4. 3. Statement: End-of-life Care

Part of the debate – in the Senedd at 3:28 pm on 16 May 2017.

Alert me about debates like this

Photo of Vaughan Gething Vaughan Gething Labour 3:28, 16 May 2017

Thank you for the recognition of progress made and the recognition that’s been made by different parties working through the last Assembly and into this one, and by different people outside this place as well. I think that’s very welcome.

In terms of the broader point you raise, I think that’s going beyond the conversation we want to have about making choices about how we want to die. There is part of it, though, that is still about where we extend life in medical interventions. There’s a challenge here about ‘do not attempt to resuscitate’ notices, and what people would and wouldn’t like. There’s something there again about going back to advanced care planning, and understanding what we want, as opposed to leaving it to a medic to intervene, because the challenge for the medic will be—or whoever the healthcare professional is; there’s been a recent Nursing and Midwifery Council decision on this that I found difficult—about what point should someone attempt CPR or otherwise. Most healthcare professionals will feel that they’re duty-bound to attempt CPR. Now, I think there’s a real challenge there, because there will be times when actually that is probably the wrong thing to do. But the challenge is how you have that conversation that takes account of the professional duties and the ethical duties that individual healthcare professionals have, and also their ability to be a regulated and registered professional as well. So, this is not an easy area—and that goes into the individual conscience choices that you raise about what we would choose to do for ourselves. As well as the gentleman you refer to, I knew Debbie Purdy and her challenge as well about her ability to make choices for herself. I think part of this is that, when we talk about what Parliament decides to do, there isn’t a Government view on this. This is a matter for individuals to decide what they choose to do—how, where, why and whether the law should or should not be changed to make it easier for people to end their life at a time of their choosing. Personally, I find it quite difficult to see people going to different countries to end their life at a time of their choosing. If I were in that position, I’m not sure what I would do, but that’s why it is an individual conscious choice, and I think that’s the right thing for it to be. But, in doing that, I think we all need to take account of the ability of an individual to make their choice for themselves, at a time of their choosing, obviously with the safeguard of the capacity to do so. But, equally, we do have to consider the hazard that we potentially put in the way of healthcare professionals. It’s a difficult and a finely balanced debate, I think, for all of us to have, and almost all of us will come to slightly different conclusions. But I think, absolutely, in the area of where we are now, we need to have a more regular conversation about dying, what it means to us, what matters to us, and what matters to those that are left behind.