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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 13 April 2025
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Displaying 1119 contributions

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Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Paul Sweeney

Thank you. Dr Coelho, do you have any response to the question?

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Paul Sweeney

Dr Green, are you content with the current Canadian legislation, or would you seek to amend it, strengthen it or change it in any way?

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Paul Sweeney

I will move the discussion on. How have palliative care providers in Canada received the legislation since its introduction, in 2016? To what extent has assisted dying been integrated into existing care pathways, and how do they interface?

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Paul Sweeney

I put the question to Dr Green in the first instance, then to Dr Coelho.

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Paul Sweeney

If you had the opportunity to amend the current palliative care legislation in Canada, what would you want to change? I put that question to Dr Coelho.

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Paul Sweeney

I thank both Dr Coelho and Dr Green for their persistence and patience with us as we go through these complex issues.

I want to ask about cases that have come up from constituents. This issue is often discussed in the context of end-of-life care a matter of hours out from death; it might be when people have experienced progression of, say, pancreatic or throat cancer, their quality of life has deteriorated significantly and they are verging on terminal agitation, with sedation considered. They might want the comfort of having the option to end their life at that stage, anticipating that deterioration will follow that course.

Do you have experience of the dynamic playing out in that way in Canada, with people fearing progression of their condition and what that will mean for their quality of life? They might want to have that option, with prior approval, to give themselves comfort as they face a terminal illness with a pretty bleak prognosis. There might come a point later when, once a certain threshold has been passed, they can trigger the end of their life on their own terms. Is that a common characteristic of how this plays out?

Health, Social Care and Sport Committee

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

Meeting date: 5 November 2024

Paul Sweeney

In Victoria and elsewhere in Australia, can people take the decision early, shortly after receiving a terminal diagnosis, in anticipation of their condition deteriorating over time? For example, if someone has pancreatic cancer and they know that the usual course will lead to significant pain later, as the condition progresses, and that it may ultimately lead to terminal delirium or agitation, can they decide that they will administer the medication to end their life at the point where that real deterioration takes place? Rather than the decision being made at the point when the medication has to be administered, can the decision be made in anticipation that the condition will deteriorate over time, with agreement with clinicians or relatives that the medication will be administered at that point?

Health, Social Care and Sport Committee

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

Meeting date: 5 November 2024

Paul Sweeney

That is helpful. Thank you.

Health, Social Care and Sport Committee

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

Meeting date: 5 November 2024

Paul Sweeney

Yes. It was about whether the individual would have sovereignty after the agreement had been put in place, in that, at any point in the progression of their condition, they could determine when to take the medication. There may be a scenario where someone enters a state of delirium and they are not necessarily aware of their surroundings. At what point does that sovereignty become questionable? Can they have a pre-emptive understanding with relatives who will help them to take the drug?

Health, Social Care and Sport Committee

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

Meeting date: 5 November 2024

Paul Sweeney

In relation to the substances that can be used, in Australia, is that kept open and is a review done independently by practitioners, or does the legislation define the substances?