the lack of comprehensive accreditation programmes for primary care is a major weakness in the czech republic italy japan korea norway and sweden norway for example only carries out planned riskbased audits in primary care by contrast australia england and portugal pursue another path by extending accreditation to the primary and community care sector in particular england s approach to health service accreditation is at the forefront of oecd efforts and is a model for other health care systems to emulate see case study it is unusually comprehensive as it accredits all providers of primary and social care oecd a