scott murray
@scottamurrayed
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Emeritus Prof of Primary Palliative Care, GP . https://t.co/XP3nXxpsBl… #palliativecare according to need not diagnosis #primarypalliativecare
University of Edinburgh, UK
Joined May 2010
#assisteddying Illness trajectories explain why a prognosis of 6 months is flawed. Most people need terminal care 2 to 5 years. They cannot be “reasonably expected to die within 6 months”. They are likely to be alive 18 months later. Evidence ignored https://t.co/4W6RkbHtNI
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Person centred, future care planning https://t.co/M5gKdwHxbY via @YouTube Explaining how GPs, hospital doctors and nurses can start palliative care long before #assisteddying might be considered. @bmj_latest @rcgp @Jess4Lowestoft #deathliteracy
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In what universe does 'hospice' (US-speak for good palliative care) not address existential suffering? Debate has to be better informed than this.
@kesleeman Hospice is important, but it doesn't address existential suffering, which is the main reason people seek an assisted death. However, one potential medical therapy is psilocybin, so it deserves more attention in this discussion.
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Person centred, future care planning https://t.co/M5gKdwHxbY via @YouTube Explaining how GPs, hospital doctors and nurses can start palliative care long before #assisteddying might be considered. @bmj_latest @rcgp @Jess4Lowestoft #deathliteracy
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It's a fact of life that death is so difficult to predict. Can we learn methods from weather forecasting or investors? Otherwise a 6 month safeguard for Assisted Dying is impractical https://t.co/jwlLFocOfn
@ProfMarkTaubert @Jess4Lowestoft @BBCWorld
spcare.bmj.com
The syndrome of ‘prognostic paralysis’ has been described in general practice settings as a feeling of being unable to act due to being very uncertain about the likely course of a patient’s illness.1...
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“But they’re dying anyway” Is safeguarding less important when people are terminally ill?
Baroness Hayter claims assisted suicide “is not about choosing to die… they are dying anyway". This abuse of language is not convincing anyone. People thought to be terminally ill can still be suicidal.
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❗"Palliative care can alleviate the wish for a hastened death". We do not need assisted suicide! If our aim is to reduce suffering and ensure that people want to live, we must properly invest in palliative care services.
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Development of the ‘Attentive Visitors’ workshop supporting community ...
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Improving health literacy is key to empowering people to make informed decisions about their palliative care, end of life care planning and assisted dying https://t.co/d5iEVKBByB So important. This is what we must now do @ProfMarkTaubert @Jess4Lowestoft
ebn.bmj.com
Commentary on: Mac Dermott G, Meier C, Blanc S, et al. Health literacy, end-of-life health literacy and assisted suicide: attitudes in older adults—a cross-sectional study. BMJ Support Palliat Care...
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This evidence on the failure to include Coroners in the Assisted Dying bill is a must watch. It remains a massive loophole in the Bill.
Key line of questioning from @lucianaberger. The bill's failure to involve coroners means chances will be missed to pick up cases of medically-assisted dying where domestic abuse was a factor. Both expert witnesses - medical examiner & former chief coroner - completely agree.
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THE BILL IS BEING MISSOLD! 🔥Baroness Finlay brilliantly skewers Kim Leadbeater & Lord Falconer for selling their Bill as being about rare case of extreme pain at the end of life when in reality the Bill is far broader than that & makes no reference to pain.
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It seems very odd to have a Committee which isn’t able to accept written evidence. The Bill has changed since it was first proposed and how can a Committee on a Bill of this magnitude come to a reasoned conclusion on just a few sessions of oral evidence? Feels like shenanigans.
Think you have something useful to tell the Lords about Leadbeater’s bill? Think again… “the Committee is not seeking or accepting written evidence other than from invited witnesses”! Anyone aware of any precedent for this? To actively say “we don’t want to know”?
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"Seems silly to me." Trevor is a patient in the Arthur Rank hospice in Cambridgeshire. This facility has been told budget cuts mean the local hospital trust is withdrawing funding, giving patients less choice over where they die.
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I wonder whose interests are served by this long term editorial push. Not their readers imho she certainly not their readers' patients.
Yet another Assisted Dying flyer in @bmj_latest today, to convince us all how wonderful it will all be.
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Public support for assisted suicide in Scotland has dropped substantially according to latest YouGov poll
yougov.co.uk
Do you think the law should or should not be changed to allow someone to assist in the suicide of...someone suffering from an painful, incurable but NOT terminal illness?
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Why physician-assisted suicide has no place in the NHS https://t.co/od9mmtbR9D
@ProfMarkTaubert @mariecurieuk Especially an NHS which does not adequately fund GPs, hospitals and hospices to provide early palliative care to 560,000 people who die every year in the UK
spcare.bmj.com
The UK is currently debating legislation to allow physician-assisted suicide for competent, terminally ill adults. Though not explicit, it is likely to be delivered through the National Health...
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If we were serious about reducing human suffering, we wouldn't focus on legalising assisted suicide, reckoned to be accessed by [up to] 7,500 people in 10 yrs. Rather we'd focus on the provision of good palliative care, which >100,000 citizens need each yr
telegraph.co.uk
Compassion that takes imprudent risks with the lives of the vulnerable is not a virtue at all
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The whole process in the Commons was to get this Bill through at all costs. Its a total disaster
King's College's Complex Life and Decisions Group brand Leadbeater bill "not fit for purpose". Link in thread.
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Only a spinal fracture could prevent the excellent @DavidAltonHL from speaking at second reading of Leadbeater's bill but you can read his thoughts here..
@UKHouseofLords @Tanni_GT @thelizcarr @Live_Die_Well @pmounstephen @historykev @timfarron @CarolUHS @EdDaveyNews @danielmgmoylan @StephanieFraser Why telling doctors to assist a suicide is wrong; why there is no such things as “a little euthanasia”; why Parliament should carefully study what has happened in other jurisdictions and not enact laws which can facilitate coercion, create fear among disabled and vulnerable
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