LAMP: The development and evaluation of a Lay-facilitated Angina Management Programme

INTERVENTION: Participants will be randomised to receive: 1. A 15 minute follow‐up appointment with adjunctive written materials and routine medical care 2. Lay‐led Angina Management Programme and routine medical care CONDITION: Angina ; Circulatory System ; Angina PRIMARY OUTCOME: Frequency of angina as measured using a patient held angina diary (mean number of angina episodes per week). SECONDARY OUTCOME: Secondary outcomes will include differences between baseline and six‐month follow‐up on: Euroaction SCORE of cardiovascular disease (CVD) risk, scales of the Seattle Angina Questionnaire, anxiety and depression scores on the HADS, increased activity levels as measured by a weeks ambulatory monitoring and self‐rated activity level, economic cost utility including service use, cost of the intervention, and the EQ‐5D. INCLUSION CRITERIA: All patients receiving a diagnosis of angina following symptom‐limited exercise treadmill test, thallium scintigraphy or angiography and not, in the judgement of the cardiologist, requiring urgent coronary artery bypass graft (CABG) or percutaneous transluminal coronary angioplasty (PTCA).