At cardiologist-led clinic follow-up visits, it was noted that many patients were not being prescribed evidence-based therapy at fully optimised doses. Therefore, a baseline audit of care data was conducted in two local hospitals to characterise care—Royal Alexandra Hospital and Vale of Leven. Data were collected through retrospective audit of the cardiac rehabilitation databases and electronic patient records for all consecutive patients with incident acute MI and moderate or severe LVSD on echocardiography over 12 months (1 September 2012–31 August 2013). The endpoints were: the percentage of patients treated with, mean percentage of European Society of Cardiology target dose5 achieved and percentage of patients on full target dose of ACEI/ARB and beta-blocker at the end of the formal cardiac rehabilitation programme. The target daily doses used were: ramipril 10 mg, enalapril 20 mg, lisinopril 20 mg, candesartan 32 mg, losartan 150 mg, valsartan 320 mg, bisoprolol 10 mg, carvedilol 50 mg and nebivolol 10 mg.