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DIGNITAS: “It’s about time” the UK changes law on assisted dying

The Swiss assisted dying organisation DIGNITAS has told parliamentarians that the UK should legalise assisted dying. Silvan Luley, a member of the organisation today gave evidence to the Health and Social Care Committee’s inquiry into assisted dying, along with other experts from Switzerland. 

Luley told the inquiry: “If you legalise assisted dying, it will improve conversations with patients, make it transparent, public, clear and make it possible to do research. Doctors will feel safe, people will feel safe.”

When questioned if assisted dying is at odds with palliative care, Luley replied that most Brits that visit DIGNITAS are grateful for the UK’s excellent provision of palliative care, but they say “I want to have my choice”. He added: “That’s the crucial point. It’s about choice.”

Switzerland has allowed assisted dying since 1942, as long as the motives are not selfish. It is one of the few countries in the world that does not have a residence clause, meaning citizens of other countries are allowed to have an assisted death. The number of British people who are members of DIGNITAS has soared by more than 80% in the past decade.

Dr Georg Bosshard, a practising geriatrician in Switzerland, said that Swiss people would find the UK’s blanket ban on assisted dying ‘unthinkable’. He added: “We should have varieties of possibilities for having a good death – we should have a society that meets the needs of different people and the wishes of a wide variety of people.”

Samia Hurst-Majno, Professor of Biomedical Ethics, warned the committee of both under-regulation but also overregulation of assisted dying. She added that “It’s an illusion that banning assisted dying protects vulnerable people.”

My Death, My Decision would welcome an assisted dying law in the UK that grants mentally capable adults the option of an assisted death if they are enduring unbearable suffering from an incurable physical condition.

Claire Macdonald, Director of My Death, My Decision, said:

“We must stop exiling Brits who are dying and suffering from incurable diseases to Switzerland. We must stop exporting compassion and let people have a choice at the end of their lives. 

The evidence the committee heard today was overwhelming. In Switzerland, assisted dying has been working for over 80 years, the system is safe, workable and gives people back their human rights.”

Notes:

Members of the MDMD team, as well as individuals affected by the current law on assisted dying, are available for interview upon request

For further comment or information, media should contact Nathan Stilwell at nathan.stilwell@mydeath-mydecision.org.uk or phone 07456200033.

My Death, My Decision is a grassroots campaign group that wants the law in England and Wales to allow those who are terminally ill or intolerably suffering the option of a legal, safe, and compassionate assisted death. With the support of over 3,000 members, we advocate for an evidence-based law that would balance individual choice alongside robust safeguards and finally give the people of England and Wales choice at the end of their lives.

Read more about our work with the Assisted Dying Inquiry: https://dev.mydeath-mydecision.org.uk/2023/05/15/assisted-dying-inquiry-health-and-social-care-committee-takes-next-steps/ 

Watch the evidence session here: https://committees.parliament.uk/event/18436/formal-meeting-oral-evidence-session/ 

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Dominoes are falling: Majority of surgeons support assisted dying.

A majority of Surgeons support assisted dying, according to figures from a survey of the Royal College of Surgeons of England. 61% of respondents to the survey said they personally support a change in the law. 29% said they were opposed and 10% undecided.

This has led the Royal College of Surgeons to end their opposition to assisted dying. 

52% said the Royal College of Surgeons should be supportive of a change in the law to permit assisted dying. 20% said the College should take a neutral position on the provision of assisted dying for mentally competent, terminally ill adults.

In relation to the role of doctors in any future assisted dying process, 59% felt doctors should be involved in confirming a patient meets the eligibility criteria; 42% thought doctors should prescribe the drugs and 23% thought that doctors should be present while patients self-administer the drugs.

Following the survey, the Council voted to adopt a neutral position on the issue. 

The British Medical Association ended its opposition and moved to a neutral position on assisted dying in 2021. This reflects the position of similar medical bodies including the Royal Colleges of Physicians, Medicine, Nursing and Psychiatrists.

Trevor Moore, Chair of My Death, My Decision, said:

“Medical professionals are increasingly coming to the conclusion that assisted dying should be legalised in the UK. The Health and Social Care Committee must surely give due weight to this in their conclusions following the current inquiry into assisted dying.

The public support change, doctors across the spectrum support change – now politicians need to step up and give people who are incurably suffering or terminally ill the right to take control over their own bodies and, ultimately, their own deaths.”

Notes:

Members of the MDMD team, as well as individuals affected by the current law on assisted dying, are available for interview upon request

Read the survey here: https://www.rcseng.ac.uk/about-the-rcs/government-relations-and-consultation/position-statements-and-reports/assisted-dying/ 

For further comment or information, media should contact Nathan Stilwell at nathan.stilwell@mydeath-mydecision.org.uk or phone 07456200033.

My Death, My Decision is a grassroots campaign group that wants the law in England and Wales to allow those who are terminally ill or intolerably suffering the option of a legal, safe, and compassionate assisted death. With the support of over 3,000 members, we advocate for an evidence-based law that would balance individual choice alongside robust safeguards and finally give the people of England and Wales choice at the end of their lives.

Read more about our work with the Assisted Dying Inquiry: https://dev.mydeath-mydecision.org.uk/2023/05/15/assisted-dying-inquiry-health-and-social-care-committee-takes-next-steps/ 

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Compassion lead to assisted dying law, say international experts

Today, the Health and Social Care Committee heard testimony from experts from countries where access to assisted dying is permitted based on ‘unbearable suffering’. In the first panel, experts from Belgium and the Netherlands explained that compassion was the primary motive behind their early adoption of such a law.

Experts also explained that having a law introduces additional scrutiny to end-of-life care. Professor Bernheim explained that Belgium and the Netherlands are where end-of-life issues have been studied the most intensely. He highlighted that since the law was introduced there has been “much more control, much more scrutiny, much more awareness, much more compassion”.

So far, debates in the UK on assisted dying have mostly been limited to the terminally ill, but this session showed that a law that extends to people who are incurably, intolerably suffering is the most compassionate way forward. Professor Irene Tuffrey-Wijne explained that she doesn’t think the six-month prognosis is logical and it could be interpreted as unfair.

My Death, My Decision would welcome an assisted dying law in the UK that grants mentally capable adults the option of an assisted death if they are enduring unbearable suffering from an incurable physical condition.

The experts showed that across the world, where assisted dying has been introduced, palliative care has dramatically improved. Professor James Downar has said that since the introduction of an assisted dying law, Canada has seen the most historic increase in funding for palliative care. Since the introduction of an assisted dying law, Netherlands and Belgium now have the most developed palliative care in Europe and in Belgium, confidence in the medical system is high, even higher than it was before the law was introduced.

Professor Downar explained that in Canada the vast majority of people who received assisted dying, over 80% had received palliative care and 98% had access to palliative care.

Trevor Moore, Chair of My Death, My Decision, said:

“It is heartening to hear from those on the frontline of assisted dying in other countries that the key driver for the introduction of a law was compassion. That is what drives our campaign for a law in England and Wales, because above all we want to end unnecessary suffering.

Research from the Office of Health Economics shows that even the best palliative care cannot alleviate suffering in thousands of cases each year. We urge the Health and Social Care Committee to help remedy this by recommending a compassionate law for the UK – following the 28 jurisdictions that have already done so.”

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Why Dying Matters To Me

By Tim Wardle

Assisted dying campaigner and My Death, My Decision supporter.

This week is Dying Matters Awareness Week. I am here to talk about why my death matters to me. None of the following relates to deaths arising from war or natural disasters, solely to the end of life in the natural course of events. 

In this country, we have had a very Victorian attitude to death, one of life’s two inevitabilities, whereby the subject is not ‘nice’ to be talked about – if I talk about it, it will happen to me. Tim Wardle

Thankfully, this is beginning to change. More and more people are coming to believe that, whether or not they believe in an afterlife, death should be celebrated and that the timing and manner of one’s death should be a matter of choice.

Some context is necessary here. I am nearing my 85th birthday and have been diagnosed with inoperable kidney cancer following a 10-year battle with bladder, prostate and lung cancer. I have lost my maternal grandfather, mother and two sisters to cancer and was present with one of my sisters at her passing. However, I have long held the view that there were circumstances that might warrant assisted dying. Watching the pain and loss of dignity my sister suffered firmly entrenched this belief in my heart. With my current diagnosis, I know what awaits me.

I am in awe of those who work in the palliative care sector for end-of-life patients, but this does not, ultimately, end the pain or prevent the loss of dignity of the recipient. Thus, as a species, we need the choice to determine our ending. That is not to say that any legislation permitting assisted dying should be mandatory for all; simply that each individual should have the opportunity to choose. Having made that choice, the means should then become available without hesitation.

Legislation is long overdue in the UK to provide for assisted dying. There are now many models around the world that could be used to cherry-pick the best practices for adoption here. One thing I am wholeheartedly against is any legislation that restricts the right of assisted dying to those diagnosed with only six months to live. Each case should be determined on its merits and the expressed view of the individual. Legislation should also prevent a third party from raising objection to an assisted death where proper protocol has been followed by the individual.

Quality of life, not quantity of life, should be the predominant factor in deciding if and when life should end. With our pets, we determine on their behalf when they should die if the quality of their lives becomes intolerable – and are praised for our kindness in doing so. How is it then that as thinking beings, able to express our wishes, we are not afforded the same?

I wish to die at a time and place of my choosing before losing control of my speech and bodily functions, and with my loved ones around me, and I do not believe that any authority has the right to deny me that choice.

You can read more from Tim in The Mirror.

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Dame Prue Leith becomes MDMD Patron

 

We are delighted to welcome our new Patron, Dame Prue Leith. Prue will be a fantastic addition to our ever-growing organisation alongside fellow Patrons Dr Henry Marsh, Miriam Margolyes and Adam Kay, to name a few.

Dame Prue’s interest in the campaign for the legalisation of assisted dying stems from witnessing the suffering of her brother, David, who died from bone cancer in 2012. Watching her brother die an agonising, slow death, Prue found herself thinking, “David, die, please die, just die.” These are thoughts you can never imagine having. But Prue found herself in the same situation as countless others, watching loved ones die painful deaths, feeling helpless and heartbroken.

Prue joins us at a pivotal time for the campaign, and we look forward to working jointly on this issue of great social injustice. We hope that together with our Patrons, members and supporters, we can bring about a long-overdue change in the law.

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Assisted Dying Inquiry – Have your say!

If you see a blank page after pressing ‘Next’, scroll back to the top of the page.

This page includes the Health and Social Care Committee’s survey on assisted dying. This is not a duplicate survey but an embedded version of the actual survey.
You can find the survey here: https://www.smartsurvey.co.uk/s/M66AML/

If you see a blank page after pressing ‘Next’, scroll back to the top of the page.

This page includes the Health and Social Care Committee’s survey on assisted dying. This is not a duplicate survey but an embedded version of the actual survey.
You can find the survey here: https://www.smartsurvey.co.uk/s/M66AML/

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10 year anniversary of the death of Tony Nicklinson

Tony and Jane Nicklinson

Today marks the tenth anniversary of the death of assisted dying campaigner Tony Nicklinson. Tony fought valiantly for his right to die on his own terms. My Death, My Decision are saddened that no positive change has happened in England and Wales since Tony’s death.

In 2005 Tony suffered a catastrophic stroke which left him with locked-in syndrome. He was paralysed from the neck down and unable to speak. He could only communicate via blinking, and described his life as a ‘living nightmare’. 

Tony brought a legal case to the High Court to allow doctors to end his life. Tony lost his case, as the High Court ruled ‘It is not for the court to decide whether the law about assisted dying should be changed… these are matters for Parliament to decide.’

When he lost his court case, Tony said, ‘I am saddened that the law wants to condemn me to a life of increasing indignity and misery.’ Tony contracted pneumonia and died on the 22nd of August 2012 after refusing food and treatment.

Today, Tony’s daughter, Lauren Nicklinson, said:

‘The last ten years should have allowed politicians to drive change and give people who are incurably suffering the dignified end they may choose. Yet nothing has changed. We don’t want dad’s suffering to be forgotten; the last seven years of his life were a living nightmare for him, and the thought of what he went through would be more bearable if we can attach some meaning to his suffering. 

So please don’t forget about Tony Nicklinson and all that he stood for – autonomy, bravery, passion and determination – and help us secure the change in the law that would have given him the death he deserved’

Trevor Moore, Chair of My Death, My Decision said:

Ten years on from brave Tony’s Nicklinson’s death, his ambition of a compassionate assisted dying law for this country has yet to be achieved. He demanded that someone who was not terminally ill, but suffering unbearably from an incurable condition, should be able to call on help to die. The Supreme Court told him it was for Parliament to decide.

But so far our politicians have ignored overwhelming public opinion – and, increasingly, that of health practitioners – in support of a law. They do not seem to realise that they are protracting unnecessary suffering. That is why we call on the Justice Secretary to set up a Parliamentary inquiry into assisted dying as soon as possible. Only then can decision-makers hear and test the evidence for and against – especially from those countries like Australia, Canada and New Zealand that already have a law. After ten years, we owe it to Tony’s family to carry forward his powerful legacy and end this grave social injustice.

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The right to die is the last great freedom still to be won, say expert panellists at online MDMD event

Hundreds of households joined My Death, My Decision’s panel event online on 21 July, to hear from Polly Toynbee, Dr Wendy Savage, Diane Munday, and Natika Haliland their fascinating discussion on the topic of ‘A Woman’s Choice? Fighting for the right to die and women’s rights’. 

When introducing the event, My Death, My Decision’s Chair, Trevor Moore, highlighted findings that he said raised the possibility of a gendered dimension to assisted dying. For example, a higher proportion of British women end their lives, by travelling to Dignitas, than in countries where assisted dying is legal. And, according to data revealed to My Death, My Decision via a freedom of information request, women are twice as likely as men to confess to the police when they have assisted someone to die.

The resulting discussion explored the similarities between the campaigns to legalise abortion and extend women’s reproductive rights – in which the veteran campaign Diane Munday, renowned women’s rights activist Dr Wendy Savage, and executive of the Family Planning Association Natika H were closely involved – and the issue of assisted dying. 

Recognising that women are disproportionately likely to suffer from autoimmune problems, such as Alzheimer’s or Multiple Sclerosis; the similar moral arguments based on autonomy; the parallels between opponents of abortion reform and assisted dying, it was suggested that whilst assisted dying may have a particular impact on women, it wasn’t a women’s issue per se. 

However, several panellists cautioned against allowing a right-to-die to become legal for only a limited number of people in society, such as the terminally ill. Drawing upon the difficulties experienced in amending abortion legislation, Diane Munday warned a limited assisted dying law would be of use to few people and very difficult to change afterwards. 

At a particularly moving juncture, Dr Wendy Savage also discussed her personal experience of accompanying a close friend to Switzerland, and Diane Munday revealed the agonising conditions her husband endured after suffering a stroke that left him paralysed. Diane Munday said: ‘the pleading look in his eyes will stay with me until my dying day. Under extreme pressure of emotion and pain, he could get the words out “die please”. I cannot count the hours I spent sitting beside him with him saying “die please”’

The event concluded with a lively discussion of questions from the audience, which ranged from securing support amongst the media, the unique vulnerabilities of women and assisted dying, and the shifting attitudes among the medical profession in relation to assisted dying. 

My Death, My Decision’s Chair Trevor Moore said: 

Assisted dying is often framed as a simple and binary debate. Yet, as with any other issue in society, the way in which our current law impacts upon people differs depending upon their background and experiences. And inevitably this means it affects different people in different ways.

‘This is why we thought it was so important to provide a platform in which to discuss the experiences of women and the potential gendered dimensions of this debate. Whether assisted dying is a feminist issue, or indeed whether it should be framed as such, remains an open question. However, we were delighted by the thoughtful contributions of Polly Toynbee, Dr Wendy Savage, Diane Munday, and Natkia Halil – which made plain the urgent need for a change in the law, and the risks of adopting a law limited to the terminally ill alone.’

Notes:

For any more information or comment please contact My Death, My Decision’s Campaigns and Communications Manager at campaigns@mydeath-mydecision.org.uk.

About My Death, My Decision

Read more about My Death, My Decision’s campaign for an inclusive change in the law: https://dev.mydeath-mydecision.org.uk/

My Death, My Decision is a grassroots non-profit organisation that campaigns for a balanced and compassionate approach to assisted dying in England and Wales. As a growing movement, we are at the forefront of social change: nearly 90% of the public now favours a change in the law to allow adults of sound mind, who are either terminally ill or facing incurable suffering, the option of a peaceful, painless, and dignified death.

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Citizens’ jury on assisted dying paves the way for legislation in Jersey, with majority backing reform

A panel of islanders has voted overwhelmingly in favour of changing the law on assisted dying in Jersey. My Death, My Decision – whose Director Robert Ince was called to give evidence to the panel as a faith leader – has hailed the result as a critical victory for campaigners. 

According to an initial report, 78.3% of the Citizens’ jury agreed that assisted dying should be permitted for adults of sound mind, subject to robust safeguards. A substantial majority (70%) also thought the option of an assisted death should be available to those with either a terminal illness or unbearable suffering. A minority of 22% thought it should be restricted to the terminally ill.

Jersey’s citizens’ jury was convened in response to a petition started by My Death, My Decision’s Assisted Dying Coalition partners, End of Life Choices Jersey. It garnered support from 1,861 islanders. The panel of 23 randomly selected representative members met over a ten-week period earlier this year. 

Robert Ince’s evidence centred on the importance of recognising the need to cover both those with terminal or incurable illnesses in any legislation- as well as the importance of treating others with respect and dignity within the Abrahamic faiths. 

The news follows the death of My Death, My Decision’s patron Paul Lamb, who had been paralysed from the neckdown since 1990. Prior to his death, Paul had also been called as a key witness and had urged panellists to establish a right to die for those in his situation. 

A final report from the citizens’ jury is expected to be released in August this year. 

Speaking before the release of the initial results, My Death, My Decision’s Director Robert Ince said:

‘For more than twenty years the evidence from progressive countries from around the world has been clear – sensible, caring, and compassionate laws on assisted dying can be balanced alongside robust safeguards. I very much hope the jury’s panellists will allow those with terminal or incurable illnesses a compassionate choice and not deny others the same options they would want for themselves.’

Welcoming the report, My Death, My Decision’s Chair Trevor Moore said: 

‘The unequivocal results of the Jersey Assisted Dying Citizens’ Jury show how strongly public opinion supports an assisted dying law for the incurably suffering as well as the terminally ill – precisely the compassionate law that we campaign for at My Death, My Decision. A NatCen poll in 2019 showed even greater levels of public support for this approach in England and Wales. How much longer will it take politicians in Westminster to get on board with their constituents’ views and bring about our own law to reflect this?

‘Such a law would have helped our suffering patron Paul Lamb, who died earlier this month before the law he campaigned for was achieved. We call upon the Government to begin a public inquiry into assisted dying as soon as possible so that evidence, rather than alarmist misinformation, can win out. In that way, we can achieve the law that so many people want.’ 

Notes:

For any more information or comment please contact My Death, My Decision’s Campaigns and Communications Manager at campaigns@mydeath-mydecision.org.uk.

Read the initial report from Jersey’s Citizens’ Jury. 

About My Death, My Decision

Read more about My Death, My Decision’s campaign for an inclusive change in the law: https://dev.mydeath-mydecision.org.uk/

My Death, My Decision is a grassroots non-profit organisation that campaigns for a balanced and compassionate approach to assisted dying in England and Wales. As a growing movement, we are at the forefront of social change: nearly 90% of the public now favours a change in the law to allow adults of sound mind, who are either terminally ill or facing incurable suffering, the option of a peaceful, painless, and dignified death.

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Assisted Dying Bill introduced to Scottish Parliament

A new Bill to legalise assisted dying has been lodged in the Scottish Parliament. Its backers include My Death, My Decision’s partners in the Assisted Dying Coalition – Humanist Society Scotland and Friends At the End – and a cross-party group of 12 MSPs. My Death, My Decision has welcomed the proposals, which it hopes will spur action in Westminster. 

The move represents the first time assisted dying has been considered in Holyrood since 2015. However, recent polling shows that 86% of Scots want the issue debated in Holyrood, and 87% support a change in the law. 

Speaking ahead of its introduction, Liam McArthur MSP, who is bringing forward the Bill, said: 

‘I have long believed that dying Scots should be able to access safe and compassionate assisted dying if they choose, rather than endure a prolonged and painful death. 

‘The current blanket ban on such assistance is unjust and causes needless suffering for so many dying people and their families across Scotland. If you have reached the limits of palliative care and face a bad death, none of the current options available to you in Scotland represents an acceptable alternative to a peaceful, dignified death at home.’ 

According to the latest research, it has been estimated that even with the best palliative care, at least 11 Scots per week still die a bad death. 

Welcoming the announcement My Death, My Decision’s Chair Trevor Moore said: 

Although we are fortunate to have some of the best palliative care in the world, palliative relief isn’t always capable of easing everyone’s suffering. For many people dying is still a slow, painful, and undignified process. This Bill is, therefore, crucial because it recognises this reality and seeks to give choice and control to those at the end of their life. 

‘We congratulate our partners in the Assisted Dying Coalition for bringing about this important step towards a change in the law. It is not right that those facing terminal or incurable conditions, such as our late patron Paul Lamb, should be forced to suffer when nearly nine in ten people favour a change in the law. We hope that Scottish lawmakers recognise the strength of public support behind these proposals and that decision-makers in Westminster are spurred into action by them. In the coming months, these proposals will be subjected to robust and thorough scrutiny via a public consultation. We urge decision-makers in Westminster to similarly examine the evidence underpinning our nation’s ban on assisted dying by launching an urgent inquiry into the law.’

Notes:

For any more information or comment please contact My Death, My Decision’s Campaigns and Communications Manager at campaigns@mydeath-mydecision.org.uk.

About My Death, My Decision

Read more about My Death, My Decision’s campaign for an inclusive change in the law: https://dev.mydeath-mydecision.org.uk/

My Death, My Decision is a grassroots non-profit organisation that campaigns for a balanced and compassionate approach to assisted dying in England and Wales. As a growing movement, we are at the forefront of social change: nearly 90% of the public now favours a change in the law to allow adults of sound mind, who are either terminally ill or facing incurable suffering, the option of a peaceful, painless, and dignified death.

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