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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 1135 contributions

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Health, Social Care and Sport Committee [Draft]

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

Meeting date: 4 February 2025

Dr Sandesh Gulhane

Good morning. I refer members to my entry in the register of members’ interests. I am a practising NHS GP and chaired the medical advisory group on the bill.

Today is world cancer day. We had 35,379 new cancers registered in Scotland in 2021, which is an increase of 5.5 per cent from 2019 figures. Although I appreciate that not all cancers are terminal, some are. As we live longer and there are an increasing number of cancers, there will be more people who have terminal cancer.

We have heard about the palliative care sector being relatively underfunded. Those who provide end-of-life care are struggling at the moment. Given that we are struggling to cope with demand, there is a criticism that, without more money going into the sector, some people would turn to assisted dying because they cannot access palliative care. How do you respond to that?

Health, Social Care and Sport Committee [Draft]

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

Meeting date: 4 February 2025

Dr Sandesh Gulhane

Is there scope to have a discussion with Police Scotland in order to create, through secondary legislation, a process that medics could follow? It is important to say that there is a big difference between neglect or someone outright not doing their job properly, and someone doing their best where it is subsequently found that there are issues. Is there scope to discuss with Police Scotland and the Crown Office and Procurator Fiscal Service the creation of a process that is robust enough to defend medics who use the process for assisted dying properly?

Health, Social Care and Sport Committee [Draft]

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

Meeting date: 4 February 2025

Dr Sandesh Gulhane

We are short of time, given the number of questions that we have, but I have a final question. We heard from disabled people’s groups, who were very clear that nobody who is disabled supports assisted dying. That is the evidence that we heard from those groups. How can the bill ensure that, as we heard from disabled people, we do not allow vulnerable groups to be pressured into using it rather than accessing other forms of treatment?

Health, Social Care and Sport Committee [Draft]

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

Meeting date: 4 February 2025

Dr Sandesh Gulhane

We have heard from previous witnesses that by passing the bill, we will open the door to a slippery slope, mission creep or scope creep. They cite, as you have, Canada, Oregon and the Netherlands as examples. Do you think that that will happen here through legal challenges, and how do we safeguard against it?

Health, Social Care and Sport Committee [Draft]

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

Meeting date: 4 February 2025

Dr Sandesh Gulhane

I turn to death certification and how a health professional would go about filling in the relevant forms. We do not want to skew the death statistics. If someone has terminal lung cancer, for example, it is very important that that is captured in the data. What is the thought process on the way that you would like a health professional to fill in the forms?

Health, Social Care and Sport Committee [Draft]

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

Meeting date: 4 February 2025

Dr Sandesh Gulhane

To move on to reporting, are you happy that there is enough in the bill to enable us to look robustly at what has happened over each year, which will feed into the five-year review? If you think that that is the case, what learnings have you taken from other jurisdictions that already undertake reporting? Let us not reinvent the wheel.

Health, Social Care and Sport Committee [Draft]

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

Meeting date: 4 February 2025

Dr Sandesh Gulhane

Do you think that we might need any additional information from the reporting that may be able to provide additional safeguards and reassurance?

12:00  

Health, Social Care and Sport Committee

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

Meeting date: 28 January 2025

Dr Sandesh Gulhane

Would you or the Government like to see anything in the bill about how the service would operate?

Health, Social Care and Sport Committee

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

Meeting date: 28 January 2025

Dr Sandesh Gulhane

Given your previous answers, you might not be able to answer some of my other questions. However, I would like some comment about the NHS’s relationship to the potential service model should the bill become law. For example, should it be a separate service in the NHS or integrated into existing services?

Health, Social Care and Sport Committee

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

Meeting date: 28 January 2025

Dr Sandesh Gulhane

Should there be a register of people who are trained to perform assisted dying and are willing to participate in it, with a sort of opt-in system?