Manslaughter caused by gross negligence is a common law offence that has long existed in English jurisdiction. Although circumstances and context can be highly influential in determining the outcome of inadvertent errors, English law does not permit sufficient consideration of such issues. The recent and controversial case of R v. Bawa-Garba is used to illustrate some of the central issues that are pertinent to the debate. We examine some of the key considerations that mitigate against punishment alone from being the optimal response to death caused by gross negligence during healthcare delivery. Instead we suggest that a broader focus on patient safety and the public interest is called for to ensure safe systems of work by enhancing organisational accountability and the promotion of professional and institutional duty of candour. We conclude by offering positive proposals for change.

中文翻译：

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重大过失过失杀人案和医疗保健的提供：变革的时机？

重大过失造成的过失杀人是英国法域中长期存在的普通法犯罪。尽管情况和上下文在确定无意错误的结果方面可能具有很大的影响力，但英国法律不允许对此类问题进行充分考虑。R诉Bawa-Garba一案最近引起争议，用来说明与辩论有关的一些核心问题。我们研究了一些关键因素，这些因素可以减轻惩罚，而不能成为对医疗保健过程中重大过失造成的死亡的最佳反应。相反，我们建议呼吁更广泛地关注患者的安全和公共利益，以通过加强组织责任感和促进职业和机构义务履行职责来确保安全的工作系统。