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The article reports on the implementation of regulatory bureaucracy by Care Quality Commission that scrutinises and reports on practice performance of general practitioners (GP) in Great Britain. The frequency of inspections will be stepped up for poorly performing practices, with new sanctions for those that do not improve. Any GP who failed their practices will face statutory warnings and cautions, cancellation of their registration, and imprisonment.

The article reports that general practitioners in Great Britain have scored around five percent higher on the quality framework in 2006. The score, together with the increase in quality rewards from £75 to £125 per point will net practices an extra £50,000 more on average than the first year of the quality framework.