the average hbalc for primary care patients has not changed in recent years and improvements appear unlikely unless clinical practice is modified the proportion reaching the blood pressure goal of mm iig was in with a twofold variation between counties the proportion with blood pressure lower than mm hg was about the results point to undertreatment and the potential for improvement in all regions however there is scope for improvement as only of diabetic patients under age achieved the ldl cholesterol goal with county level variations of between on several indicators for stroke and acute myocardial infarction treatment in line with guidelines and outcomes have improved significantly