Resources: Patient safety, litigation and gross negligence manslaughter
This resource is the outcome from an RSM meeting on patient safety, litigation and gross negligence manslaughter.
Here you will find key information on the risks to patient safety posed both by current litigation and the current tendency for the Crown Prosecution Service (CPS) to prosecute clinicians for gross negligence manslaughter.
The page includes key lectures from the meeting by notable experts in the field, including:
- Sir Robert Francis, author of the report on the North Staffs NHS Trust enquiry
- Nick Vamos from the CPS discussing the ways in which a decision to prosecution is arrived upon
- General surgeon David Sellu describing his experience in Bellmarsh prison following his conviction
Also available are key references for further reading and CPD accreditation.
Mr Kevin Stewart, Medical Director, Healthcare Safety Investigation Branch.Date: 21st April 2017
Mr Christopher Smallwood, Chair of St George's University Hospital NHS Foundation Trust.Date: 21st April 2017
Dr David Nicholl, Consultant Neurologist Sandwell & West Birmingham NHS Trust, University Hospital Birmingham.Date: 24th April 2017
Mr Peter McDonald, Consultant General Surgeon at Northwick Park and St Mark’s Hospitals, Senior Clinical Lecturer at Imperial College.Date: 21st April 2017
Mr James Badenoch QC, Consultant Urological Surgeon, One Crown Office Row. Mr David Badenoch, Consultant Urological Surgeon, King Edward VII Hospital.Date: 12th May 2017
Mr Kenneth Woodburn MD, Consultant Vascular & Endovascular Surgeon.Date: 21st April 2017
Robin Ferner, Honorary Professor of Clinical Pharmacology, University of Birmingham.Date: 21st April 2017
Mr Ian Barker, senior solicitor, Medical Defence Union.Date: 21st April 2017
Dr Jenny Vaughan, Consultant Neurologist, Charing Cross Hospital.Date: 21st April 2017
Professor Roger Kirby, President of the Urology Section, Royal Society of Medicine.Date: 21st May 2017
Sir Robert Francis QC, Serjeants' Inn Chambers.Date: 21st April 2017
Nick Vamos, Head of Special Crime, Deputy Head Special Crime and Counter-Terrorism Division.Date: 21st April 2017
Dr Anthony Giddings, Retired Consultant Surgeon, Surgical Advisor, National Clinical Advisory Team.Date: 21st April 2017
David Sellu, Consultant Surgeon.Date: 21st April 2017
interviews and other videos
Anna Rowland, Assistant Director, Policy, Business Transformation and Safeguarding, Fitness to Practice.Date: 8th May 2017
Nick Vamos, Head of Special Crime, Deputy Head Special Crime and Counter-Terrorism Division.Date: 8th May 2017
Mr Kenneth Woodburn, Consultant Vascular and Endovascular Surgeon, Royal Cornwall Hospitals NHS Trust.Date: 8th May 2017
Dr Jenny Vaughan, Consultant Neurologist, Charing Cross Hospital.Date: 8th May 2017
All the references listed below are available in the RSM Library collection and can be accessed via the RSM’s e-resources area.
Charles, R., Hood, B., Derosier, J. M., Gosbee, J. W., Li, Y., Caird, M. S., Biermann, J. S., and Hake, M. E. (2016). How to perform a root cause analysis for workup and future prevention of medical errors: A review. Patient Safety in Surgery, 10(1).
Leape, L. L. (2012). Apology for errors: whose responsibility? Frontiers of Health Services Management, 28(3), pp. 3-12.
Leape, L. L. (2012). Q & A with Lucian Leape. Interview by Carrie Johnson. Physician Executive, 38(2), pp. 20-22, 24.
Leape, L. L. (2014). The checklist conundrum. The New England Journal of Medicine, 370(11), pp. 1063-4.
Leape, L. L. (2015). Patient Safety in the Era of Healthcare Reform. Clinical orthopaedics and related research, 473(5), pp. 1568-1573.
Leape, L. L., Shore, M. F., Dienstag, J. L., Mayer, R. J., Edgman-Levitan, S., Meyer, G. S., and Healy, G. B. (2012). Perspective: A culture of respect. Part 1: The nature and causes of disrespectful behavior by physicians. Academic Medicine, 87(7), pp. 845-852.
Leape, L. L., Shore, M. F., Dienstag, J. L., Mayer, R. J., Edgman-Levitan, S., Meyer, G. S., and Healy, G. B. (2012). Perspective: A culture of respect. Part 2: Creating a culture of respect. Academic Medicine, 87(7), pp. 853-858.
Schiff, G. D., and Leape, L. L. (2012). Commentary: How can we make diagnosis safer? Academic Medicine, 87(2), pp. 135-138.
Sikka, R., Morath, J. M., and Leape, L. (2015). The Quadruple Aim: care, health, cost and meaning in work. BMJ Quality & Safety, 24(10), pp. 608-10.
The following references are not available in the RSM Library; however, they can be accessed online via external websites.
Berwick, D. (2013). A promise to learn - a commitment to act: improving the safety of patients in England. [S.1.], National Advisory Group on the Safety of Patients in England. Available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/226703/Berwick_Report.pdf
Establishing the Healthcare Safety Investigation Branch (2016). Department of Health, London. Available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/522785/hsibreport.pdf
Francis, R. (2013) Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry: Executive summary. Available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/279124/0947.pdf
Kohn, L. T. (2009). To err is human: building a safer health system. Washington, DC, National Academy Press. Available at: http://www.csen.com/err.pdf