<jats:sec><jats:title>Introduction</jats:title><jats:p> In resource-limited settings – with inequalities in access to and outcomes for trauma, surgical and critical care – intensive care registries are uncommon. </jats:p></jats:sec><jats:sec><jats:title>Aim</jats:title><jats:p> The Pakistan Society of Critical Care Medicine, Intensive Care Society (UK) and the Network for Improving Critical Care Systems and Training (NICST) aim to implement a clinician-led real-time national intensive care registry in Pakistan: the Pakistan Registry of Intensive CarE (PRICE). </jats:p></jats:sec><jats:sec><jats:title>Method</jats:title><jats:p> This was adapted from a successful clinician co-designed national registry in Sri Lanka; ICU information has been linked to real-time dashboards, providing clinicians and administrators individual patient and service delivery activity respectively. </jats:p></jats:sec><jats:sec><jats:title>Output</jats:title><jats:p> Commenced in August 2017, five ICU’s (three administrative regions – 104 beds) were recruited and have reported over 1100 critical care admissions to PRICE. </jats:p></jats:sec><jats:sec><jats:title>Impact and future</jats:title><jats:p> PRICE is being rolled out nationally in Pakistan and will provide continuous granular healthcare information necessary to empower clinicians to drive setting-specific priorities for service improvement and research. </jats:p></jats:sec>