The General Medical Council This ancient body was set up over 100 years ago; partly as a result of the campaigning efforts of a Lancet editor. Its purpose was literally to register every medical graduate so that the public could be reassured that they were being treated by a bona fide practitioner. For most of its life this organisation has seemed to be sleepy and of little relevance to the average doctor. However, in the 21st century, the huge rise in patient expectations has led the GMC to be more involved in our lives and in my opinion is now struggling to cope. In the modern vernacular, is it Fit for Purpose? Let us review some of the evidence.