Amendments proposed to the Medical Treatment (prevention of Euthanasia) Bill, As Amended - continued	House of Commons
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Dr Evan Harris
Dr Jenny Tonge
Dr Peter Brand

51

Page     1,     line     5,     leave out Clause 1.

   

Mr Joe Ashton
Mr David Rendel

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
Mr David Rendel

1

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

   

Mr Piara S. Khabra
Mr David Rendel

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
Mr David Rendel

20

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

   

Mr Piara S. Khabra
Mr David Rendel

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
Mr David Rendel

23

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

   

Mr John Healey
Mr David Rendel

25

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

   

Mr Piara S. Khabra
Mr David Rendel

4

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

   

Mr Piara S. Khabra
Mr David Rendel

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
Mr David Rendel

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'.

   

Julia Drown

49

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

   

Mr Andrew Miller
Mr David Rendel

28

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

   

Mr Neil Gerrard
Mr David Rendel

27

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

   

Mr Piara S. Khabra
Mr David Rendel

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
Mr David Rendel

12

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

   

Mr Andrew Miller
Mr David Rendel

30

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

.   

Julia Drown

50

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

(a) he is complying with an informed decision of a competent patient; or

(b) where a patient is not competent, and having taken into account factors including the individual's own moral values, religious or cultural beliefs, any expressed views or preferences which were important to the individual when competent, including the degree, type and likely effectiveness of medical treatment, and the views of people close to the patient, it is the opinion of—

(i) the clinician in charge of the patient's care, and wherever possible

(ii) an independent clinician employed by another organisation;

that the treatment would be too burdensome or not appropriate.'.

   

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
Mr David Rendel

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
Mr David Rendel

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
Mr David Rendel
Mr Joe Ashton

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
Mr David Rendel

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
Mr David Rendel

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.'.

Prepared 14 Apr 2000