Despite the increasing recognition of cardiac rehabilitation as an integral component of comprehensive cardiac care and the compelling evidence of its effectiveness in adding years to life and life to years, most patients do not receive it. Service provision, though predominantly hospital based, varies markedly, and referral, enrolment and completion are suboptimal, especially among women and older people.1 Ways to improve access and uptake and to reduce inequity have been suggested, including offering home-based programmes.2 Although only a minority …