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This research has had impact on public policy, public understanding and practitioner debates concerning end-of-life care, with particular relevance for debates about assisted dying, the significance of which can be judged by the intense media interest that accompanies stories about euthanasia or assisted suicide. The findings have prompted significant interest from media, health professional and legislative bodies, whose stance in debates has been altered as a result. Were assisted dying to be legalised in the UK, evidence from jurisdictions where it is currently practiced suggests that it would affect the deaths of about 12,000 UK people annually.
The research has had significant impact in the UK on the development of social and spiritual support for people at the end of life and their families. With Professor Holloway as Social Care Lead on the National End of Life Care Programme (NEoLCP) since 2009, the research has underpinned the launch of a framework for the delivery of social care at the end of life which is now in its second phase of implementation. The framework is endorsed by the Association of Directors of Adult Social Services and has led to local and regional Action Plans and social care practice initiatives. The research on spirituality has led to scoping and training initiatives in healthcare practice and in the funerals industry within the UK and internationally.
Drawing on his longstanding research in theology and medical ethics, Robin Gill has been an active member of four of the most important national health-care ethics and bioethics committees in the UK (the British Medical Association's Ethics Committee, the Medical Research Council's Stem Cell Bank Steering Committee, the Nuffield Council on Bioethics, and the Royal College of Obstetricians and Gynaecologists Ethics Committee). Through this work he has produced the content of some of the most widely-used ethical guidance and training by medical practitioners in the UK, contributed to a working group that has led to the Welsh Assembly establishing an opt-out organ donation system in Wales (the first part of the UK to do so), been an active member of the committee which determines what forms of stem cell research are authorized in the UK, and shaped major policy reports on bioethics. Given the scale of his contribution and the influence of the organizations with which he has worked, this has arguably made Gill one of the most important influences on professional medical ethics and bioethics in the UK from the field of theology and religious studies during this REF cycle.
The University of Nottingham's Sue Ryder Care Centre for the Study of Supportive, Palliative and End of Life Care has enhanced the understanding, implementation and uptake of advance care planning for end of life care. Its work has shaped public policy and influenced national initiatives that have improved quality of life and reduced the number of deaths in hospitals. The research has been cited as an exemplar by the World Health Organisation and has helped inform policymaking at European level. It has guided professional practice, educated care staff and contributed to a more positive public attitude towards talking about end of life issues.
Research by Professor David Archard on the moral and legal status of children has improved health policy and care for extremely premature babies through its contribution to the Nuffield Council on Bioethics report Critical Care Decisions in Fetal and Neonatal Medicine: Ethical Issues, released in late 2006. During 2008-13 the report's guidelines have come to be followed across the NHS in the clinical care of extremely premature babies and are regarded by doctors as the best available advice. Through its contribution to the Nuffield report, Archard's research has helped to bring improved and more consistent health care provision to extremely premature babies and their families across the UK.