The newly proposed Terminally Ill Adults (End of Life) Bill has sparked debate, with a recent written evidence submission from Rebecca Hampton-Flory, a doctoral researcher at Brunel University of London, advocating for an ante review committee to strengthen procedural safeguards in assisted dying cases.
Hampton-Flory’s evidence, based on comparative research from Oregon and the Netherlands, highlights concerns over existing review processes. In Oregon, a post-procedure form submission is required, but critics argue that this 'tick-box' approach fails to identify coercion or abuse. The Netherlands operates a more comprehensive ex-post review system but does not assess whether euthanasia should have been performed in the first place.
Her submission supports replacing the current proposal for a judge-led advisory commission with an ante review committee. This committee, consisting of a physician, ethicist, lawyer, psychiatrist, and palliative care specialist, would assess cases before a life-ending prescription is issued, ensuring all legal safeguards are met while reducing the need for High Court involvement.
Survey data collected in March 2020 indicated that 67% of physicians in Oregon and the Netherlands supported the establishment of such a committee, with the highest backing (78%) in Portland, Oregon. The evidence suggests that an ante review committee would provide a structured, legally sound approach that alleviates concerns for both patients and medical professionals involved in end-of-life decisions.
With discussions on the Terminally Ill Adults (End of Life) Bill ongoing, the proposal for an ante review committee could play a significant role in shaping the final legislation.
Read the full written evidence submission here