If you are a healthcare professional and,
whatever your views on assisted dying,
please consider these 5 questions

1. Well over half of practising UK doctors do not want to be involved in assisted dying.
Could this create conflicts and damage working relationships in your team?

Fact:  of those expressing an opinion, 58% of practising BMA doctors do not want to prescribe drugs for assisted suicide and 70%  do not want to prescribe euthanasia drugs. 
Between 30-50% of doctors describe an emotional burden or discomfort about participation in assisted dying.

[Sources: BMA Survey 2020;  Pressures on GPs providing assisted dying; Burden of paticipating in AD]

2. Canada, Oregon, Belgium and the Netherlands have all expanded their criteria for assisted dying.
Are UK doctors ready to discuss assisted dying, regardless of the prognosis?

Fact: UK campaigners are asking now for there to be no prognostic limit in any future legislation allowing assisted dying.

[Source: Right to Die Campaign]

3. Healthcare professionals are already struggling to cope with safeguarding legislation.
Could assisted dying safeguards cause similar  difficulties?

Fact: the 2005 Mental Capacity Act was a milestone in protecting decisions made by individuals with capacity and on behalf of those lacking capacity.
More than a decade later, healthcare professionals are still finding it difficult to comply with its legal safeguards. Abuse continues of older people and people with a learning disability.

[Sources: House of Lords select committee;  CIPOLD inquiry; Action on Elder Abuse]

4. Assisted dying is cheaper than providing care
Is it right that assisted dying would be funded in an NHS which has to ration treatment or care?

Fact:  In the UK, over 300 people each day need palliative care but fail to access the care they desperately need.

[Source: Equity in Palliative Care]

Fact:  According to a health economic assessment published by Scottish health economists in 2020, the authors claimed that  “the benefits to the individual patients who choose assisted dying may in fact be outweighed by the broader benefits to society through reduced resource use and the improved potential for organ donation.”

[Source: p69 in Clinical Ethics]

Canada estimates that assisted dying will save nearly 87 million Canadian Dollars (over £50 million) in 2021.

[Source: Cost estimate for Bill C-7]

5. Individual patient choice and autonomy  are important, but involving doctors to decide on assisted dying sacrifices that autonomy.
How confident do you feel at detecting subtle signs of coercion or fluctuating capacity?

Fact: Doctors do not make ‘life or death’ decisions- they advise on treatments by sharing decisions with patients. Judges, such as those in the Court of Protection, are trained in making objective and accountable assessments about an individual's request to have their life ended. In addition, judges are trained to correct legal errors.

[Source: Role of doctors in assisted dying;  Court of Protection; Whistle blowers]

Is there an alternative?

If  assisted dying is allowed the answer is:

Court Authorised Assisted Dying 

CA-AD would
1) Have decisions made by the courts (who would order the required drugs)
2) Make the UK the first in the world to provide scrutiny during the decision-making process.
3) Be outside mainstream clinical care
4) Ensure medical reports are only about the patient's medical condition
5) Enable healthcare professionals to opt-in as opposed to having to opt-out

Assisted dying should not be part of mainstream
healthcare