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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 17 June 2025
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Displaying 722 contributions

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Health, Social Care and Sport Committee

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

Meeting date: 21 January 2025

Brian Whittle

Good morning, panel members.

I have been exploring the issue of access to palliative care, which the bill has raised, along with the fact that many people do not get the access to the palliative care that they need. The flipside is that some people receive the highest level of palliative care, yet they get to a point where the care that they receive does not alleviate their physical or psychological pain. If assisted dying is not an option, what would be available to those people?

Health, Social Care and Sport Committee

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

Meeting date: 21 January 2025

Brian Whittle

I move to what I was actually going to ask questions about: the concern that a lack of access to palliative care would push more people towards assisted dying. I have to be honest that that is one of my concerns. Too many people in our society do not have access to the palliative care that would give them comfort towards the end of life. Do witnesses want to comment on that?

Health, Social Care and Sport Committee

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

Meeting date: 21 January 2025

Brian Whittle

I think that lots of people shout that from the rooftops.

Health, Social Care and Sport Committee

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

Meeting date: 21 January 2025

Brian Whittle

I have a question about the concern around doctors administering drugs that will end life. It strikes me that, in cases at the end of life in which increasing pain relief is being administered, it is the pain relief, such as morphine, that actually ends the person’s life. How do we deal with that position?

12:00  

Health, Social Care and Sport Committee

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

Meeting date: 14 January 2025

Brian Whittle

One of the lessons that I learned from last week was to never pre-empt or pre-judge what you are about to hear. I do not know what the expectations were for the meeting, but it far exceeded what I thought I would get from it. Those who attended were incredibly well prepared and well informed, and were not shy in coming forward. What they said was not what I expected. I put on record my thanks to them.

Health, Social Care and Sport Committee

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

Meeting date: 14 January 2025

Brian Whittle

To take that slightly further, what I am getting at is that a regular healthcare professional who knows the person will notice subtle changes. That is the other way to define capacity—

Health, Social Care and Sport Committee

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

Meeting date: 14 January 2025

Brian Whittle

Concerns about palliative care have been raised several times. Should we explore the level of palliative care that is available and whether inability to access palliative care might influence a decision on whether to seek assisted dying as a remedy? Do you have a view on that, Susan?

Health, Social Care and Sport Committee

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

Meeting date: 14 January 2025

Brian Whittle

If I may, I will bring you in in a little bit. First, I want to add another layer to my line of questioning—just to see whether I can make it more complicated.

If the consensus is that access to palliative care is, at best, patchy across various medical conditions and geographical areas, where is the line on saying that we have reached a level of such care that satisfies our concerns about it influencing a decision to access assisted dying? I suppose that that is an impossible question, but I want to put it out there.

Health, Social Care and Sport Committee

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

Meeting date: 14 January 2025

Brian Whittle

Does anyone have anything to add?

Health, Social Care and Sport Committee

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

Meeting date: 14 January 2025

Brian Whittle

I want to clarify a point about advance directives. Am I correct in understanding that you are saying that the problem with advance directives is that, when someone gets to a certain stage in relation to capacity, it is very difficult to understand whether they might have changed their mind on that journey? Are you saying that that is an inherent issue with advance directives, or am I misconstruing you?