to support this ambition norway recently launched a national noncommunicable diseases strategy there the quality indicators in community healthcare qich programme covers six areas of primary care activity as shown in figure and reports performance at individual providerlevel after adjustment for health need and sociodemographic factors of note qich is neither mandated nor reliant on financial incentives instead its success is thought to be due to its robust scientific basis consensual development of the indicator set involving gp and health insurance companies early on clear patientoriented objectives and crucially systematic and continuous feedback of comparative data to both professionals and the public these include management of chronic diseases such as depression copd diabetes or heart failure routine care such as childhood vaccination and provision of contraception and aspects of effective practice administration as well as being able to identify individual patients that are suboptimally treated the system allows them to benchmark their practice against other practices at municipal regional and national levels see figure for an example relating to diabetes management patients can also monitor their own clinical data