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]\Professor Patrick Pullicino, a retired neurologist who raised the Liverpool Care Pathway (LCP) alarm said: ‘Midazolam depresses respiration and it hastens death. It changes end-of-life care into euthanasia.’LCP terminally ill patients were denied food and water and administered opioids instead. Families complained they were not informed of the protocol, and that patients did not give informed consent.If senior coroner Dr Julian Morris rules ‘unlawful killing’, this could support whistleblowers who say the UK used covid deaths as a cover for mass killing of the elderly, disabled and infirm whose care had become a drain on NHS budgets.Witnesses called to give evidence include four doctors and seven nurses who administered the drugs. One important medical witness left the country last month, it is believed.The five-day inquest at Southwark Coroner’s Court has wider implications that the British government endorsed euthanasia – NG163 end-of-life pathway was implemented in April 2020, during the first few months of the covid pandemic. (In March 2021, NG163 was renamed NG191.)Derek Dimmock’s son Paul attended a meeting at the House of Commons in June 2023, hosted by former Conservative MP Andrew Bridgen, to discuss midazolam misuse in NHS hospitals and in care homes.During the pandemic, health secretary Matt Hancock said on record that he had increased orders of midazolam, and that he backed assisted dying. The Conservative minister had been against the practice but changed tack during covid after supporting a colleague who was terminally ill. Official figures from April 2020 show that the number of prescriptions for midazolam more than doubled compared with previous months.Office for National Statistics (ONS) data clearly show a correlation between midazolam and 55,000 excess deaths, although authorities will argue that it was administered to patients dying with covid. Fears were raised that midazolam was also unnecessarily administered to elderly care-home residents to hasten their deaths.Whistleblowers claimed the sedatives were misused and given to dementia patients to subdue them, but those claims were disputed by the Association for Palliative Medicine.Amanda Hunter, founder of Care Unlock, an organisation set up to end inhumane covid care home restrictions, said: ‘Had I not got my mum off the “palliative pathway” Hinchingbrooke Hospital decided was in her “best interests” in September 2021, she too would have been a victim. I proved she wasn’t dying and fought in the Court of Protection to bring her home. ‘I should have been forewarned of what the NHS were capable of when they gave up on my mum in 2019. I nursed her back to life in her care home. In 2021, it happened again. She was neglected and abandoned by the NHS when she most needed care. Unforgivable.’At the PIRH hearings, Andrew Harris acknowledged his duty to consider issuing a Preventing Future Deaths (PFD) instruction, an order that could halt the systematic use of midazolam in end-of-life protocols. Coroners have a crucial role investigating deaths, especially where there is suspicion of corporate wrongdoing – the corporation in this case being all those involved in our health service. The coroner will determine the cause and circumstances of Derek Dimmock’s death. If his findings are negligence, misconduct, or unlawful killing, it could lead to legal actions against individual doctors or the originators of the NG163 protocol.
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