As a result of the Shipman inquiry, the chief medical officer of England has been instructed to carry out a review of the General Medical Council's proposed system of revalidation and reassess its role, structure, and functions. If the inquiry's recommendations are implemented it will result in the most far reaching reforms ever envisaged of the GMC. Much of the commentary in the medical press about the recommendations has been fairly negative, and because of the nature of the inquiry and the fact that it has now completed its work, it is difficult for the chairman to respond publicly to criticisms. Although I cannot speak on behalf of the chairman, I was her medical adviser and am therefore able to explain the thinking behind its recommendations. In contrast to many doctors, I believe that the reforms will strengthen the GMC, preserving self regulation but crucially offering the public and doctors better safeguards.