
Assisted dying in Scotland is not a done deal
Despite a much bigger parliamentary vote than anyone had expected, legalised assisted dying in Scotland is still far from a done deal.
MSPs voted by 70 to 56 to support the general principles of Liam McArthur's Assisted Dying for Terminally Ill Adults Bill.
There are currently 128 MSPs following the death of Christina McKelvie, that leaves two votes unaccounted for.
Health secretary Neil Gray abstained to maintain his neutrality as the minister who will have to deal with the Bill as it now starts to progress through the Parliamentary system.
And the other is Presiding Officer Alison Johnstone, who did not vote, although if it had been a tied vote of 63 each, she would have voted for the Bill at Stage 1 to allow it to continue.
So that gives the Bill a majority of 14.
That was much bigger than either side in this debate had predicted, but it could easily be overturned in the final vote at Stage 3 if just seven MSPs change their minds.
Just off the top of my head I can come up with seven MSPs who said they were voting for the Bill at Stage 1 but could reconsider when it gets to the final decision.
It's the position Scottish Conservative leader Russell Findlay took. Others said yesterday they would do the same including Miles Briggs, Ross Greer, Emma Harper, Daniel Johnson, Colin Smyth and Brian Whittle.
That's seven potential switchers already. And if the final Stage 3 vote is tied the Presiding Officer would vote against, sticking with the convention of preserving the status quo.
None of that takes anything away from the historic vote in the Scottish Parliament yesterday.
It came after one of the best debates Holyrood has hosted where speaker after speaker from all parties gave of their best, and gave much more of themselves than usual.
It was a respectful and emotional debate. Every speech was applauded. It was a debate befitting the life and death nature of the subject.
What it does is show that this debate is far from over.
What comes next is Stage 2 where the Health Committee will consider amendments. There will be a lot of amendments – Liam McArthur has already said he will change the qualifying age from 16 to 18.
There will be many more on things like defining the word 'terminal', whether doctors should opt in or out of it.
The Royal College of Pharmacists want their members to have to an opt in to fulfilling prescriptions for the life ending drugs.
The Scottish Parliament doesn't actually have power over those drugs so would have to seek a Section 30 Order from Westminster, just like it did for the 2014 Independence Referendum, so that is not guaranteed.
Then there is the timing of the next stages. The Health Committee is not likely to start Stage 2 scrutiny until after the summer break.
That could take a couple of months, which means the final vote at Stage 3 is unlikely until the New Year.
Then it will be just a few months from the Scottish Parliament election which means this could be an issue in that campaign.
Even though Stage 1 was a free vote, based on each MSP's conscience with no party direction, every single one of them were inundated by messages from constituents on both sides of the debate.
That could take on even more significance in the run-up to an election, and they could face questions at public hustings and meetings.
So this is far from a done deal, assisted dying is closer than it has ever been, but it is still a long way from law.
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Health Secretary says Asissted dying will take 'time and money' away from the NHS
Wes Streeting has warned that legalising assisted dying would take 'time and money' away from other parts of the health service. The Health Secretary, who opposed the legislation in the Commons, said better end-of-life care was needed to prevent terminally ill people feeling they had no alternative but to end their own life. Streeting, writing on his Facebook page, said he could not ignore the concerns 'about the risks that come with this Bill' raised by the Royal College of Psychiatrists, the Royal College of Physicians, the Association for Palliative Medicine and charities representing under-privileged groups. The Government is neutral on the Terminally Ill Adults (End of Life) Bill which cleared the Commons with a majority of 23 votes on Friday. Streeting, who was one of the most senior opponents of the legislation, said: 'Gordon Brown wrote this week that 'there is no effective freedom to choose if the alternative option, the freedom to draw on high-quality end-of-life care, is not available. "Neither is there real freedom to choose if, as many fear, patients will feel under pressure to relieve their relatives of the burden of caring for them, a form of coercion that prioritising good end-of-life care would diminish.' He is right. 'The truth is that creating those conditions will take time and money. 'Even with the savings that might come from assisted dying if people take up the service – and it feels uncomfortable talking about savings in this context to be honest – setting up this service will also take time and money that is in short supply. 'There isn't a budget for this. Politics is about prioritising. It is a daily series of choices and trade-offs. I fear we've made the wrong one.' Streeting said his Department of Health and Social Care 'will continue to work constructively with Parliament to assist on technical aspects of the Bill' as it goes through the House of Lords. Assisted dying campaigner Dame Esther Rantzen urged peers not to block the landmark legislation. Dame Esther told BBC Radio 4's Today programme: 'I don't need to teach the House of Lords how to do their job. 'They know it very well, and they know that laws are produced by the elected chamber. 'Their job is to scrutinise, to ask questions, but not to oppose. 'So yes, people who are adamantly opposed to this Bill, and they have a perfect right to oppose it, will try and stop it going through the Lords, but the Lords themselves, their duty is to make sure that law is actually created by the elected chamber, which is the House of Commons who have voted this through.' Dame Esther, who turns 85 on Sunday and has terminal cancer, acknowledged the legislation would probably not become law in time for her to use it and she would have to 'buzz off to Zurich' to use the Dignitas clinic. Paralympian and crossbench peer Baroness Tanni Grey-Thompson told BBC Breakfast: 'We're getting ready for it to come to the Lords and from my personal point of view, about amending it to make it stronger. 'We've been told it's the strongest Bill in the world, but to be honest, it's not a very high bar for other legislation. 'So I do think there are a lot more safeguards that could be put in.'


North Wales Chronicle
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Streeting: Assisted dying will take ‘time and money that is in short supply'
The Health Secretary, who opposed the legislation in the Commons, said better end-of-life care was needed to prevent terminally ill people feeling they had no alternative but to end their own life. Mr Streeting, writing on his Facebook page, said he could not ignore the concerns 'about the risks that come with this Bill' raised by the Royal College of Psychiatrists, the Royal College of Physicians, the Association for Palliative Medicine and charities representing under-privileged groups. The Government is neutral on the Terminally Ill Adults (End of Life) Bill which cleared the Commons with a majority of 23 votes on Friday. Mr Streeting, who was one of the most senior opponents of the legislation, said: 'Gordon Brown wrote this week that 'there is no effective freedom to choose if the alternative option, the freedom to draw on high-quality end-of-life care, is not available. Neither is there real freedom to choose if, as many fear, patients will feel under pressure to relieve their relatives of the burden of caring for them, a form of coercion that prioritising good end-of-life care would diminish.' He is right. 'The truth is that creating those conditions will take time and money. 'Even with the savings that might come from assisted dying if people take up the service – and it feels uncomfortable talking about savings in this context to be honest – setting up this service will also take time and money that is in short supply. 'There isn't a budget for this. Politics is about prioritising. It is a daily series of choices and trade-offs. I fear we've made the wrong one.' Mr Streeting said his Department of Health and Social Care 'will continue to work constructively with Parliament to assist on technical aspects of the Bill' as it goes through the House of Lords. Assisted dying campaigner Dame Esther Rantzen urged peers not to block the landmark legislation. Dame Esther told BBC Radio 4's Today programme: 'I don't need to teach the House of Lords how to do their job. 'They know it very well, and they know that laws are produced by the elected chamber. 'Their job is to scrutinise, to ask questions, but not to oppose. 'So yes, people who are adamantly opposed to this Bill, and they have a perfect right to oppose it, will try and stop it going through the Lords, but the Lords themselves, their duty is to make sure that law is actually created by the elected chamber, which is the House of Commons who have voted this through.' Dame Esther, who turns 85 on Sunday and has terminal cancer, acknowledged the legislation would probably not become law in time for her to use it and she would have to 'buzz off to Zurich' to use the Dignitas clinic. Paralympian and crossbench peer Baroness Tanni Grey-Thompson told BBC Breakfast: 'We're getting ready for it to come to the Lords and from my personal point of view, about amending it to make it stronger. 'We've been told it's the strongest Bill in the world, but to be honest, it's not a very high bar for other legislation. 'So I do think there are a lot more safeguards that could be put in.' Conservative peer and disability rights campaigner Lord Shinkwin said the narrow Commons majority underlined the need for peers to take a close look at the legislation. He told Today 'I think the House of Lords has a duty to expose and to subject this Bill to forensic scrutiny' but 'I don't think it's a question of blocking it so much as performing our duty as a revising chamber'. Lord Shinkwin added: 'The margin yesterday was so close that many MPs would appreciate the opportunity to look at this again in respect of safeguards as they relate to those who feel vulnerable, whether that's disabled people or older people.' Labour MP Kim Leadbeater, who steered the Bill through the Commons, told the PA news agency she hoped peers would not seek to derail the legislation, which could run out of parliamentary time if it is held up in the Lords. She said: 'I would be upset to think that anybody was playing games with such an important and such an emotional issue.'

Rhyl Journal
2 hours ago
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Streeting: Assisted dying will take ‘time and money that is in short supply'
The Health Secretary, who opposed the legislation in the Commons, said better end-of-life care was needed to prevent terminally ill people feeling they had no alternative but to end their own life. Mr Streeting, writing on his Facebook page, said he could not ignore the concerns 'about the risks that come with this Bill' raised by the Royal College of Psychiatrists, the Royal College of Physicians, the Association for Palliative Medicine and charities representing under-privileged groups. The Government is neutral on the Terminally Ill Adults (End of Life) Bill which cleared the Commons with a majority of 23 votes on Friday. Mr Streeting, who was one of the most senior opponents of the legislation, said: 'Gordon Brown wrote this week that 'there is no effective freedom to choose if the alternative option, the freedom to draw on high-quality end-of-life care, is not available. Neither is there real freedom to choose if, as many fear, patients will feel under pressure to relieve their relatives of the burden of caring for them, a form of coercion that prioritising good end-of-life care would diminish.' He is right. 'The truth is that creating those conditions will take time and money. 'Even with the savings that might come from assisted dying if people take up the service – and it feels uncomfortable talking about savings in this context to be honest – setting up this service will also take time and money that is in short supply. 'There isn't a budget for this. Politics is about prioritising. It is a daily series of choices and trade-offs. I fear we've made the wrong one.' Mr Streeting said his Department of Health and Social Care 'will continue to work constructively with Parliament to assist on technical aspects of the Bill' as it goes through the House of Lords. Assisted dying campaigner Dame Esther Rantzen urged peers not to block the landmark legislation. Dame Esther told BBC Radio 4's Today programme: 'I don't need to teach the House of Lords how to do their job. 'They know it very well, and they know that laws are produced by the elected chamber. 'Their job is to scrutinise, to ask questions, but not to oppose. 'So yes, people who are adamantly opposed to this Bill, and they have a perfect right to oppose it, will try and stop it going through the Lords, but the Lords themselves, their duty is to make sure that law is actually created by the elected chamber, which is the House of Commons who have voted this through.' Dame Esther, who turns 85 on Sunday and has terminal cancer, acknowledged the legislation would probably not become law in time for her to use it and she would have to 'buzz off to Zurich' to use the Dignitas clinic. Paralympian and crossbench peer Baroness Tanni Grey-Thompson told BBC Breakfast: 'We're getting ready for it to come to the Lords and from my personal point of view, about amending it to make it stronger. 'We've been told it's the strongest Bill in the world, but to be honest, it's not a very high bar for other legislation. 'So I do think there are a lot more safeguards that could be put in.' Conservative peer and disability rights campaigner Lord Shinkwin said the narrow Commons majority underlined the need for peers to take a close look at the legislation. He told Today 'I think the House of Lords has a duty to expose and to subject this Bill to forensic scrutiny' but 'I don't think it's a question of blocking it so much as performing our duty as a revising chamber'. Lord Shinkwin added: 'The margin yesterday was so close that many MPs would appreciate the opportunity to look at this again in respect of safeguards as they relate to those who feel vulnerable, whether that's disabled people or older people.' Labour MP Kim Leadbeater, who steered the Bill through the Commons, told the PA news agency she hoped peers would not seek to derail the legislation, which could run out of parliamentary time if it is held up in the Lords. She said: 'I would be upset to think that anybody was playing games with such an important and such an emotional issue.'