In the aftermath of the Shipman Inquiry's fifth report,1 the Chief Medical Officer for England, Sir Liam Donaldson, had an unenviable task in producing a report2 on patient safety, revalidation and the functions and structure of the General Medical Council (GMC) that would engage a general public exercised by the circumstances it reviewed, a bemused government and a UK medical profession showing a loss of confidence. His 44 recommendations deserve careful consideration but, alongside those that will be generally welcomed, others bear more careful scrutiny during the 4-month period of consultation.
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