What is the notification procedure?

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  • The doctor is obliged to notify the municipal pathologist of every instance of death from non-natural causes. In the case of euthanasia or assisted suicide, he compiles a report based on a special model.
  • The pathologist also compiles a report establishing that the patient's death was due to non-natural causes. He sends this to the Public Prosecutor, who must give consent for burial.
  • The regional euthanasia review committee receives these two reports, plus a statement by the independent physician consulted by the doctor and any written directive by the deceased.
  • The committee assesses whether the doctor has acted in accordance with the due care criteria. If it concludes that he has, no further action is taken against him.
  • If the committee finds that the doctor has not acted in accordance with the due care criteria, it reports its findings to the Public Prosecution Service and the regional health inspector. These two agencies will then consider what action, if any, should be taken against the doctor.

An important feature of the legislation is that the regional review committees (each of which includes a doctor) have discretion to decide whether or not a doctor has satisfied the due care criteria. The reason for this is that research has shown that doctors are more likely to report cases of euthanasia if their own peers have a hand in the initial review of them. Otherwise, they feel that they face the threat of immediate condemnation by the Public Prosecution Service.

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