Dr Saj Sarwar is a GP in Aston, a busy inner city teaching practice. He is a GP trainer, mentor and GP with a special interest in Cardiology from a patient and strategy perspective. He has developed pathways for optimal care and cascaded this to health care professionals. This included promoting the simple Birmingham 3 step approach for dealing with reducing stroke risk in AF patients, and the close working relationship between primary and secondary care. This local initiative has received global recognition, with culmination into a publication in the European Heart Journal. His role across the Black Country and Birmingham and Solihull ICSs has allowed for the Long-Term Plan objectives with the National Cardiovascular strategy to be implemented at practice floor level, utilising enterprising workings with the PCN and stronger working with pharmacists, secondary care and voluntary care organisations. This has encompassed the ABC work stream (Atrial fibrillation, Blood pressure and Cholesterol management) and heart failure as a quality improvement projects. This has also included the health inequalities focused across the Core20PLUS5 workstream. Dr Sarwar has utilised digital technology to support bespoke searches, software and peripherals to aid in improving detection in atrial fibrillation and hypertension with optimal therapy.