Commenting on an announcement from the Department for
Constitutional Affairs, Paul Tully, SPUC General Secretary, said: "The
adjustments to the Bill announced by Lord Filkin today do not amount to
any material lessening of the threats posed by this draft legislation.
"The assertion that it will 'remain unlawful to take a
person's life' is not a change in the government's position. They have
always claimed that it will remain unlawful to actively kill patients.
Nor is it a change in the direction of the Bill, which is to permit
(and indeed, in some cases to require) killing by withholding of basic
treatment or care in certain cases," Mr Tully continued.
"The restrictions on advance decisions announced today are nothing new.
- The suggestion that advance refusals must specify which
treatments are being refused is already in the draft Bill (clause
23(1)a).
- The requirement that the decision has not been revoked is already in clauses 23(3) and 24(2)a.
- The presumption that life-sustaining treatment can be given if
there is doubt about the applicability of the advance decision is
already implicit in clause 24(5), and other clauses. If the decision is
applicable, however, it is illegal to give such treatment.
"Lord Filkin says that he does not want to put doctors in an
'unfair or uncertain position.' It is entirely unfair for the Bill to
demand that doctors must bring about the death of patients when
required to do so by an advance refusal of treatment or care. This will
be anathema to doctors trained to care for patients and pursue their
patients' best interests in medical terms. The doctor's position will
not be uncertain, it is true. He or she will face prosecution for
criminal assault if he provides treatment or care that, but for the
advance refusal document, would be required according to existing
medical standards.
"This situation is typical of the dilemmas that the Bill will generate," concluded Mr Tully.
Critics of the Bill who have been hoping for significant
amendments, such as a clear exclusion of mercy-killing by neglect, will
be disappointed by today's announcement.
SPUC can be telephoned on (020) 7222 5845 and Paul Tully's mobile telephone number is 07939 178719.