Tariq has a long-term mental health diagnosis. A community psychiatric nurse visits him at home, checks whether he is taking his medication and notices early signs that his symptoms are returning. The nurse arranges a prompt review. Later, a crisis resolution and home treatment team visits at short notice when Tariq becomes very distressed. At a medical appointment, a clinician sees Tariq's diagnosis and assumes that his chest pain is caused by anxiety, so possible physical causes are not investigated.