The Mid and South West Wales Cardiac Network (now the South Wales Cardiac Network) identified the need to devise resources to encourage patients to dial 999, safely signposting those calling into a GP practice complaining of acute chest pain to the 999 system. The resources and educational sessions were well received, with outcomes demonstrating improvements in staff confidence, backed up with the rationale and guidance, and an improvement in those directly accessing the 999 system, with the potential to receive reperfusion more quickly, preserving myocardium.