Multidisciplinary teamwork is essential and must be backed up by modern IT

Listen to the patient’s needs

Re-evaluation of traditional roles to enable more flexible working and more satisfying jobs

Improved recruitment and retention of staff

Eliminate inequalities in service provision—both socioeconomic and regional

Cardiac patients should be assessed by cardiologists as a matter of course

High quality training and CPD are essential to produce and retain a motivated and skillful workforce. Time must be allowed for this

The future must not be ignored—it is essential to invest in research