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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 12 April 2025
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Displaying 693 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

Brian Whittle

Dr Earle, I am looking for clarity on how we consider conditions such as Alzheimer’s. Someone who was deemed to have capacity to make the decision might develop a degenerative condition such as Alzheimer’s, which might mean that they slip below the level at which someone is deemed to have capacity. Where does the bill sit in that regard?

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Brian Whittle

I will happily take any insights that you can give us.

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Brian Whittle

I see Dr Green nodding in agreement.

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Brian Whittle

Dr Coelho, do you have anything to add?

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Brian Whittle

Thank you, Dr Coelho and Dr Green, for taking the time to speak to us. My question, which is a brief follow-up to my colleague’s question, concerns something that Dr Green hinted at. If a patient who presents to a doctor asks for MAID, is the doctor required to suggest palliative care as an alternative option? If so, is that requirement universal across Canada? I ask Dr Coelho to respond first.

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Brian Whittle

I will be brief. If we have time at the end, I will try to come back in with some other questions.

Dr Coelho, you brought up the issue of capacity to make the decision. In relation to people with dementia who may lose capacity towards the end of their life, is there any provision under the assisted dying law in Canada for people to put in place an advance directive for a situation where they lose capacity as their condition deteriorates?

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Brian Whittle

It has been very helpful to hear two different sides of the argument. Thank you both for that.

One thing that has just been raised is coercion, as well as what might almost be coercion to prevent people taking part in MAID. Has there been any legal response, or have there been any legal cases after a patient has accessed MAID? Are there any figures on that?

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Brian Whittle

Dr Green, you suggested that it is a doctor’s responsibility to introduce the option of palliative care if a patient requests MAID. Is that approach universal across Canada, and is that provision consistent?

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Brian Whittle

Go ahead.

Health, Social Care and Sport Committee

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

Meeting date: 5 November 2024

Brian Whittle

The state of palliative care in Scotland just now is that not everybody has the ability to access it. Given that, potentially, there are people who are not able to get the palliative care that they need, is there any evidence that that is driving them towards a different decision about ending their life?