The APM Position Statement on the use of opiods which was released following the Gosport War Memorial Scandal.
Please click pdf for the APM’s current Position Statement on Physician Assisted Suicide/Dying.
Withdrawal of assisted ventilation at the request of a patient with MND
The APM have published Guidance for professionals in this complex area of care. Many of you will have contributed either to the research or the consultation about this work which was lead by Christina Faull.
The Guidance was developed by a multi professional and inter speciality group and there has been opportunity to present the work at British Thoracic Society and home ventilation group meetings nationally. The Guidance is already endorsed by Hospice UK and the RCN and the GMC have affirmed it is consistent with standards of good practice. Broader endorsement is being sought to safeguard patients and families and support professionals.
The Guidance calls for ongoing collation of a core dataset
This audit aims to include patients with a breadth of diseases that require assisted ventilation and is not restricted to those with MND. Further information and instructions for this can be seen here Audit of Process and Outcomes. Data can be submitted by downloading and completing this PDF or contacting the Secretariat for a word or spreadsheet version to complete electronically.
Once completed please email to LAR.email@example.com or post to Professor Christina Faull, LOROS, Groby Road, Leicester LE3 9QE
Please contact Compleat Secretariat for the Word and Excel versions of these documents.
The Secretariat also holds a list of people with experience who would be willing to support anyone who is undertaking this with a patient. Please contact Compleat Secretariat for a copy of the list.
I am very relieved to be able to write that Rob Marris’ Bill seeking to legalise Assisted Suicide was defeated in the Commons by 330 to 118. That is definitive. Thank you to the media team and all who have worked so hard to promote the interests of our patients.
As I wrote to all MPs yesterday: ‘Assisted dying’ is the wrong campaign: it is unsafe, contaminates care, disorientates us the public and distracts politics from the desperate need to improve care for those suffering the uncertainties of deteriorating health. Let’s invest in healthcare to conclude lives well and not bring death before its time. That does involve money to get clinical services up to scratch: the government estimates £130M (in context, cancer drugs alone cost around £1.3B).
The engine room of good palliative care is our hospices and NHS teams. This week the ‘Ambitions for Palliative and End of Life Care’ is published. It is the vision and call to action. Our teams need now to know the government is on their side so that we can get back to providing the global leadership in palliative care for which Britain is rightly famous. Around 45% of England’s Clinical Commissioning Groups from 2013/14 to 2015/16 have either frozen or cut budgets for care of the dying and 52% include their local voluntary hospices. That is unacceptable.
We need now to put pressure on Parliament with the Palliative Care Bill that Lady Finlay presents to the Lords later this session. So, down to the day-job: care for everyone who needs it and let us step up to the challenge!
Professor Rob George, form APM President.