The potential of telemedicine to improve services for patients suffering fr
om coronary heart disease (CHD) was explored. Key issues surrounding the de
livery of CHID services in London were identified, such as a shortage of sk
illed staff, the need for appropriate patient information and problems with
waiting times, particularly for diagnostic test results. Telemedicine has
the potential to improve service delivery in each of these areas. It is unl
ikely that some of the targets for CHID service delivery set out by the Dep
artment of Health's National Service Frameworks can be met without the use
of telemedicine.