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Chamber and committees

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 18 June 2025
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Displaying 1153 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

Paul Sweeney

Okay. That is, therefore, a matter of interaction between the two Governments.

Health, Social Care and Sport Committee

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

Meeting date: 12 November 2024

Paul Sweeney

Okay鈥攆air enough.

Is the requirement for a psychiatrist to be the arbiter of the threshold necessary, or should doctors with other specialisms be able to make that decision?

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Paul Sweeney

Dr Coelho, do you have a perspective on that late-stage option for people who want to retain their sovereignty?

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Paul Sweeney

Thank you for joining us this evening. I am not sure what the time difference is鈥攊t might be early in the afternoon at your end. I appreciate the time that you are giving us.

Dr Green, is there any evidence that poor palliative care is acting as a driver for people in Canada seeking assisted death?

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Paul Sweeney

Thank you. Dr Coelho, do you have any response to the question?

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Paul Sweeney

Dr Green, are you content with the current Canadian legislation, or would you seek to amend it, strengthen it or change it in any way?

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Paul Sweeney

I will move the discussion on. How have palliative care providers in Canada received the legislation since its introduction, in 2016? To what extent has assisted dying been integrated into existing care pathways, and how do they interface?

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Paul Sweeney

I put the question to Dr Green in the first instance, then to Dr Coelho.

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Paul Sweeney

If you had the opportunity to amend the current palliative care legislation in Canada, what would you want to change? I put that question to Dr Coelho.

Health, Social Care and Sport Committee

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

Meeting date: 11 November 2024

Paul Sweeney

I thank both Dr Coelho and Dr Green for their persistence and patience with us as we go through these complex issues.

I want to ask about cases that have come up from constituents. This issue is often discussed in the context of end-of-life care a matter of hours out from death; it might be when people have experienced progression of, say, pancreatic or throat cancer, their quality of life has deteriorated significantly and they are verging on terminal agitation, with sedation considered. They might want the comfort of having the option to end their life at that stage, anticipating that deterioration will follow that course.

Do you have experience of the dynamic playing out in that way in Canada, with people fearing progression of their condition and what that will mean for their quality of life? They might want to have that option, with prior approval, to give themselves comfort as they face a terminal illness with a pretty bleak prognosis. There might come a point later when, once a certain threshold has been passed, they can trigger the end of their life on their own terms. Is that a common characteristic of how this plays out?