In seeking to provide a solution to the issues raised by medical manslaughter, Wheeler and Wheeler have recently proposed reform by way of a reconceptualised offence based on a breach of a fiduciary duty amounting to a betrayal of trust. This article provides an examination of gross negligence manslaughter, before undertaking a review of the proposals advocated by the authors. Applying the proposed offence to more contemporary cases than initially examined by Wheeler and Wheeler, namely, Misra and Srivastava, Kovvali, Rudling, Rose and Sellu, it is argued that despite the initial appeal of a betrayal of trust test, the proposals advocated by the authors do little to remedy the flaws within the current law.

为了寻求对医疗过失所提出的问题的解决方案，Wheeler和Wheeler最近提出了一项改革，即基于违反信托义务的违反信托义务的概念化犯罪。在对作者提倡的建议进行审查之前，本文提供了对重大过失过失的审查。将拟议的罪行适用于比Wheeler和Wheeler最初审查的更多当代案件，即Misra和Srivastava，Kovvali，Rudling，Rose和Sellu，有人认为，尽管背叛了信任测试的最初诉求是，作者几乎没有采取补救措施来弥补现行法律中的缺陷。