Kate Flemming

Professor of Hospice Practice and Evidence Synthesis @HealthSciYork @UniOfYork. Often seen on a bike. All views my own.

[Kate Flemming @ktflemm]

@WeatherWolds Thank you. It was a fabulous dog walking morning for sure!

[Kate Flemming @ktflemm]

@dralexispaton Sorry I wasn’t able to make it but it sounds wonderful. I love Lego Alexis!

[Kate Pickett @ProfKEPickett]

If you're in York or nearby this week, please come and join me on Friday to talk about how we build a good society:

https://t.co/N5J9pIkG1H

[Dr Alexis Paton @dralexispaton]

Today is the day! My #book is finally out. Are you planning on a healthier #NewYear2026? Start the #NewYear off right and learn why the world you live in is as important as any #NewYearsResolutions you make to stay #healthy! https://t.co/BDZMXruGld #NewBook #AuthorLife #writing

[Dr Alexis Paton @dralexispaton]

Don't just take my word for it. A huge thank you to @MichaelMarmot @Mumtaz_Patel_1 @ktflemm and @josephbush who have already read and reviewed it. See what they have to say about why this is a book to read in #NewYear2026! #Medtwitter #pharmacy #nursing #WritingCommunity #Health

[Marie Curie EOLC @MarieCurieEOLC]

📢Do you work in virtual wards / hospital at home services? Share your experiences for research which aims to improve access to medication.

University of Southampton are investigating access to medication for people in the last year of life in these services, in a Marie Curie-funded research project. If you work in these services, we'd love to hear from you.

👉Please complete this short survey and share with colleagues. https://t.co/HSIQdp5u3Y

[Amara Nwosu @amaranwosu]

Myself & @Sarah_Stan_ are delighted to announce that the Palliative Care Journal Club Toolkit is now available on the @mariecurieuk website.

Chat to us during the @hospiceuk conference for more information. Come to our lunchtime session on 26/11

https://t.co/rnkPOpLSnS

#hapc

[Kate Flemming @ktflemm]

@hulllive Great pictures & coverage yesterday - thank you. What time did their set finish please?

[Rupa Huq MP @RupaHuq]

My article in today’s Sunday Times @thetimes about how ethnic minorities are treated in an already overstretched health system and my fears that the rushed
#AssistedDyingBill will exacerbate health inequalities https://t.co/pbx7KcP9Zx looks like this on the page

#buyApaper

[Prof Katherine Sleeman @kesleeman]

Nothing to see here. Just an article saying palliative care services may be cut to ‘balance books’ a week after the TIA Bill Impact Assessment laid out how much money assisted dying will save the NHS.

[Jamilla Hussain @JamillaHussain1]

The rejection of the amendment to allow hospices & care homes to opt out of assisted dying will have complex impact

One that shouldn’t be overlooked is the impact on those who are fearful of being pressured into AD and so will be fearful of accessing these places of care…and in the case of hospices gold-standard care for those with the most sig need

We can’t avert our eyes from the needs of such groups&only consider those who want AD

There is lots we can do to bridge this gap but so far supporters of the #AssistedDyingBill seem to be sticking to minimising any concerns

Our letter in @thetimes highlights this

And as always I’m happy to discuss how this can be done @kimleadbeater 🙏🏽

[Jamilla Hussain @JamillaHussain1]

This is huge

Toby Porter, CEO of Hospice UK, did a great job of clearly pointing out the complexity of hospices not having the oppo to opt out

If some staff don’t want to be involved
And managers/trustees do (esp if it impacts finances)
What to do? You can’t run the service without staff…you have to look after them

If hospices/care homes can’t opt out, what can the staff do? The evidence from other countries shows taking part in AD affects staff in a sig way, it is distinct from any other part of clinical practice, it feels and is different, AND causes a lot of moral distress esp when those most vulnerable are not adequately safeguarded (ie they ‘choose’ AD cos they can’t make ends meet/not wanting to burden their kids who are disabled and struggling themselves/domestic abuse victims wanting a way out)

I wouldn’t be someone who consciously objects to being involved from a pall care perspective … and the vast majority of my colleagues are not against AD in principle … but the lack of safeguards in this bill esp for the most vulnerable, the lack of acknowledgement of why relying on training/clinician or remote panel judgement is wholly inadequate, will make it really hard/not possible for us to shoulder that burden.

Which means, again, both those wanting AD and those not will be impacted negatively

#AssistedDyingBill

[Nikki da Costa @nmdacosta]

@kesleeman Yes no opt out for hospices and no protection against public funding being linked to provision of assistance to end patients lives

[Jamilla Hussain @JamillaHussain1]

And I’d be delighted to speak to @kimleadbeater and her team directly to share my work and expertise

Genuine offer

[Kate Flemming @ktflemm]

@JamillaHussain1 @Jess4Lowestoft @sarahditum I am so sorry (& somewhat appalled) to hear this happened Jamilla, and for the impact on you and others who gave their time & resources to attend.

[Jamilla Hussain @JamillaHussain1]

Great piece by @doctor_oxford on how it felt to be called to give evidence… and how this #AssistedDyingBill can be strengthened

[Liz "blue tick" Carr @thelizcarr]

Me & many other disabled people @TheNotDeadYetUK have been making this #noise & opposing the legalisation of assisted suicide for years

And until our voice, our concerns, our fears have truly been heard, we will keep making the noise & I'll keep posting:

https://t.co/KOoAi5m7Jz

[Prof Katherine Sleeman @kesleeman]

Read and watch this whole thread, but in particular watch Dr Jamilla Hussain explain that individual stories, while important, are not enough. We have to consider the population as a whole when considering law change.

[Kate Flemming @ktflemm]

@nmdacosta I haven't seen anything else Nikki and I was specifically looking. Thank you for your reporting and commentary yesterday. It seems to have made all the difference