One of the driving forces of MMC was to introduce a 'new core of fully trained doctors' to deliver much of the care currently provided by junior doctors.

The authors recognised that MMC was a major transformation of the education and training framework for doctors and had widespread DH, ministerial and stakeholder support. They felt there was a clear direction set out in the MMC strategy which is owned by the vast majority of key stakeholders.

The major internal risk they saw (in mid-2006) lay with the online application system MTAS where the schedule "is too close for comfort and would not normally be regarded as acceptable for an IT project. There are some mitigations and the fallback is to run with a manual system. A key delivery point has been missed and our main recommendation is that a very clear 'drop dead' date be set for MTAS failing which the manual approach would be triggered."

The primary purposes of a Health Gateway Programme Review 0 are to review the outcomes and objectives for the programme (and the way they fit together) and confirm that they make the necessary contribution to Ministers’ or the departments’ overall strategy.

Remedy became aware of this review when it was referred to in Alan Crockard's letter of resignation from the post of MMC National Director. Attempts to obtain the review via Freedom of Information request were repeatedly turned down, and the document has only now been released.

The full OGC report can be downloaded from here