Sphygmomanometers are the cornerstone of blood pressure management and yet
there is no national standard for the regulation of this equipment in the U
K. It is known that these machines may often be inaccurate, particularly th
ose used in the community. We embarked upon a survey of all sphygmomanomete
rs in current use in one inner city primary care group. Contrary to our ini
tial hypothesis, inaccuracy rates were lower than in other reported communi
ty surveys with 2.3% of mercury and 14.8% of anaeroid sphygmomanometers fai
ling the test. Surprisingly, inaccurate machines did not cluster in the les
s well developed practices. The implication is that ail practices need to h
ave procedures in place for the regular calibration of their sphygmomanomet
ers.