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A primary care audit group in northwest England was evaluated over its ten-year life. The principal activity had been seven multipractice audits, which are briefly described. There is evidence of effective improvements in patient care from most projects. Regular participation in audit had reached the ‘early majority’ of local practices by the time of the group’s dissolution.This audit group, probably like many others, had a major educational role and used a variety of methods to influence practices. It leaves a legacy of effective work, and a huge challenge to clinical governance groups to take its work forward.