National Health Service (NHS) Greater Glasgow and Clyde is Scotland’s largest regional health authority, delivering primary, secondary and tertiary care to approximately 1.2 million residents. It encompasses seven local acute and ambulatory hospitals and six separate local council authorities. Three out of these six council authorities appear in the top 10 list of UK-wide authorities with the highest age-standardised death rates for cardiovascular disease (CVD), with Glasgow City having the highest overall rate with approximately 400 age-standardised deaths per 100 000 population.1 Scotland also has amongst the highest prevalence of coronary heart disease across the UK.1 Despite declining case fatality rates from myocardial infarction (MI) across the UK,2 3 patients have worse outcomes than those from comparable European countries.4