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Higher threshold than Mental Capacity Act for decision-making (Olney 35 and NC1) |
Voted down 15-8 |
Exempt prisoners from assisted suicide eligibility (Kruger 353) |
Withdrawn after opposition |
Exempt homeless from assisted suicide eligibility (Kruger 356) |
Withdrawn after opposition |
Prohibit “encouraging” someone towards assisted suicide (Paul 82) |
Voted down 15-8 |
Prohibit “undue influence” prompting someone to choose assisted suicide (Bool 23) |
Voted down 15-8 |
Prohibit “manipulating” someone to choose assisted suicide (Campbell 114) |
Voted down 15-8 |
“Burden amendment”: must be acting for one’s own sake, not others’ (Cleverly 94) |
Voted down 15-8 |
Must have a meeting with a palliative care specialist (Maskell 281) |
Voted down 15-8 |
Not “terminal illness” if progress of illness can be “controlled or substantially slowed” (Bool 9) |
Voted down 15-8 |
6-month diagnosis must have “reasonable certainty” (Shah 48) |
Voted down 15-8 |
Not “terminal illness” if caused by voluntary stopping eating and drinking (Shah 402) |
Voted down 15-8 |
Strengthen language to say disability and mental illness aren’t eligible (Bool 11) |
Voted down 15-8 |
Not “terminal illness” if result of comorbidities from disability or mental illness (Maskell 283) |
Voted down 15-8 |
Raise burden of proof for capacity (Francis 322) |
Voted down 15-8 |
Capacity must include understanding care and treatment options (Spencer 50) |
Voted down 14-9 |
Capacity must be beyond reasonable doubt (Paul 398) |
Voted down 15-8 |
Doctors must not bring up assisted suicide unless patient says they want it (Webb 8) |
Voted down 13-8 |
Doctors must not bring up assisted suicide unless patient mentions the subject (Campbell 124) |
Voted down 13-8 |
Doctors must not bring up assisted suicide to under-18s |
Voted down 13-8 |
Patients with autism or learning disabilities must be given extra support (Francis 339) [may be covered by Tidball NC25 below] |
Voted down 13-8 |
Doctor must ensure patient has “no remediable suicide risk factors which pose a significant risk to their life” (Murrison 270) |
Voted down 13-7 |
Doctors must ensure access to interpreters (Abbott 414) |
Agreed without vote |
Psychiatric referral if doubt over patient meeting Mental Capacity Act threshold (Cooper 6) |
Agreed without vote |
Doctor must consult a specialist in patient’s condition (Maskell 285) |
Voted down 13-7 |
Patient must be informed of “appropriate” palliative care whether or not available (Atkinson 275) |
Agreed without vote |
Doctors must offer to make a palliative care referral |
Agreed without vote |
As well as informing about other “appropriate” care |
Agreed without vote |
Assisted suicide process can’t begin in first 28 days after terminal diagnosis (Shah 276) |
Voted down 14-7 |
Patient must be referred to multidisciplinary team at start of process (Kruger 425) |
Voted down 14-8 |
Any efforts to dissuade patient from suicide must be recorded (Maskell 288) |
Voted down 14-8 |
Doctors must base assessment on “provided evidence” |
Voted down 13-8 |
Doctors must have completed medical training (Maskell 290) |
Voted down 13-9 |
Doctors must have training (not specified) on capacity and coercion (Leadbeater 185, 198) |
Agreed without vote |
Doctors must have up-to-date training on learning disability and autism adjustments and safeguarding (Francis 186a) |
Agreed without vote |
Doctors must have training (not specified) on domestic abuse (Asato 20, 21) |
Agreed without vote |
Doctor can refuse assisted suicide application if “particular circumstances…make it inappropriate” to proceed (Kruger 420a) |
Voted down 15-7 |
Applicant can’t seek assisted suicide “because of an impairment of judgment arising from a mental disorder” (Hobhouse 363) |
Voted down 12-9 |
Not eligible if there is a “real risk that the eligibility criteria have not been met (Baldwin 257) |
Withdrawn after opposition |
Applicant must speak to mental health professional who will make a report (Hillier 14) |
Voted down 14-8 |
Doctor’s statement after assessment must include explanation of decision (Leadbeater 420) |
Agreed without vote |
Second doctor must have psychiatric qualification (Joseph 1) |
Voted down 15-7 |
If making enquiries, 1st doctor is to make enquiries with doctors who know patient, if doctor thinks it appropriate (Leadbeater 422) |
Agreed without vote |
Doctor must ask why applicant wants assisted suicide (Paul 468) |
Voted down 15-7 |
Applicant must be told side-effects of lethal drugs (Maskell 305) |
Voted down 13-9 |
Applicant must be told risk of lethal drug complications including pain (Kruger 362) |
Voted down 13-9 |
Second doctor must consider consulting specialists |
Agreed without vote |
Applicant can seek second opinion on eligibility only if circumstances change (Olney 458) |
Voted down 14-8 |
Second-opinion doctor must be informed why first doctor refused (Olney 459) |
Agreed without vote |
Proxy must record why applicant couldn’t sign statement |
Agreed without vote |
Doctor must check at last moment patient wants to go through with it (Kruger 462) |
Agreed without vote |
Doctor must stay in room with patient until death (Francis 429) |
Voted down 13-8 |
If procedure seems to be failing, doctor must seek to revive patient rather than try to cause their death (Kruger 464) |
Voted down 15-6 |
Lethal drugs must be approved by Medicines and Healthcare products Regulatory Agency for purpose of assisted suicide (Kruger 465) |
Voted down 16-6 |
Lethal drugs can only be authorised if Health Secretary believes there is a scientific consensus they don’t cause pain (Kruger 466) |
Voted down 15-7 |
Maximum penalty of life imprisonment for coercion or dishonesty (Leadbeater 508) |
Agreed without vote |
Doctors must comply with (not just have regard to) codes of practice (Kruger 524) |
Voted down 13-7 |
Witnesses and proxies must have mental capacity (Francis 454) |
Voted down 15-8 |
Doctors can’t earn more from approving than rejecting applications (Kruger 527) |
Voted down 15-8 |
Panel must question (not just “hear from”) doctor and applicant (Atkinson NC21(d)) |
Voted down 14-9 |
Panel must make further inquiries if it is only sure on “balance of probabilities” and fears there is a “real risk” that patient is misdiagnosed, being coerced etc (Paul NC21(c)) |
Voted down 15-8 |
Health Secretary must make regulations for people with learning disabilities to have independent advocates (Tidball NC25) |
Agreed without vote |
Panel must have training (not specified) in domestic abuse (Asato NS2(c)) |
Agreed without vote |
Panel must follow adversarial process, whereby Official Solicitor appoints advocate to test evidence (Atkinson NS2(b)) |
Voted down 15-8 |