Clinical audit has evolved from an early focus on outcome measurement and being medically-centered to now being a collaborative, multidisciplinary process that is an integral part of clinical governance and aims to be patient-centric. Looking to the future, clinical audit seeks to have a well-developed infrastructure, expand beyond just healthcare, and continue ensuring best practices, outcomes, and assurances for patients through the active participation of all involved. Whether clinical audit can achieve this future vision will depend on how the relevant stakeholders choose to support its continued evolution.