Assisted dying: safe space conversations
As the national conversation on assisted dying unfolds, it's important that all hospice colleagues are given space to reflect, express their views, and feel valued and supported.
This resource provides a practical roadmap to help our members hold safe space discussions about assisted dying with your staff and volunteers.
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What's on this page
Preparation
All hospice staff and volunteers should have opportunities to discuss how they feel about assisted dying - regardless of their seniority or whether they are in a clinical or non-clinical role.
When you are preparing to hold a safe space conversation, you should consider what is best for your hospice.
You might want to set up separate meetings for different groups of colleagues (for example trustees, fundraisers or clinicians), or it might feel more appropriate to hold sessions for a mixed cohort.
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Safe space discussions should be ongoing throughout the parliamentary process. You might need to liaise with team leaders, to make sure everyone who wants to attend a session can do so over time.
Make sure each meeting is long enough for everyone to contribute ā we suggest you allow two hours.
Choose a comfortable and quiet setting for the meeting, where participants will not be interrupted. Consider face-to-face and remote options.
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When you invite staff and volunteers to the meeting, you should define the purpose of the conversation so that people know what to expect. Set out whether you are expecting people to prepare in advance, for example by reading an update on the progress of the legislation.
Make it clear that the invitation is optional, and highlight other opportunities to take part if people are unable to attend this time.
Remind everyone about other sources of information and support.
Facilitation
Facilitators do not need to be experts on assisted dying. However they should be be up-to-date with the parliamentary process for assisted dying in your jurisdiction. They must be skilled at facilitating conversations on emotive topics without imposing their own views.
You might want to use two facilitators for each meeting. This allows them to share the emotional burden of what might be a challenging discussion, and helps demonstrate the values of inclusion, co-operation and respect.
You might find these facilitation tips helpful:
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At the start of the session, encourage participants to share what factors make them feel safe and supported in a discussion. Use these experiences to develop a safe space agreement.
Make sure there is a mutual understanding of terms such as confidentiality, respect, and privacy.
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Keep the conversation focussed and constructive. Set boundaries about what the conversation will and will not cover.
Invite multiple perspectives and views. Ask open questions to encourage discussion.
Make sure all voices can be heard and encourage respectful curiosity. Repeat or paraphrase what someone said to promote understanding.
Remind people that they can communicate in their own way. They do not have to respond to everything, and it's fine if they don't want to contribute verbally.
Suggest participants use āIā statements when discussing emotive topics. This makes it clear that someone is speaking from their own personal experience rather than making generalisations.
If disagreement arises, name it gently and return to the shared safe space agreement.
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Be comfortable with silence while group members think or build the courage to make a contribution.
Invite participants to reflect on how they are arriving emotionally to the session. How that might affect the way they want to participate today?
Monitor the emotions in the group. Take time out as needed and offer support as appropriate.
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Make sure you consider and respect participants' cultural and religious beliefs. These can have a strong impact on someone's response to assisted dying.
It is important to make sure everyone has the chance to share their views and be listened to. This is particularly the case for people from minoritised groups.
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Make sure that any information you are sharing about the progress of assisted dying legislation is as factual as possible.
Much of the detail about the law and how a future assisted dying service will work, is not yet clear or available. There is significant conjecture and speculation in the public domain.
It is important to acknowledge this uncertainty in the discussion, be clear on what we know and don't know, and avoid speculation.
It is perfectly appropriate to acknowledge where we don't know the answer, or don't yet know the course we might take.
Discussion points
We have put together some suggested topics and scenarios to help hospice colleagues engage in safe, respectful, and constructive dialogue around assisted dying.
These are not exhaustive and should be tailored to the needs of your staff and volunteers.
Ending the session
At the end of the session, thank everyone for taking part and respecting each other's views.
Your staff and volunteers might be returning to their busy and challenging roles, so it's important to make sure they have space to process what you have discussed. Check in again about how people are feeling and make sure there is support available for anyone who needs it.
Follow up
Invite feedback on the session through a follow-up email or anonymous survey. Ask colleagues what further support they need. Use this to inform the support you offer colleagues in the future.
For example, you might find out through these sessions that colleagues are unclear about your hospice's position on assisted dying. How can you provide them with more information?
Make sure everyone knows what will happen next ā what is your hospice doing to continue to support staff during this process?
Remind everyone about the wellbeing support you provide for colleagues, such as employee assistance programmes, peer support groups or professional supervision.
Signpost participants to sources of further information and support.