Two success conditions for equitable reform of the healthcare system are to increase access to high-quality primary care, especially for the most health disadvantaged populations, and to build on the potential of the many effective front-line and community-based innovations addressing the impact of health disparities across the country. A very interesting recent report from the Canadian Health Services Research Foundation entitled Picking Up the Pace: How to Accelerate Change in Primary Healthcare speaks to both vital directions. It is a Casebook of Primary Healthcare Innovations with concrete and insightful examples of enhancing access; addressing the needs of specific populations such as Aboriginal, isolated and hard-to-reach communities; mental health care; meeting complex needs; multi-disciplinary care; and organizational reform. The project looked for cases that enhanced primary care, were showing promise or evidence of immediate and population health impact, could be successfully scaled up, could be sustainable and would be relevant in many regions. Their theme was to share success and learn from challenges. Wellesley has published earlier papers on the equity impact of enhanced primary care. This report helps to show how this potential can be achieved.