The annual review of patients with cardiovascular disease (CVD) is a routine element of practice care. With an average practice having a coronary heart disease (CHD) register of around 5% of the practice population (Health and Social Care Information Centre, 2015), along with those living with other conditions that make up the spectrum of CVD (Figure 1), this accounts for a significant requirement of clinical time. The Quality and Outcomes Framework (QOF) lists a number of clinical indicators to be attained in this population and in most practices the nursing team delivers much of the routine care. This article looks at how to make the most of CVD reviews to ensure that the clinical benefits are optimal and patients receive a quality service.