some data linkage of the registers including to mortality is already underway with significant potential for extension use of standardised electronic records and data linkage would also reduce the burden on primary care staff of recording duplicative data in multiple quality registers enhancing standardising and streamlining the information architecture to support improvements in health care quality and coordination including in primary care should also be a priority in addition to tackling some of the practical issues entailed leadership and a culture change in primary care will also be needed to overcome resistance to data collection by promoting the potential of benchmarking data for quality improvement and supporting patients