In this month's episode, our host Dr Muthiah Vaduganathan speaks with Prof Xavier Cos, a general practitioner and Innovation Officer at Institut Català de la Salut, Barcelona, ES, and Chairman of Primary Care Diabetes Europe, to discuss the current and future role of primary care in heart failure (HF). During the first part of this episode we hear how primary care is ideally positioned to provide early screening and detection of HF – even if practitioners do not consider themselves HF specialists – and how this is key to alleviating the current levels of clinical inertia. The broader role of primary care and general practice is then considered in terms of managing recent hospitalisations and preventing future admissions, ordering diagnostic tests, treatment and referral. Finally, we consider the future role of primary care and the need for a move towards a more coordinated model of care. Questions can be sent via Twitter to our host @mvaduganathan or to @radcliffeCARDIO. This podcast is supported by an unrestricted educational grant from AstraZeneca.