The National Review of Specialist Cardiac Services commenced in January 2018 under the Chairmanship of Professor Phillip Nolan and a Steering Group formed from nominations of interested stakeholders representing medical, professional/technical staff, nursing and patient representatives. The aim of the Cardiac Services Review is to achieve optimal patient outcomes at population level with particular emphasis on the safety, quality and sustainability of the services that patients receive, by establishing the need for an optimal configuration of a national adult cardiac service. This aligns with the Sláintecare reform programme. The Steering Group is currently working on the development of the proposed recommendations of the draft Report with the next meeting planned for May 2022. The implementation process for the National Cardiac Services Review is also being developed as part of the process to finalise the Report. Decisions on further service developments and any associated costs will await the final Report and recommendations of the National Review of Specialist Cardiac Services.