this would support continuous coordinated care as well as allow calculation of quality indicators for specific patient groups eg rate of adequate glycaemic control amongst diabetics adequate glycaemic control in diabetics mentioned above is one example of where a financial incentive could be applied several other examples around chronic disease management could be developed based on experience in other oecd countries this would support delivery of populationbased health promotion and preventive health care and lay the foundations for primary care specialists to take on leadership roles in local and national health systems