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Healthcare scandals in the NHS: crime and punishment
  1. Amel Alghrani,
  2. Margaret Brazier,
  3. Anne-Maree Farrell,
  4. Danielle Griffiths,
  5. Neil Allen
  1. Centre for Social Ethics and Policy, Law School, University of Manchester, Manchester, UK
  1. Correspondence to Dr Amel Alghrani, Centre for Social Ethics and Policy, Law School, University of Manchester, Manchester, M13 9PL, UK; amel.alghrani{at}


The Francis Report into failures of care at Mid Staffordshire NHS Foundation Trust Hospital documented a series of ‘shocking’ systematic failings in healthcare that left patients routinely neglected, humiliated and in pain as the Trust focused on cutting costs and hitting government targets. At present, the criminal law in England plays a limited role in calling healthcare professionals to account for failures in care. Normally, only if a gross error leads to death will a doctor or nurse face the prospect of prosecution. Doctors and nurses caring for patients under the Mental Health Act 1983 and the Mental Capacity Act 2005 may however be prosecuted for wilful neglect of a patient. In the light of the Francis Report, this article considers whether the criminal offence of wilful neglect should be extended to a broader healthcare setting and not confined to mental healthcare.

  • Law

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  • Funding The research for this article has been undertaken as part of an Arts and Humanities Research Council (AHRC) funded project entitled ‘The Impact of the Criminal Process on Health Care Ethics and Practice’, based at the Universities of Manchester, Lancaster and Birmingham. The support of the AHRC is gratefully acknowledged.

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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