Table 2.

Opportunities for improved management and possible responses.

	Opportunities for improvement (n = 30)
	Total	To achieve targets similar to CHD QOFa	Predicted from nurse-led clinics in CHDb
Antiplatelet drugs	15	12	3
Cholesterol <5.0 mmol/l (n = 29)	16	7	6
Blood pressure <140/85 mmHg	14	5	3
Non-smoking	8	-	0
Moderate exercise	28	-	2
Low-fat diet	16	-	2
Total
Per 30 patients	97	24	16
Per patient	3.2	0.8	0.5

^aMaximum targets for secondary prevention of coronary heart disease (CHD) in the Quality Outcomes Framework (QOF) of the UK general medical services contract: 90% on antiplatelet drugs, 70% achieving cholesterol and blood pressure targets.⁴

^bBased on outcomes achieved in a previous randomised controlled trial: 9% more on antiplatelet drugs, 21% more achieving cholesterol targets, 10% more achieving blood pressure targets, no change in smoking, 6% more exercising, and 8% more on a low-fat diet.²⁸