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NICE recommends stricter QOF blood pressure targets for patients with CVD


The problem here is the difference between the "audit target" which was at 150/90 and the "best practice target" which most would agree would be about 135/83 as giving the best outcome possible. What we cannot get through to our lords and masters is that aiming for the audit target means than many will be at the clinical target away from the "white coat" area but aiming for the new 140/90 audit target will cause much iatrogenic (or QOFogenic) illness, falls, fractures, morbidity and mortality. Let's try to persuade the government that this futile target chasing is barmy, bonkers and bad and that holistic care is desirable and actually much more challenging. I have also just had to do GPPAQ quaestionnaires this morning on a couch potato of 13 stone and 5ft1 tall and a recently retired firefighter who is now working as a builders navvy and has muscles where I just have aches and pains. Now - the results were fascinating. One was inactive and one was active. Wow - I needed the GPPAQ to tell the difference...

Posted date

23 Jul 2013

Posted time