Hypertension at North Street Medical Care Processes and Outcomes March 2001 Susan Neal / Stephen Newell

Hypertension at North Street Medical CareProcesses and OutcomesMarch 2001 Susan Neal / Stephen Newell

Introduction • This audit reviews the features of the current known hypertensive patients at NSMC and the care they receive • Some outcomes of that care are reviewed

Aims of this discussion: • To review the current state of play • To decide how the current provision of care should be delivered • To consider what else we need to provide

This audit looks at: • Record keeping • Systems • Processes • Outcomes • Results are both anonymised and identifiable depending on wishes of the group

Record keeping & systems • Process of care by individual clinicians • Accuracy of documentation • Last 20 dedicated hypertension consultations

Correct documentation • Read code entry for hypertension clinic • Use of hypertension template • Recall date

Results

Process • As per protocol • BP 6monthly • Other parameters where not recorded in last 14 months • Action taken

Patients with Hypertension • Defined as: • On active hypertension register OR • Read Code entry in medical history for hypertension OR • Seen in hypertension clinic in the last 5 years

Summary • Half our known hypertensives are within the current clinic • 86% have had a BP in the last 14 months, but only 70% on non-clinic attenders • 17% of these have had no BP for 2 years or more • Over ¾ of our known hypertensives are on Rx • Of those not on Rx, over half their last BP was outside current BHS guidelines • A third of all known patients have BPs outside of current BHS targets • Of these 12% are on 3 or more medications

Hypertension at North Street Medical Care Processes and Outcomes March 2001 Susan Neal / Stephen Newell