
Assisted
Dying (Jersey) Law 2026
Part 1
Definitions
and criteria
1 Interpretation
In this Law –
“administering practitioner” means a doctor or
nurse –
(a) whose main role is to act
at step 6 (care planning) and step 7 (final review and carrying out of assisted
death), including by –
(i) arranging care planning
for an individual; and
(ii) carrying out the
individual’s assisted death;
(b) who also has a role at
step 8 (review after death);
(c) who is registered with the Service for the role; and
(d) who was not the
individual’s independent assessment doctor (but may have been involved in their
assisted dying process in other ways – for example, as their co-ordinating
doctor);
“approved drugs” means the medicinal products or
controlled drugs approved by the Committee under Article 59;
“assess” means, as an assessing doctor, to
assess an individual for whether –
(a) they meet 1 or more
criteria for assisted dying; or
(b) their physical condition
is expected to cause their death within 14 days;
“assessing doctor” means –
(a) a co-ordinating doctor;
(b) an independent assessment
doctor; or
(c) a second opinion doctor;
“assisted death” means a death that will or did
result from assisted dying;
“assisted dying” means ending an individual’s life
in accordance with this Law;
“assisted dying practitioner” –
(a) means 1 of the following professionals
who is registered with the Service for the role –
(i) an assessing doctor;
(ii) an administering
practitioner;
(iii) a pharmacy professional;
or
(iv) an extended team member; and
(b) for clarity, does not
include a certifying doctor or care navigator;
“assisted dying process” means the following 8
steps relating to assisted dying –
(a) step 1: first request for
assisted dying;
(b) step 2: first assessment
(of all criteria);
(c) step 3: independent
assessment (of main and residency criteria);
(d) step 4: second request for
assisted dying;
(e) step 5: review and
decision on request for assisted dying;
(f) step 6: care planning;
(g) step 7: final review and carrying
out of assisted death;
(h) step 8: review after
death;
“Care Commission” means the Health and Social
Care Commission established by Article 35 of the Regulation of Care
(Jersey) Law 2014;
“care home” means the place where a care home
service, as defined in paragraph 4 of Schedule 1 of the Regulation of Care
(Jersey) Law 2014, is provided;
“care navigator” means a person –
(a) whose role is
non-clinical and is to –
(i) support an individual
during the assisted dying process; and
(ii) help the co-ordinating
doctor to co-ordinate the assisted dying process;
(b) who is employed by the
Service in the role; and
(c) who has completed the
initial training, and any continuing training at the intervals set by the
Committee, for the role under this Law;
“care plan” means a care plan (which generally
sets out the individual’s preferences for their assisted death) –
(a) as recorded under Article 8(1)(b)(ii);
or
(b) as amended under this
Law;
“certifying doctor” means a doctor –
(a) whose main role is to act
at step 8 (review after death), including by complying with Article 64(1)
of the Marriage and
Civil Status (Jersey) Law 2001 (by certifying an individual’s assisted
death and giving the certificate to the administering practitioner);
(b) who also has a role at
step 6 (care planning);
(c) who is registered with
the Service for the role; and
(d) who was not an assisted
dying practitioner, or the care navigator, for the individual;
“close relative”, of a person, means –
(a) their spouse or civil
partner;
(b) another person (whether
of the same or a different sex) who is their partner in an enduring family
relationship; or
(c) their child, parent,
sister, brother, grandparent, grandchild, aunt, uncle, nephew, niece or first
cousin (meaning a cousin with whom they share grandparents), including for a
step or half relationship;
“co-ordinating doctor” means a doctor –
(a) whose main role is to act
at step 1 (first request for assisted dying), step 2 (first
assessment), step 4 (second request for assisted dying) and step 5 (review
and decision on request for assisted dying), including by –
(i) co-ordinating an
individual’s assisted dying process;
(ii) first assessing the
individual; and
(iii) deciding whether to
approve or refuse the individual’s request for assisted dying; and
(b) who also has a role at
step 3 (independent assessment); and
(c) who
is registered with the Service for the role;
“Committee” means the Assisted Dying Assurance
and Delivery Committee established by the Minister under Article 55;
“communication support” means the following support
for communication that is arranged under Article 23 –
(a) independent advocacy, so
far as it supports communication; or
(b) other support for
communication, such as support from an interpreter, a speech and language
therapist, a connected person or any communication software or technology;
“connected person” means a person who has a
personal relationship with an individual (such as a family member, friend,
neighbour or colleague);
“criteria for assisted dying” has the meaning
given in Article 2;
“doctor” means a person who is professionally registered
as a doctor;
“employment” –
(a) has the meaning given in
the Employment
(Jersey) Law 2003, including as affected by Article 1A of that Law;
(b) for a natural person to
whom Article 1(2)(a) and (c) of that Law apply (where they are supplied by an
agent to do work for a principal), includes both –
(i) their relationship with
the agent; and
(ii) their relationship with
the principal; and
(c) includes prospective
employment;
“end-of-life”, for care or treatment, means palliative
care or treatment that is provided to someone who is likely to die within 1 year;
“extended team member” means a person –
(a) who is a health
professional;
(b) whose role is to be a
member of a team that supports an individual’s assisted dying process; and
(c) who
is registered with the Service for the role;
“general guidance” means general guidance
approved under Article 64;
“Health and Care Jersey” means the
administration of the States (as defined in Article 1 of the Employment of States of
Jersey Employees (Jersey) Law 2005) –
(a) that relates to health;
and
(b) for which the Minister is
assigned responsibility;
“health professional” means –
(a) a doctor;
(b) a nurse;
(c) a pharmacist or pharmacy
technician;
(d) a dentist, optometrist or
dispensing optician, meaning a person who is professionally registered as that;
or
(e) an occupational therapist,
physiotherapist, social worker or speech and language therapist, or a person in
another registrable occupation under the Health Care
(Registration) (Jersey) Law 1995, in each case meaning a person who is
professionally registered as that;
“independent advocate” means an independent
advocate appointed under Regulations made under Article 99(1)(a);
“independent advocacy” means the help (such as
support and advocacy) given by an independent advocate to an individual, under
Regulations made under Article 99(1)(a), in relation to a request for, or
the process of, assisted dying;
“independent assessment doctor” means a
doctor –
(a) whose main role is to act
at step 3 (independent assessment), including by independently assessing an
individual;
(b) who is registered with
the Service for the role; and
(c) who is not an individual’s
co-ordinating doctor or second opinion doctor;
“individual” means an individual who requests,
proposes or tries to request or is considering requesting assisted dying;
“individual’s records”, for an individual,
means –
(a) their name, address and
other personal details;
(b) the forms that are
completed and signed (by them or another person) for their assisted dying
process, including forms disclosing interests in relation to them; and
(c) everything that is
recorded about them, and their assisted dying process, under this Law;
“interests review officer” means –
(a) the Medical Director (or
their equivalent) in Health and Care Jersey; or
(b) a person appointed by the
Medical Director;
“main criteria” means the following criteria for
assisted dying –
(a) the
health criteria;
(b) the capacity criterion;
(c) the decision criteria;
“Medical Officer of Health” means the person
appointed under Article 10 of the Loi (1934) sur la Santé Publique;
“minimum time frame for carrying out an assisted death”
has the meaning given in Article 9(1)(d)(i);
“Minister” means the Minister for Health and
Social Services;
“nurse” means a person who is professionally registered
as a nurse;
“operational guidance” means operational
guidance approved under Article 63;
“Order” means an Order made under Article 100;
“pharmacist or pharmacy technician” means a
person who is professionally registered as that;
“pharmacy professional” means a pharmacist or
pharmacy technician –
(a) whose role is to prepare
and dispense approved drugs for an individual’s assisted death; and
(b) who is registered with
the Service for the role;
“professionally registered”, for each of the
following professions, means both registered for the profession in Jersey, as
specified in the relevant sub-paragraph, and registered for the equivalent
profession in the United Kingdom –
(a) for a doctor, registered
as a medical practitioner under the Medical Practitioners
(Registration) (Jersey) Law 1960;
(b) for a pharmacist or
pharmacy technician, registered as that under the Pharmacists and Pharmacy
Technicians (Registration) (Jersey) Law 2010;
(c) for a dentist, registered
as that under the Dentistry
(Jersey) Law 2015;
(d) for an optometrist or a
dispensing optician, registered as that under the Opticians (Registration)
(Jersey) Law 1962;
(e) for a nurse, occupational
therapist, physiotherapist, social worker or speech and language therapist, or
a person in another registrable occupation under the Health Care
(Registration) (Jersey) Law 1995, registered in that occupation under
that Law;
“register” means the register described in Article 61
(which records people who perform a role as an assisted dying practitioner or
certifying doctor);
“Review Panel” means the Assisted Dying Review
Panel established by the Minister under Article 93;
“second opinion doctor” means a doctor –
(a) whose role is to act at
step 2 (first assessment) or step 3 (independent assessment) if criteria are
unmet after an assessment and the individual’s request for a second opinion is
accepted, including by doing a second opinion assessment;
(b) who is registered with
the Service for the role; and
(c) who is not an individual’s
co-ordinating doctor or independent assessment doctor;
“Service” means the Assisted Dying Service
established by the Minister under Article 80;
“States’ employee” has the meaning given in Article 2
of the Employment of
States of Jersey Employees (Jersey) Law 2005;
“step” means a step in the assisted dying
process;
“working day” means a day other than –
(a) a Saturday, a Sunday,
Good Friday or Christmas Day; or
(b) a public holiday or bank
holiday under Article 2 of the Public Holidays and Bank
Holidays (Jersey) Law 1951.
2
[Not in force]
Part 2
[Not
in force]
Part 3
Right
to refuse, protections, appeals, offences, Committee, Service and Review Panel
Division 1 –
Right to refuse, protections, safe access zones, disclosure of information and
appeals
36 Right to refuse to
participate
(1) A
person acting in a specified capacity may, on any grounds, refuse the specified
participation in assisted dying, as follows –
|
|
|
|
Anything not covered in another
row
|
Any participation
|
|
Assisted dying practitioner
(other than administering practitioner)
|
–
|
|
Certifying doctor
|
–
|
|
Care navigator
|
–
|
|
Administering practitioner
|
Administering approved drugs
(themselves) to an individual
|
|
Witness at step 7
|
Witnessing the administering
practitioner (themselves) administering approved drugs to an individual
|
(2) The
right to refuse overrides any obligation under another Article of this Law or
under a contract (of employment or otherwise).
(3) If
a health professional refuses to participate as described in Article 37(1)(a)(i) (by not giving information that a person asks for), they
must tell the person –
(a) that they are exercising
the right to refuse under this Law;
(b) that the Service might be
able to help the person; and
(c) how the person may find
the Service’s contact details.
(4) As
examples of the effect of the table in paragraph (1) –
(a) under its first operative
row, a person who is not acting in a capacity specified in another row may refuse
any participation in assisted dying;
(b) under its third operative
row, the right to refuse participation in assisted dying does not apply to
anything done by a person who is acting in the capacity of a certifying doctor.
37 Meaning of participation
in assisted dying
(1) Some
activities that are participation in assisted dying (and so may be refused
under Article 36(1)) are –
(a) giving information about
assisted dying to anyone if –
(i) they have asked for it;
or
(ii) they are being given
information about how their condition might be treated;
(b) acting in the role of an
assisted dying practitioner, a certifying doctor or a care navigator (if not
already in that role);
(c) giving relevant opinions,
including examining an individual for the purposes of a professional opinion,
under Article 31;
(d) providing independent
advocacy or communication support;
(e) preparing, or being there
during the preparation of, any equipment used to administer approved drugs to
an individual;
(f) administering, or being there
during the administration of, approved drugs to an individual; and
(g) providing a care home
whose service is not provided by Health and Care Jersey as the place for an assisted
death, despite paragraph (2).
(2) Some
activities that are not participation in assisted dying (and so are not covered
by the right to refuse in Article 36(1)) are –
(a) providing an individual
with a service that would be provided to a person who had not requested, or
died from, assisted dying (whether or not the service
is clinical or somehow relates to assisted dying), such as –
(i) providing them with an
adult day care service, a care home service or a home care service (as
described in Schedule 1 of the Regulation of Care
(Jersey) Law 2014);
(ii) giving them
physiotherapy;
(iii) driving them somewhere;
(iv) reserving an appointment
time for them;
(v) giving any existing information (including
medical information) about them to someone;
(vi) cleaning a room after
their death; or
(vii) dealing with their body
after their death;
(b) providing an individual
with a clinical service that is not directly related to assisted dying, such as
providing medical or nursing care for cancer; and
(c) providing management,
supervisory, administrative or other services relating to the general provision
of assisted dying, such as –
(i) acting as a responsible
officer (under the Medical
Practitioners (Registration) (Responsible Officers) (Jersey) Order 2014)
for an assisted dying practitioner;
(ii) acting in the role of a
member of the Committee or the Review Panel;
(iii) managing or supervising,
or financially planning for, the Service;
(iv) collecting or analysing
statistical information about the Service; or
(v) cleaning the Service’s offices.
38 Employment and
partnership protection (for involvement or non-participation)
(1) An
employer must ensure that there is no employment detriment to their employee as a result of the employee’s actual or potential –
(a) involvement in an
assisted dying process, or in other activities, under this Law (whether as a
professional, an individual or otherwise); or
(b) refusal to participate in
assisted dying under Article 36.
(2) There
is an employment detriment to an employee if –
(a) the employer decides not
to employ them or to end their employment; or
(b) they are treated less
favourably in that employment.
(3) A
partner must ensure that there is no partnership detriment to another partner as a result of the other partner’s actual or
potential –
(a) involvement in an
assisted dying process, or in other activities, under this Law (whether as a
professional, an individual or otherwise); or
(b) refusal to participate in
assisted dying under Article 36.
(4) There
is a partnership detriment to a partner if –
(a) they are not invited to
become a partner in the partnership;
(b) they are offered less
favourable terms or conditions in being invited to become a partner in the
partnership;
(c) their access to a benefit
arising from being a partner in the partnership is denied or limited;
(d) they are expelled from
the partnership; or
(e) they are otherwise
treated less favourably, or subjected to any other detriment, in the
partnership.
(5) In
this Article, “partnership” –
(a) means a partnership
described in Article 12(4) of the Discrimination (Jersey)
Law 2013; and
(b) includes prospective
partnership.
39 Residential tenancy
protection (for involvement or non-participation)
(1) A
landlord must ensure that there is no residential tenancy detriment to their
tenant as a result of the tenant’s actual or
potential –
(a) involvement in an
assisted dying process, or in other activities, under this Law (whether as a
professional, an individual or otherwise); or
(b) refusal to participate in
assisted dying under Article 36.
(2) There
is residential tenancy detriment to a tenant if –
(a) the landlord decides not
to grant them a residential tenancy or to end their residential tenancy; or
(b) the landlord or the
relevant agreement prevents them from having an assisted death in the place
they occupy under the residential tenancy.
(3) In
this Article, “residential tenancy” –
(a) has the meaning given in
Article 1 of the Residential
Tenancy (Jersey) Law 2011; and
(b) includes a prospective
residential tenancy.
40
[Not in force]
41 Disclosure of information
about people or approved drugs
(1) A
person must not disclose any information –
(a) [not in force]
(b) [not in force]
(c) that allows approved
drugs to be identified.
(2) But
the person may disclose the information –
(a) if it is already
available to the public;
(b) with the written consent
of each person to whom the information relates or the executor or administrator
of their estate, or under Article 14 (consent to sharing of individual’s
information);
(c) if required to protect
someone’s safety or well-being by ensuring that this Law is complied with;
(d) in accordance with
another enactment or a court order;
(e) so that a function or an
obligation can be performed under this Law;
(f) for the purposes of the
enforcement of an enactment or the investigation or prosecution of an offence
(in Jersey or elsewhere);
(g) for the purposes of the
investigation of, or disciplinary proceedings about –
(i) a health professional’s
practice by their employer or a body that regulates their profession (in Jersey
or elsewhere); or
(ii) a care navigator’s
performance by their employer; or
(h) if the information
identifies the approved drugs and the administering practitioner tells the
individual the information, at the individual’s request, at step 6 or 7.
(3) [Not in force]
42
[Not in force]
Division 2 –
Protection and offences
43 Assisted dying is protected
(1) Assisted
dying, or an assisted death, is not suicide for the purposes of a law or
contract.
(2) Paragraph (3)
applies to a person who –
(a) performs a function in
respect of an individual;
(b) is authorised by this Law
to perform the function; and
(c) performs the
function –
(i) in good faith;
(ii) in a way that they reasonably
believe is in accordance with this Law; and
(iii) reasonably believing that
the individual has requested assisted dying.
(3) The
person –
(a) does not commit an
offence by performing the function; and
(b) if they also perform the
function with reasonable care and skill, cannot be held liable in civil court
or disciplinary proceedings because they performed the function.
(4) This
Article overrides any other law.
44 Offence to unlawfully
administer approved drugs
(1) A
person commits an offence if –
(a) they administer, or
assist in administering, approved drugs to another person; and
(b) they do so –
(i) intending to end the
other person’s life; and
(ii) knowing that, or being
reckless as to whether, it is not in accordance with this Law.
(2) The
person is liable to imprisonment for life.
45 Offence to coerce or
maliciously induce decision to have assisted death
(1) A
person commits an offence if they coerce, or maliciously induce, another person
to –
(a) request assisted dying;
(b) decide to end their life by
assisted dying or request assisted dying, including to request to proceed to
the next step of the assisted dying process; or
(c) not withdraw their
request for assisted dying.
(2) The
person is liable to imprisonment for 14 years.
46 Offence to coerce decision to not have assisted death
(1) A
person commits an offence if they coerce another person –
(a) not to request assisted
dying;
(b) to decide –
(i) not to end their life by
assisted dying; or
(ii) not to request assisted
dying, including not to request to proceed to the next step of the assisted
dying process; or
(c) to withdraw their request
for assisted dying.
(2) The
person is liable to a fine.
47 Offence to give false or
misleading information or forge document
(1) A
person commits an offence if –
(a) they complete or give a
form or other document purportedly under this Law; and
(b) they –
(i) intentionally or
recklessly state or specify something material that is false or misleading in
the form or document; or
(ii) forge the form or
document with intent to deceive.
(2) The
person is liable to imprisonment for 5 years.
48 Offence to purport to act
as assisted dying practitioner, certifying doctor or care navigator
(1) A
person commits an offence if –
(a) they intentionally
purport to act as an assisted dying practitioner, in a particular role, or as a
certifying doctor;
(b) they are not registered
with the Service for the role or their registration for the role is suspended;
and
(c) they know that, or are
reckless as to whether, sub-paragraph (b) applies.
(2) A
person commits an offence if –
(a) they intentionally
purport to act as a care navigator;
(b) they are not employed by
the Service in that role or have not completed the initial training, and any
continuing training at the intervals set by the Committee, for the role under
this Law; and
(c) they know that, or are
reckless as to whether, sub-paragraph (b) applies.
(3) In
either case, the person is liable to imprisonment for 14 years.
49 Offence to purport to be
assisted dying practitioner, certifying doctor or care navigator
(1) A
person (“person X”) commits an offence if –
(a) they intentionally –
(i) purport to be an
assisted dying practitioner, as a general role or in a particular role, or a
certifying doctor; or
(ii) cause or allow another
person to purport that they (person X) are in such a role;
(b) they –
(i) are not registered with
the Service for the role; or
(ii) have had their
registration for the role suspended; and
(c) they know that, or are
reckless as to whether, sub-paragraph (b) applies.
(2) A
person (“person Y”) commits an offence if –
(a) they intentionally –
(i) purport to be a care
navigator; or
(ii) cause or allow another
person to purport that they (person Y) are in such a role;
(b) they –
(i) are not employed by the
Service in the role; or
(ii) have not completed the
initial training, and any continuing training at the intervals set by the
Committee, for the role under this Law; and
(c) they know that, or are
reckless as to whether, sub-paragraph (b) applies.
(3) In
either case, the person is liable to imprisonment for 7 years.
50 Offence to purport to be
Service or to provide assisted dying
(1) A
person commits an offence if –
(a) they intentionally –
(i) purport that something
is the Service; or
(ii) cause or allow another person
to purport that something is the Service; and
(b) they know that it is not
the Service.
(2) A
person commits an offence if they provide, or purport to provide, assisted
dying in breach of Article 81(2).
(3) In
either case, the person is liable to imprisonment for 7 years.
51 Offence to promote or
advertise assisted dying
(1) A
person commits an offence if they promote or advertise assisted dying or the
Service –
(a) by intentionally giving
information in breach of Article 81(3)(a) or (4); or
(b) with an intention that
breaches Article 81(3)(b).
(2) The
person is liable to imprisonment for 14 years.
52 Offence to not tell
Service about significant registration matters
(1) An
assisted dying practitioner or a certifying doctor commits an offence if they do
not tell the Service something as required by Article 87(1) and (3).
(2) The
person is liable to a fine of level 3 on the standard scale.
53 Offence to disclose
information about people or approved drugs
(1) A
person commits an offence if –
(a) they intentionally or
recklessly disclose information in breach of Article 41(1); and
(b) the disclosure is not
allowed or excepted by Article 41(2) or (3).
(2) The
person is liable to a fine of level 3 on the standard scale.
54 Offence to do banned
activity in safe access zone
(1) A
person commits an offence if they do something in a safe access zone, as
specified by Regulations, in breach of Article 40.
(2) The
person is liable to a fine of level 3 on the standard scale.
Division 3 –
Committee and its functions
55 Committee established and
members appointed
(1) The
Minister must establish and maintain an Assisted Dying Assurance and Delivery
Committee by appointing, and having the chair appoint, the required members.
(2) There
must be no fewer than 7, and no more than 15, members of the committee.
(3) Of
those members –
(a) 1 must be appointed by
the Minister as the chair; and
(b) each of the rest must be
appointed –
(i) by the Minister as a
regular member; or
(ii) by the chair as a
professional lead member.
(4) The
Minister may appoint a person as the chair only if the Minister –
(a) first consults the Jersey
Appointments Commission and considers its recommendations;
(b) is satisfied that the
person is independent and –
(i) is not a paid employee
of, and does not have a governance or management role for, a service that
provides end-of-life or other palliative care in Jersey; and
(ii) is not directly
affiliated with a group that campaigns for or against assisted dying in Jersey
or its equivalent elsewhere; and
(c) is satisfied that the
person has significant experience in supervising and assuring the provision of
health and care services to patients.
(5) The
Minister may appoint a person as a regular member only if –
(a) the Minister is satisfied
that the person is 1 or more of the following –
(i) a representative of a
service that provides end-of-life or other palliative care in Jersey and is not
a service of Health and Care Jersey;
(ii) a person who has
significant experience in supervising and assuring the provision of health and
care services to patients and who is not an employee of Health and Care Jersey;
(iii) a person who is a
representative of patients and who has experienced end-of-life or other
palliative care in Jersey themselves or as provided to a family member or
friend;
(iv) an expert in medical
ethics;
(v) a person who has experience that the
Minister considers to be relevant to supervising the Service and assuring its
provision of assisted dying; and
(b) where the chair has been
appointed, the Minister first consults the chair; and
(c) where the Minister
considers it appropriate, the Minister first consults the Jersey Appointments
Commission and considers its recommendations.
(6) The
chair may appoint a person as a professional lead member only if the chair is
satisfied that the person is a senior professional in Health and Care Jersey
who has responsibility for other professionals and expertise in governance or
professional practice and standards, such as the following (or their
equivalents) –
(a) the Chief Officer;
(b) the Chief Nurse;
(c) the Medical Director.
(7) In
this Article, “Jersey Appointments Commission” means the Commission established
by Article 17 of the Employment of States of
Jersey Employees (Jersey) Law 2005.
56 Terms of reference
(1) The
Minister –
(a) must arrange for the
Committee to develop, and may arrange for the Committee to amend, the
Committee’s terms of reference that set out its procedures for performing its
functions and obligations, such as –
(i) its schedule for
meetings;
(ii) whether it must hold any
meetings in public;
(iii) how it votes and makes
decisions; and
(iv) how it resolves a
conflict of interest; and
(b) may approve the terms of
reference, giving effect to them.
(2) Before
approving the terms of reference, the Minister must consult the following
bodies or people (or their equivalents) –
(a) the Committee;
(b) the Care Commission;
(c) the Chief Officer of
Health and Care Jersey;
(d) the chair of the Advisory
Board of Health and Care Jersey (if there is such a Board); and
(e) anyone else who the
Minister thinks it is appropriate to consult.
57 Remuneration of members
and payment of expenses
(1) The
chair and the regular members of the Committee must be –
(a) paid the remuneration (if
any) that is set by, or calculated in accordance with, a decision of the
Minister; and
(b) repaid for the reasonable
expenses that they claim.
(2) The
annual income of the States of Jersey must be used to –
(a) make those payments; and
(b) pay the expenses for the
administration of the Committee.
58 Functions and obligations
(1) The
Committee’s –
(a) main function is to
supervise the Service’s establishment and to continue to supervise the
Service’s provision of services, and includes any related function that is
directed by the Minister; and
(b) other functions and
obligations are as set out in this Law.
(2) The
Committee must follow the procedures in its terms of reference when performing its
functions and obligations.
(3) The
Committee must –
(a) ensure that the Service
operates in compliance with this Law and the Regulation of Care
(Jersey) Law 2014; and
(b) ensure that the Service
has regard to the operational guidance in its operation.
59 Approval of drugs
(1) The
Committee must approve any of the following (including any combination of them)
for the purpose of causing the assisted death of individuals –
(a) a medicinal product, as
defined in Article 2 of the Medicines (Jersey)
Law 1995;
(b) a controlled drug that is
subject to an Order’s provisions that are described by Article 12(3) of
the Misuse of Drugs
(Jersey) Law 1978.
(2) Before
approving the products or drugs, the Committee must consult the persons who it
thinks it is appropriate to consult, including persons who have functions
relating to, and knowledge of, medicinal products and controlled drugs.
60 System that holds
individuals’ records
The Committee
must arrange for the development and maintenance of a system that –
(a) holds individuals’
records and other information for the period, and in the way, specified in the
requirements described in Article 62(a)(iii); and
(b) may or may not be
electronic, either wholly or partly.
61 Register of assisted
dying practitioners and certifying doctors
(1) The
Committee must arrange for the development and maintenance of a register
that –
(a) records each person who
is in the role of a type of assisted dying practitioner or of a certifying
doctor; and
(b) may or may not be
electronic, either wholly or partly.
(2) The
Committee must ensure that the Service registers information, and deals with
the register, appropriately.
62 General information,
standards for services and retention requirements
The Committee –
(a) must arrange for the
Service or another supplier to develop or amend the following
information –
(i) general information
about the assisted dying process, including the information set out in
Schedule 1;
(ii) standards for services
in relation to assisted dying, and procedures for investigating and resolving
complaints about the services that they or others have received; and
(iii) requirements for
retaining individuals’ records and other information held by the Service
(including the period for which, and the way in which, the information must be
retained);
(b) must require the Service
or other supplier to consult the persons required by Article 68 in
developing or amending the information;
(c) may approve the
information;
(d) must –
(i) decide that the approved
information should be made available to the public under Article 69; or
(ii) decide that the approved
information should be made available only to relevant persons under
Article 70, and decide the further matters under that Article; and
(e) must arrange for the
Service or another supplier to publish, or make available, the approved
information in that way.
63 Operational guidance
(1) The
Committee –
(a) may arrange for the
Service or another supplier to develop or amend operational guidance on a
matter, meaning guidance about how a professional is to comply with a requirement,
or carry out a practical matter, under this Law in relation to assisted dying;
(b) must require the Service
or other supplier to consult the persons required by Article 68 in
developing or amending the operational guidance;
(c) may approve the operational
guidance;
(d) may –
(i) decide that the
operational guidance should be made available to the public under Article 69;
or
(ii) decide that the
operational guidance should be made available only to relevant persons under
Article 70, and decide the further matters under that Article; and
(e) may arrange for the
Service or another supplier to publish, or make available, the approved
operational guidance in that way.
(2) There
must be operational guidance about –
(a) the right to refuse to
participate in assisted dying;
(b) having appropriate
conversations with patients about assisted dying;
(c) holding, indexing and
giving access to individuals’ records;
(d) the registration of
assisted dying practitioners;
(e) the places of assisted
deaths;
(f) independent advocacy,
communication support and support for interpretation of languages;
(g) assessing individuals for
assisted dying;
(h) how to identify –
(i) risk factors that
increase the likelihood of someone’s exposure to coercive control or domestic,
emotional, financial or other types of abuse, such as their sex, sexual
orientation, gender identity, age, disability or socio-economic disadvantage;
and
(ii) whether someone has been
coerced or pressured to do something;
(i) care planning for
individuals;
(j) prescribing and
dispensing approved drugs;
(k) administering approved
drugs, including detailed protocols for how to deal with a medical
complication;
(l) donating organs;
(m) disclosing interests and
deciding whether they conflict; and
(n) disclosing information
about health professionals to a body that regulates their profession or to an
enforcement authority (in Jersey or elsewhere).
(3) There
may be operational guidance about another matter only if the Minister agrees to
that.
(4) A
person’s compliance with, or breach of, operational guidance –
(a) does not in itself mean
that they have complied with, or breached, a requirement under this Law; but
(b) may be used as evidence
in –
(i) the prosecution of an
offence (in Jersey or elsewhere);
(ii) disciplinary proceedings
about a health professional’s practice by their employer or a body that
regulates their profession (in Jersey or elsewhere); or
(iii) disciplinary proceedings
about a care navigator’s performance by their employer.
64 General guidance
(1) The
Committee –
(a) may arrange for the
Service or another supplier to develop or amend general guidance on a matter,
meaning guidance about how someone who is not, or is not acting as, a
professional is to carry out a practical matter under this Law in relation to
assisted dying;
(b) must require the Service
or other supplier to consult the persons required by Article 68 in
developing or amending the general guidance;
(c) may approve the general
guidance;
(d) may –
(i) decide that the general
guidance should be made available to the public under Article 69; or
(ii) decide that the general
guidance should be made available only to relevant persons under Article 70,
and decide the further matters under that Article; and
(e) may arrange for the
Service or another supplier to publish, or make available, the approved general
guidance in that way.
(2) There
must be general guidance –
(a) about how to
identify –
(i) risk factors that
increase the likelihood of someone’s exposure to coercive control or domestic,
emotional, financial or other types of abuse, such as their sex, sexual
orientation, gender identity, age, disability or socio-economic disadvantage;
and
(ii) whether someone has been
coerced or pressured to do something; and
(b) for families and carers
of an individual.
65 Competencies
(1) The
Committee –
(a) may arrange for the
Service or another supplier to develop or amend the competencies that are
required to perform the role of an assisted dying practitioner or a certifying
doctor;
(b) must require the Service
or other supplier to consult the persons required by Article 68 in
developing or amending the competencies;
(c) may approve the
competencies;
(d) may –
(i) decide that the approved
competencies should be made available to the public under Article 69; or
(ii) decide that the approved
competencies should be made available only to relevant persons under
Article 70, and decide the further matters under that Article; and
(e) may arrange for the
Service or another supplier to publish, or make available, the approved
competencies in that way.
(2) The
competencies must specify requirements relating to –
(a) capabilities,
including –
(i) professional skills
(such as practical, communication and clinical skills);
(ii) professional knowledge;
and
(iii) professional values and
behaviours (such as those relating to professional and ethical responsibilities
and safeguarding vulnerable patients);
(b) training (other than
training developed under this Law) and professional qualifications; and
(c) being professionally
registered (such as the duration of registration).
(3) There
must be competencies for –
(a) an assessing doctor;
(b) an administering
practitioner;
(c) a pharmacy professional;
(d) an extended team member;
and
(e) a certifying doctor.
(4) But
there may be separate competencies for other roles, including a role within a
wider role covered by paragraph (3), as the Committee thinks appropriate.
66 Training for
professionals involved in assisted dying
(1) The
Committee –
(a) must arrange for the
Service or another supplier to develop or change the following training that
must be completed by an assisted dying practitioner, a certifying doctor or a
care navigator –
(i) the initial training required before
registration with the Service;
(ii) the
continuing training required, at the intervals set by the Committee, to remain
registered with the Service;
(b) must require the Service
or other supplier to consult the persons required by Article 68 in
developing or changing the training;
(c) may approve the training;
and
(d) must arrange for the
Service or another supplier to provide the approved training.
(2) There
must be training that covers –
(a) the aspects of the
assisted dying process that are relevant for each role, including training
about –
(i) the requirements of this
Law;
(ii) operational guidance;
(iii) risk; and
(iv) the safety and well-being
of the professional performing the role;
(b) the technical knowledge
required to perform each role, such as –
(i) the administration of
approved drugs by an administering practitioner, including how to deal with a
medical complication; or
(ii) the certification of an
individual’s assisted death by a certifying doctor;
(c) how to identify –
(i) risk factors that
increase the likelihood of someone’s exposure to coercive control or domestic,
emotional, financial or other types of abuse, such as their sex, sexual
orientation, gender identity, age, disability or socio-economic disadvantage;
and
(ii) whether
someone has been coerced or pressured to do something.
(3) The
Committee must set the intervals at which the continuing training must be
completed for each role.
67 Other training
(1) The
Committee –
(a) must arrange for the
Service or another supplier to develop or change training on –
(i) how to identify –
(A) risk factors that increase
the likelihood of someone’s exposure to coercive control or domestic,
emotional, financial or other types of abuse, such as their sex, sexual
orientation, gender identity, age, disability or socio-economic disadvantage;
and
(B) whether someone has been
coerced or pressured to do something; and
(ii) having appropriate
conversations with patients about assisted dying;
(b) may arrange for the
Service or another supplier to develop or change training on other matters
relating to assisted dying;
(c) must require the Service
or other supplier to consult the persons required by Article 68 in
developing or changing the training;
(d) may approve the training;
and
(e) must arrange for the
Service or another supplier to provide the approved training.
(2) The
training described in paragraph (1)(a)(i) is to
be provided, on an ongoing basis, to agencies and services for which the
training is relevant (such as Jersey Domestic Abuse Support).
(3) The
other training under this Article is intended for –
(a) assisted dying
practitioners, certifying doctors and care navigators; and
(b) anyone else who provides
health or care services in Jersey and wants to complete the training.
68 Consultation on documents
and training
(1) This
Article specifies who the Service or other supplier must consult –
(a) in developing or amending
information, guidance or competencies; or
(b) in developing or changing
training.
(2) They
are –
(a) the persons (if any) that
the Committee or the Minister requires it to consult; and
(b) anyone else that the
Service or other supplier thinks it is appropriate to consult.
(3) In
deciding on the persons who should be consulted, the Committee, the Minister,
the Service or the other supplier must take into account
each person’s functions and knowledge of health professionals’ practice.
69 Publication of documents
for public
(1) This
Article applies if the Committee decides that approved information, guidance or
competencies should be made available to the public.
(2) The
approved information, guidance or competencies are to be published –
(a) electronically,
including on a website maintained by or for the Committee; and
(b) in a style and format
that is accessible, meaning that the individual or group for which they are
intended is able to read or receive them and
understand them (and which may include alternative formats, such as large print
or braille).
70 Publication of documents
for relevant persons
(1) This
Article applies if the Committee decides that approved information, guidance or
competencies (“documents”) should be made available only to relevant persons.
(2) The
Committee must decide –
(a) who are the relevant
persons to whom the documents are to be made available;
(b) the extent of the
documents to be made available; and
(c) the way in which the
documents are to be made available.
(3) The
documents may be made available in full or part to all or some relevant persons
(for example, practitioners may have access to all, but others have access to
only some, parts of the competencies).
(4) The
documents may be made available in any form that the Committee thinks is
appropriate (for example, by provision of a paper copy or a link to a website).
(5) In
deciding matters under this Article, the Committee must –
(a) consider whether any
person could misuse the documents (for example, by using information about
assessments to manipulate the assisted dying process); and
(b) consult the Minister.
71 Support for individuals,
connected people and professionals
(1) The
Committee must arrange for the Service or another supplier to develop and
provide support (such as counselling) for –
(a) individuals and their
connected people; and
(b) assisted dying
practitioners, certifying doctors and care navigators.
(2) The
purpose of the support is to help the person deal with any negative effects of
their involvement in the assisted dying process.
72 Investigation of
professionals
The Committee may, in
accordance with Regulations made under this Law –
(a) investigate the practice
of an assisted dying practitioner or a certifying doctor, or the performance of
a care navigator, so far as it relates to assisted dying; and
(b) after
investigating –
(i) recommend the suspension
or cancellation, or the ending of the suspension, of the person’s registration
for a role under Article 88; or
(ii) take other action in
relation to the person.
73 Disclosure of information
(1) The
Committee must not disclose information about the practice of an assisted dying
practitioner or a certifying doctor, or the performance of a care navigator,
that it receives from the Service, from its own investigations or otherwise.
(2) But
the Committee may disclose the information in any of the circumstances
described in Article 41(2)(a) to (g).
(3) The
Committee must have regard to the operational guidance referred to in Article 63(2)(n)
(about disclosing information about health professionals to a body that
regulates their profession or an enforcement authority) for any relevant
disclosure of information.
74 Collection and analysis
of information
(1) The
Committee must collect and analyse information about assisted dying, including information
about –
(a) each
individual who requests assisted dying and the outcome of their assisted
dying process;
(b) the Service’s compliance
with this Law and how it has regard to the operational guidance approved under
this Law;
(c) the Service’s compliance
with its standards for services in relation to assisted dying; and
(d) the Service’s
investigation and resolution of complaints about the services that people have
received.
(2) The
Committee must collect and analyse the information for the purpose of –
(a) identifying any trends or
issues with assisted dying (such as whether requests for assisted dying by
individuals with similar conditions indicates a problem with treatment or care
for the condition);
(b) reporting under Articles
75 and 76; and
(c) assuring the proper
provision of services relating to assisted dying.
(3) The
Committee must, before the Service is established, consult the Medical Officer
of Health about how it should collect and analyse information under this
Article.
75 Reports each year
(1) The
Committee must report the following information to the Minister and the Care
Commission for each year –
(a) the number of individuals
who made a first request for assisted dying (by completing step 1);
(b) the number of individuals
whose requests for assisted dying were approved (at step 5);
(c) the number of individuals
who (at step 6) made their final request for assisted dying and waived the
requirement for future capacity;
(d) the number of individuals
who withdrew their request for assisted dying under Article 15, and the
step in the assisted dying process at which each request was withdrawn;
(e) the number of individuals
who died from an assisted death, separately by –
(i) whether approved drugs
were administered by themselves or by the administering practitioner; and
(ii) how the approved drugs
were administered, such as swallowing or injection;
(f) the number of assessments
done for each individual and in total, whether at step 2 (first assessment) or
step 3 (independent assessment), including –
(i) second opinion
assessments done under Article 33; and
(ii) relevant opinions of professionals,
whether or not involving examination, given under Article 31;
(g) for each
individual to whom approved drugs were administered –
(i) the period between the
approval of their request for assisted dying and their assisted death;
(ii) the medical
complications (if any) during or after the administration of the drugs;
(iii) whether (at step 7) the
practitioner was not satisfied that the individual had capacity to make a final
request for assisted dying but the individual had (at step 6) made their final
request for assisted dying and waived the requirement for future capacity; and
(iv) if clause (iii) applies,
whether the individual showed any refusal of, or resistance to, the approved
drugs’ administration (meaning that their assisted death was not carried out);
(h) for each individual and
in total, the number of appeals made to the Royal Court under Article 42
and the grounds for and outcomes of the appeals;
(i) personal details about
all individuals who made a first request for assisted dying, all individuals
whose requests for assisted dying were approved, all individuals who withdrew
their request for assisted dying and all individuals who died from an assisted
death, such as the following –
(i) age;
(ii) gender;
(iii) physical condition
expected to cause their death;
(iv) use of end-of-life or
other palliative care when they made the first request for assisted dying;
(v) main language and any additional languages
used;
(vi) use of independent
advocacy and communication support;
(vii) a protected characteristic
under the Discrimination
(Jersey) Law 2013;
(j) any other information
about assisted dying that the Committee decides on.
(2) The
Committee must, before the Service is established, consult the Medical Officer of
Health about –
(a) which personal details of
individuals should be reported under paragraph (1)(i),
and particularly under paragraph (1)(i)(vii);
and
(b) which additional
information should be reported under paragraph (1)(j).
(3) The
Committee must give each report to the Minister and the Care Commission no
later than 31 March in the year after the year to which the report relates.
(4) The
Minister must, as soon as reasonably practicable after receiving a
report –
(a) consult the Medical
Officer of Health about which information should be excluded under
sub-paragraph (b);
(b) prepare a version of the
report (the “public report”) that excludes –
(i) any information
described in Article 41(1)(a) or (c) (allowing identification of people or
approved drugs); and
(ii) any information
described in Article 41(1)(b) (about the carrying out of an individual’s
assisted death) that is of a private nature, such as information about any
medical complications during or after the administration of the drugs;
(c) present the public report
to the States Assembly; and
(d) publish the public
report –
(i) electronically,
including on a website maintained by or for the Minister; and
(ii) in a style and format
that is accessible, meaning that the individual or group for which it is
intended is able to read or receive it and understand
it (and which may include alternative formats, such as large print or braille).
76 Other reports
The Committee –
(a) must report to the
Minister on any matter relating to assisted dying, as requested by the
Minister; and
(b) may report to the
Minister on any matter relating to assisted dying, as it thinks appropriate.
77 Requests for, and
responses to, Review Panel’s reviews
(1) The
Committee may request that the Review Panel review (under Article 97(1)(b))
an individual’s assisted dying process that ended before their assisted death
for the purpose of ensuring that the Service operates in compliance with this
Law and having regard to operational guidance approved under this Law.
(2) The
Committee –
(a) must consider the
decisions, findings and recommendations (if any) in a report that it receives
from the Review Panel under Article 97 or 98;
(b) may accept and act on a
recommendation, or reject a recommendation and do anything else that it thinks
best; and
(c) must send to the Care
Commission a copy of the report, details of the action it proposes to take (if
any) and its reasons for taking or not taking action.
78 Review of Law’s
implementation
The Committee must,
within 3 years after the rest of this Law comes into force under
Article 105(3), carry out and publish a review of how this Law is
operating.
79 Involvement of people
with disabilities in Law’s implementation
(1) The
Committee must consult appropriate representatives –
(a) in carrying out its main
function under Article 58(1); and
(b) in carrying out and
publishing the review under Article 78.
(2) In
this Article, “appropriate representatives” means persons that the Committee
considers to be representative of people with disabilities who are resident in
Jersey.
Division 4 –
Service and its functions
80 Service established
(1) The
Minister must make every effort to establish and maintain an Assisted Dying
Service, regardless of their or others’ views about assisted dying.
(2) The
provider of the Service must be –
(a) Health and Care Jersey,
acting for the Minister; or
(b) if required by
Regulations, another provider.
(3) If
the Minister cannot establish and maintain the Service, they must present a
report to the States Assembly stating –
(a) why they think the
Service cannot currently be established and maintained;
(b) what they have done, and
still intend to do, to try to establish and maintain the Service; and
(c) what they recommend is
decided by the States Assembly to help the Minister to try to establish and
maintain the Service.
(4) Before
presenting the report, the Minister must consult the persons that the Minister thinks
are representative of those affected by the establishment or absence of the
Service.
81 Service has exclusive
functions and fees are restricted
(1) The
Service must provide assisted dying by arranging for the assisted dying process
to be carried out for individuals, including by arranging the provision of the
following, as required by the Committee –
(a) the services of assisted
dying practitioners, certifying doctors and care navigators;
(b) support (such as
counselling) relating to assisted dying for individuals and their connected
people and for assisted dying practitioners, certifying doctors and care navigators;
and
(c) independent advocacy,
communication support and support for interpretation of languages.
(2) No
other person may provide, or purport to provide, assisted dying.
(3) A
person who, in any way (including in writing or by broadcast), promotes or
advertises assisted dying or the Service –
(a) may do so only by giving
information –
(i) about the availability
of assisted dying and related services;
(ii) about where more
information on assisted dying can be found;
(iii) about their role in
assisted dying; or
(iv) that supports awareness
and understanding of assisted dying; and
(b) must not do so with the
intention of persuading or encouraging anyone to have an assisted death.
(4) But
a person must not give the information described in paragraph (3)(a) in
writing at the place at which a doctor carries out general practice unless the
recipient is together in person with a health professional.
(5) The
Service must not charge an individual for any part of the assisted dying
process except as allowed by Regulations (if any).
82 Keeping and giving access
to individuals’ records
(1) The
Service must keep an individual’s records.
(2) The
Service must give access to, or copies of, an individual’s records to –
(a) the relevant persons, and
to the extent and in the way, that the Committee decides upon under Article 70,
which applies as if the records were documents to which that Article applies;
(b) the Review Panel, for the
purposes of a review under Article 97; and
(c) the Care Commission, for
the purposes of an inspection, or its decision whether to inspect, under the Regulation of Care
(Jersey) Law 2014.
83 Registration of assisted
dying practitioners and certifying doctors
(1) A
person may apply in writing to the Service to register them as –
(a) 1 or more of the
following types of assisted dying practitioner –
(i) a co-ordinating doctor;
(ii) an assessing doctor who
is not a co-ordinating doctor;
(iii) an administering
practitioner;
(iv) a pharmacy professional;
(v) an extended team member; or
(b) a certifying doctor.
(2) The
application –
(a) must contain, or be
accompanied by, the information required by the Committee or under this Law;
(b) must contain the person’s
statement that they believe that the information is true and complete;
(c) must be made in the form
(if any) approved by the Committee; and
(d) must be signed by the
person.
(3) The
Service must register a person for a role if it is satisfied that –
(a) it has the information
required to register the person;
(b) the person has the
competencies required for the role;
(c) the person has completed
the initial training for the role under this Law;
(d) the person has complied
with Article 85 and is not, in an interests review officer’s opinion,
someone who should not perform the role; and
(e) if applicable, the person
has a responsible officer (under the Medical Practitioners
(Registration) (Responsible Officers) (Jersey) Order 2014).
84 Renewal of registration
of assisted dying practitioners
(1) An
assisted dying practitioner may apply in writing to the Service to renew their
registration by applying no earlier than 9 months, and no later than
15 months, after their most recent registration date.
(2) The
application –
(a) must contain, or be
accompanied by, the information required by the Committee or under this Law;
(b) must contain the person’s
statement that they believe that the information is true and complete;
(c) must be made in the form
(if any) approved by the Committee; and
(d) must be signed by the
person.
(3) The
Service must renew a person’s registration if it is satisfied that –
(a) it has the information
required to renew the registration;
(b) the person still has the
competencies required for the role;
(c) the person has completed
the continuing training for the role under this Law at the intervals set by the
Committee;
(d) the person has complied
with Article 85 and is not, in an interests review officer’s opinion,
someone who should not perform the role; and
(e) the person still has a
responsible officer (under the Medical Practitioners
(Registration) (Responsible Officers) (Jersey) Order 2014).
(4) The
Service must record the date on which the registration is renewed as the day
that is 12 months after the person’s most recent registration date.
(5) If
a practitioner’s registration is not renewed by the day that is 14 months
after their most recent registration date, the Service must give them a written
notice warning them about the periods in paragraphs (1) and (6).
(6) If
an assisted dying practitioner does not renew the registration for their role,
their registration ends 18 months after their most recent registration
date.
(7) A
person’s “most recent registration date” is the day on which –
(a) they were first
registered for their role, if it has never been renewed; or
(b) their registration was
most recently renewed.
85 Disclosure of interests for
registration
(1) This
Article requires certain people to –
(a) complete and sign a form
disclosing their interests (if any) that might, or might be seen to, conflict
with any individuals’ interests in the assisted dying process; and
(b) give the form to the
Service.
(2) The
people are anyone who –
(a) is applying to be
registered for a role;
(b) is an assisted dying
practitioner applying to renew their registration for a role; or
(c) is registered for a role
and becomes aware that there has been a relevant change in their interests.
(3) If
the person’s form discloses 1 or more interests –
(a) the Service must give it
to an interests review officer; and
(b) the officer must review
the form and decide whether the disclosed interests might, or might be seen to,
conflict with any individuals’ interests in their assisted dying process to
such an extent that, in the officer’s opinion, the person should not perform
the role.
86 Information on register
(1) The
Service must record the following information on the
register for each person registered for a role –
(a) their name;
(b) their role;
(c) the name of the body that
regulates their profession, and the number (if any) given to them as
professionally registered, in –
(i) Jersey; and
(ii) the United Kingdom;
(d) whether their contract of
employment with the Service is a contract of direct employment or a contract
for service;
(e) the interests (if any)
that they disclosed in their most recent form under Article 85;
(f) the date on which they
were first registered for the role;
(g) for an assisted dying
practitioner who has renewed their registration, the 1 or more dates on which
it was renewed;
(h) the dates on which they
completed their initial training, and any continuing training, for the role
under this Law;
(i) the date by which they
must complete their next continuing training under this Law; and
(j) the date on which their
registration for the role ended and the reason it ended, if applicable.
(2) The
Service must record information on the register as soon as reasonably
practicable after receiving it, as required by the Committee or under this Law.
87 Changes to details on
registers
(1) An
assisted dying practitioner or a certifying doctor must tell the Service –
(a) as soon as reasonably practicable
after it happens –
(i) that they are suspended
from being professionally registered (in Jersey or the United Kingdom);
(ii) that they are no longer
professionally registered (in Jersey or the United Kingdom); or
(iii) that their professional
registration (in Jersey or the United Kingdom) has had conditions or
restrictions imposed on it; or
(b) within 7 days after
becoming aware of it, that something has happened that may affect their
professional registration (in Jersey or the United Kingdom) or their
registration with the Service.
(2) An
assisted dying practitioner or a certifying doctor must tell the Service, as
soon as reasonably practicable after it happens, that any other information
recorded on the register for them has changed.
(3) The
person must tell the Service something under paragraph (1) or (2)
by –
(a) giving written notice of
it to the Service; or
(b) including it in an
application to renew their registration.
88 Suspension or
cancellation of registration
(1) The
Service must –
(a) suspend a person’s
registration for a role if they are suspended (even if on an interim basis)
from being professionally registered (in Jersey or the United Kingdom); or
(b) end the suspension of the
person’s registration for the role if their suspension from being
professionally registered ends.
(2) The
Service must cancel a person’s registration for a role if they are no longer
professionally registered (in Jersey or the United Kingdom).
(3) The
Service may suspend or cancel, or end the suspension of, a person’s
registration for a role as recommended by the Committee under Article 72.
89 Surrender of registration
The Service must remove a
person’s registration for a role as soon as reasonably practicable after they
apply in writing to the Service for that removal.
90 Disclosure of information
on register or about practice
(1) The
Service must ensure that the following information is not disclosed –
(a) information on the
register (to protect the privacy of the people registered on it);
(b) information it holds
about the practice of an assisted dying practitioner or a certifying doctor or
the performance of a care navigator.
(2) But
the Service may disclose the information –
(a) to the Committee; or
(b) to anyone else in any of
the circumstances described in Article 41(2)(a) to (g).
91 Development and
publication or provision of documents and training
(1) The
Service must, if and as required by the Committee –
(a) develop or amend
information, guidance or competencies (“documents”);
(b) consult persons in
developing or amending the documents;
(c) have the documents
approved by the Committee; and
(d) publish, or make
available, the documents.
(2) The
Service must, if and as required by the Committee –
(a) develop or change
training;
(b) consult persons in
developing or changing the training;
(c) have the training
approved by the Committee; and
(d) provide the training.
92 Publication of forms
The Service must publish
the forms to which Article 102 applies, as required by the Committee.
Division 5 –
Review Panel and its functions
93 Review Panel established
(1) The
Minister must establish and maintain an Assisted Dying Review Panel by
appointing the number of members that are required by Order and in the way
required by Order.
(2) The
Minister may appoint a person as a member only if the person –
(a) has the knowledge and
expertise in certain areas, as specified by Order; and
(b) is recommended by the
Committee.
(3) The
Committee may recommend a person as a member, whether or not
they are a States’ employee or another employee, as long as
the Committee is satisfied that the person’s interests do not conflict with any
individuals’ interests in the assisted dying process.
94 Terms of reference
(1) The
Minister –
(a) must arrange for the
Committee to develop, and may arrange for the Committee to amend, the Review
Panel’s terms of reference that set out its procedures for performing its
functions and obligations, such as –
(i) its schedule for
meetings;
(ii) how it votes and makes
decisions; and
(iii) how it resolves a
conflict of interest; and
(b) may approve the terms of
reference, giving effect to them.
(2) Before
approving the terms of reference, the Minister must consult the following
bodies or people (or their equivalents) –
(a) the Care Commission; and
(b) anyone else who the
Minister thinks it is appropriate to consult.
95 Remuneration of members
(1) The
members of the Review Panel, other than members who are States’ employees, must
be –
(a) paid the remuneration (if
any) that is set by, or calculated in accordance with, a decision of the
Minister; and
(b) repaid for the reasonable
expenses that they claim.
(2) The
annual income of the States of Jersey must be used to –
(a) make those payments; and
(b) pay the expenses for the
administration of the Review Panel.
96 Functions and obligations
(1) The
Review Panel’s functions and obligations are as set out in this Division.
(2) The
Review Panel must follow the procedures in its terms of reference when
performing its functions and obligations.
97 Report from review of
completed assisted death or incomplete assisted dying process
(1) The
Review Panel must review –
(a) each
individual’s assisted death that is carried out;
(b) an individual’s assisted dying
process that ended before their assisted death, if requested by the Committee.
(2) In
reviewing an individual’s assisted death or assisted dying process, the Review
Panel –
(a) must review all of the individual’s records;
(b) may request and, if provided,
review relevant information from any person; and
(c) must decide whether the
individual’s assisted dying process complied with this Law and had regard to
operational guidance approved under this Law.
(3) After
its review, the Review Panel must report to the Committee –
(a) its decisions and
findings from the review; and
(b) its recommendations (if
any) to deal with its findings, and its reasons for the recommendations.
(4) A
review must otherwise comply with the procedures and time frames (if any)
provided by Order.
98 Report from analysis of
reviews of assisted deaths
(1) The
Review Panel must, when reasonably practicable, analyse the reports from 2 or
more of its reviews to decide whether to recommend –
(a) any general changes or
improvements in the assisted dying process; or
(b) any potential
investigation into, or proceedings about, a professional’s practice or
performance.
(2) After
its analysis, the Review Panel must report to the Committee –
(a) its decisions and
findings from the analysis; and
(b) its recommendations (if
any) to deal with its findings, and its reasons for the recommendations.
Part 4
Secondary
legislation, forms and final matters
99 Regulations
(1) The
States may by Regulations –
(a) provide for the
appointment of independent advocates to help individuals in relation to a
request for, or the process of, assisted dying, and provide for –
(i) how an independent
advocate can help an individual (for example, by providing support and advocacy
for the individual to understand options for, or aspects of, end-of-life or
other palliative care or assisted dying or to convey the individual’s views and
wishes about them);
(ii) which individuals
qualify for help from an independent advocate;
(iii) how an advocate is
independent (for example, by being independent of all others who have a
personal or professional relationship with the individual);
(iv) who appoints an independent
advocate and how they are appointed;
(v) the training that must be completed by an
independent advocate;
(vi) the professional
qualifications that an independent advocate must have;
(vii) the payment of
remuneration to, and for the expenses of, an independent advocate;
(b) specify an activity that must not be done in a safe access zone
(see Article 40), such as doing anything intentionally or
recklessly –
(i) to obstruct someone’s
involvement in the assisted dying process; or
(ii) to harass someone for
their involvement in, or contact with someone involved in, the assisted dying
process;
(c) define a safe access zone at, and near, a place at which –
(i) any part of the assisted
dying process is carried out;
(ii) the Service operates; or
(iii) an assisted dying
practitioner, a certifying doctor or a care navigator is employed;
(d) specify the period during which activities must not be done in a
safe access zone, whether a limited period or always;
(e) define the safe access zone as –
(i) particular
boundaries around a particular place; or
(ii) a class of zones with
certain features (for example, the area within 100 metres of the boundary
of any private property at which an individual’s assisted death is to be
carried out);
(f) amend Part 2 or Article 1, or insert or delete a
provision of this Law, to cover matters similar to the
matters covered in Part 2, but only if the amendments do not affect whether
an individual is eligible for assisted dying and are required to give effect to
a recommendation that is –
(i) made by the Review Panel
under Article 98(1)(a); and
(ii) accepted by the
Committee under Article 77(2)(b);
(g) amend Article 41, 73 or 90, or insert or delete a provision
of this Law, to change the information that a person is banned from disclosing
and any exceptions to the ban;
(h) amend Article 49, 50 or 51, or insert or delete a provision
of this Law, to change an offence, or create a new offence, in relation
to –
(i) purporting that
something or someone is an assisted dying practitioner, a certifying doctor, a
care navigator or the Service; or
(ii) promoting or advertising
assisted dying or the Service;
(i) amend Part 3, Division 3, or
insert or delete a provision of this Law, to change the functions or
obligations that the Committee must perform in relation to assisted dying
(including to remove all functions and obligations if the Service cannot be
established or maintained);
(j) provide for how the
Committee may, for the purposes of Article 72 –
(i) investigate a person’s
practice or performance; and
(ii) after investigating,
recommend the suspension or cancellation, or the ending of the suspension, of the
person’s registration for a role, or take other action in relation to the
person;
(k) require the Service to be provided by another provider, for the
purposes of Article 80(2)(b);
(l) provide for the transfer, from the existing provider to the new
provider, of employees, equipment, facilities, individuals’ records,
responsibility for individuals or anything else related to the Service;
(m) amend any of the following
provisions, or insert or delete a provision of this Law, to cover matters similar to the matters covered in those provisions, but only
if the amendments do not affect whether an individual is eligible for assisted
dying and are required because of changing the provider of the Service –
(i) Article 1 (interpretation);
(ii) Articles 19 to 22
(disclosure of interests in relation to individuals or independent
assessments);
(iii) Article 34 (prescribing,
preparing and dispensing approved drugs);
(iv) Article 41 (disclosure
of information about people or approved drugs);
(v) Part 3, Division 3, 4 or 5
(Committee, Service or Review Panel and their functions);
(n) amend another enactment as a consequence of changing the provider of the Service;
(o) amend Part 3, Division 5, or insert or delete a
provision of this Law, to change the functions or obligations that the Review
Panel must perform in relation to assisted dying (including to remove all
functions and obligations if the Service cannot be established or maintained);
(p) require an individual to pay a fee for all or part of the
assisted dying process;
(q) create an offence for a breach of this Law, or of Regulations or
an Order made under this Law, with a penalty no greater than a fine of
level 3 on the standard scale;
(r) create a civil remedy, for an employee or a partner who
experiences detriment under Article 38, that can be awarded by a tribunal
or a court, including matters such as –
(i) a right to compensation
or continued employment or partnership (as under Article 77 of the Employment (Jersey)
Law 2003, for example);
(ii) provision for appeals;
or
(s) provide for matters that are
consequential on, or for the transition that occurs on, this Law coming into
force or the Regulations coming into force.
(2) The
Minister must, before lodging a proposition containing draft Regulations to be
made –
(a) under
paragraph (1)(b) to (e) –
(i) be satisfied that the
specified activities and periods, and defined zones, are only as broad as is
required to preserve the safety of people involved in, or the integrity of, the
Service, the Committee, the Panel or the assisted dying process, while
preserving the people’s privacy as far as reasonably practicable; and
(ii) consult the persons that
the Minister thinks it is appropriate to consult;
(b) under
paragraph (1)(k) –
(i) be satisfied that the
new provider can provide the Service effectively, efficiently and in accordance
with this Law;
(ii) be satisfied that, under
the terms on which the new provider will provide the Service, the Minister will
remain accountable for the Minister’s obligation about maintaining the Service;
and
(iii) consult the persons that the
Minister thinks are representative of those affected by the change of
providers; or
(c) under
paragraph (1)(p), be satisfied that charging the fee is consistent with any
charging for other health and care services provided by Health and Care Jersey.
100 Orders
(1) The
Minister may by Order –
(a) specify a place, other
than in Jersey, at which a person must or may be for a specified meeting held
under this Law, for the purposes of Article 18(2);
(b) require or allow a
specified meeting held under this Law to be held electronically, instead of in
person (between people at the same place), for the purposes of
Article 18(4)(b);
(c) amend Article 55, or
insert or delete a provision of this Law, to change anything relating to the
appointment or membership of the Committee, such as –
(i) the minimum and maximum
number of members;
(ii) who appoints members and
how they are appointed, including any requirements for consultation; or
(iii) the requirements that a
person must meet to be appointed;
(d) amend Article 86, or
insert or delete a provision of this Law, to change the information that must
be recorded on the register;
(e) specify the minimum and
maximum number of members of the Review Panel, and provide for how its members
must be appointed, for the purposes of Article 93(1);
(f) specify the knowledge
and expertise in certain areas that a person must have to be appointed as a
member of the Review Panel, for the purposes of Article 93(2)(a);
(g) provide for the
procedures and time frames for the Review Panel’s review of an assisted death
or assisted dying process, for the purposes of Article 97(4);
(h) amend Schedule 1 to
change the information that must be included in the general information about
the assisted dying process, for the purposes of Article 62(a)(i);
(i) specify information that
must be contained in, or accompany, a form or an application under this Law; or
(j) provide for the
transition that occurs when the Order comes into force.
(2) Before
making an Order under paragraph (1)(d), the Minister must consult the
Committee and whoever the Minister thinks it is appropriate to consult.
101 Rules of court
The power to make rules
of court under Article 13 of the Royal Court (Jersey)
Law 1948 includes a power to –
(a) regulate and specify the
procedure for an appeal to the Royal Court under Article 42 (against a
decision made under this Law);
(b) provide for those appeals
that relate to the age and residency criteria, or relate to another matter
specified by the rules, to be determined on the basis of
only filed documents (and not an oral hearing); or
(c) provide for notices to be
given so that a person can comply with Article 8(8) or 9(1)(i) (delay in assisted dying process during appeal by person
with special interest).
102 Forms
(1) This
Article applies to a form that an individual, an assessing doctor or any other
person must or may complete and sign under this Law.
(2) The
form must contain the information that –
(a) is required by this Law
or by Order; or
(b) is required by the
Committee, after consulting the Minister and anyone that the Committee thinks
it is appropriate to consult.
(3) The form must be in the format, and on paper or
electronic, as decided by the Committee.
103 Transitional provisions
Schedule 2 provides
for the transition that occurs when this Law comes into force.
104 Amendments to other
legislation
Schedule 3 makes
amendments to other legislation that are related to this Law or are consequential
on this Law coming into force.
105 Citation and commencement
(1) This
Law may be cited as the Assisted Dying (Jersey) Law 2026.
(2) The following come into force 7 days after the
Law is registered –
(a) Article 1
(interpretation);
(b) Articles 36 to 39 (right
to refuse and protections);
(c) Articles 41(1)(c) and (2)
and 53 (disclosing information identifying approved drugs);
(d) Part 3, Divisions 2
to 5, and Schedule 1 (protection and offences, Committee, Service, Review
Panel and their functions);
(e) Articles 99 to 102 (Regulations,
Orders, rules of court and forms);
(f) Article 103 and Schedule 2
(transitional provisions);
(g) Article 104 and Schedule 3,
paragraphs 3, 6 and 7 (amendments to Homicide (Jersey) Law 1986,
Regulation of Care
(Jersey) Law 2014 and related Regulations);
(h) this Article.
(3) The
rest of the Law comes into force on a day to be specified by the States by Act.