Sunday, 22 May 2016

Liverpool Care Pathway - The Socio-Political Project

When the creep comes to slide, the swing is anyone's guess.

This is the RCM
The RCM was established in 1881 as the Matron's Aid or Trained Midwives Registration Society, but has existed under its present name since 1947. In 1881, Vita Donum Dei was the College's slogan, which meant ''Life is the gift of God''. This was an old hymn that midwives used to sing.
The Chief Executive is:
Responsible for the day-to-day running and management of the RCM, the chief executive works with the executive management team to carry out the tactical operations of the organisation working towards the RCM strategic objectives. Cathy Warwick is the current chief executive.
If ‘life is the gift of God’, the taking of life is not something to be entered into lightly.

If God does not enter into your philosophy, still, life is precious and the moral compass becomes the more steadfast and demanding. The religious establishment warned that the godless were without any moral restraint.

The great challenge of Darwinism and the rise of Atheism in the 19th Century asserted that removal of the Divine from the equation impelled moral judgement to be the more forthright and certain. A Deity is not necessary to ensure rightness of conduct.

Doctrinaire science, the Left and the new atheism were inseparable. The political actor would tread the boards with a pocket watch in hand to challenge God, if there be one, to strike him dead in 30 seconds. The crowd would stand in thrall to watch the inevitable.

The seconds ticked by and, marvel upon marvel, the human David was not struck dead and the divine Goliath made not an appearance to accept the challenge.

Owen, the founder of the Natural History Museum, did not disagree with evolution; Owen could not reconcile the removal of the Divine fingerprint that Darwinism demanded. His statue stood in the hall on the landing of the grand staircase of the great institution his efforts had founded until 2009. It was replaced with the statue of Darwin.

It has been asserted in these pages that it is not a matter of Right and Left but of right and wrong. Likewise, belief or non-belief - or disbelief - in a Supreme Being has no bearing on our actions and our moral comportment.

Whether religious or areligious; it is always correctitude which impels us and correctitude which haunts us.

A fellow student at Secondary School ever maintained that his upbringing had been all the more strict exactly because his parents were Atheists. Their Atheism demanded a moral independence from Divine intervention that had to be demonstrated and reflected in their child's comportment of himself.

A religious perspective does not necessarily command moral rectitude as may be readily demonstrated by the actions of some members of the Roman Catholic priesthood on one hand and by Islamic Fascists on the other.

This is the Daily Mail -

Midwives assist new life into the world, protecting the unborn and the mother, the bearer of the unborn. They are there to nurture and to heal, not to kill. That is the task of the Facilitator or Executioner.

It is improvident and incongruous somehow; it is unfitting, surely, that Cathy Warwick should also chair the UK’s biggest abortion provider, the British Pregnancy Advisory Service (BPAS).

Question: In a democracy, does not the tail wag the dog?

Answer: The Chief Executive has made an executive strategic decision over the heads of the membership because that, according to the RCM, is her function.

BPAS receives £25 million of public money to carry out 63,000 terminations a year on behalf of the NHS. Ann Furedi is its £145,000-a-year Chief Executive. As with euthanasia at the other end of the age spectrum, killing is lucrative and rewarding.

Her other half, Frank Furedi, revived a revamped RCP in 1978. It was distinguished from its first incarnation by its opposition to state intervention in social and economic life.

That husband Frank was a 'founding member of the Revolutionary Communist Party is mentioned in the short bio that accompanies wife Ann's picture. If that has any bearing or consequence on the story is not clear unless the Mail intends this information as if an additional slur to further emphasise and support the case for their argument, as if any were needed.

That is no more sensible than were the actions of the Loony Lefties from Rotherham Borough Council who snatched three children from their happy foster home solely on the grounds that the Foster Parents' UKIP affiliation was inappropriate and not compatible with having in their care children of ‘ethnic’ origin. Who, indeed, was the racist in that case?

That is no more sensible than were the actions of the Loony Lefties who found consort with intolerant Muslim activists to lay siege to the school where teacher, Ray Honeyford, taught to pillory him and parody his name: “Ray-cist, Ray-cist”.

To cite Frank himself:

Critical judgement of the views of groups that are culturally different from our own is to be avoided, because to be judged is to be damaged. Criticism is psychological violence. All groups in society (except of course one’s own) are to be recognised as “vulnerable”, that is, unable to stand up against the injury of having their views and their culture subject to critical scrutiny.
Mary Warnock – Review of 'Therapy Culture'
Who, indeed, was the racist in that case?

We are reaping today the results of that ignorance of the ignorant Left.

I used to have interesting discussions at our project with a visiting fire panel technician of 'ethnic' origin. I would share with him my own childhood experiences of his religion received through the filter of my father's eyes.

My father's time in North Africa during the war were a 'mind opener' for him. The locals he met gave him perspective and insight into their world view and their religion which he shared with his children. He would always say that he was 'C of E' but he would impart to us things like, "They believe in Jesus, too, but Muhammad as Prophet is greater" and "We all - Muslim, Christian and Jew - share the same God".

I would impart this to the visiting technician. He would respond, dogmatic and doctrinaire, inflexible and unwilling to depart from his position: "Of course, the problem that we Muslims have with Christianity is the Cross."

Ray Honeyford got it right.

Why the Mail should mention Ann Furedi's other half at all, apart from the RCP, is further substance that this is intended as a slur to support an argument by implication. It is not taken further nor elaborated upon. 

There is a concern, however, that the reviewer quoted above, an admirer of Frank Furedi, is the Baroness Warnock who has discussed a 'duty to die'. 

See, for instance, -
Glaring moral truth deteriorates into an intellectual debate on persons and potential persons, on non-persons and personhood. This has been reported in these pages and, therein lies substance for argument.

See, for instance, -
Liverpool Care Pathway - The Case For Brewer
Wife Ann states that abortion should be accepted "as an essential method of family planning". Therein lies substance for argument.

Herein lies substance for argument: Society, to function, has to have rules of engagement. If killing, the taking of human life, is wrong then by definition abortion is wrong. The way society has skirted round this issue is to redefine the point at which an unborn human child becomes human, or is even a person.

Wife Ann says ‘on abortion, we trust women’. The ‘We Trust Women’ campaign was launched in February. The campaign’s aim is to make abortion just another medical procedure.

Problem: Abortion is the taking of a person’s life (Sections 58 and 59 of the 1861 Offences Against the Person Act).

Solution: Redefine the personhood status of the unborn infant.

The 1967 Abortion Act provided exemptions from prosecution to permit abortions to proceed. This was the year Mr. Patrick Gordon Walker made his landmark observations in Parliament...
Liverpool Care Pathway - The Werther Defectives

Liverpool Care Pathway - When The Caring Had To Stop
1967: Fifty years.

The social scientists float their ideas for maximum impact. It is done for reason and by design to permit debate to proceed. The campaign plans are unfolding. They wish to scrap the Abortion Act and redefine the status of the unborn infant. They wish to...?
Liverpool Care Pathway – A Moral Lassitude
In 2014, Giubilini and Minerva published their Defending after-birth abortion in response to critics –
As Helga Kuhse rightly points out, the aim of our article was not that of making an altogether original contribution to the discussion about the moral status of infants. Our intent was rather to draw some conclusions which, in our opinion, had not adequately been spelt out in the past, but which nonetheless seem to follow from what authors like Michael Tooley, Peter Singer, and Jeff McMahan had written. These authors have suggested that newborns do not have a ‘serious right to life’ for reasons related to newborns limited level of neuropsychological development. Our conclusion was that when it comes to striking a balance between the alleged moral status of newborns or their alleged right to life and the interests of existing people, the latter should prevail in the same sense and to the same extent as they are agreed to prevail in the case of abortion. As Kuhse rightly wrote, we took the discussion a step further in that we claimed that parents should be able ‘to seek the death of their healthy newborn infant’ if this significantly affects for the worse their well being or that of existing siblings.
In the case of CP v Criminal Injuries Compensation Authority in 2014, Lord Justices Dyson and Treacey and Lady Justice King ruled at the Royal Courts of Justice that a foetus is “not a ‘person’”; rather it is a 'sui generis organism'. Clearly, that decision precluded any possibility that, at any stage, was a human foetus considered a human being with the right to life.

The Left, traditionally, loves a cause: the defence of a persecuted minority it perceives to be in need of protection. Unborn children, because they are unable to help themselves, are surely a silent minority in need of legal protection.

In 2004, a woman's unborn child was murdered 'terminated' in a French hospital. This is BBC News –

A woman whose pregnancy was wrongly terminated in a French hospital has lost her fight at the European Court to enshrine a foetus' right to life.

Mrs Thi-Nho Vo went to the court after French courts said the doctor could not be prosecuted for homicide as the foetus did not have the right to life.

She said it had that right under the European Convention on Human Rights.

But the Court of Human Rights ruled against her, and involuntary abortion did not constitute manslaughter.
If  unborn babes had rights, abortion would be murder.

Abortion, like euthanasia and the Liverpool Care Pathway, is a licence to kill.

Planning for a family is not shopping for children, returning to the store a delivery that was not ordered. A Child is not just a bi-product of sexual union. Just as the child must be taught responsibility, so the parent must take responsibility for the child.

Therein lies substance for argument. Whether religious or areligious; it is always correctitude which impels us and correctitude which haunts us.

Giving up a child, whether through abortion or adoption or surrogacy, cannot be an easy thing. The biological bond impels us and is, also, a source for correctitude.

The instinct to nurture is a drive that impels and which haunts the parent. It may be suppressed or become corrupted but it does not dissipate. The bond and bonding is, according to your belief, either Divine directive or what is coded into the gene to continue survival of the species.

It was not an easy thing for the 19 year old Kim West to give up her child for adoption just one week after he was born. It surely haunted her, such that, 30 years later, when that bond impelled her son to seek her out, she was impelled also to respond.

These days, pseudo-scientific psychologists have all sorts of fancy names for every manner of behaviour. It is lucrative and pays well. In this case, what is clearly the misdirected instinctual emotional bond between parent and child is called GSA (Genetic Sexual Attraction).

Parenthood is always the sum of two parts.

Roots are deep-rooted and written into our genes.They impelled author Alex Haley to write the story of his 'roots'. There is a need to know where we came from. Will 'roots' intrude upon the 'happy family' and impel the gamete or surrogate child to seek out the other part?

There is a hierarchy of influences at work that makes us what we are. There is nature which makes us; there is nurture which grounds us; there is culture which grooms us.

Wife, Ann, has pointed out that granting an abortion on the grounds of sex selection is not breaking the law.
Women give reasons why they want to end their pregnancies, and doctors sign a legal document to confirm that in their honest belief (‘good faith’) their patient meets the legal test – which is that continuation of the pregnancy would likely cause injury to the mental or physical health of the woman. - Spiked
Consideration that the intense cultural pressures on the woman may be immense and certainly such that they may very well give cause for concern for her continued mental and physical well-being may give grounds for agreeing to abortion.

There is a perverse parallel here in the innocuous logic of Baroness Warnock's 'Duty to die'...
Lady Warnock said: "If you're demented, you're wasting people's lives – your family's lives – and you're wasting the resources of the National Health Service.

"I'm absolutely, fully in agreement with the argument that if pain is insufferable, then someone should be given help to die, but I feel there's a wider argument that if somebody absolutely, desperately wants to die because they're a burden to their family, or the state, then I think they too should be allowed to die.

"Actually I've just written an article called 'A Duty to Die?' for a Norwegian periodical. I wrote it really suggesting that there's nothing wrong with feeling you ought to do so for the sake of others as well as yourself."

She went on: "If you've an advance directive, appointing someone else to act on your behalf, if you become incapacitated, then I think there is a hope that your advocate may say that you would not wish to live in this condition so please try to help her die.

"I think that's the way the future will go, putting it rather brutally, you'd be licensing people to put others down."
See also -
Liverpool Care Pathway – And The Shipman Psyche
Men and women are, or should be, social equals but, otherwise, they are not 'equal' but different. Difference does not make one better than the other; it just makes them different. It is that difference that has been lost in the feminist drive for equality. 

In neglect of the fundamental difference which defines man and woman, Feminism has become a denial of the feminine.

Strength or aptitude is not what defines the difference.

Women can do most anything a man can do but a man cannot bear a child. With difference excluded from the equation, it may very well be that, as Margaret Thatcher said, when woman becomes man's equal she becomes his superior. 

Obsession with defining 'equality' without including difference into the equation prejudices judgement. Failure or inability to acknowledge difference creates all manner of ills including Dawkins' determination to put Downs children down.

This is a scientifically-planned society and the social scientists are beavering away, moulding our lives in plain sight, and yet do we walk unaware, the fool on the hill, teetering on the edge of oblivion?
Like all sciences, social sciences evolve through the interplay of the ideas and theories of academics and the evidence that supports or refutes them.

Social scientists influence our lives usually without us being aware they are doing so.
- Economic and Social Research Council
Writing in Spiked, Furedi has accused environmentalists of 'misanthropy' for supporting cuts in population and economic growth, rather than investment in technological improvements...
The idea that civilisation is responsible for the perils we face today depicts the human species as the problem, rather than as the maker of solutions. And the most striking manifestation of this anti-humanism is the belief that, if the Earth is to survive, there will have to be a significant reduction in the number of human beings.
This position may appear incongruous with his partner's endeavours; it may be seen that these endeavours are an alternative (final) solution in the slaughter of the unborn in an abortion holocaust on a par with the medical holocaust that has proceeded over the last decade.

He stands accused by Green activists of being ‘cultish’ and of ‘crypto-Trotskyist entryism’. Certainly, members of the original RCP disappeared into the Labour party.

Pernicious and insidious is this a draught spiked with provocative theories and ideas?

This social scientist has set up a driver to slowly infuse ideas into all sides of the body politic, a persistent force that is relentless in purpose to accomplish an irreversible change in perception.

Spiked is the curious 'Hell Child' of Living Marxism, intent on giving its own slant on any and every topic. It does become readily apparent that this is a rather odd assortment of people, all a-clamour with their own particular take on the world.

Traditional perceptions have melded such that they are not so readily categorised. Husband Frank attended the World Social Summit in 2008. A fellow 'protagonist' at the summit was French economist, Jacques Attali.

Jacques Attali, leading French intellectual and former President of the European Bank for reconstruction and development, has said, "As soon as he goes beyond 60-65 years of age man lives beyond his capacity to produce, and he costs society a lot of money...euthanasia will be one of the essential instruments of our future societies."
Liverpool Care Pathway - The Insinuation Of The Unacceptable
The WSS was sponsored by Fondazione Roma. According to the EFC (European Foundation Centre) -

The history of the Fondazione Roma dates back to 1539 when, in order to fight usury, Pope Paul III issued an Edict establishing the pawn-broking institution ‘Mount of Piety of Rome’. The mission was perpetuated through a Rescript issued in 1836 by Pope Gregory XVI, in response to an initiative of worthy citizens, which then instituted the savings bank called Cassa di Risparmio di Roma that subsequently incorporated the Mount of Piety in 1937.
The Fondazione Roma is now a modern 'operating foundation' that implements projects with 'considerable social impact'.

Continuing the European connection, 

This is the 24dash –
A housing association has secured £80 million to support construction of social housing and shared ownership.

bpha announced it has secured the money, which will support the development of over 850 new social housing and shared ownership homes within the Oxford to Cambridge arc.

Over half of the money, £44 million, was raised from the European Investment Bank (EIB) under the Affordable Homes Guarantee Programme.

The Devo Next submissions are tied in with Berlaymont.

The UK dissolution continues with English RSGs.

England could never be swallowed whole. Is that the NUTS (Nomenclature des Unit├ęs Territoriales Statistiques) and Bolts of it?

At our little Supported Housing project, the Commissioners have withdrawn to deliberate and we are left in the Green Room to ponder our fate.

All lawyers are ambulance chasers and there is no justice for May.

May's daughter continues her struggle for treatment...

Thursday, 28 April 2016

Liverpool Care Pathway - Tough Times And Difficult Questions

The sum of many parts does not make up a recognisable whole. When devolution is dismemberment then is it subservience.

These are tough times for Associations. There are mergers and more are afoot.

There are horror stories from surveyors. Roof repairs just patched up. Tenants up in arms.

There are horror stories from our own ALEC. Three project workers being let go at elderly supported housing. The residents have an alarm call, but they're on their own.

County provides Supported Housing projects with funding and the funding is put out to tender. The Commissioners are demanding 50% cuts. Existing Housing Related Support funding provides for three staff here and we have been a staff member down for a year or more. Where has that been siphoned off? Will it be refunded to the Commissioners...?

In addition to the funding, the Association receives an extraordinary income from rents and service charges.

The government forced a one per cent reduction on rents last year and Associations took a hit...

Social Housing

Rents were increased by 20% over the five years from 2010. This only further bloated the Associations’ coffers, further distorting the market rents and increasing the local tax burden to pay for the Housing Benefits to pay for the increased rents which the social housing sector tenants could not afford to pay.

'Supported' is reprieved until next April but our project is under threat. There is also the impact of welfare reform.

The Mental Health Act of 1983 closed down the institutions and along came Care in the Community. Many welcomed this; many lamented it. Those locked into the system needing structure despaired at it.

Supported housing works with other services - mental health, probation, local council - as a transition toward independent living. As such it is not a cost to the community but should be counted as an integral part of the overall cost of rehabilitation that is this salvage operation.

It is calculated that this saves the taxpayer £640m annually. How that figure is arrived at or if it is even possible to calculate at all is another matter; there are too many unknowns and too many assumptions, taken without context.

According to the House of Commons Briefing Paper –

“This is because the cost effectiveness of supported housing leads to reduced involvement in crime, reliance on the health system and other social services. With this in mind, supported housing services are not adding to the deficit but are rather a key component in reducing it.
Furthermore, organisations providing supported housing have already taken their fair share of the burden to reduce the deficit. According to the National Audit Office, funding for housing related support decreased by 45% between 2011-15. Added decreases in funding would only serve to undermine the financial viability of many services, placing the most vulnerable at increased risk.”
Services are not islands, separate and immune from the context in which they sit. Services have been co-opted into engaging clients in a Homeless Health Needs Audit to inform Commissioners to prioritise and target funding.

How this stands on the broader canvas of devolution proposals currently on the table, the European Structural and Investment Fund programmes and potential Brexit is not known.

See -
Liverpool Care Pathway - When Division Is The Rule
Here is Heart of the South West -

“We invite Government to begin formal negotiation with us on our proposals and the detail behind them with a view to signing a deal during the first half of 2016.”

Press Release issued by the Devolution Project Management Office - Thursday 3 March 2016:
Devo bid to boost prosperity for South West goes to Government

Council chiefs and business leaders in Devon and Somerset have submitted their ‘prospectus for productivity’ to the Government in a bid to win more powers to boost jobs and growth.

They say they want a ‘devolution revolution’ to improve the lives of people in Devon and Somerset.

The prospectus has been submitted to the Government after being separately endorsed by every local authority in the two counties.

They say the changes they propose would result in higher productivity and better-paid jobs, improved road, rail and broadband links and more homes for the region’s growing population.

There would be radical reforms to integrate health and social care to allow the ageing population to be better looked after, tailored support for growing businesses and the creation of a centre of excellence for skills development.

The submission of the bid follows months of concentrated work by council chiefs in Devon, Somerset, Plymouth and Torbay with 13 district councils, Dartmoor and Exmoor national parks, the local NHS and the Heart of the South West Local Enterprise Partnership.

They want more powers and finance devolved from Westminster to the region so they can close the productivity gap and allow local people to benefit from a thriving economy.
The integration of health and social care is already proceeding.

HSJ reports that Northern Devon Healthcare Trust is to become the first health service organisation to enter the home care market.
“Providing high quality, consistent care at home will also help us to prevent avoidable hospital admissions,”
All-sector leaders are co-opted in the devolution proposals and discussions that are proceeding. This is corporatism. This has not been a democratic lead from the electorate. This was echoed by EDDC Councillor, Jill Elson -
Councillor Jill Elson said she had concerns about the democratic value of the deal and how much input constituents would have. She added: “If you have 19 leaders for all the councils making the decisions, how is that going to be disseminated to the elected members of all the various councils and their residents?”

Cllr Elson said there was also an issue with the health budget, because nobody knew how much it was going to cost.

“Older populations need more and more care - whether they are at home or in homes, it is not going to be financially viable because at the moment there are not enough community care workers to actually have people in their own homes,” she added.
Midweek Herald

"Healthcare, bed-blocking in hospitals and education were the major concerns raised during the latest round of East Devon District Council’s (EDDC) talks over devolution."
What lead there has come from the electorate has been through published comments upon reports in the press. Predictably, these have drawn from traditional perspectives of right and left, Tory and Labour. The perspective of the Bard was up and down. Is this devolution or dismemberment and to what end and purpose?

See also -

Liverpool Care Pathway - Of Sense And Sensibility, Sense And Nonsense
These are but brush-strokes upon the broad political canvas. Who is the painter? Is it all painting by numbers to some Grand Design?

Wait -

The 'devolution revolution' involves giving local authorities the power to retain their local taxes and spend them as they see fit, rather than have them funnelled up into Whitehall before being distributed back down again.


The devolution revolution involves giving local authorities governments the power to retain their local taxes and spend them as they see fit, rather than have them funnelled up into Whitehall Berlaymont before being distributed back down again.

Can this be? Do not the Berlaymont puppets in Whitehall want us to retain some essence of gratitude for the beneficence of EU largesse?

Demands for more transparency have made government ministers ever more secretive. The communities secretary, Greg Clark, has ignored parliamentary questions and Freedom of Information requests. Apparently, they're now all using Whatsapp to cloak their plans in further secrecy.

Whatsapp is one of the messaging services which Cameron plans to become subject to the new Investigatory Powers Bill. But not quite yet apparently.

The King of America who has ridden roughshod over American democratic process, bypassing Senate and Congress, and has backed the same EoLC Communitarian policies advised by the brothers Emanuel, Don Berwick et al is invited for a sleep over to shore up support for the Grand Design.

A Government and people which cannot speak with one voice, become a  dismembered disunity, is become a Divided Self.

Can the European concept of Subsidiarity explain this new tier of unitary authorities, each with its own Monseigneural Mayoral overseer?

The idea of 'subsidiarity' can be traced back to the 19th Century.

This notion was expounded more broadly in the Maastricht Treaty, reasserting the rights of member nation states through the subsidiarity principle and so it is not so incongruous after all.

Pertinent reading -
Liverpool Care Pathway - Murder On The NHS Express

Liverpool Care Pathway - Downsizing

Liverpool Care Pathway - Going Stateside

Liverpool Care Pathway - This Is Not 'Ageism'; It Is Communitarianism
There has never been a referendum of support for the Grand Design. What lead there came from the electorate was in support of a common market (EEC) in preference to a free trade association (EFTA).

Over time, a persistent force that is relentless in its purpose will accomplish subtle and irreversible changes in our perceptions.

How to change perceptions without really trying -
Liverpool Care Pathway - The Communitarian Nudge
Here they are, all pals together, supplying input here, across the pond and, via nudge, over on the mainland (EU)...
Behavioural Insights Team

Cass Sunstein, Don Berwick, Simon Stevens and Zeke Emanuel of the Tricky Trio Emanuel Bros.

The Sunstein groupies in the Cabinet Office BIT Team use a SMART mnemonic -
EAST (Easy, Attractive, Social, Timely).
They all love SMART. And they're all burning the midnight oil to get you to do the right thing.

Over time, a persistent force that is relentless in its purpose will accomplish subtle and irreversible changes in our perceptions.

This has happened with the creep to acceptance of euthanasia and using the body parts of the euthanased for organ harvest.

Doctors are impressed by the superior condition of lungs taken from people who are killed by lethal injection compared to those extracted from those killed in accidents.

Eurotransplant, a co-ordination group for transplants in Austria, Belgium, Croatia, Germany, Luxembourg, the Netherlands and Slovenia, has devised elaborate protocols for organ donation and transplantation after euthanasia.

Additional reading -
Liverpool Care Pathway - There Are Always Consequences

Liverpool Care Pathway - The Prequel

Liverpool Care Pathway - A Utilitarian Pathway

Liverpool Care Pathway – An Hideous Strength

Liverpool Care Pathway - The Good, The Bad, The Ugly And The Diabolical
Doctors heal, or alleviate what they cannot heal; they do not kill. That is the task of the Facilitator or Executioner.

No. That persistent force that is relentless in purpose has already accomplished much. The Assisted Dying Bill implementing the Supreme Court Ruling is before the Canadian Parliament...
"This enactment amends the Criminal Code to, among other things,

create exemptions from the offences of culpable homicide, of aiding suicide and of administering a noxious thing, in order to permit medical practitioners and nurse practitioners to provide medical assistance in dying and to permit pharmacists and other persons to assist in the process;

create new offences for failing to comply with the safeguards, for forging or destroying documents related to medical assistance in dying, for failing to provide the required information and for contravening the regulations."
Medical and Nurse Practitioners are to be the executioners and there is a new offence "for failing to provide the required information". They must make themselves complicit in the act even if they do not wish to perform the act.

A Canadian doctor pleads for the right of freedom of conscience...

This is Canadian Family Physician -
No provision in our Constitution ought to be dearer to man than that which protects the rights of conscience against the enterprises of the civil authority.
- Thomas Jefferson

A policy of regulators coercing medical professionals to jettison their moral compass, to defy their own conscience, to enact what they believe is unethical or harmful, and to abandon their lifelong values and standards to participate in care they deem destructive or unconscionable is another matter altogether.
The right of freedom of conscience is Article 18 of the 1948 Universal Declaration of Human Rights. Matthew Jones in The Guardian has called this "First among freedoms."

Additional reading -
Liverpool Care Pathway - Of Terminal Rights And Indeterminable Wrongs 
Liverpool Care Pathway - A Dying Scandal
The right of freedom of conscience is no longer politically correct.

Personal choice may not be respected or even tolerated if it does not coincide with that of the politically correct.

Thus therapy to realign sexual orientation has been outlawed in two US States. Feelings of sexual orientation are promoted positively and objectively, free of repressive moral considerations.

They are entitled to have "their sexual needs accepted and respected".

But see -
Liverpool Care Pathway - It STILL Ain't Over!

Liverpool Care Pathway - Telling It More How It Is
We are seeing more and more young people enter the mental health system, most if not all from broken or dysfunctional homes. Cameron made a call to action in child mental health. Is this another one per cent they seek?

Politicians set targets which then must be met. We have already seen where that leads...
Liverpool Care Pathway - Of Terminal Rights And Indeterminable Wrongs
A child is medicated and labelled with Emotional Conduct Disorder (ECD), a diagnosis the young man now feels no longer fits. His mother, become a single parent, became his ‘carer’, a role she reluctantly relinquishes. The young man is in limbo, without diagnosis, then is redesignated 'Personality Traits'.

There are diagnoses of Attention-Deficit Hyperactivity Disorder (ADHD) addressed with drugs instead of diet and complicated by non-compliance, cannabis or alcohol.

In the broader social context there are demands for autonomy of action but these translate into denial of responsibility of action with diagnoses such as Anti-Social Personality Disorder (ASPD).

Social issues have become medical issues.

People like James Churchill have expressed concerns about health taking social care into its fold. This has been discussed in these pages.

See, for instance -
Liverpool Care Pathway - 'Joined Up' Services
This is now policy.

In a different world, youngsters with too much energy needing a lot more time and attention, focus and direction to channel that energy were not sidled into the doctor's surgery for diagnosis and medication.

Young people in need of some guidance to make the right choices did not have money thrown at them in benefits to make the wrong choices.

Whatever you feel there is a diagnosis and a drug to deal with what you feel.

A young man who can't cope with his feelings is 'self-medicating' with alcohol. The mental health professionals refuse to deal while he continues to deal but he must stop dealing for a period of six weeks before they will deal the appropriate drug to deal with what he feels. It is an alcohol issue and they will not engage until this ceases and so he continues dealing. This is a common Catch 22 situation.

These are wasted generations.

What is today dealt with by diagnosis and containment was once, in a time of more moral certainty, given direction and expression.

Brixton, early to mid1950s: There were no drugs, except those prescribed by the doctor. Lots of kids had knives and they took them to school freely; they were penknives to sharpen a pencil, not to stick in a classmate. I could get my dad's cigarettes and the tobacconist was happy to serve me but none of the kids at school smoked. Come bonfire night kids could safely collect pennies for the guy well into evening with no harm coming to them. The police were just bobbies and respected not robocops all tooled up to tackle an invading army. It grieves me to hear places I grew up in mentioned in the news in the context of shootings and violent crime. What happened?

My dad ran the Anchor Boys and the Life Boys for the local Methodist Church. The kids looked up to him. He was in the 8th Army in the Desert Rats in the war. That's the Second World War for those too young to remember and that still meant something even then. The other kids didn't believe me when I said he was my dad. They just scoffed as if it was some childish fantasy. But I didn't mind.

In an amoral society that has surrendered traditional mores for autonomy of action and sown the seeds of confusion there is much to lament and more to regret. Inappropriate role models will provide inappropriate direction and expression.

Unformed minds do need guidance and direction, understanding and certainty. Else,they will become flotsam jettisoned onto a sea of confusion.

This is not simply a matter of parental failure. No child is an island. Children are assaulted on all sides by doubt and uncertainty. The certainty of the ‘straight and narrow’ is become a broad-trodden track. A generation gone under the hammer of new think have themselves raised another generation. The expectations that provided boundaries are gone. The gate posts have been moved or have rotted away and not been replaced.

- Daily Mail
Psychological interventions are costly in time and not measurable to determine effectiveness in practice and this is what attracts funding.

A medicated nation on mood control drugs to regulate emotion: this is the Final Destination, then, that looms large? It is not natural to not feel.

The Equilibrium of Lucas’ Electronic Labyrinth, of induced birth and induced death, controlled, tidy, and the 'complete life' between. Is this the prospect that faces us?

A Big State with Big Data and the power of the graph database to know all and see all? There is no money for the NHS but there is £1.8bn to go paperless by 2020.

New money to replace old money, an economy without money? Plastic transactions are also data that reveal to those who wish to know not merely our purchasing habits and preferences but also our movements and much more besides.

In an economy that is hungry for debt and more debt and negative interest, the only way the banks can effectively shut their doors is to go cashless. As the leader of the world's biggest debtor nation, the King of America, will tell you, the only way to keep raising that debt ceiling and prevent a run on the bank to call in all those $ Bills is to go cashless.

Tough times and difficult questions. Decisions, decisions...

Blog supplemental -
Liverpool Care Pathway - When The Funding Had To Stop

Liverpool Care Pathway - Blowing The Whistle On The Half Century