Q1: I would choose option 2 and offer to show Charles how the app works during the appointment and check it is accessible for him, providing the information in an alternative format if required.

Q2: I would choose option 3 and advise Charles talks to the medical team and the senior nurses before undertaking his bicycle rides so that it is progressed and not too much pressure on his heart.

Q3. I would choose option 1 and direct Charles to the following advice, educating him on the signs of a stroke, Face – does your face look different on one side? Arms – can you raise your arms? Speech – is your speech slurred or different? Time to act – call 999, get help. So that he is able to recognise the signs of a stroke so he can get urgent help if he is on his own.