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In our last blog (read here) we shared some reflections about the recent case of Dr Gawa-Barba and the implications the case has for the promotion of a learning culture in healthcare.
In the wake on this case, the government have set up a rapid policy review chaired by Professor Sir Norman Williams (read here) looking at issues relating to gross negligence manslaughter in healthcare.
Patient Safety Learning have submitted a paper to the Williams review which can be downloaded here.
The paper focuses on the importance of 'just culture' principles being adopted and supported, both in local organisations and the wider system of regulation and criminal justice. We also discuss further measures that could help ensure healthcare professionals feels safe and empowered to participate in frank and candid reflective practice around patient safety incidents.
We'd value any feedback or thoughts on our paper which can be provided via our contact details below.