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by Munro Research

Assisted Dying Bill [HL]


Official Summary

A Bill to enable competent adults who are terminally ill to be provided at their request with specified assistance to end their own life; and for connected purposes.

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Overview

This bill aims to legalize assisted dying in England and Wales for competent adults with terminal illnesses who have a clear and settled wish to end their lives. It sets out strict criteria and safeguards, including multiple medical assessments and High Court approval, to prevent abuse.

Description

The Assisted Dying Bill allows terminally ill adults (18+, resident in England & Wales for at least a year, with capacity to make the decision) to request assistance in dying. This requires a formal declaration signed by the individual and witnessed by someone not involved in their care, countersigned by two doctors (an attending and an independent doctor). The doctors must independently verify the individual’s terminal illness (expected to die within six months), capacity, and voluntary, informed wish to die. They must also confirm the individual has been fully informed of available palliative and hospice care. The High Court (Family Division) must approve the request. The attending doctor can then provide medication for self-administration under strict guidelines, including a waiting period (14 days, reduced to 6 if death is expected within a month), and the doctor must remain present (or in close proximity) until the individual either takes the medication or decides against it. The bill includes provisions for conscientious objection, clarifies criminal liability, and details procedures for death certification and reporting. It also outlines the creation of codes of practice and monitoring of the Act's operation by Chief Medical Officers.

Government Spending

The bill doesn't specify direct government spending figures. However, there will be costs associated with implementing the new regulations, monitoring the system, and potentially providing additional training and resources for healthcare professionals. The long-term financial impact is difficult to predict but could involve increased administrative and healthcare costs.

Groups Affected

  • Terminally ill adults: May gain the right to seek assistance in dying, providing a potential path to a peaceful end-of-life experience.
  • Healthcare professionals: Will be responsible for assessing eligibility, providing medication, and managing the process, potentially leading to ethical and professional challenges.
  • Families and carers: May experience emotional and practical implications. Some might find comfort in the option, while others may object.
  • The Judiciary: The High Court will play a significant role in reviewing applications and ensuring adherence to the law’s safeguards.
  • Medical and legal professionals: Will require adequate training and clear guidelines to navigate the bill's complexities and implications.
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