Government guidance and policy promotes the use of benchmarks as measures against which practice and care can be measured. This provides the motivation for practitioners to make changes to improve patient care. Adopting a systematic approach, practitioners can implement changes in practice quickly. The process requires motivation and communication between professionals of all disciplines. It provides a forum for sharing good practice and developing a support network. In this article the authors outline the initial steps taken by three PCGs in implementing the benchmarking process as they move towards primary care trust status.