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Assisted Dying - is it time for change?

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Dame Prue Leith is a culinary visionary whose influence extends far beyond the kitchen. From her pioneering campaigns for healthy eating in schools to her entertaining presence on the iconic Great British Bake Off, Prue has been a driving force in shaping our culinary landscape and inspiring generations to embrace the joys of good food.

Prue Leith campaigns for assisted dying
Dame Prue Leith

But Prue's impact goes beyond the world of gastronomy. A passionate advocate for assisted dying, she fearlessly champions the right to dignity and autonomy in end-of-life decisions, sparking crucial conversations about compassion and individual choice.


I was fortunate enough to have Dame Prue as my guest on a recent podcast where we discussed this subject.

Her campaign for Dignity in Dying aligns with a growing movement that calls for the legalisation of assisted dying, a choice many believe should be available to terminally ill patients. 


With the second reading of The Assisted Dying Bill is a proposed piece of legislation in the United Kingdom that seeks to legalise assisted dying under specific circumstances. The bill aims to allow terminally ill patients who meet certain criteria to request and receive assistance in ending their lives, often through prescribed medication, in a compassionate and regulated manner.


Kim Leadbeater MP introduced the  Terminally Ill Adults (End of Life) Bill which passed it’s second reading on 29 November by a wider than expected margin, 330–275

MPs have voted in favour of proposals to legalise assisted dying in England and Wales.

The bill will now face many more months of debate and scrutiny by MPs and peers, who could choose to amend it, with the approval of both Houses of Parliament needed for it to become law.


Kim Leadbeater MP campaigns for end of life bill
Kim Leadbeater MP

Prue has personal motivations behind her advocacy, having witnessed the struggle faced by loved ones at the end of their lives including her first husband and brother. As the debate around assisted dying intensifies, it invites careful consideration of both the ethical implications and the arguments for and against the practice.


Arguments FOR Assisted Dying


  • Autonomy and Choice: One of the core arguments for assisted dying is the principle of individual autonomy. Supporters contend that individuals in terminal cases should have the right to choose how and when they die. For many, living with the pain and suffering associated with terminal illnesses can lead to a diminished quality of life. They argue that allowing assisted dying empowers patients to exercise control over their final moments, rather than prolonging suffering.

  • Compassion and Relief from Suffering: Advocates highlight that assisted dying is a compassionate option that can relieve unbearable suffering. The prospect of a drawn-out, painful death can be distressing not only for patients but also for their families. By offering the choice of assisted dying, society can provide a humane solution for those who wish to end their suffering on their terms.

  • Regulation and Safeguards: Many proponents argue that legalising assisted dying doesn't mean a free-for-all. With proper regulations and safeguards in place, the process could be regulated much like other medical practices. Oversight would ensure that only those who genuinely meet the criteria for terminal illness and are mentally competent could access such options, reducing the risk of abuse.


Arguments AGAINST Assisted Dying


  • Moral and Ethical Concerns: Opponents of assisted dying often cite moral or religious beliefs that view life as sacred. They argue that allowing assistance in dying could undermine the value of life and may lead to a slippery slope where vulnerable individuals might feel pressured to opt for assisted dying rather than exhausting all possible treatments.

  • Risk of Coercion: Critics express concerns about the potential for coercion. Vulnerable people, particularly the elderly or those with disabilities, may feel pressured to choose assisted dying due to societal views on quality of life or financial burdens on families. The fear is that patients may choose assisted dying not entirely out of their own will but due to perceived obligations.

  • Inadequate Palliative Care: Many opponents argue that the focus on assisted dying detracts from vital improvements in palliative care. They believe that instead of seeking measures to hasten death, society should invest in ensuring that every individual has access to comprehensive, high-quality end-of-life care that alleviates pain and respects dignity.


Along with a number of celebrities using their platforms such as Esther Rantzen, Sir Patrick Stewart and Jo Brand, Prue’s campaign for Dignity in Dying has shone a spotlight on the complex and emotional question of assisted dying in the UK. As debates continue, the conflicting viewpoints reveal a tapestry of personal beliefs, ethical considerations, and societal values. These discussions are essential as they shape the future of end-of-life care, reflecting society's commitment to autonomy, compassion, and the sanctity of life. As the dialogue progresses, it is crucial to listen to the voices of those affected, ensuring that any legal framework respects both individual choice and collective ethical standards.




 

Safeguarding requirements of the Terminally Ill (End of Life) Bill:


  • They must be resident of England and Wales and be registered with a GP for at least 12 months They must have the mental capacity to make the choice and be deemed to have expressed a clear, settled and informed wish, free from coercion or pressure

  • They must be expected to die within six months

  • They must make two separate declarations, witnessed and signed (by them or a proxy on their behalf), about their wish to die

  • Two independent doctors must be satisfied the person is eligible - and there must be at least seven days between the doctors’ assessments

  • A High Court judge must hear from at least one of the doctors and can also question the dying person, or anyone else they consider appropriate. There must be a further 14 days after the judge has made the ruling (although this can be shortened to 48 hours in some circumstances)


Find out more here:


Dignity in Dying organisation

Terminally Ill (End of Life) Bill - Parlimentary website


Listen here:

Apple podcasts

Spotify podcasts


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