Gideon Marr felt entirely normal on the day the clinic rang him, which is the part of the story he still finds unsettling.

The shared-care clinic puts a specialist on a scheduled video link into the local practice, with the practice nurse physically in the room and the monitoring data already on screen.

Twelve weeks, graded

Risk factor work is unglamorous and continues indefinitely. It is also, by a wide margin, the part of the pathway with the most evidence behind it.

Trends are visible to us before symptoms are visible to patients. That’s the only advantage remote monitoring really has.

Nadia Kovač, cardiac physiotherapy

The first fortnight home

Acute care was never the weak point. The ambulance was fast, the intervention was routine, and discharge came in five days. What almost failed was everything after.

It was a chest infection, caught early and treated at home. “I’d have carried on,” he says. “I genuinely would have carried on.”

Contributing writer

Nadia Kovač

A demonstration byline created for this prototype. Not a real writer, and not a clinician.

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