logo
Isle of Man set to take historic step closer to legalising assisted dying

Isle of Man set to take historic step closer to legalising assisted dying

Independent25-02-2025

A doctor behind proposed assisted dying legislation on the Isle of Man said he is hopeful it will become law this year.
Dr Alex Allinson spoke as his Bill comes before the House of Keys for what could be the final time, leaving the island on course potentially to be the first part of the British Isles with a legalised service in place – possibly by 2027.
He introduced it in 2022 as a private member's bill and on Tuesday it faces what could be its last debate by the directly elected chamber of the island's parliament.
If passed by the House of Keys, it would return to the upper chamber, known as the legislative council, next month.
If passed there it will be put forward for royal assent, possibly in the coming months.
Should this be the case, it is thought an assisted dying service could be up and running in 2027, after various necessary regulations were put in place.
Dr Allinson, Member of the House of Keys (MHK) for the Ramsey area on the island, told the PA news agency: 'I'm hopeful that the understanding and the consensus that we've reached during our own deliberations will allow the Bill to progress.'
He said it would be 'another step forward in terms of advancing the legislation', adding he would hope for royal assent 'this year'.
Campaigners opposed to a change in the law have voiced concerns that legalising assisted dying could put pressure on vulnerable people to end their lives for fear of being a burden on others, and argue that the disabled, elderly, sick or depressed could be especially at risk.
As it stands, the Isle of Man Bill is only for adults resident on the island who have a terminal illness with a life expectancy of no more than 12 months, and who have a settled intention to end their life.
Other measures around ensuring legal and workplace protection for medical professionals who participate in assisted dying have also been agreed, while a request from the British Medical Association (BMA) for an opt-in model for doctors who choose to be part of the service was approved.
The legislative council has recommended the residency criteria be reduced from five years to one since the person's diagnosis, but Dr Allinson said the House of Keys is likely to reject that.
In May last year, Jersey's parliament voted in favour of drawing up laws to establish an assisted dying service on the island for terminally ill people.
After a law has been drafted, a debate could take place by the end of this year, with a likely 18-month implementation period if a law is approved, meaning the earliest for it to come into effect would be summer 2027.
Sarah Wootton, chief executive of Dignity in Dying, said: 'The Isle of Man is set to make history on Tuesday; likely to become the first place in the British Isles to grant its citizens true choice at the end of life.
'We pay special tribute to the Manx families who intimately understand the dangers of banning assisted dying, and who have fought for so long for a safer, fairer future. That future is now within touching distance.
'There is growing recognition across our isles that banning assisted dying causes harm and fails to protect people.'
She said the Bill 'represents a thoughtful and balanced response to this problem, and Members of the House of Keys and Legislative Council should be commended for their leadership'.
She added: 'This Bill has been developed through careful, evidence-based debate to bring choice for dying people who want and need it, and greater protections for everyone.'
Meanwhile, a 23-member committee is to resume line-by-line scrutiny of the Terminally Ill Adults (End of Life) Bill, covering England and Wales, on Tuesday.
The Bill is expected to return to the House of Commons, most likely towards the end of April, for further debate and a vote by all MPs.

Orange background

Try Our AI Features

Explore what Daily8 AI can do for you:

Comments

No comments yet...

Related Articles

Terminally ill man behind Church of Scotland assembly on the 'really difficult' assisted dying conundrum
Terminally ill man behind Church of Scotland assembly on the 'really difficult' assisted dying conundrum

Scotsman

time10 hours ago

  • Scotsman

Terminally ill man behind Church of Scotland assembly on the 'really difficult' assisted dying conundrum

Sign up to our daily newsletter – Regular news stories and round-ups from around Scotland direct to your inbox Sign up Thank you for signing up! Did you know with a Digital Subscription to The Scotsman, you can get unlimited access to the website including our premium content, as well as benefiting from fewer ads, loyalty rewards and much more. Learn More Sorry, there seem to be some issues. Please try again later. Submitting... It was a speech he never expected to make, but one that he hoped will offer insight and comfort for others living with or supporting friends and family with terminal illnesses. Now, a man who delivered a powerful address to the Church of Scotland's General Assembly about his own experience with life-limiting disease has called for a major upsurge in investment in palliative care and questioned the assisted dying legislation passing through Holyrood. Advertisement Hide Ad Advertisement Hide Ad John Williams, 71, has been undergoing dialysis treatment for the past seven years - a situation complicated by the fact he has also been diagnosed with cancer of the small bowel that has spread to his lung and spine. Such health problems have given Mr Williams cause to think deeply about assisted dying, an issue that has occupied the minds of those in the church, MSPs and wider civic Scotland in recent months. John Williams addresses the General Assembly of the Church of Scotland. | Andrew O'Brien It has also made Mr Williams even more aware of the crucial and compassionate services provided by palliative care specialists, having been referred to St Columba's Hospice after being referred by Dr Tony Duffy, his palliative care consultant. Call for hospices to receive better funding package He said he wished he had been made aware of palliative care sooner, and described the resources afforded to hospices as a 'disgrace' that had to be urgently addressed. 'There just isn't the capacity there, and the number of people who die in hospices is just a tiny figure,' he said. 'The hospices are just not supported or properly funded and they need volunteers just to run things.' Advertisement Hide Ad Advertisement Hide Ad As things stand, Mr Williams, who has no idea how long he has left to live, said he could not support the Assisted Dying for Terminally Ill Adults (Scotland) Bill that passed an initial vote at Holyrood last month. But he said there was an opportunity to work towards 'better' legislation provided key issues were addressed. 'How are you going to square doing this with the medical profession - how is that going to work in practice?' he said. 'I think that's the really difficult one. It's not going to be easy, whatever happens, and I honestly don't know what will come next, but there has to be detailed thought given. I'm concerned the Bill is being rushed through.' Liam McArthur's assisted dying bill is currently progressing through Holyrood. | PA The Bill, brought forward by Scottish Lib Dem, Liam McArthur, will go back to the Scottish Parliament's health committee for stage two, with a deadline for amendments in the autumn. Mr McArthur intends to bring in an amendment raising the minimum age at which people should be eligible to 18. It is expected there will be moves to impose a time limit on what is defined as a terminal diagnosis. 'Why me and not other people?' Mr Williams will be among those following the Bill's progress. There have been times where the pain has been so great that he has considered stopping dialysis, and he knows that if his cancer becomes too heavy a burden to bear, that option will remain open to him. It is an option very few people have, and Mr Williams said he found it difficult to reconcile the fact that others living with terminal illness did not have such a choice available. Advertisement Hide Ad Advertisement Hide Ad 'You think 'why me and not other people?' he told The Scotsman. 'I can understand people who want to go down that road. I just hope that anyone who does it does so for the right reasons, and that everything else has failed. You've got to be really, really careful as to how it's worked out and what discussions take place beforehand.' Such conversations are something Mr Williams draws strength from and, for the time being, he is hopeful that he will be able to manage his cancer and continue dialysis. 'Obviously, some people will say that God will decide when it's your time, but I think it depends on how you look at it,' he reflected. 'It's like the parable of the drowning man who refuses a lifeboat and a helicopter, and when he meets God, it's explained that it was God who sent the rescuers. 'At present, the medication I'm on is not working great, which is down to the spinal cord cancer, and I can't get radiotherapy for that. It's a case of changing the medication quite drastically. If I can keep doing that with dialysis and the cancer keeps in check, I'll keep going. Advertisement Hide Ad Advertisement Hide Ad 'But if nothing was working, and I found that I couldn't get anything under control, would I consider stopping dialysis? Yes, I would have to consider it, because even with palliative care, I'm going to be in trouble. But now is not the time to have that conversation.' 'Sharing your story is so valuable' Since 1974, Mr Williams has played a crucial role in the assembly, working as an audio-visual technician to ensure a phalanx of cameras, microphones and screens are fully operational so as to allow those in Edinburgh and further afield to follow the proceedings. But after more than half a century behind the scenes, Mr Williams was at the forefront of this year's gathering. Although he is not a commissioner, he was invited to address the assembly by Rev Dr John Ferguson, convener of the church's working group on assisted dying. After delivering a 14-minute speech, during which he spoke candidly about his own treatment and the plight of others, he received a rousing ovation, with Moderator Rt Rev Rosie Frew thanking him for sharing his story 'so openly and so honestly', and for helping people to understand what he was going through. Advertisement Hide Ad Advertisement Hide Ad

Pensioner care system at risk of 'breaking down completely'
Pensioner care system at risk of 'breaking down completely'

The Herald Scotland

timea day ago

  • The Herald Scotland

Pensioner care system at risk of 'breaking down completely'

It comes as statistics published this week showed a majority of elderly Scots who took part in a national survey reported unmet needs in social care, with the disabled, poor and those cared for by relatives, most at risk. A total of 48,876 adults aged 65 and over responded to the Scottish Government's health and care experience survey for 2023-24. More than 10,000 said they needed some kind of care, support and help with everyday living. Analysis of the survey revealed that 22% of pensioners reported that they needed or received support over the past 12 months, while 9% of adults reported unmet needs. Of those who said they needed or received support, 43% flagged unmet support needs. The scale of unmet needs soared for disabled adults - 17% compared to 2% of those without a disability. Read more: The survey also revealed the stark issues facing disabled pensioners, with 35% warning they did not receive help that met their needs. Meanwhile, those receiving unfunded support - family care - were more likely to report an unmet need - 42%, compared to 32% receiving state-funded support. Older adults living in the most deprived quintile (SIMD1) were more likely to report experiencing an unmet need (16%), compared with 6% of their more affluent peers. Adam Stachura, director of policy at Age Scotland, told The Herald: 'The result of this survey go to the heart of some of the worst failings in the care system. 'An alarming number of over-65s with care requirements are unable to get any of the support they need and many more are struggling to get by with too little care. 'The effect on older people of not getting the care they need can be catastrophic. Many older respondents, and especially those with disabilities, reported being limited in what daily activities they could do. "Lack of support can also prevent older people maintaining connections among friends, family and in their communities, fuelling the loneliness epidemic affecting older people. 'Interestingly, the survey shows that those who needed support but did not receive any includes older people in both rural and urban settings across the country, which highlights that the shortcomings are a national problem in need of urgent reform. Read more: 'We have called before for the Scottish Government to work with local authorities to fix the social care system. Figures like these should act as a reminder that inaction, and the continued failure to invest and reform, will in effect allow the care system to break down completely, causing untold misery for hundreds of thousands of older people.' The Scottish Government has accepted that the social care system needs "fundamental reform," but said the Care Reform (Scotland) Bill, if passed in Holyrood, would achieve this aim. The plans to reform care services costs the Scottish Government around £1 million per month despite dropping plans to set up a national care service. The Bill proposes a raft of changes to care services, including improving the rights of care home residents to visits. A Scottish Government spokesman said: 'The health and social care system in Scotland needs fundamental reform and this report supports that. 'We are taking key steps towards delivering that through the Care Reform (Scotland) Bill. If passed by Parliament, it will help improve people's lives and quality of care, while ensuring those who deliver vital services feel supported. 'The UK Government must also play its part in helping us deliver sustainable change by reversing increases to Employment National Insurance Contributions (ENICs) and their plans to end international recruitment – both of which will be devastating for the care sector.'

D-Day landings boosted by import of ‘wonder drug' to Britain, archives reveal
D-Day landings boosted by import of ‘wonder drug' to Britain, archives reveal

Glasgow Times

time2 days ago

  • Glasgow Times

D-Day landings boosted by import of ‘wonder drug' to Britain, archives reveal

Production of the antibiotic penicillin had struggled to take hold at a large scale in Britain, despite being discovered in 1928 in London by Sir Alexander Fleming. Attempts to produce substantial quantities of medicine from the bacteria-killing mould had not been achieved by the start of the Second World War. Then prime minister Sir Winston Churchill became increasingly frustrated that Britain had not been able to produce enough penicillin in the preparations for the Normandy landings in 1944. Official papers released by the National Archive – containing handwritten notes by Sir Winston – highlight efforts to boost quantities of the antibiotic, with Britain eventually forced to import it from America. The documents were released ahead of the 81st anniversary of D-Day, the Allied invasion of Normandy on June 6, 1944. Official papers highlight the efforts to boost quantities of penicillin (The National Archives/PA) In one report on February 19, after the issue had been raised in the House of Commons, Sir Winston scrawled in red ink on a Ministry of Supply report noting the Americans were producing greater quantities: 'I am sorry we can't produce more.' On another paper, he complained: 'Your report on penicillin showing that we are only to get about one tenth of the expected output this year, is very disappointing.' Elsewhere in the same file he instructs: 'Let me have proposals for a more abundant supply from Great Britain.' With preparations for D-Day ramped up, efforts to deliver enough American-made penicillin for frontline military personnel soon became a matter of urgency. Decisions needed to be made on the quantities of antibiotic imported, how much to administer to individual patients, and how to get medical staff trained in time. Most British doctors did not know how to issue penicillin – until this point, doctors had nothing available to treat infections like pneumonia and many people died of blood poisoning after minor injuries because no drug existed that could cure them. Royal Navy D-Day veteran John Dennett, 101, at the British Normandy Memorial in Ver-sur-Mer to mark the 81st anniversary of the landings (Gareth Fuller/PA) Early in January 1944, Prof FR Fraser, the Ministry of Health's adviser on the organisation of wartime hospitals, wrote that 50,000-100,000 wounded could be expected from the Second Front. He proposed the Emergency Medical Services might need as many as five billion units of penicillin per month for this. Further documents show discussions on whether the antibiotic should be supplied as calcium or sodium salts, or in tablet form. Ultimately, it was agreed powdered calcium salts would be issued for superficial wounds and sodium salts for use in deep wounds. On May 24 1944, less than a fortnight before D-Day, Prof Fraser reported: 'Sufficient supplies of penicillin are now available for the treatment of battle casualties in EMS hospitals, but not for ordinary civilian patients.' Plans were made for casualties from the frontline in France to be brought back to coastal hospitals in Britain for treatment. A week before D-Day, on May 30 1944, hospitals were instructed to treat battlefield patients en route: 'In an endeavour to prevent the development of gas gangrene and sepsis in wounds the War Office have arranged for the treatment of selected cases by penicillin to be commenced as soon after injury as possible.' Military reenactors watch the sunrise over Gold Beach in Arromanches-les-Bains, Normandy, on the 81st anniversary of the D-Day landings (Gareth Fuller/PA) Injections of penicillin were to be given to them at intervals of not more than five hours and patients would be wearing a yellow label with the letters 'PEN'. The time and size of penicillin doses should be written on it, they were told. Dr Jessamy Carlson, modern records specialist at the National Archives, said: 'File MH 76/184 gives a glimpse into the extraordinary levels of preparation undertaken in advance of the D-Day landings. 'Only six weeks before, penicillin is just reaching our shores in quantities which will allow it to play a major role in improving the outcomes for service personnel wounded in action.' As Allied forces made inroads into Europe, restrictions on the use of penicillin for civilians began to relax, but only in special cases. In July 1944, Ronald Christie, professor of medicine, wrote to Prof Fraser to tell him: 'The War Office approves of American penicillin being used for medical conditions in service patients and for air raid casualties among civilians.' On the home front, demand for the new 'wonder' drug began to increase, according the National Archives. It was decided that penicillin for civilians should only be supplied to larger hospitals where the staff had been properly trained to administer it. Only in 1946 did it become fully available for the general public.

DOWNLOAD THE APP

Get Started Now: Download the App

Ready to dive into the world of global news and events? Download our app today from your preferred app store and start exploring.
app-storeplay-store