Receiving a notice of investigation for such a serious alleged crime represents one of the most critical and stressful moments in a healthcare professional's career. The accusation of medical manslaughter not only impacts the professional sphere but also has profound personal and psychological repercussions. In these circumstances, it is crucial not to panic and to promptly seek qualified legal defense. As a criminal lawyer in Milan, Avv. Marco Bianucci fully understands the sensitivity of these situations and supports healthcare personnel with the utmost dedication and confidentiality.
In our legal system, manslaughter is governed by Article 589 of the Italian Penal Code. However, when a patient's death occurs during the practice of healthcare, specific legislation comes into play, profoundly reformed in recent years by the so-called Gelli-Bianco Law. This law introduced Article 590-sexies of the Italian Penal Code, which establishes precise parameters for evaluating a doctor's conduct in cases of adverse events.
The central point of legal evaluation lies in determining whether the unfortunate event resulted from lack of skill, imprudence, or negligence. Current legislation stipulates that if the event occurred due to lack of skill, the doctor's punishability is excluded if they have complied with the recommendations provided by validated guidelines published in accordance with the law, or, in their absence, with good clinical-assistance practices, provided that such recommendations are adequate to the specificities of the concrete case.
In medical malpractice proceedings, criminal law is inextricably intertwined with medical science. The Public Prosecutor, to formulate a well-founded accusation, cannot disregard technical consultation. Similarly, the defense must rely on a solid scientific reconstruction of the facts to demonstrate the client's lack of involvement.
Expert reports or court-appointed technical consultations represent the true core of the trial. In this phase, a panel of experts is appointed, usually a forensic doctor assisted by a specialist in the medical branch under investigation, tasked with establishing the causal link. It is necessary to prove beyond a reasonable doubt that the patient's death is the direct and immediate consequence of medical error, and not of unpredictable complications or the natural progression of the underlying pathology.
The approach of Avv. Marco Bianucci, an expert criminal lawyer in Milan, is based on the understanding that defense in medical liability cases cannot be standardized or improvised. Each clinical case requires meticulous study of medical records, operational protocols followed, and the most up-to-date relevant scientific literature.
Studio Legale Bianucci works in close synergy with highly qualified party-appointed technical consultants. From the very first stages of preliminary investigations, the defense strategy is built collaboratively between the lawyer and the firm's trusted forensic doctors. This integrated working method allows for the timely identification of any critical issues in the prosecution's arguments, the formulation of precise questions to the court-appointed experts, and the submission of rigorous technical briefs, in order to demonstrate the correctness of the healthcare professional's actions or the absence of a causal link.
The first and most important rule is to remain calm and immediately contact your trusted lawyer before making any statements to the investigators. It is essential not to alter the clinical documentation in any way. The defense counsel will arrange for the appointment of party-appointed technical consultants to participate in the expert proceedings from the outset, such as the autopsy, which constitutes an unrepeatable technical assessment of vital importance.
Not automatically. Compliance with guidelines is a fundamental factor for excluding punishability in cases of lack of skill, as established by the Gelli-Bianco Law. However, the Judge will always assess whether those specific guidelines were indeed adequate for the patient's concrete case. Furthermore, formal adherence to guidelines does not excuse conduct characterized by negligence, such as serious inattention, or by imprudence.
The duration of criminal justice proceedings, especially in such complex matters requiring in-depth technical and scientific assessments, can be lengthy. Preliminary investigations typically last from six months to a year, but they can be subject to several extensions by the Public Prosecutor pending the submission of expert reports. The wait is undoubtedly grueling, which is why it is essential to have a professional by your side who constantly monitors the case file's progress.
The party-appointed technical consultant is an indispensable figure for effective criminal defense in the medical field. Their task is to meticulously analyze the documentation, participate in the expert proceedings ordered by the Judicial Authority, interact on equal footing with the court-appointed experts by raising targeted scientific observations, and prepare their own technical report to support and strengthen the defense strategy developed by the lawyer.
Facing criminal proceedings for medical malpractice requires clarity, profound technical expertise, and a solid defense strategy from the very first moment you become aware of ongoing investigations. If you are involved in an investigation for medical manslaughter, it is crucial to act promptly and precisely.
Contact Avv. Marco Bianucci at the Milan office located at Via Alberto da Giussano, 26, to schedule an initial, confidential consultation. During the meeting, the details of the clinical and procedural situation will be analyzed with the utmost care to clearly outline the most appropriate legal path for protecting your professional and personal standing.