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Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 4 May 2021
  6. Current session: 13 May 2021 to 11 February 2026
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Displaying 700 contributions

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Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 21 January 2025

Gillian Mackay

They are worried that the potential for coercion has become such a big issue that people might think that all disabled people are being coerced into opting for an assisted death. If they decide that they want an assisted death, they want their feelings to be taken seriously, on their merits.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 21 January 2025

Gillian Mackay

Thank you.

Health, Social Care and Sport Committee

Subordinate Legislation

Meeting date: 21 January 2025

Gillian Mackay

We should not be consenting to the SI for a number of reasons. The divergence from alignment with the EU, as I outlined in my questions to the minister, is a big concern. As Brian Whittle said in his questioning, the only piece that we seem to be removing from the puzzle is the 10-year re-authorisation. At the moment, those come to the Parliament as SSIs. Removing that process would remove parliamentary scrutiny of whether we want those chemicals to have another round of 10-year authorisation and whether we want them in our food environment. Taking that power away from the Parliament would be regrettable. We would also, potentially, not see the authorisations for new feeds coming to the Parliament. On that basis, we should not be consenting to the SI.

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 21 January 2025

Gillian Mackay

To what extent do the witnesses acknowledge the feeling of being a burden as an example of potential coercion, as defined in the bill, and the risk of such feelings being internalised coercion for some who might consider an assisted death?

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 21 January 2025

Gillian Mackay

I will go back to what Dr Wright said about the feeling of being a burden. I know that, towards the end of their lives, my grandparents felt like a burden regardless, and I do not think that anything would have resolved that. When I think about whether I would want an assisted death, feeling a burden would always be part of that consideration, but it would not necessarily force my hand one way or another. It is about how we divorce those feelings of being a burden, which I think are a natural human emotion at the point of needing such care, from the question whether that feeling has coercive capacity for those who are seeking an assisted death. It is actually about how, as a clinician, you drill into that and divorce the two from each other—how you divorce that coercive impact of feeling a burden from real coercion.

You spoke about taking a whole-family look, which witnesses in a previous session suggested as well. It is about looking not only at the individual but at the wider family dynamic. Is that something that you would want to see? I acknowledge that, ideologically, you are opposed to the bill, but if it was to go ahead, would you like to see a soft-touch whole-family evaluation, to make sure that coercion was detected?

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 21 January 2025

Gillian Mackay

Other than what Fraser Sutherland has just mentioned, does anyone have any suggestions for any other safeguards around coercion—in either direction—that they would like to be included in the bill?

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 21 January 2025

Gillian Mackay

We had a private session with a group of people with learning disabilities who were concerned about coercion and were equally concerned about the need to be taken seriously if they were to decide to opt for an assisted death. Dr McDougall, could you give your perspective on how we balance having stringent safeguards around coercion and feelings of being a burden and so on with the need to take people with disabilities seriously when they make that choice?

Constitution, Europe, External Affairs and Culture Committee

Interests

Meeting date: 16 January 2025

Gillian Mackay

I have nothing to declare.

Constitution, Europe, External Affairs and Culture Committee

Budget Scrutiny 2025-26

Meeting date: 16 January 2025

Gillian Mackay

Mr Adam has, unknowingly, teed me up nicely for my questions. Paisley is a good example of a place where cultural venues are located along its high street. However, that is not the norm across a lot of the country. Across my region, we have seen the closure of town halls. Motherwell concert hall is closed because of reinforced autoclaved aerated concrete within it, and it is very unlikely that it will reopen without major investment, which the local authority is not able to make.

Many local authorities offload cultural venues to make budgetary cuts across the piece. It is great that there is the Ravenscraig regional sports facility in North Lanarkshire, but that is not the same as having an accessible concert hall in the middle of the community in Motherwell.

The accessibility of culture is something that we need to consider. It is great to have the museums in Edinburgh and Glasgow that people are able to visit for free, but getting to Edinburgh and Glasgow is very expensive and time consuming for many people.

I know that the cabinet secretary touched on this earlier, but what other conversations can be held with, and what support can be given to, local authorities to ensure that we do not lose many important venues for smaller-scale cultural performances or whatever? If we lose those venues, the likelihood of their coming back and being there for future generations—and for future budgets to provide support to—is quite low.

Health, Social Care and Sport Committee

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 1

Meeting date: 14 January 2025

Gillian Mackay

We have touched on the issue of fluctuating capacity, but what might we need to include in the bill to adequately address that? What provisions should be added to ensure that individuals such as those with Alzheimer’s do not feel as though they are being forced to pursue assisted dying prematurely, because that is when they can demonstrate capacity?