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Hypertension in adults: diagnosis and management [CG127]

Measuring the use of this guidance

Recommendation: 1.1.6

In people with symptoms of postural hypotension (falls or postural dizziness): measure blood pressure with the person either supine or seated measure blood pressure again with the person standing for at least 1 minute prior to measurement. [2004, amended 2011]

What was measured: Percentage of GP practices that sitting and standing blood pressures are checked when postural symptoms are reported
Data collection end: July 2016
97%
Area covered: Local
Source: British Journal of General Practice 2017 VOL 67 PP e306-e313 Trends in the diagnosis and management of hypertension: Repeated primary care survey in South West England Mejzner N, Clark C E, Smith L F. P, and Campbell J L


Recommendation: 1.2.1

When considering a diagnosis of hypertension, measure blood pressure in both arms.

What was measured: Percentage of GP practices that reported measuring blood pressure in both arms when considering a diagnosis of hypertension.
Data collection end: July 2016
52%
Area covered: Local
Source: British Journal of General Practice 2017 VOL 67 PP e306-e313 Trends in the diagnosis and management of hypertension: Repeated primary care survey in South West England Mejzner N, Clark C E, Smith L F. P, and Campbell J L


Recommendation: 1.2.3

If the clinic blood pressure is 140/90 mmHg or higher, offer ambulatory blood pressure monitoring (ABPM) to confirm the diagnosis of hypertension. [2011]

What was measured: Percentage of GP practices that on discovering a surgery blood pressure reading above 140/90 mmHg, for out-of-office assessment, offer ambulatory blood pressure monitoring (ABPM)
Data collection end: July 2016
56%
Area covered: Local
Source: British Journal of General Practice 2017 VOL 67 PP e306-e313 Trends in the diagnosis and management of hypertension: Repeated primary care survey in South West England Mejzner N, Clark C E, Smith L F. P, and Campbell J L


Recommendation: 1.4.2

Ascertain people's diet and exercise patterns because a healthy diet and regular exercise can reduce blood pressure. Offer appropriate guidance and written or audiovisual materials to promote lifestyle changes. [2004]

What was measured: Proportion of patients diagnosed with hypertension (diagnosed on or after 1 April 2009) who are given lifestyle advice in the preceding 12 months for: smoking cessation, safe alcohol consumption and healthy diet.
Data collection end: March 2018
14.1%
Number that met the criteria: 326808 / 2320874
Area covered: England
Source: Indicators no longer in QOF (INLIQ)


Recommendation: 1.4.4

Ascertain people's alcohol consumption and encourage a reduced intake if they drink excessively, because this can reduce blood pressure and has broader health benefits. [2004]

What was measured: Proportion of patients diagnosed with hypertension (diagnosed on or after 1 April 2009) who are given lifestyle advice in the preceding 12 months for: smoking cessation, safe alcohol consumption and healthy diet.
Data collection end: March 2018
14.1%
Number that met the criteria: 326808 / 2320874
Area covered: England
Source: Indicators no longer in QOF (INLIQ)


Recommendation: 1.4.8

Offer advice and help to smokers to stop smoking. [2004]

What was measured: Proportion of patients diagnosed with hypertension (diagnosed on or after 1 April 2009) who are given lifestyle advice in the preceding 12 months for: smoking cessation, safe alcohol consumption and healthy diet.
Data collection end: March 2018
14.1%
Number that met the criteria: 326808 / 2320874
Area covered: England
Source: Indicators no longer in QOF (INLIQ)


Recommendation: 1.5.5

Aim for a target clinic blood pressure below 140/90 mmHg in people aged under 80 years with treated hypertension. [2011]

What was measured: Proportion of patients aged 79 or under with hypertension in whom the last blood pressure reading (measured in the preceding 9 months) is 140/90 mmHg or less
Data collection end: March 2018
55.7%
Number that met the criteria: 3022573 / 5424240
Area covered: England
Source: Indicators no longer in QOF (INLIQ)


Recommendation: 1.5.6

Aim for a target clinic blood pressure below 150/90 mmHg in people aged 80 years and over, with treated hypertension.

What was measured: Proportion of patients with peripheral arterial disease in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less.
Data collection end: March 2015
85.6%
Area covered: England
Source: Health and Social Care Information Centre. Quality Outcomes Framework.

What was measured: HYP006: The percentage of patients with hypertension in whom the last blood pressure reading (measured in the preceding 12 months) is 150/90 mmHg or less.
Data collection end: March 2016
79.6%
Data collection end: March 2017
80%
Area covered: National
Source: Health and Social Care Information Centre. Quality and Outcomes Framework.



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