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Reviews / 2018

Policy reviewPublishedWorkforceEngland

Gross negligence manslaughter in healthcare

Professor Sir Norman Williams · work from 2018 · published 2018

What this was

Rapid review of how gross negligence manslaughter is applied to healthcare, after concern that prosecutions and regulatory referrals were making clinicians afraid to be open.

Why it sits in the hub

It sits between Berwick's defence of a just culture and Thirlwall's warning that avoiding blame had protected people who should have been challenged. Both can be true, and boards have to tell them apart.

Findings

  1. Finding 1

    Families and clinicians experienced the criminal and regulatory route as inconsistent and slow.

Recommendations in this hub

Paraphrase of the public recommendations, not the official text.

  1. 1Partly doneGovernment

    Improve the quality of expert advice to coroners and prosecutors in healthcare cases.

  2. 2Not publicly clearRegulators and employers

    Separate a just approach to error from the need to act on conduct that endangers patients.