Who has shaped the review?
This independent review has been shaped by a team of ten experts from a range of backgrounds, who formed the working group. This included individuals from the medical profession, patients, the legal system and employers. The working group were also supported by a CPS Advisor on the prosecution process.
The law in Scotland relating to culpable homicide (CH) is different from the law on GNM which applies in the rest of the UK. A separate Scotland task and finish group was therefore set up to advise the main working group on the issues as they applied in the Scottish legal and healthcare context.
The working group
Leslie Hamilton worked as a cardiac surgeon for 25 years, spending 16 of those years working as a children’s heart surgeon. He now works as a medical expert in clinical negligence cases.
Leslie gave evidence to the Bristol Inquiry – the investigation into the deaths of 29 infants undergoing heart surgery at the Bristol Royal infirmary in the late 1980s and early 1990s – and co-authored the Clinical Case Note Review. This prompted his interest in medico-legal aspects of practice and he was later the president of the North of England Medico-legal Society from 2015-17. Leslie is also past President of the Society for Cardiothoracic Surgery and recently completed his term on the Council of the Royal College of Surgeons of England.
- assistant Coroner for County Durham and Darlington
- married to Joy Hamilton, member of the Medical Practitioners Tribunal Service (MPTS) Statutory Committee Declared interests.
Selva Ramasamy QC has over 20 years of experience in regulatory and criminal law, with a particular focus on cases involving doctors and other healthcare professionals. He is often involved in the most serious types of regulatory cases where there is concurrent investigation by the police and regulators. In his criminal practice, he prosecutes and defends. Similarly, in his regulatory practice, he acts for regulators and defends.
He has considerable experience with difficult and sensitive inquests arising from medical, police and military action. These areas of practice have allowed him to develop particular skill in dealing with complex scientific and technical evidence. He sits as a Recorder (part time judge) in the Crown Court. He is a Member of the Bar Standards Board Prosecuting Counsel Panel for Disciplinary Hearings. In his career he has been an elected member of the Bar Council, a member of the Criminal Bar Association Committee; and a member of the Bar’s Race Relations Committee.
- independent barrister on fitness to practise cases, in defence of the GMC
- independent barrister on fitness to practise cases, to represent doctors at Medical Practitioners Tribunals.
A scientist by training, Vivienne Parry hosts medical programmes for Radio 4, writes widely on health, presents films, facilitates many high level conferences and debates and trains young researchers. She also has a part time role as head of engagement at Genomics England, which is delivering the 100,000 Genomes Project – a revolutionary project to identify how best to use genomics in healthcare and how best to interpret the data to help patients. In September 2017, she was appointed to the board of UK Research & Innovation.
- none to declare.
Dr Clare Gerada is the Medical Director of the Practitioner Health Programme and is an elected member of the BMA Council. Clare has held a number of local and national leadership positions, including Director of Primary Care for the National Clinical Governance Team and Senior Medical Advisor to the Department of Health. Clare was awarded an MBE in the Millennium Birthday Honours in 2000 for services to medicine and substance misuse.
- council member of the BMA
- council member of Royal College of GPs
- Medical Director of the NHS Practitioner Health Programme, a physician health programme for doctors and dentists with mental health concerns
senior partner of the Hurley Group, an NHS GP multi practice
- Member of wellbeing committees at a number of organisations, including the BMA, Royal College of Anaesthetists, The Association of Anaesthetists of Great Britain and Ireland and the Royal College of Obstetricians and Gynaecology
- formerly an elected member of the GMC BMA liaison committee.
Pali Hungin is Emeritus Professor in the Faculty of Medical Sciences, Newcastle University. He was the founding Dean of Medicine and the Head of the School of Medicine, Pharmacy and Health at Durham University. A GP for over 25 years and a hospital practitioner in gastroenterology in NE England, he holds fellowships from the RCGP and the RCP and was President of the BMA in 2017.
Pali was responsible for initiating the research support networking movement in the UK, initially in primary care, and led the NHS Research and Development Forum (England). Pali received an OBE for services to research in 2000.
- leading work on the future of medicine and healthcare with the Academy of Medical Royal Colleges - the changing face of medicine, which the GMC is involved in.
Professor Singh is a consultant physician and member of the Health Honours Committee, which advises on nominations for honours in the New Year and Birthday Honours lists.
He is chair of the Centre of Excellence in Safety for Older People (CESOP) and has been a leading contributor to healthcare and medical regulation as founder commissioner HealthCare Commission and was a council member of the GMC.
He is also chair of the GMC BME Doctors’ Forum and chaired the GMC’s Equality and Diversity Committee from 2008 – 2012.
He is a member of the National Platinum Awards Committee and medical vice chair of the Advisory Committee for Clinical Excellence Awards (ACCEA) North West and led the way for stakeholder engagement.
- chair of the GMC’s Black and Minority Ethnic Doctors’ Forum
- member of the Health Honours Committee, Cabinet Office
- GMC Council member from 2008 to 2012
- chair of the GMC’s Equality and Diversity Committee from 2008 to 2012
- member of the GMC’s Fitness to Practise Committee from 2008 to 2012.
Jude Tweedie is a cardiology trainee originally based in Belfast. Jude has extensive experience as a trainee in leadership roles including as a Faculty of Medical Leadership and Management National Medical Director fellow and a Royal College of Physicians (London) Clinical Fellow, spearheading a number of key policy and improvement projects. Jude is currently a research fellow to the president of the Royal College of Physicians focusing on professionalism, professional identity formation and unprofessional behaviours and is completing an MD in medical education at UCL.
- involved in developing workshops on unprofessional behaviours, in collaboration with the GMC
- member of the GMC’s doctors in training roundtable group.
Liz McAnulty began her career as a nurse, then a midwife in clinical practice and education and management. Liz then worked in professional regulation, firstly at the Nursing and Midwifery Council. In addition, Liz studied law and was called to the Bar of England and Wales in 2000. On her retirement, Liz was appointed as a Trustee of the Patients Association and was elected Chair in 2016. She stepped down from this role in February 2018.
Liz’s working life has been committed to helping improve health and social care for patients and clients, through high standards of practice and ensuring patients have an effective voice.
- none to declare.
Bertie has conducted many of the leading cases in clinical negligence and regulatory law during the past 30 years. His areas of specialism are clinical negligence, professional regulation and training, NHS administration and employment law.
Bertie is the Non-Executive Director of the Royal National Orthopaedic Hospital and the Chair of the Clinical Disputes Forum. He is also an advisor to the Royal College of Paediatrics and Child Health and the Royal College of Obstetricians and Gynaecologists, as well as an Honorary Fellow of the Royal College of Anaesthetists, the Royal College of Paediatrics and Fellow ad eundem of the Royal College of Obstetricians and Gynaecologists. Bertie was a member of the Civil Justice Council’s Clinical Negligence Committee from 2003 – 2006 and the Chair of the National Enquiry into Patient Outcome and Death from 2009 – 2015.
- independent legal representative for doctors at Medical Practitioners Tribunals.
Iain studied Immunology and Medicine at the University of Glasgow and later gained an MBA from Strathclyde Graduate Business School. He practised as a GP Principal in the south-side of Glasgow for 10 years before being appointed Medical Director of Greater Glasgow Primary Care Trust in 1999. In 2005 he became the Associate Medical Director for the Women and Children’s Directorate in NHS Greater Glasgow and Clyde and for a time combined this role with being interim Medical Director of NHS Quality Improvement Scotland. He was appointed as Medical Director of NHS Forth Valley in 2010 before moving to the same role in NHS Lanarkshire in June 2013. He retired in October 2018 but maintains a portfolio of interests including being interim Chair of the Faculty of Medical Leadership and Management, Medical Advisor, West of Scotland Regional Planning and National Clinical Lead for Pathways Infrastructure, Scottish Access Collaborative. He is also a qualified executive coach.
He is past chair (twice) of the Scottish Association of Medical Directors and until recently was co-chair of the Managed Service Network for Children and Young People with Cancer in Scotland. Iain also chaired the National Advisory Group which oversaw the introduction of a new death certification process in Scotland in 2015.
Iain is an Honorary Professor in the School of Health and Life Sciences, Glasgow Caledonian University and an Honorary Clinical Associate Professor in the College of Medicine, Veterinary and Life Sciences, University of Glasgow. He is a Fellow of the Royal College of General Practitioners and a Founding Senior Fellow of the Faculty of Medical Leadership and Management.
- suitable person for NHS Lanarkshire
- member of the British Medical Association
Rosemary is presently Head of the York Unit of the Crown Prosecution Service (CPS), Special Crime Division - a central casework specialist unit dealing with a wide range of high profile, complex and very sensitive cases throughout the North and Midlands of England and Wales. This includes cases of police corruption, death in custody, gross negligence manslaughter and corporate manslaughter.
Rosemary is a barrister called to the Bar of Northern Ireland and the Bar of England and Wales. She formerly practised at the Northern Ireland Bar in criminal, civil and professional negligence cases. Rosemary joined the CPS in 2004. She became a Senior Specialist Prosecutor in 2011 and in 2016, became the legal manager of the York Special Crime Unit. She won the National CPS Award for Outstanding Leadership in 2017.
Rosemary was the Chair of the National Liaison Committee for the Work Related Death Protocol in 2016. She is currently the Co-chair of the East Midlands Regional Committee for the Work Related Death Protocol. Rosemary was also a member of CPS Working Group, liaising with the Law Commission on the revision of the offence of Misconduct in Public Office and a member of the working group liaising with Sir Norman Williams’ review into gross negligence manslaughter in healthcare.
Scottish task and finish group
Full details of Dr Wallace's biography can be viewed above under the working group.
Donna qualified as a Registered Nurse in 1987 and for many years worked in burns intensive care. Stimulated by an interest in learning from adverse events in sport, industry and healthcare, Donna studied for a law degree and subsequently an M.Phil in medical law and ethics. Donna then worked in risk and governance and her interests lie in the medico-legal aspect of healthcare, professional regulation, and national learning from adverse events.
Donna currently acts as a professional adviser in relation to the regulation of all healthcare professions to the Chief Nursing Officer and the Chief Medical Officer at Scottish Government, and is an honorary professor of Stirling University.
Angela Grahame QC is the Vice-Dean of the Faculty of Advocates. Angela has considerable Court of Session experience, her expertise in personal injury actions encompasses claims relating to road traffic accidents, employers' liability, occupiers' liability, industrial diseases, fatal claims and catastrophic injuries. She has a particular interest in the Protection from Harassment Act 1995.
Angela has acted for both pursuers and defenders and was also instructed by Greater Glasgow Health Board in the high profile Vale of Leven Hospital Inquiry and the Lord Advocate in The Fingerprint Inquiry.
As well as running a varied civil practice, Angela prosecuted as an Advocate Depute in the High Court, Appeal Court and Supreme Court (JCPC).
She has experience in litigations involving disputes over heritable property, including reduction of standard securities and surveyors’ negligence. She acted in the long-running litigations arising out of the Braer Disaster. She was appointed as a Legal Member of the Police Appeals Tribunal (April 2013).
Stewart Irvine graduated in medicine from the University of Edinburgh in 1982, completed his MD in 1988, and completed postgraduate training in obstetrics and gynaecology in Edinburgh and Aberdeen. He held academic training posts in the Universities of Edinburgh and Aberdeen, followed by a clinical consultant post within the MRC Human Reproductive Sciences unit in Edinburgh, with clinical and research interests in reproductive medicine – particularly issues affecting male reproductive health.
Held posts as RCOG College Tutor and Regional College Advisor before assuming the responsibility of Associate Postgraduate Dean in South-East Scotland Deanery from 2004. Became deputy medical director of NES from 2008, with responsibility for the quality management of postgraduate medical training across Scotland, and for the performance management of the Medical ACT funding used to support undergraduate medical students in clinical placements.
In 2012, was appointed as Executive Director of Medicine for NHS Education for Scotland – a special health board responsible for the education and training needs of all staff groups within NHS Scotland. As a GMC associate, he sits on the GMC quality scrutiny Group, and has been extensively involved as a GMC visitor to medical schools and postgraduate deaneries elsewhere in the UK. In 2013 he was awarded an honorary professorship by the University of Edinburgh, and honorary fellowships by the Royal Colleges of Physicians and of Surgeons in Edinburgh. In 2016 he was appointed Deputy Chief Executive of NES.
Manoj is Healthcare Improvement Scotland’s National Clinical Lead for the Scottish Mortality & Morbidity Program (SMMP), which aims to improve safety reviews and processes in health and social care.
He is also a Consultant General Surgeon, Associate Director of Medical Education at Aberdeen Royal Infirmary and an Honorary Senior Lecturer at the University of Aberdeen. He has a keen interest in the application of human factors in healthcare and has completed a master’s degree in Patient Safety: A Human Factors Approach from the University of Aberdeen. He is actively involved in human factors and non-technical skills training in the UK and internationally. Manoj is a Scottish Quality and Safety Fellow. He is a committee member of the Law Society of Scotland’s Health and Medical Law Subcommittee and an ambassador for the Clinical Human Factors Group.
Anthony is the Head of the Policy and Engagement Division of the Crown Office and Procurator Fiscal Service (COPFS).
Anthony leads on engagement with Scottish government and stakeholders in relation to legislative change and the development of prosecution policy. He has 23 years’ experience as a prosecutor.
Dr Jackie Taylor MBChB, FRCP graduated from the University of Glasgow medical school, trained and dually accredited in general internal medicine and geriatric medicine and was appointed to her current consultant post in Glasgow Royal Infirmary in 1997. She is a full time clinician with a sub-specialty interest in heart failure. From a managerial perspective, she has been Clinical Director, Associate Medical Director and Clinical Quality Lead in Geriatric Medicine.
Dr Taylor has a major interest in training and education of healthcare professionals. She is an Honorary Senior Clinical Lecturer. She is immediate past Chair of the British Geriatrics Society Cardiovascular Section which plays an important role in education. Dr Taylor’s other main professional roles have been as Vice President Medical and Honorary Secretary of the Royal College of Physicians and Surgeons of Glasgow and she has recently been appointed as President Elect.
Dr Weerakoon is a final year specialty trainee in acute and general internal medicine in South East Scotland, with a specialty interest in leadership and management.
Rebecca has held a wide range of trainee leadership roles including past chair of the Scottish Academy Trainee Doctors’ Group (SATDG), previous member of the RCPE Trainee and Members’ Commitee and AoMRC Trainee Doctors’ Group, and continues active local work to improve the trainee voice in shaping service development and delivery.
While studying for a masters in business administration and ILM7 qualification in executive coaching, Rebecca has held roles on the Death Certification Review Service Scotland Board, Scottish Government Realistic Medicine Oversight Group, The Scottish Shape of Training Transition Group, and represented SATDG on the Healthcare Improvement Scotland Quality of Care Reviews Expert Reference Group and GMC UK Advisory Forum - Scotland.
Rebecca has previously worked as Scottish Clinical Leadership Fellow within the Scottish Government Health Workforce Directorate and NHS Education for Scotland spearheading and contributed to a range of projects and strategic groups, with an interest in workforce planning, trainee recruitment and retention.
Although maintaining a strong clinical focus throughout training, Rebecca believes that the delivery of high quality, safe and realistic person-centred care requires the creation and maintenance of systems and cultures that provide effective and supportive working environments, in which diverse multidisciplinary teams can deliver integrated, co-designed and most importantly compassionate practice, across health and social care in Scotland.