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BMJ 2003;327:225 (26 July), doi:10.1136/bmj.327.7408.225-a
| The first 150 words of the full text of this article appear below. |
EDITOREllershaw 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
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