

Does the submission relate to the implementation of a specific piece of NICE guidance?

Yes

Full title of NICE guidance:

CG 34, CG 67, CG 71 - Hypertension, Lipid modification, Familial hypertension

Category(s) that most closely reflects the nature of the submission:

Implementation policy

Is the submission industry-sponsored in any way?

No


Description of submission


Aim

To improve our management and understanding of lipid modification.

Objectives

1.Improved management of lipid modification. 2.Improved management of hypertension. 3.More efficient use of clinician's time.

Context

Our starting point was a realisation that we were doing too many cholesterol tests, and were not all competent in dealing with them

Methods

1.We have reduced the number of lipid tests done. We have increased our prescribing of 40mg simvastatin. We overcame the uncertainty of clinicians about how often tests should be done by an educational session and clear guidelines.We overcame patients' misapprehensions about this by using a specific patient information leaflet-see attached 2.We have a new protocol for managing hypertensive patients. This includes a CVS risk assessment, & clear guidelines of the tasks assigned to each clinician. 3.Both changes above contributed to more efficient use of clinician's time

Results and evaluation

We have noticed a subjective reduction in lipid results - see attached results. We finding some patients who can benefit from an increase in their dose of simvastatin to 40 mg. We have not yet had time to audit this.

Key learning points

1. Involve the whole team of clinicians in shared learning. 2. Emphasise the benefits (improved patient care, improved job satisfaction, reduced time wasted) 3. Keep the key messages as simple as possible. 4. Implement written protocol promptly after educational session. 5. Encourage clinicians to discuss with each other until fully familiar and confident with concepts & guidelines.

View the supporting material

Contact Details

Name:Dr D Cashin
Job Title:G.P.
Organisation:Honley Surgery
Address:Marsh Gardens
Town:Honley
County:West Yorkshire
Postcode:HD9 6RF
Phone:01484 303365
Email:deirdre.cashin@btopenworld.com

 

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This page was last updated: 26 August 2009

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.