Doctors’ dilemma on prolonging life at all cost | Letters

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Doctors’ dilemma on prolonging life at all cost | Letters

Andy Thurston, Denis Jackson and Helen Keats respond to a letter by a doctor on assisted dying

I read Dr Chula Goonasekera’s letter (18 November) with interest. I too am a doctor and have had a very fulfilling career. I agree that doctors are trained to save lives, but I fear we were never so well trained to recognise when a life could not be saved, and the phrase “not to officiously strive to prolong life” is well worth bearing in mind. The law is a very blunt instrument. Having seen many very unsatisfactory deaths over the years, I am not at all sure we are doing the right things all the time at the moment.

My second point is purely semantic. I very much agree that the use of the word terminal is problematic; to me it means the end is nigh (the proposed law defines nigh as under six months), but the term is being increasingly used for incurable. Chris Hoy’s recent disclosure of his own situation led to headlines along the lines of “his terminal cancer diagnosis”, but the articles I read mostly said he had been given up to four years to live.

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Three local NHS CEOs join NHS England as directors

Three local NHS CEOs join NHS England as directors
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Two integrated care board chief executives and a trust CEO have been appointed as part-time national directors at NHS England.

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NHS restricting access to obesity services across England, BMJ finds

NHS restricting access to obesity services across England, BMJ finds

<p>Budget cuts to local services fell disproportionately on care for obese patients, leading to ‘postcode lottery’</p><p>The NHS is restricting access to obesity services across England, leading to patients in nearly half the country being unable to book appointments with specialist teams for support and treatments such as weight-loss jabs.</p><p>An investigation by the British Medical Journal found budget cuts to local services fell disproportionately on obesity care, with patients living with the condition often deemed less worthy of care than others.</p> <a href="NHS restricting access to obesity services across England, BMJ finds">Continue reading...</a>

Budget cuts to local services fell disproportionately on care for obese patients, leading to ‘postcode lottery’

The NHS is restricting access to obesity services across England, leading to patients in nearly half the country being unable to book appointments with specialist teams for support and treatments such as weight-loss jabs.

An investigation by the British Medical Journal found budget cuts to local services fell disproportionately on obesity care, with patients living with the condition often deemed less worthy of care than others.

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By Ian Sample Science editor

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