Jack AdcockCredit:Family Handout/PA MPS medical director Dr Rob Hendry, said: “The public and medical profession would expect that extreme cases where there is intent to cause harm or a high degree of recklessness result in prosecution – and we support that. “Most medical manslaughter cases are however more complex, involve systems failures, and are devastating for all concerned.”Dr Bawa-Garba’s conviction is a case in point, and the strength of feeling on this and its implications for an open, learning culture in healthcare, has been palpable.”A striking feature of the law in England and Wales is that intent, carelessness, or recklessness is not required for a conviction.”The legal bar is too low and it is hard to see who benefits – a family has lost a loved one through tragic circumstances, a doctor may lose their career and face a prison sentence, the NHS has lost a valuable doctor, and fear of personal recrimination becomes increasingly embedded across healthcare.”Opportunities to reform the law surrounding medical manslaughter have not been seized.”The organisation recommends the law moves in line with the legal test for culpable homicide used in Scotland, which requires an act to be “intentional, reckless or grossly careless”.The Government review is being led by the former president of the Royal College of Surgeons, Sir Norman Williams. The legal bar for convicting healthcare professionals of manslaughter is currently “too low”, a medical defence organisation has said. The Medical Protection Society say that a “striking feature” of the law in England and Wales is that “intent, carelessness, or recklessness” is not required for a conviction, and that opportunities to reform the law “have not been seized”.Their comments come in response to a Government review into the use of gross negligence manslaughter in healthcare following the handling of the case of Dr Hadiza Bawa-Garba.Dr Bawa-Garba was found guilty of gross negligence manslaughter in 2015 over the death of six-year-old Jack Adcock, after he developed sepsis in 2011.A tribunal decided that she should remain on the medical register despite the conviction but in January the General Medical Council (GMC) succeeded in getting Dr Bawa-Garba erased from the register after taking the case to the High Court.However, many doctors reacted angrily to the GMC’s measures, raising concerns that many of the issues raised by the case – such as dangerous levels of understaffing, failure of IT systems, and staff being forced to work in inappropriate conditions – had been ignored. Last month, the Government launched the review in manslaughter cases. Want the best of The Telegraph direct to your email and WhatsApp? Sign up to our free twice-daily Front Page newsletter and new audio briefings.