Table 5: Summary of major improvements achieved in all three clinics Criteria   **Individual Clinic Performance   Phase 1   Phase 2   P value (95% CI) Advices on non drug therapy/lifestyle modification                       YO   38.4%   82%   <0.001       YFS   22.4%   68.6%   <0.001       TMC   47.5%   34%   0.0520   Physical inactivity documented and advise for exercise                       YO   42.3%   90%   <0.001       YFS   6.2%   48.7%   <0.001       TMC   11.5%   25.5%   0.0107 Annual complication assessment                   Cardiovascular complication   YO   ---   ---   ---       YFS   17.1%   75.9%   <0.001       TMC   30%   60.5%   <.0001   Renal complication   YO   14%   81.2%   <0.001       YFS   22.1%   81.5%   <0.001       TMC   35.5%   80.5%   <.0001 Annual cardiovascular and cerebrovascular risks assessment                   Smoking status recorded   YO   96.4%   100%   <0.01       YFS   33.1%   70%   <0.001       TMC   69.5%   80%   0.0874   Body weight (BW)/body mass index (BMI) measurement   YO   14.1%   80.8%   <0.001       YFS   33.1%   89.6%   <0.001       TMC   10.5%   38.5%   <0.001   Diabetes   YO   98.4%   100%   >0.1       YFS   83.2%   96.1%   <0.001       TMC   35.5%   79.5%   <0.001   Lipid profile   YO   84.8%   100%   <0.001       YFS   81.2%   94.7%   <0.001       TMC   35.5%   75.5%   <0.001 Drug compliance was assessed   YO   58%   95.2%   <0.001       YFS   ----   ----   ----       TMC   68.5%   91%   <0.001 Adverse anti-hypertensive drug effects was assessed   YO   ----   ----   ----       YFS   11.2%   44.5%   <0.001       TMC   13%   57.5%   <0.001 Blood pressure <140/90mmHg   YO   47.2%   60%   <0.05       YFS   57.1%   78.7%   <0.001       TMC   60.5%   82%   <0.001                     **YO stands for Yan Oi GOPC, YFS stands for Yung Fung Shee GOPC, TMC stands for Tuen Mun Clinic