General practice is the heart of the Australian health care system,1 addressing the health needs of people, in their communities and in diverse locations and contexts across Australia. With over 100 million items of service claimed by general practitioners each year,2,3 even small but incremental improvements in quality have the potential to translate into population level gains in the outcomes and safety of general practice care. In recent years, Australian general practice has undertaken significant work in quality improvement, with practice accreditation to The Royal Australian College of General Practitioners standards and the Australian Primary Care Collaboratives Program being examples. Will the recommendations of the National Health and Hospitals Reform Commission (NHRC)4 enhance this work?