Hypertension Monitoring Audit

Free projects are complete and ready to use. Paid projects can also be adapted to your local requirements. This project uses a fixed Lazomis clinical configuration of 15 audit criteria across cohort and review context, blood pressure monitoring, target setting and interpretation, medicines review, lifestyle and cardiovascular risk, action and follow-up, and safety and escalation. Data collection, dashboards, findings, improvement planning, re-audit and every output are included at no cost.

• GPs, practice nurses, clinical pharmacists, ACPs and physician associates
• Community nurses and long-term condition leads
• QI, clinical governance and service management teams
• Trainees needing ARCP-ready evidence

• Measure whether recent blood pressure monitoring and measurement method are documented
• Review whether an individualised blood pressure target is documented and compared with the recorded reading
• Review medication, adherence, tolerability and relevant monitoring requirements
• Review lifestyle and cardiovascular risk-factor support, action planning and follow-up
• Generate governance-ready and ARCP-ready evidence

• Anonymised case number, review date, audit cycle and location
• Age band, care setting, frailty, diabetes, CKD and cardiovascular context
• Blood pressure measurement method, recency, target basis and status at review
• 15 fixed audit criteria (Yes / No / Not applicable)
• Free-text learning points

• Live dashboard
• Audit report (Word)
• Executive summary (Word)
• Excel workbook
• PowerPoint presentation
• Conference poster
• ARCP evidence summary

This ready-built project is developed using the guidance, standards and authoritative sources listed below, so you can see what is being measured and why. Lazomis QI does not publish or own this guidance, and inclusion here does not imply endorsement or approval by any of these organisations.

• NICE

  NG136: Hypertension in adults — diagnosis and management(opens the original source in a new tab)

  National guidance on blood pressure measurement, home and ambulatory monitoring, individualised targets, treatment review and follow-up.

• NICE

  QS28: Hypertension in adults(opens the original source in a new tab)

  Quality statements covering blood pressure measurement, target setting, review and support for people with hypertension.

• NHS England

  Quality and Outcomes Framework guidance(opens the original source in a new tab)

  Provides primary care monitoring context only. QOF indicators are contractual measures and are not presented here as the full clinical standard.

• Local policy

  Local hypertension, medicines optimisation, CKD, diabetes, frailty and escalation policies

  Local hypertension review templates, individualised target setting, medicines optimisation and monitoring policy, cardiovascular risk, CKD, diabetes and frailty guidance, recall processes and urgent escalation pathways define what is required locally. Confirm local policy before interpreting results.

• Designed to use anonymised or pseudonymised audit identifiers.
• This tool supports, but does not replace, clinical judgement.
• Local policy, formulary and specialist advice should be followed.
• Organisations remain responsible for local governance arrangements.
• This tool supports clinical audit and quality improvement. It does not replace clinical judgement, local policy, specialist advice or urgent escalation pathways.
• Urgent or emergency presentations, including severely raised blood pressure or suspected acute target organ damage, should be managed according to local escalation pathways.
• Blood pressure targets are individualised. No single universal target is applied, and QOF indicators are not presented as the full clinical standard.
• Use anonymous case identifiers only — never patient-identifiable information.

Supporting guidance from the Lazomis QI Resource Library. Authoritative clinical standards referenced by this project remain separate.

• Clinical GovernanceIntegrating Quality Improvement into Clinical Governance FrameworksThis article explores the vital relationship between Quality Improvement (QI) and Clinical Governance within the NHS, demonstrating how they are two sides of the same coin when aiming for continuous, systematic improvement in patient care.
• Quality ImprovementHow Many PDSA Cycles Does a Quality Improvement Project Need?This guide explains the iterative nature of PDSA cycles and offers practical advice for determining the appropriate number of cycles needed for effective quality improvement in NHS settings.
• Clinical GovernanceLeveraging Incident Themes for Quality Improvement and Patient SafetyThis guide helps NHS teams identify and analyse recurring incident themes, transforming reported safety events into practical quality improvement opportunities to enhance patient safety and system reliability.
• Quality ImprovementDocumenting PDSA Cycles for Effective Quality ImprovementThis guide provides practical advice on documenting Plan-Do-Study-Act (PDSA) cycles, a crucial component of effective quality improvement in the NHS, ensuring learning is captured and shared.