After a relatively quiet autumn, things have suddenly got busy with a Scottish bill being launched this month to stand alongside Lord Falconer's in Westminster; efforts to extend existing laws allowing euthanasia in Europe being met with the formation of a pan-European coalition; and continuing efforts to respond to deficiencies in end of life care across the UK. The pressure is mounting once again - and we thank you for your continued support.

What's been happening?

Assisted Suicide (Scotland) Bill

Independent MSP Margo MacDonald launched her long awaited second attempt to legalise assisted suicide in Scotland, just three years after her last bill was defeated in Holyrood by a massive 85-16 in 2010. 87% of all who made written submissions to the scrutinising committee for that bill were opposed to it, and 64% of individuals and 62% of organisations responding to her own consultation ahead of the current bill also rejected a change in the law.

Doctors' opposition

The MacDonald bill was immediately met by the British Medical Association restating their opposition to legalising assisted suicide, and with healthcare professionals and organisationsaround the world also restating their opposition to legal changes which would fundamentally alter the practice of medicine, we will watch closely as the Royal College of General Practitioners assesses responses to its consultation, which closed on 9 October.

Euthanasia Prevention Coalition Europe

Twenty four hours prior to the unveiling of the Scottish bill, the Euthanasia Prevention Coalition Europe was formally launched in the European Parliament. The coalition was first convened at the beginning of 2013, with representatives from the UK, France, the Netherlands, Belgium, Switzerland, Spain and Italy. Last week's programme included a press conference hosted by Finnish MEP Sari Essayah and a public debate at the Goethe Institute. Please visit the EPC Europe website, and follow the coalition on Twitter (@EPCEurope) and Facebook (/EPCEurope).

Around the world

The Belgian legislature is pressing on with efforts to extend its euthanasia law to children as young as 12, statistics released in September showed a 13% rise in Dutch euthanasia and a bill in Quebec surges forward, but legislative efforts in other parts of the Europe are stalling or falling.

  • A euthanasia bill for France promised for the end of this year by President Hollande has yet to materialise, having been opposed by the national medical ethics advisory board and rejected in public polling in favour of improved palliative care
  • Tasmania's lower house rejected a wide-ranging euthanasia and assisted suicide bill in October while a Labour MP in New Zealand pushing for euthanasia there dropped her bill in September in the face of pressure from her own party.
  • Two huge court victories in Canada massively impact the public debate there and have ramifications for other cases around the world.

Falconer Bill

While Lord Falconer's bill - the principles of which were rejected by the House of Lords 148-100 in 2006 and 194-141 in 2009 - awaits second reading, the flaws in its foundation and drafting have become ever clearer. The Labour peer conceded in one interview that his bill effectively places doctors above the law, while two high level think tank reports have stated that the bill fails 'the public safety test' and is 'asking Parliament to sign a blank cheque'. Media consideration of the bill has also caused concerns, with Lord Falconer being givencarte blanche to publicise his bill on the BBC's flagship breakfast TV show.

Court of Appeal

We welcomed the decision by all three judges in the Appeal Court comprehensively and completely to reject the Nicklinson and Lamb cases, but were concerned at the 2-1 decision in the 'Martin' case to seek further clarification of the DPP guidelines for so-called 'class two' cases relating to assisted suicide, requiring the involvement of a health professional. The DPP (Keir Starmer, who has since been succeeded by Alison Saunders) immediatelyannounced that he would appeal to the Supreme Court, and leave to appeal was also granted to Paul Lamb and the Nicklinson family.

Liverpool Care Pathway

Following the report, published in July, of Lady Neuberger's review of the LCP - which concluded that the LCP should be phased out 'over the next 6 to 12 months' and replaced by an individual end of life care plan, 'backed up by good practice guidance specific to disease groups' - a Leadership Alliance for the Care of Dying People (LACDP) was set up under the chairmanship of Dr Bee Wee, National Clinical Director for End of Life Care at NHS England. The Leadership Alliance has begun a public consultation to inform its response to the review, which runs until 6 January 2014.

What can you do?

Coming event

Next week, the UCL Medical Society are hosting a debate on 'assisted dying' featuring eighthigh level speakers including our own Dr Peter Saunders, speaking against the motion, and Lord Falconer speaking for. Register here.

Support

Head to the CNK website for suggestions on how to become more actively involved - be especially sure to check our 'Live Issues' page - and follow us on facebook or twitter. CNK continues to be grateful for every donation.

Speak out

Please keep writing your comments online in response to articles in the media, and engage in discussions and write letters to newspapers and politicians with your views. Medical supporters can write to BMA News and medical journals.

Care Not Killing DVDs

Request our free DVDs (Disabled people speak on assisted dying & Doctors speak on assisted dying) and pass them on to your friends, families, colleagues, schools, places of worship, or organisations. Email info@carenotkilling.org.uk

Personal Stories

As the risks of any weakening in the law in relation to assisted suicide become increasingly highlighted, a number of you are writing to the Care Not Killing Alliance with your own experience of why you feel the law is best kept as it is. Send us your own story to info@carenotkilling.org.uk. Please include whether or not you are happy for your story to feature on our website, and visit our Personal Stories page.

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