Voluntary assisted dying isn't just about end-of-life choice – it challenges medicine to rethink its purpose. Dr Clare Fellingham argues that while medicine cannot always cure, it can always heal by reducing suffering, preserving dignity, and putting patients at the centre of their care.
Dr Fellingham is a consultant anaesthetist, palliative medicine advanced trainee, the chair of the East Metropolitan Health Service (EMHS) Clinical Ethics Committee, the EMHS Clinical Lead for VAD), and recently graduated a Master of Bioethics with high distinction from Monash University.
In addition to her clinical roles, Dr Fellingham is the WA Board director for VAD Australia and New Zealand (VADANZ), the peak body representing excellence in VAD care. As an active VAD practitioner, Dr Fellingham considers it an immense privilege filled with meaning and purpose to walk alongside people with a life limiting illness, as they explore all available end-of-life care options.
In this episode, drawing on more than five years implementing and delivering voluntary assisted dying services, Clare reflects on why this work has transformed her life and career. She discusses patient-directed care, the misconceptions surrounding voluntary assisted dying, the emotional realities for practitioners, the importance of supporting families through grief, and why sustainable funding is essential if compassionate end-of-life care is to remain accessible.
Comprehensive information on Voluntary Assisted Dying in Your State is provided on the Go Gentle website at https://www.gogentleaustralia.org.au/vad_in_your_state or by contacting your State Health Department.
If listening to this podcast raises distressing issues for you, please contact one of the following support services:
Griefline (https://griefline.org.au/) 1300 845 745
Grief Australia (https://www.grief.org.au/) 1800 642 745
Lifeline (https://www.lifeline.org.au/) 13 11 14, or chat online 24 hours a day

Episode 26 – Sandra’s journey to access VAD
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Episode 25 – Nicole
22:57

Episode 24 – Why We Need Better Conversations About Dying
42:03