This is the second of a series of three posts about the right to die, end of life care and its legislation. The first post can be seen here.
Many rapid changes were made to prevent the NHS’s urgent services being swamped by Covid-19. Whilst we wait for population immunity- preferably through a successful vaccine – and hope there is no second wave, the NHS now has to adjust to the new normal. The NHS needs to start to deliver the routine care, the scans, the operations and cancer care that are now backlogged. This will require new ways of working and thinking or prolonged rationing of services will be a reality. There is now a real need and opportunity to reset how we manage Health and Social Care.
Now is the time to be thinking of end of life care, as even amidst the sad news of the thousands of care home deaths and the concerns raised about Covid-19 and Do Not Resuscitate orders, there was one silver lining – the importance of talking about death, advanced care planning and end of life care was brought sharply into focus.
UK end of life care, in parts, is exceptional. But many do not get the care they need, and live in fear. Services are patchy, disjointed, and not available all the time. This is unsurprising given that state funding of hospice care is woeful and that when any one part of a complex web of inter-related services struggles, patients and service users easily fall through the gaps. When Jeremy Hunt, posted his slightly sinister tweet “Every older person should die with dignity and respect…” he did have a point.