Having multiplied the burdens of administrators and doctors, the Commission proposes to reduce the resources available to bear these loads. Until now, the highly successful system of mutual recognition has functioned because of the Commission's co-operation with the medical profession through the Advisory Committee on Medical Training and the committee of senior officials of public health. This has evolved and operated for over 30 years. The ACMT and the CSOPH have enabled the Commission to tap into the medical profession's continually evolving training and educational expertise. The Commission plans to abolish both committees, in effect cutting itself off from the institutional structure which has underpinned the success of the current directive.