BMJ  2003;327:225 (26 July), doi:10.1136/bmj.327.7408.225-a

Letter

In search of a good death

Human Rights Act 1998 imposes an obligation to facilitate a good death

The first 150 words of the full text of this article appear below.

EDITOR—Ellershaw and Ward argue eloquently for the compassionate care of dying patients.1 We believe that the Human Rights Act 1998 ("the act") may impose a positive obligation on NHS providers to facilitate a good death.

The act effectively incorporates the articles of the European Convention of Human Rights into domestic legislation. Article 3 provides for freedom from degrading treatment. A common misconception is that life preserving treatment must be provided to dying patients, even against clinical judgment, to avoid litigation. However, the futile continuation of invasive procedures and treatments may arguably amount to degrading treatment and a breach of article 3.

Although article 2 provides for the right to life, no positive obligation is imposed on the state to provide medical treatment if such treatment is bound to be ineffective. Recent case law illustrates this. Two applicant trusts applied for a declaration that it would be lawful to . . . [Full text of this article]

Jo Samanta, lecturer in medical law

De Montfort University, Leicester LE1 9BH

Ash Samanta, consultant rheumatologist

University Hospitals of Leicester NHS Trust, Leicester LE3 9QP a.samanta@talk21.com


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Relevant Article

Care of the dying patient: the last hours or days of life Commentary: a "good death" is possible in the NHS
John Ellershaw, Chris Ward, and Rabbi Julia Neuberger
BMJ 2003 326: 30-34. [Extract] [Full Text] [PDF]




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