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Seòmar agus comataidhean

Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 5 May 2021
  6. Current session: 12 May 2021 to 10 April 2025
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Displaying 671 contributions

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Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 12 November 2024

Gillian Mackay

Good morning. What are the practical implications of the devolved competence limits for implementation of the bill, particularly around specifying an approved substance for assisted dying? I ask Lynda Towers to comment first.

09:30  

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 12 November 2024

Gillian Mackay

You have both mentioned the concerns that you have that people with dementia and Alzheimer’s could come under the bill. What additional safeguards should there be for those people?

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 12 November 2024

Gillian Mackay

I will go back to Lynda Towers for a response to my next question. The member in charge of the bill has identified orders under sections 30, 63 and 104 of the Scotland Act 1998 as options for addressing potential competence issues. Do you have any views on the advantages or risks of that approach?

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 12 November 2024

Gillian Mackay

That is great—thank you.

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 11 November 2024

Gillian Mackay

Thank you. I ask our witnesses to focus on the content of my second question and to keep their answers as succinct as possible, because I know that other members want to come in. I am interested to hear your perspectives on the key challenges that Canada faced in adopting its approach. How might we in Scotland learn from those experiences as we work to develop our own legislation?

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 11 November 2024

Gillian Mackay

Yes.

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 11 November 2024

Gillian Mackay

No. I would like to hear about the key considerations and challenges that Canada faced in adopting its approach and how we might learn from those in Scotland.

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 11 November 2024

Gillian Mackay

Dr—

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 11 November 2024

Gillian Mackay

Dr Coelho, what are the key considerations and challenges that we should be looking at here in Scotland?

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 11 November 2024

Gillian Mackay

Good evening. In 2019, the United Nations special rapporteur on the rights of persons with disabilities expressed significant concerns about Canada’s approach to medical assistance in dying, particularly from a disability perspective. She noted the absence of a protocol to ensure that people with disabilities were offered viable alternatives before considering assisted dying. That concern was heightened when the federal Government passed bill C-7 in 2021, which relaxed safeguards for patients eligible for MAID, including the removal of the 10-day waiting period and the requirement to offer palliative care options. Most recently, the Office of the Chief Coroner of Ontario published the “MAiD Death Review Committee Report 2024”, which indicated that many individuals are seeking MAID due to factors that are unrelated to medical illness, such as homelessness and isolation, with MAID access notably higher in economically disadvantaged neighbourhoods.

Given the alarm that has been generated worldwide by Canada’s experience, do you believe that characterisation to be accurate, and have specific protocols or safeguards been introduced to prevent individuals from turning to MAID due to a lack of social support or access to complex care? I ask Dr Green to comment first.