The Official Report is a written record of public meetings of the Parliament and committees.
All Official Reports of meetings in the Debating Chamber of the Scottish Parliament.
All Official Reports of public meetings of committees.
Displaying 1316 contributions
Health, Social Care and Sport Committee
Meeting date: 11 November 2024
Paul Sweeney
Thank you for joining us this evening. I am not sure what the time difference is—it might be early in the afternoon at your end. I appreciate the time that you are giving us.
Dr Green, is there any evidence that poor palliative care is acting as a driver for people in Canada seeking assisted death?
Health, Social Care and Sport Committee
Meeting date: 11 November 2024
Paul Sweeney
Thank you. Dr Coelho, do you have any response to the question?
Health, Social Care and Sport Committee
Meeting date: 11 November 2024
Paul Sweeney
Dr Green, are you content with the current Canadian legislation, or would you seek to amend it, strengthen it or change it in any way?
Health, Social Care and Sport Committee
Meeting date: 5 November 2024
Paul Sweeney
Yes. It was about whether the individual would have sovereignty after the agreement had been put in place, in that, at any point in the progression of their condition, they could determine when to take the medication. There may be a scenario where someone enters a state of delirium and they are not necessarily aware of their surroundings. At what point does that sovereignty become questionable? Can they have a pre-emptive understanding with relatives who will help them to take the drug?
Health, Social Care and Sport Committee
Meeting date: 5 November 2024
Paul Sweeney
In relation to the substances that can be used, in Australia, is that kept open and is a review done independently by practitioners, or does the legislation define the substances?
Health, Social Care and Sport Committee
Meeting date: 5 November 2024
Paul Sweeney
In Victoria and elsewhere in Australia, can people take the decision early, shortly after receiving a terminal diagnosis, in anticipation of their condition deteriorating over time? For example, if someone has pancreatic cancer and they know that the usual course will lead to significant pain later, as the condition progresses, and that it may ultimately lead to terminal delirium or agitation, can they decide that they will administer the medication to end their life at the point where that real deterioration takes place? Rather than the decision being made at the point when the medication has to be administered, can the decision be made in anticipation that the condition will deteriorate over time, with agreement with clinicians or relatives that the medication will be administered at that point?
Health, Social Care and Sport Committee
Meeting date: 5 November 2024
Paul Sweeney
That is helpful. Thank you.
Health, Social Care and Sport Committee
Meeting date: 5 November 2024
Paul Sweeney
Okay. That is helpful. Thank you.
Health, Social Care and Sport Committee
Meeting date: 29 October 2024
Paul Sweeney
I thank the panel for their comments so far.
Some groups such as the Good Law Project have argued that the restriction of puberty blockers is causing harm to young trans people, citing an increase in deaths by suicide among that group. The Secretary of State for Health and Social Care in England commissioned a review of suicides and gender dysphoria in England, which made five points in its conclusion. First, it said:
“The data do not support the claim that there has been a large rise in suicide in young gender dysphoria patients at the Tavistock”
gender identity clinic. The second conclusion was that
“The way that this issue has been discussed on social media has been insensitive, distressing and dangerous, and goes against guidance on safe reporting of suicide.”
Thirdly, it said that
“The claims that have been placed in the public domain do not meet basic standards for statistical evidence.”
Its fourth conclusion was that
“There is a need to move away from the perception that puberty-blocking drugs are the main marker of non-judgemental acceptance in this area of health care.”
Finally, it concluded that
“We need to ensure high quality data in which everyone has confidence, as the basis of improved safety for this at risk group of young people.”
Has a similar review been commissioned in Scotland, or are there plans to do so?
Health, Social Care and Sport Committee
Meeting date: 29 October 2024
Paul Sweeney
But would you support a discrete inquiry in Scotland on the relationship between gender services and increased suicide risk?