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A leading British palliative care consultant has described the assisted dying bill as “not fit for purpose” and is urging MPs to stop the bill from progressing any further.

Rejecting assurances from supporters of assisted dying who claim the proposed British version would be based on the scheme used in the American state of Oregon – widely regarded as the model with the most safeguards – Dr Amy Proffitt said “it’s far from a safe system”.

“The majority, 80% of the people that have assisted death have government insurance with Medicaid or Medicare suggesting that the vulnerable in society are not worth it,” she said.

“Put that into our NHS and what does it say about us as a society… those with disability, those with learning disabilities, those with social deprivation?”

Dr Amy Proffitt, British palliative care consultant
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Oregon’s assisted dying method is ‘far from a safe system,’ Dr Amy Proffitt said

Dr Proffitt added: “I think it’s deeply dangerous for the bill that has been proposed and it needs to be scrapped and we go back and look again.”

She and other leading palliative care doctors have expressed concern about the erosion of end of life care if the bill passes. It is a fear expressed by Britain’s hospice sector.

Read more:
Why is assisted dying so controversial – and where is it already legal?

Dr Ted Gruber, a retired Oregon doctor who has assisted numerous assisted deaths, says those fears have not been realised and the state’s hospice sector has strengthened since the introduction of assisted dying in Oregon in 1994.

He says he has never had any doubts about his role as a physician who assists a patient’s death.

“I’ve never been conflicted,” he explains. “I’ve attended a number of them.

“Each of the ones I’ve attended has been almost sacred if you will, it’s hard to explain but with the family there, the family dog in the bed, with the music playing that they want.

“Everyone’s sad, everyone’s crying, it’s not a joyful moment but in a way it’s kind of a sacred moment.”

Dr Ted Gruber, a retired Oregon doctor who has assisted numerous assisted deaths
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Dr Ted Gruber told Sky News ‘I’ve never been conflicted’ about assisted dying

Oregon’s assisted dying laws have not seen the same number of changes to widen the cohort groups who would qualify for an assisted death in the way, for example, Canada has.

So it has managed to steer clear of the “slippery slope” criticism levelled at other programmes.

Dr Gruber also said the assisted death scheme in Oregon had enhanced the patient-physician relationship.

“The role of the doctor who is attending the dying patient is one of listening and paying attention to what the needs of the dying patient are and it’s eroded when the patient can’t trust the doctor,” he said.

“When I’ve seen a patient who has tried to talk to a doctor about aid in dying and they’re like ‘oh, I won’t do that, I’m opposed to it’… well that doesn’t enhance a doctor-patient relationship, it will be enhanced when a doctor says let’s talk about why you want to ask that.”

Read more from Sky News:
Assisted dying law ‘unworkable, unaffordable and naive’
MPs criticise Esther Rantzen’s assisted dying intervention

Oregon’s assisted death model is the closest to what is being proposed in the UK.

Both require it to apply only to adults who are terminally ill, mentally competent, and have six months to live or less, and to take the drugs themselves.

Part 1 of graphics comparing Oregon's assisted dying policy to the proposed UK system

But while Oregon cases are reviewed by two doctors, in the UK they would be reviewed by a panel including a psychiatrist, a social worker and a legal professional.

Part 2 of graphics comparing Oregon's assisted dying policy to the proposed UK system LANDSCAPE ONLY

In Oregon, the drugs are posted to the individual for them to take when ready, whereas in the UK, a healthcare professional would bring them on the day of the planned death.

Part 3 of graphics comparing Oregon's assisted dying policy to the proposed UK system LANDSCAPE ONLY

Marcy Lehman’s father Ted was “her hero, the person I looked up to’. An Oregon doctor, he chose to have an assisted death at home in Portland surrounded by his family.

Marcy was there by his side. And it was for her, her mother and ultimately her father, the right decision.

“This was my hero, the person I looked up to, and now the roles were switched and I was taking care of him, and I had to be his hero,” Marcy said.

Ted Lehman, who chose to have an assisted death at home in Portland

She explained that his stomach cancer “was starting to work up his system so he couldn’t eat.”

“My dad was a strong person and stronger even up until his death,” Marcy added.

Marcy Lehman, whose father Ted chose to have an assisted death at home
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‘He didn’t want someone to have to go to the bathroom with him,’ Marcy Lehman said

“He didn’t want someone to have to go to the bathroom with him to help with that or to feed him that wasn’t what he wanted – yeah, he was in pain, he could endure the pain, but it was really more the dignified way he wanted to leave this Earth.”

Ted’s family are grateful that they live in a state where assisted death is allowed. It’s a choice they would make again if they had to.

Now the UK must soon decide if that same choice is made available over here.

The Terminally Ill Adults (End Of Life) Bill was introduced to the House of Commons last October. Later next month, MPs will be asked to vote again in a ballot that will decide the fate of the proposed legislation.

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At least 13 people may have taken their own lives linked to Post Office scandal, public inquiry finds

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At least 13 people may have taken their own lives linked to Post Office scandal, public inquiry finds

At least 13 people may have taken their own lives after being accused of wrongdoing based on evidence from the Horizon IT system that the Post Office and developers Fujitsu knew could be false, the public inquiry has found.

A further 59 people told the inquiry they considered ending their lives, 10 of whom tried on at least one occasion, while other postmasters and family members recount suffering from alcoholism and mental health disorders including anorexia and depression, family breakup, divorce, bankruptcy and personal abuse.

Follow latest on public inquiry into Post Office scandal

Writing in the first volume of the Post Office Horizon IT Inquiry report, chairman Sir Wyn Williams concludes that this enormous personal toll came despite senior employees at the Post Office knowing the Horizon IT system could produce accounts “which were illusory rather than real” even before it was rolled out to branches.

Sir Wyn said: “I am satisfied from the evidence that I have heard that a number of senior, and not so senior, employees of the Post Office knew or, at the very least, should have known that Legacy Horizon was capable of error… Yet, for all practical purposes, throughout the lifetime of Legacy Horizon, the Post Office maintained the fiction that its data was always accurate.”

Referring to the updated version of Horizon, known as Horizon Online, which also had “bugs errors and defects” that could create illusory accounts, he said: “I am satisfied that a number of employees of Fujitsu and the Post Office knew that this was so.”

The first volume of the report focuses on what Sir Wyn calls the “disastrous” impact of false accusations made against at least 1,000 postmasters, and the various redress schemes the Post Office and government has established since miscarriages of justice were identified and proven.

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‘It stole a lot from me’

Recommendations regarding the conduct of senior management of the Post Office, Fujitsu and ministers will come in a subsequent report, but Sir Wyn is clear that unjust and flawed prosecutions were knowingly pursued.

“All of these people are properly to be regarded as victims of wholly unacceptable behaviour perpetrated by a number of individuals employed by and/or associated with the Post Office and Fujitsu from time to time and by the Post Office and Fujitsu as institutions,” he says.

What are the inquiry’s recommendations?

Calling for urgent action from government and the Post Office to ensure “full and fair compensation”, he makes 19 recommendations including:

• Government and the Post Office to agree a definition of “full and fair” compensation to be used when agreeing payouts
• Ending “unnecessarily adversarial attitude” to initial offers that have depressed the value of payouts, ⁠and ensuring consistency across all four compensation schemes
• The creation of a standing body to administer financial redress to people wronged by public bodies
• Compensation to be extended to close family members of those affected who have suffered “serious negative consequences”
• The Post Office, Fujitsu and government agreeing a programme for “restorative justice”, a process that brings together those that have suffered harm with those that have caused it

Regarding the human impact of the Post Office’s pursuit of postmasters, including its use of unique powers of prosecution, Sir Wyn writes: “I do not think it is easy to exaggerate the trauma which persons are likely to suffer when they are the subject of criminal investigation, prosecution, conviction and sentence.”

He says that even the process of being interviewed under caution by Post Office investigators “will have been troubling at best and harrowing at worst”.

Read more:
Post Office inquiry lays bare heart-breaking legacy – analysis

‘Hostile and abusive behaviour’

The report finds that those wrongfully convicted were “subject to hostile and abusive behaviour” in their local communities, felt shame and embarrassment, with some feeling forced to move.

Detailing the impact on close family members of those prosecuted, Sir Wyn writes: “Wives, husbands, children and parents endured very significant suffering in the form of distress, worry and disruption to home life, in employment and education.

“In a number of cases, relationships with spouses broke down and ended in divorce or separation.

“In the most egregious cases, family members themselves suffered psychiatric illnesses or psychological problems and very significant financial losses… their suffering has been acute.”

The report includes 17 case studies of those affected by the scandal including some who have never spoken publicly before. They include Millie Castleton, daughter of Lee Castleton, one of the first postmasters prosecuted.

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Three things you need to know about Post Office report

She told the inquiry how her family being “branded thieves and liars” affected her mental health, and contributed to a diagnosis of anorexia that forced her to drop out of university.

Her account concludes: “Even now as I go into my career, I still find it so incredibly hard to trust anyone, even subconsciously. I sabotage myself by not asking for help with anything.

“I’m trying hard to break this cycle but I’m 26 and am very conscious that I may never be able to fully commit to natural trust. But my family is still fighting. I’m still fighting, as are many hundreds involved in the Post Office trial.”

Business Secretary Jonathan Reynolds said the inquiry’s report “marks an important milestone for sub-postmasters and their families”.

He added that he was “committed to ensuring wronged sub-postmasters are given full, fair, and prompt redress”.

“The recommendations contained in Sir Wyn’s report require careful reflection, including on further action to complete the redress schemes,” Mr Reynolds said.

“Government will promptly respond to the recommendations in full in parliament.”

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Post Office scandal inquiry lays bare a second injustice

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Post Office scandal inquiry lays bare a second injustice

The long-awaited first report from the Post Office Horizon scandal inquiry lays bare not just the devastating personal toll of one of the greatest miscarriages of justice in British legal history, but also the slow-motion failure of the government and the Post Office to deliver meaningful redress.

Sir Wyn Williams’s first report documents with stark clarity how hundreds of sub-postmasters, wrongly accused of theft and fraud due to the faulty Horizon IT system, lost their livelihoods, homes, reputations – and in some cases, their lives.

Follow Post Office inquiry latest

Thirteen people are believed to have taken their lives as a result of the scandal.

Fifty-nine contemplated it.

It talks of alcohol addiction, serious mental illness, and bankruptcy – all tearing families apart and leaving behind a heartbreaking legacy.

But if the scandal was a failure of justice, the response to it has become a second injustice.

More on Post Office Scandal

Critical on a technical level

The report is critical, on a fairly technical level, about the complexity, delays, and bureaucracy of redress schemes that have left victims still waiting years for full compensation.

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‘It stole a lot from me’

Hundreds of whom have died before seeing “full and fair redress”.

While Sir Wyn is fair to the government and the Post Office in stating that he believes their commitment to delivering the above has been in “good faith”, he concludes this has not been achieved for every victim, describing “formidable” difficulties.

There are 19 recommendations – including a push to ensure consistency across all four redress schemes, with an agreed and public definition of “full and fair redress”.

Compensation

Among them, that family members of victims should be compensated, and a permanent public body established to manage future redress schemes in future.

Additionally, Fujitsu, the Post Office, and the government should engage in formal restorative justice programmes.

There was also a flavour of what is to come in the final report later this year or next.

The report has found that both Fujitsu and Post Office staff knew Horizon could produce false data but concealed this, maintaining a false narrative of accuracy.

One of the most important things now, though, is how and when the government, Post Office, and Fujitsu respond officially.

Sir Wyn has also set a deadline of 10 October 2025 for that.

The victims of this scandal have waited long enough.

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‘Wholesale failure’ to address risks posed by Southport attacker before murders, says public inquiry chairman

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'Wholesale failure' to address risks posed by Southport attacker before murders, says public inquiry chairman

There was a “wholesale and general failure” to address the risks posed by Axel Rudakubana before the Southport attack, the chairman of the public inquiry into the murders has said.

In his opening statement at Liverpool Town Hall, Sir Adrian Fulford said the teenager’s “known predilection for knife crime” suggests it was “far from an unforeseeable catastrophic event”.

The former vice president of the Court of Appeal said Rudakubana’s actions “impose the heaviest of burdens” to investigate how it was possible for him to cause “such devastation”.

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‘We need to understand what went wrong’

The 18-year-old murdered Elsie Dot Stancomb, seven, Bebe King, six, and Alice da Silva Aguiar, nine, at a Taylor Swift-themed class on 29 July last year.

He also injured eight other children and two adults at the Hart Space in the Merseyside seaside town, with Sir Adrian describing the attack as “one of the most egregious crimes in our country’s history”.

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‘We don’t want Elsie forgotten’

The public inquiry, announced by Home Secretary Yvette Cooper in January, will look into whether the attack could or should have been prevented, given what was known about the killer.

Rudakubana, who was born in Cardiff, had been referred to the government’s anti-extremism Prevent scheme three times before the murders, including over research into school shootings and the London Bridge terror attack.

He had also accessed online material about explosives, warfare, knives, assassination and an al Qaeda training manual.

A rapid review into his contact with Prevent found his case should have been kept open and that he should have been referred to Channel, another anti-terror scheme.

Read more:
‘She had a wonderful impact – we don’t want her to be forgotten’

What is the anti-terrorism programme Prevent?

Rudakubana was twice caught with a knife and managed to hoard other blades, as well as a bow and arrow, machetes, a sledgehammer and the deadly toxin ricin at his home.

He bought the 20cm chef’s knife used to carry out the attack using a Virtual Private Network (VPN).

Sir Adrian said he did not want to pre-judge the outcome of the inquiry.

But he added: “These factors, if correct and when taken together, tend to suggest that far from being an unforeseeable catastrophic event, the perpetrator posed a very serious and significant risk of violent harm, over a number of years, with a particular and known predilection for knife crime.

“Furthermore, his ability, unhindered, to access gravely violent material on the internet, to order knives online when underage, and then to leave home unsupervised to commit the present attack, speaks to a wholesale and general failure to intervene effectively, or indeed at all, to address the risks that he posed.”

Sir Adrian said the inquiry will examine decisions taken in light of Rudakubana’s “deteriorating and deeply troubling behaviour” to identify “without fear or favour” all of the relevant failings.

He said he aims to make recommendations to ensure the best chance of stopping others “who may be drawn to treating their fellow human beings in such a cruel and inhuman way”.

Rudakubana, 18, was jailed for a minimum of 52 years in January and is being investigated over an alleged attack on a prison officer at Belmarsh prison in May.

Sir Adrian said he would be referred to by his initials or as “the perpetrator” during the inquiry and asked the media not to show his “terrifying and singularly distressing” police mugshot to avoid causing distress to the survivors and their families, who have been granted anonymity.

The surviving children, many whom were under the age of 10, are “bravely trying to cope with school life in the face of what they have suffered,” he added.

Sir Adrian asked those in the room to stand for a minute’s silence for the victims.

Some of those whose children were injured will speak at a hearing on Wednesday before the inquiry is adjourned to 8 September, with the first phase expected to last until November.

It will then move on to a second phase next year to “consider the wider issues of children and young people being drawn into extreme violence”.

Rachael Wong, director at law firm Bond Turner, representing the three bereaved families, said: “We know that nothing the inquiry reveals or subsequently recommends will change the unimaginable loss felt by the families of Elsie, Alice and Bebe, but we all now have a responsibility to ensure that something like this never happens again.

“We will be doing all we can to assist the chair through the inquiry and uncover the truth.

“It is only through intense public scrutiny that real change can be effected.”

Sefton Council is asking people not to leave flowers near schools or the scene of the attack to mark the anniversary later this month, but to donate to local charitable causes instead.

There will be a three-minute silence and flags will be lowered to half-mast on public buildings around the Liverpool city region.

“We fully understand that many of us still need to grieve and to mark the day,” the council said in an open letter.

“Our colleagues have been working with faith and community leaders to identify local spaces where you can go, within your neighbourhood, to pay tribute, whether this be to say a prayer, light a candle, speak to someone or quietly reflect in a way that feels right for you.”

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