Introduction
The National Health Service (NHS) Improvement Plan stated that by 2008 no one would wait longer than 18 weeks from GP referral to hospital treatment.1 This is, therefore, currently a key area of focus for the Department of Health and a major challenge for hospital trusts that provide cardiac services. ‘Chest pain’ is the most common indication for out-patient referral to cardiology. The delay between referral and out-patient review has been successfully reduced in our institution and across the UK by the rapid-access chest pain clinics (RACPC), with 96% of referrals nationwide being seen within two weeks.2 In this centre, up