Amendments proposed to the Medical Treatment (prevention of Euthanasia) Bill, As Amended - continued House of Commons

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Mr Joe Ashton

18

*Page     1,     line     5     [Clause     1],     at the beginning insert—'Except as provided in subsection (2) of this section'.

   

Mr Andrew Dismore

22

*Page     1,     line     5     [Clause     1]     leave out 'unlawful' and insert 'an offence'.

   

Mr Piara S. Khabra

1

*Page     1,     line     5     [Clause     1],     leave out 'person' and insert 'doctor covered by a code of professional conduct.'.

   

Mr Piara S. Khabra

2

*Page     1,     line     5     [Clause     1],     after 'person', insert 'directly'.

   

Mr Andrew Miller

19

*Page     1,     line     5     [Clause     1],     leave out 'responsible' and insert 'with direct responsibility'.

   

Mr Andrew Dismore

20

*Page     1,     line     5     [Clause     1],     leave out 'responsible' and insert 'with clinical responsibility'.

   

Mr Piara S. Khabra

3

*Page     1,     line     5     [Clause     1],     after 'the', insert 'medical and nursing'.

   

Dr Howard Stoate

21

*Page     1,     line     5     [Clause     1]     after 'the', insert 'medical'.

   

Mr Frank Doran

23

*Page     1,     line     5     [Clause     1],     after 'to', insert 'unreasonably'.

   

Mr John Healey

25

*Page     1,     line     6     [Clause     1],     leave out 'or withhold'.

   

Mr Piara S. Khabra

4

*Page     1,     line     6     [Clause     1],     after 'sustenance', insert ', unless it is burdensome,'.

   

Mr Piara S. Khabra

5

*Page     1,     line     6     [Clause     1],     after 'sustenance', insert ',unless such medical treatment is contrary to the personal religious or ethical beliefs of the patient,'.

   

Mr Piara S. Khabra

11

*Page     1,     line     6     [Clause     1],     after 'sustenance', insert 'unless futile'.

   

Mr Andrew Dismore

24

*Page     1,     line     6     [Clause     1],     leave out from 'if' to 'the' in line 7 and insert 'he recklessly causes'.

   

Mr Andrew Miller

26

*Page     1,     line     6     [Clause     1],     after 'his', insert 'intended'.

   

Mr Piara S. Khabra

6

*Page     1,     line     7     [Clause     1],     leave out 'purpose or one of his purposes' and insert 'intention or one of his intentions'.

   

Mr Andrew Dismore

29

*Page     1,     line     7     [Clause     1],     leave out 'purpose or one of his purposes' and insert 'intent'.

   

Mr Andrew Miller

28

*Page     1,     line     7     [Clause     1],     leave out 'or one of his purposes'.

   

Mr Neil Gerrard

27

*Page     1,     line     7     [Clause     1],     leave out 'hasten or otherwise'.

   

Mr Piara S. Khabra

7

*Page     1,     line     8     [Clause     1],     after 'patient', insert 'except when the patient is in a diagnosed permanent vegetative state.'.

   

Mr Piara S. Khabra

8

*Page     1,     line     8     [Clause     1],     after 'patient', insert 'unless agreed by a representative body of medical opinion.'.

   

Mr Piara S. Khabra

12

*Page     1,     line     8     [Clause     1],     after 'patient', insert 'without capacity'.

   

Mr Andrew Miller

30

*Page     1,     line     8     [Clause     1],     after 'patient', insert 'without the express approval of the High Court'.

.   

Mr Andrew Miller

31

*Page     1,     line     8     [Clause     1],     at end insert—

    '(2) No case determined under this Act shall create a legal precedent.'.

   

Mr John Healey

32

*Page     1,     line     8     [Clause     1],     at end insert—

    '(2) The withdrawal or witholding of medical treatment or sustenance shall not be unlawful if the patient in receipt of that treatment has made an advance refusal of treatment in circumstances where it can be reasonably inferred that he intended it to apply.

    (3) In this section "an advance refusal of treatment" means a refusal by a person who has attained the age of eighteen years and has the necessary capacity to consent to or refuse any medical, surgical or dental treatment or other procedure being a refusal intended to have effect at any subsequent time when he may be without capacity to give or refuse consent.

    (4) Without prejudice to any other method of expressing an advance refusal of treatment, such a refusal may take the form of an instrument in writing and in the absence of any indication to the contrary, it shall be presumed that an advance refusal of treatment was validly made if it takes the form of an instrument in writing which is signed by the person by whom it is made and by at least one other person as a witness to his signature.

(5) Nothwithstanding that a patient has made an advance refusal of treatment, it shall not preclude:—

      (a) the provision for the person who made it of basic care, or care to maintain bodily cleanliness and to alleviate severe pain and the provision of direct oral nutrition and hydration;

      (b) the taking of any action necessary to prevent his death or a serious deterioration in his condition pending a decision of the court on the validity or applicability of an advance refusal of treatment.

    (6) The Court may determine any question as to the meaning or effect of a continuing advance refusal of treatment or as whether the donor had the capacity to create it.

    (7) In this section "the Court" means such court specified by the Lord Chancellor by Order.

    (8) The power to make orders under this section shall be exercisable by statutory instrument subject to annulment in pursuance of a resolution of either House of Parliament.'.

   

Mr Joe Ashton

33

*Page     1,     line     8     [Clause     1],     at end insert—

    '(2) The withdrawal or withholding of medical treatment or sustenance in clause 1(1) above shall not be unlawful if approval to the withdrawal or withholding of medical treatment or sustenance is given by the Court.

    (3) In this Act, "the Court" means such court as may be specified by the Lord Chancellor by Order.

    (4) The power to make orders under this section shall be exercisable by statutory instrument subject to annulment in pursuance of a resolution of either House of Parliament.'.

   

Mr Frank Doran

34

*Page     1,     line     8     [Clause     1],     at end insert—

    '(2) In determining the purpose of actions under this section, regard shall be had to the medical condition of the patient, any prognosis of the likely quality of life of the patient, any prior expressed wishes or instructions by the patient and the views of any relatives or representatives of the patient.'.

   

Mr Piara S. Khabra

13

*Page     1,     line     9     [Clause     2],     at end insert '"capacity" means the ability for self determination regarding future medical treatment and its implications;'.

   

Mr Piara S. Khabra

14

*Page     1,     line     9     [Clause     2],     at end insert '"person responsible for the care of a patient" means any—

      (a) medical practitioner responsible for the care or treatment of a patient;

      (b) nurse or other regulated professional who may be held accountable for any care or treatment of the patient;

      (c) parent, sibling or any other person in whose household the patient is residing or last resided before admission to hospital, nursing home, care home;

      (d) Director of Social Services for the administrative area where the patient is residing in a residential care home, or last resided before admission to hospital or nursing home;

      (e) chief executive of the health trust where the patient is admitted to hospital;

      (f) chief operating officer where the patient is residing in a nursing home.'.

   

Dr Peter Brand

16

*Page     1,     line     9     [Clause     2],     at end insert ' "basic care" means care necessary to keep the person comfortable, to maintain bodily cleanliness and to alleviate severe pain, and the provision of direct oral nutrition and hydration;'.

   

Dr Howard Stoate

35

*Page     1,     line     10     [Clause     2],     after second 'treatment', insert 'other than a major surgical procedure'.

   

Mr Piara S. Khabra

15

*Page     1,     line     11     [Clause     2],     after 'drugs', insert 'which may as an unintentional side effect shorten life.'.

   

Dr Howard Stoate

36

*Page     1,     line     13     [Clause     2],     after 'function' insert 'save any treatment likely to cause severe pain or distress to the patient.'.

   

Dr Howard Stoate

37

*Page     1,     line     13     [Clause     2],     at end insert ' "major surgical procedure" means any surgical procedure which would in ordinary circumstances require the patient to spend more than three nights in an acute hospital.'.

   

Mr John Healey

38

*Page     1,     line     14     [Clause     2],     leave out 'with a', and insert 'suffering from'.

 
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