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How GP tsar's eureka moment will shape primary care future

Sir Donald Irvine, former president of the GMC, says the review is a major blow to the council.

He expects the review to tighten procedures around revalidation to give it more credibility with the public.

'It will hardly water things down,' he says. 'It can never be satisfactory that a plan which the profession puts forward through the GMC is then found wanting as a result of recent changes. I think that weakens self-regulation.'

Sir Donald believes the review will focus on whether routine or random sampling of appraisal evidence is a better way of evaluating fitness to practise.

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