Good coverage of immunisation in the population is required to reduce the risk of disease transmission to susceptible individuals within a population. The family physician plays a vital role in promoting immunisation by helping the public to understand the benefits and risks associated with vaccines. The submission and maintenance of accurate and timely immunisation records help to shape and guide disease surveillance and monitoring for the population. Singapore’s overall immunisation coverage for five key childhood immunisations (measles, diphtheria, tuberculosis, poliomyelitis and hepatitis B) in 2009 for children at two years of age was 97%. While Singapore has achieved good immunisation coverage for the primary doses of key childhood immunisations, there remain challenges. The average coverage for booster dose is 91% for MMR, DPT and Sabin. This needs to be improved. To enhance Singapore’s immunisation surveillance, electronic submission will facilitate faster turnaround time for reporting and allow relevant actions to be taken where necessary.