4.—(1) If the Tribunal considers that the inclusion of the applicant’s name in the relevant list would be prejudicial to the efficiency of the general medical services provided in the board’s area, it—
(a)must direct that the applicant’s name is not to be included in that list; and
(b)may, if it thinks fit, direct that his name is not to be included—
(i)in any other medical list; or
(ii)in any other specified medical list or lists.
(2) If the Tribunal gives a direction under sub-paragraph (1)(b)(i) it may also, if it thinks fit, declare that the applicant is not fit to be engaged in any capacity in the provision of general medical services.
(3) A direction by the Tribunal under this paragraph is binding on the board or boards concerned as from the time when the direction is given.