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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 5 May 2021
  6. Current session: 12 May 2021 to 17 June 2025
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Displaying 1153 contributions

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Health, Social Care and Sport Committee

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

Meeting date: 19 November 2024

Paul Sweeney

I thank the witnesses for their contributions so far. I want to ask about the definition of “terminal illness”. Section 2 of the bill defines someone as terminally ill

“if they have an advanced and progressive disease, illness or condition from which they are unable to recover and that can reasonably be expected to cause their premature death.”

A number of concerns have been raised by stakeholders about the breadth of the definition and the potential for it to include a wide range of long-term conditions. Some have proposed that the inclusion of a prognostic timescale, such as the timeline of six months in the UK Terminally Ill Adults (End of Life) Bill, or a wider definition of 12 months, would be an effective means of narrowing the definition.

On the other hand, others have raised concerns that the definition is too narrow and could discriminate against people who are experiencing other non-terminal conditions that nonetheless bring unbearable suffering.

From a clinical perspective, what types of conditions do you think would be covered by the definition of terminal illness in section 2 as currently drafted? What would not be covered? If anyone has any initial desire to respond, please do so.

Health, Social Care and Sport Committee

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

Meeting date: 19 November 2024

Paul Sweeney

Does Mr Hazelwood’s point about section 23, which gives power to the Scottish ministers to define guidance or even provide specific regulation on what the qualifying criteria might be, give you some comfort that it could be an evolving situation, and that a better definition could come through secondary legislation?

Health, Social Care and Sport Committee

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

Meeting date: 19 November 2024

Paul Sweeney

Might that introduce an inherent bias towards providing assisted dying, as opposed to other options such as palliative care?

Health, Social Care and Sport Committee

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

Meeting date: 19 November 2024

Paul Sweeney

Thank you. Do any other witnesses have views on that?

Health, Social Care and Sport Committee

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

Meeting date: 19 November 2024

Paul Sweeney

Thank you very much. Are there any final remarks from witnesses, before I conclude?

Criminal Justice Committee, Health Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 14 November 2024

Paul Sweeney

On 11 September 2023, the Lord Advocate stated her intention to publish a prosecution policy for the safer consumption facility. Do you have any insight on when that will be published?

Criminal Justice Committee, Health Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 14 November 2024

Paul Sweeney

I thank the cabinet secretary and his colleagues for their comments so far. Does the cabinet secretary have any insight on the nature of, or the reason for, the delays with NHS Scotland Assure’s approval of the facility at Hunter Street?

Criminal Justice Committee, Health Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 14 November 2024

Paul Sweeney

Last year, I had the opportunity to visit Copenhagen to see how its model operates. I was struck by how sophisticated it is. One of the key aspects of the visit was to understand the interface between the safer consumption facility, the overdose prevention facility and referral pathways into rehabilitation. The staff said that they had noted a significant increase in interest in accessing rehabilitation. Sometimes, it is non-linear—people go into rehabilitation and then come back to use the facility, or vice versa. Staff noted that services were in close proximity; it was a matter of minutes to walk to the residential rehabilitation facility.

I have just checked, and the closest rehabilitation facility to Hunter Street is the Thistle centre, as it will be known, which is about 4.5 miles away. The Phoenix Futures centre is the closest one in Anniesland. Does the cabinet secretary have a longer-term view that we should try to co-locate or at least bring facilities into closer proximity where there are concentrations of street injection?

Criminal Justice Committee, Health Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 14 November 2024

Paul Sweeney

Does the cabinet secretary recognise that the recruitment has been very positive? There have been more than 700 applications for about 34 posts in the centre, which is encouraging. That is a significant overhead for operating one facility, which might present challenges when it comes to scaling up such facilities. Have the cabinet secretary and his colleagues considered how to create a hub model, with some outreach, which might be less expensive to establish?

In relation to the pattern of where discarded needles are clustered in Glasgow city centre, there is an element in the east end around the Barrowlands and a cluster near George Square and Central station. Might there be an opportunity to build the main base at Hunter Street and then have a series of satellite facilities or perhaps even mobile facilities along the lines of the converted ambulance that the unofficial pilot utilised? Are those options for how we develop the pilot? Is there scope for doing something such as that to try to capture more people? We know that people do not tend to travel very far from where they purchase drugs to where they inject them.

Criminal Justice Committee, Health Social Care and Sport Committee, and Social Justice and Social Security Committee (Joint Meeting)

Tackling Drug Deaths and Drug Harm

Meeting date: 14 November 2024

Paul Sweeney

It is certainly timely that the pilot is getting under way, given that there has been a reported increase in street injection in Glasgow. I am concerned about the 12-hour gap in operation between 9 pm and 9 am. Does the cabinet secretary share that concern? Should there be an effort to increase operating hours, if that is deemed to be necessary by the health and social care partnership?