I don’t know any GP surgeries which do not have at least one ECG machine. I haven’t heard of anyone being sent up to a hospital by a GP for an ECG for about 20 years
Pretty standard practice here.
Our ECG dept takes multiple GP referrals every day.
We also have a rapid acces clinic.
I don’t know what the exact resources of every GP surgery is, but the standard practice is for the GP to get a 999 anbulance to take them to hospital if there is an acute concern, otherwise give them an ECG appointment or ask them to attend A&E.
The main reason for this being maintainence & calibration of the machine & training of staff.
But anyway, Ton has lived with this for some time and so knows the deal.
I would recommend A&E if he feels unwell, if not, then ask for an urgent GP appointment who will possibly anti-coagulate, arrange ECG and refer to his cardiologist.