Terminally Ill Adults (End of Life) Bill

To move the following Clause— “No health professional shall raise assisted dying first

Clause 2, page 2, line 2, leave out “within 6 months” and insert— “(i) in the case of a neurodegenerative illness, disease, or medical condition, within 12 months; or

To move the following Clause— “No health professional shall raise assisted dying with a person under 18

To move the following Clause— “Guidance: administration of pain relief to people who are terminally ill

Clause 2, page 2, line 6, leave out “within 6 months” and insert— “(i) in the case of a neurodegenerative illness or disease, within 12 months; or

Clause 11, page 9, line 25, leave out paragraph (g) and insert— “(g) ask the person whether they have discussed the request with their next of kin and other persons they are close to and, where they have not done so, discuss their reasons for not doing so.”

Clause 2, page 2, line 6, leave out from “expected” to end

Clause 9, page 6, line 3, leave out from “person” to the second “the” in line 5 and insert “convene a panel to carry out the first assessment. (1A) The clinical panel should consist of—

To move the following Clause— “Monitoring by Chief Medical Officer

To move the following Clause— “Implications for civil procedure rules and probate proceedings

To move the following Clause— “Board to consult communities

To move the following Clause— “Report where assistance not provided because coordinating doctor not satisfied of all relevant matters

To move the following Clause— “No obligation to provide assistance etc

To move the following Clause— “Standard of proof

To move the following Clause— “Investigation of deaths etc

To move the following Clause— “Regulation of approved substances and devices for self-administration

To move the following Clause— “Prohibition on advertising

To move the following Clause— “Doctor independence

To move the following Clause— “Replacing the coordinating or independent doctor where unable or unwilling to continue to act

To move the following Clause— “Novel treatments not authorised by the Medicines and Healthcare products Regulatory Agency

Clause 8, page 4, line 17, at end insert— “(1A) A person is only eligible to make a declaration under subsection (1) if they have completed a standardised legal and medical competency test no more than one month before making the declaration to assess their cognitive function and decision-making capacity.”

Clause 8, page 4, line 17, at end insert— “(1A) A person is only eligible to make a declaration under subsection (1) if they have completed a psychiatric or psychological evaluation no more than one month before making the declaration which states that they are not suffering from depression, anxiety or cognitive impairments.”

Clause 8, page 4, line 17, at end insert— “(1A) A person is only eligible to make a declaration under subsection (1) if they have attended a private interview with a trained professional no more than one month before making the declaration and that professional has stated in a report that they are satisfied that the person is making their declaration in the absence of any external pressure.

Clause 8, page 4, line 16, leave out from “must” to end of line 17 and insert “, when aged 18 or over— (a) have a preliminary discussion with a registered medical practitioner, and

Clause 8, page 4, line 24, at end insert— “(2A) Neither the coordinating doctor nor the other person under subsection (2)(c)(ii) may at the time of taking receipt of the first declaration be employed by or contracted to the National Health Service, an NHS Trust or any body or agency holding itself out to be a part of the NHS.

Clause 8, page 4, line 24, at end insert— “(2A) A first declaration made, or purported to be made, by a person who—

Clause 8, page 4, line 22, leave out “doctor” and insert “professional”

Leave out “18” and insert “25”

Clause 8, page 4, line 24, at end insert— “(2A) A first declaration must include the person’s reason for requesting assistance to die.”

In paragraph (b), leave out “a discussion” and insert “an assessment”

Leave out paragraph (a) and insert— “(a) have a multidisciplinary specialist palliative care assessment, and”

Clause 8, page 4, line 24, at end insert— “(2A) Where the person is a resident of a registered care or nursing home—

Clause 8, page 4, line 17, at end insert— “(1A) A person who wants to make a declaration must be put in touch with their local assisted dying panel (see section <i>(Assisted dying panel)</i>).”

Clause 8, page 4, line 21, leave out from “by” to end of line 24 and insert “two members of the licensed assisted dying panel, following documented discussion with the person recording their reasons for and understanding of the request for an assisted death.”

Clause 8, page 4, line 25, leave out “coordinating doctor” and insert “panel”

Clause 8, page 4, line 17 at end insert— “(1A) All existing health and social care services must continue to provide all necessary care and support for a person who makes a declaration to end their life in accordance with this Act under subsection (1).”

Clause 8, page 4, line 24, at end insert— “(2A) Both the coordinating doctor and the other person under subsection (2)(c)(ii) must at the time of taking receipt of the first declaration be employed by or contracted to the National Health Service.

Clause 8, page 4, line 24, at end insert— “(2A) The first declaration must include a signed acknowledgement that the person has been informed of and understands the known risks, uncertainties and possible complications associated with the approved substance.”

Clause 8, page 4, line 17, at end insert— “(1A) A person is eligible to make a first declaration only once they have been approved for fast-track NHS continuing healthcare funding by the relevant authority.”

Clause 8, page 4, line 24, at end insert— “(2A) Where a person is resident in a care home or nursing home, before a first declaration can be made, a consultant psychiatrist, who is independent of the nursing home and has conducted a medical examination of the person, must certify that the person—