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What happens next after historic assisted dying vote - 'not over yet'

What happens next after historic assisted dying vote - 'not over yet'

Daily Mirror4 hours ago

MPs backed a landmark Bill that will allow assisted dying in England and Wales - but it still has to undergo scrutiny in the House of Lords, which could prove tricky
MPs today backed historic legislation that will legalise assisted dying.
A Bill put forward by Labour backbencher Kim Leadbeater narrowly passed through the Commons after an intense debate. But opponents say "this is not over" as there are still hurdles to overcome before it can become law.

Ms Leadbeater's Terminally Ill Adults (End of Life) Bill was supported by 314 MPs from across the political spectrum and opposed by 291. It was a huge victory for campaigners who have lobbied for decades to change the law and give terminally ill people control over how they die.

Throughout the day the Commons heard passionate pleas from both sides of the argument.
READ MORE: Terminally ill gran's heartbreaking message to MPs ahead of assisted dying vote
What happens next?
The Bill has passed its third reading, which means elected MPs support it.
As is routine, it will now be sent to the House of Lords to scrutinise. Although the Lords is unelected, and there have long been calls to abolish it, it does have a crucial role in passing legislation.
Peers will go through the Bill line-by-line and outline any parts they are unsure about. Members can table amendments, and if the House backs them these will be sent back to the Commons to have another look.
So can they block the Bill?
The main danger for supporters will be that the Bill runs out of time. The legislation will fall if it isn't completed in the current session of Parliament, which does give disgruntled peers the power to throw a spanner in the works.

Sessions usually last a year, and the current one began last July after the general election. But there's no fixed rule, meaning it could still run for a few more months.
The problem will come if there's a long back-and-forth - known as "ping pong" between the Lords and the Commons. The last time this happened was with Rishi Sunak's botched Safety of Rwanda Bill, which kept being sent back to MPs as peers tried to make changes.
If the same happens again, the process could take several months. And a lot of MPs are expecting this - during today's debate there was a lot of talk of scrutiny in "the other place" - meaning the House of Lords.

Baroness Finlay, a palliative care doctor who opposes the Bill, told the BBC: "Our role is not to rubber stamp whatever has happened in the Commons, particularly when we know that so many amendments put down in the Commons that would have improved the Bill have gone undebated."
So is there still a fight to come?
Potentially, depending on the mood of the Lords. It's not gone unnoticed that the majority this time around was lower than it was in November, when the legislation was last in the Commons.

Lib Dem MP Tim Farron, an opponent of the Bill, posted: : "Wow! Majority slashed. At the risk of sounding like Jeremy Corbyn … we clearly won the argument there! With a tiny majority and growing opposition from expert groups, the Lords will now rightly feel that they have the right to disagree. To my pleasant surprise, this is not over!"
Do Lords amendments have to go in the Bill?
No. As we saw with the Rwanda Bill, peers can suggest changes to legislation, but it is the Commons that decides.
If MPs think suggestions from the Lords are helpful, they can accept them. If they don't - as the Conservatives decided with the proposed changes on Rwanda - they can vote them down.

So when will it actually become law?
Once both Houses are satisfied, or when MPs throw out amendments by the Lords.
As we saw under Mr Sunak, having a lot of unhappy peers does not have to stop legislation going through. Once it gets through the Lords it will receive Royal Assent, meaning it is on the statute books.

When can the first assisted dying case happen?
There are a number of safeguards put into the Bill to ensure this is not rushed.
The Bill as it stands - although peers may try to push for changes - says it will take up to four years. This means it could be late 2029 by the time the first person is able to choose to end their lives this way.
In each case there will be a panel of experts who will have to give their consent to each assisted death, along with doctors. This process will take time to set up, and it remains to be seen whether there are any big legal hurdles to overcome.
But Ms Leadbeater has indicated that the four year timeframe is not a target but a "backstop" - meaning it could be sooner.

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Assisted dying law closer but MPs' support narrows in historic vote
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Kim Leadbeater described backing for her Bill in the Commons as 'a convincing majority', after the number was slashed from 55 in November to 23 on Friday. The Labour MP declared 'thank goodness' after the result, but hospices are among those warning of the 'seismic change' for end-of-life care. Staunch supporter Dame Esther Rantzen, who is terminally ill but has said a new law is unlikely to come in time for her, thanked MPs for doing their bit to protect terminally ill people from a 'bad death'. She told the PA news agency: 'This will make a huge positive difference, protecting millions of terminally ill patients and their families from the agony and loss of dignity created by a bad death. 'Thank you, Parliament.' While 314 MPs voted for the Terminally Ill Adults (End of Life) Bill at third reading, 291 voted against. Some 14 MPs switched from voting in favour to against, while only one MP – Labour's Jack Abbott – switched from voting no to voting yes. The proposed legislation will now move to the House of Lords for further debate and votes, although one peer has already urged her colleagues they 'must oppose a law that puts the vulnerable at risk'. Bishop of London Dame Sarah Mullally, a former chief nursing officer for England, said instead work is needed to better fund access to 'desperately needed palliative care services'. Her sentiment was echoed by a range of end-of-life care organisations including Marie Curie, which said legalising assisted dying will make it 'more crucial than ever' for governments across the UK 'ensure that there is palliative care available for anyone who needs it'. Ahead of the vote, MPs approved a change to the Bill, which will require ministers to assess within a year of any new law coming into effect the quality and distribution of palliative care services currently available and the impact of an assisted dying service on them. The charity said while it welcomed the change, 'this will not on its own make the improvements needed to guarantee everyone is able to access the palliative care they need'. Ms Leadbeater said the vote result was one that 'so many people need', insisting her Bill has enough safeguards and will 'give dying people choice'. Asked about the narrower gap between supporters and opponents, Ms Leadbeater said she knew there would be 'some movement both ways' but insisted the vote showed a 'convincing majority'. She told reporters: 'The will of the House (of Commons) will now be respected by the Lords, and the Bill will go through to its next stage.' Acknowledging those who remain opposed to the Bill, she said she is 'happy to work with them to provide any reassurance or if they've got any questions about the Bill that they want to talk through with me, my door has always been open and remains open'. Conservative MP Danny Kruger, who opposes the Bill, said support 'is ebbing away very fast', telling of his disappointment the Bill passed but adding: 'The fact is, their majority's been cut in half.' Campaigners wept, jumped and hugged each other outside Parliament as the vote result was announced, while some MPs appeared visibly emotional as they left the chamber. Others lined up to shake hands with Ms Leadbeater, the Bill's sponsor through the Commons, with some, including Home Office minister Jess Phillips, stopping to hug the Spen Valley MP. Before a Bill can be signed into law, both the Lords and the Commons must agree the final text. Thanks to the four-year implementation period, it could be 2029 – potentially coinciding with the end of this Government's parliament – before assisted dying is offered. Encouraging or assisting suicide is currently against the law in England and Wales, with a maximum jail sentence of 14 years. Prime Minister Sir Keir Starmer remained supportive of the Bill, voting yes on Friday as he had done last year. Conservative leader Kemi Badenoch, who had urged MPs to vote against the legislation, describing it as 'a bad Bill' despite being 'previously supportive of assisted suicide', voted no. During an hours-long date on Friday, MPs on both sides of the issue recalled personal stories of loved ones who had died. Conservative former minister Sir James Cleverly, who led the opposition to the Bill in the Commons, spoke of a close friend who died 'painfully' from cancer. He said he comes at the divisive issue 'not from a position of faith nor from a position of ignorance', and was driven in his opposition by 'concerns about the practicalities' of the Bill. MPs had a free vote on the Bill, meaning they decided according to their conscience rather than along party lines. The proposed legislation would allow terminally ill adults in England and Wales, with fewer than six months to live, to apply for an assisted death, subject to approval by two doctors and a panel featuring a social worker, senior legal figure and psychiatrist.

Assisted dying law closer but MPs' support narrows in historic vote
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Kim Leadbeater described backing for her Bill in the Commons as 'a convincing majority', after the number was slashed from 55 in November to 23 on Friday. The Labour MP declared 'thank goodness' after the result, but hospices are among those warning of the 'seismic change' for end-of-life care. Staunch supporter Dame Esther Rantzen, who is terminally ill but has said a new law is unlikely to come in time for her, thanked MPs for doing their bit to protect terminally ill people from a 'bad death'. She told the PA news agency: 'This will make a huge positive difference, protecting millions of terminally ill patients and their families from the agony and loss of dignity created by a bad death. 'Thank you, Parliament.' While 314 MPs voted for the Terminally Ill Adults (End of Life) Bill at third reading, 291 voted against. Some 14 MPs switched from voting in favour to against, while only one MP – Labour's Jack Abbott – switched from voting no to voting yes. The proposed legislation will now move to the House of Lords for further debate and votes, although one peer has already urged her colleagues they 'must oppose a law that puts the vulnerable at risk'. Labour MP Kim Leadbeater advocating for her Bill in the House of Commons (Parliament TV/PA) Bishop of London Dame Sarah Mullally, a former chief nursing officer for England, said instead work is needed to better fund access to 'desperately needed palliative care services'. Her sentiment was echoed by a range of end-of-life care organisations including Marie Curie, which said legalising assisted dying will make it 'more crucial than ever' for governments across the UK 'ensure that there is palliative care available for anyone who needs it'. Ahead of the vote, MPs approved a change to the Bill, which will require ministers to assess within a year of any new law coming into effect the quality and distribution of palliative care services currently available and the impact of an assisted dying service on them. The charity said while it welcomed the change, 'this will not on its own make the improvements needed to guarantee everyone is able to access the palliative care they need'. Ms Leadbeater said the vote result was one that 'so many people need', insisting her Bill has enough safeguards and will 'give dying people choice'. Asked about the narrower gap between supporters and opponents, Ms Leadbeater said she knew there would be 'some movement both ways' but insisted the vote showed a 'convincing majority'. She told reporters: 'The will of the House (of Commons) will now be respected by the Lords, and the Bill will go through to its next stage.' Campaigners in Parliament Square, central London, ahead of the vote (Yui Mok/PA) Acknowledging those who remain opposed to the Bill, she said she is 'happy to work with them to provide any reassurance or if they've got any questions about the Bill that they want to talk through with me, my door has always been open and remains open'. Conservative MP Danny Kruger, who opposes the Bill, said support 'is ebbing away very fast', telling of his disappointment the Bill passed but adding: 'The fact is, their majority's been cut in half.' Campaigners wept, jumped and hugged each other outside Parliament as the vote result was announced, while some MPs appeared visibly emotional as they left the chamber. Others lined up to shake hands with Ms Leadbeater, the Bill's sponsor through the Commons, with some, including Home Office minister Jess Phillips, stopping to hug the Spen Valley MP. Before a Bill can be signed into law, both the Lords and the Commons must agree the final text. Thanks to the four-year implementation period, it could be 2029 – potentially coinciding with the end of this Government's parliament – before assisted dying is offered. Encouraging or assisting suicide is currently against the law in England and Wales, with a maximum jail sentence of 14 years. Public support for a change in the law remains high, according to a poll (James Manning/PA) Prime Minister Sir Keir Starmer remained supportive of the Bill, voting yes on Friday as he had done last year. Conservative leader Kemi Badenoch, who had urged MPs to vote against the legislation, describing it as 'a bad Bill' despite being 'previously supportive of assisted suicide', voted no. During an hours-long date on Friday, MPs on both sides of the issue recalled personal stories of loved ones who had died. Conservative former minister Sir James Cleverly, who led the opposition to the Bill in the Commons, spoke of a close friend who died 'painfully' from cancer. He said he comes at the divisive issue 'not from a position of faith nor from a position of ignorance', and was driven in his opposition by 'concerns about the practicalities' of the Bill. MPs had a free vote on the Bill, meaning they decided according to their conscience rather than along party lines. The proposed legislation would allow terminally ill adults in England and Wales, with fewer than six months to live, to apply for an assisted death, subject to approval by two doctors and a panel featuring a social worker, senior legal figure and psychiatrist.

Rantzen: MPs backing assisted dying Bill will protect people from ‘bad death'
Rantzen: MPs backing assisted dying Bill will protect people from ‘bad death'

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Rantzen: MPs backing assisted dying Bill will protect people from ‘bad death'

The Terminally Ill Adults (End of Life) Bill will now head to the Lords after clearing the Commons on Friday afternoon, with MPs voting 314 in favour, 291 against, majority 23. Dame Esther, a notable supporter of campaign Dignity in Dying who has stage four lung cancer, told the PA news agency: 'This will make a huge positive difference, protecting millions of terminally ill patients and their families from the agony and loss of dignity created by a bad death. 'Thank you, Parliament.' Dame Esther Rantzen's daughter, Rebecca Wilcox, speaks to the media while on the phone with her mother (Yui Mok/PA) Campaigners inside Parliament and outside in Parliament Square were jubilant and tearful following the result of the vote. Some MPs lined up to shake hands with or hug Kim Leadbeater, the Bill's sponsor through the Commons. Ms Leadbeater described the vote as a 'result that so many people need'. The Labour MP for Spen Valley said: 'Thank goodness we got the result that so many people need, but I also feel that it was done really respectfully and the atmosphere in the chamber was very civilised.' Outside, a cheer erupted as the result was announced on a livestream to a crowd who had huddled together in anticipation. Many cried and hugged each other, while others popped champagne. Dame Esther's daughter, Rebecca Wilcox, called her mother in front of supporters and told her she wished she was here. Ms Wilcox came to Parliament Square following the vote and hugged fellow campaigners and friends. She told PA that she gave Ms Leadbeater's mum a 'big hug' following the result and added: 'I don't know whether to have a drink or a really big cry. 'There were a few of us in the public gallery and we were all holding hands. I felt like we were on a rollercoaster. 'It was the longest pause when everyone came in and we were waiting for the four and when I heard a three for the 'ayes' I was quite positive. 'It was quite extraordinary. I turned around and gave Kim's mum a great big hug.' Rebecca Wilcox celebrates with Dignity in Dying campaigners (Yui Mok/PA) Sarah Wootton, chief executive of Dignity in Dying, told the crowd: 'This is for all the people who couldn't be here today. This vote sends a clear message. Parliament stands with the public and change is coming.' Sian Berry, a Green Party MP and one of the proposers of the Bill, told PA: 'We all have experience of loved ones at the end of their lives that have influenced this. So many of my constituents have written to me telling me their stories. You really feel the importance of what you're doing this for. 'I'm confident we have made the Bill robust and I do believe this reflects public opinion.' Supporter Tim Murphy, 39, from London, said: 'My friend David went to Dignitas four years ago and he had to die sooner than he should have had there been a workable law in this country. 'This will impact so many people. So much of the [opposition] campaign has been hypothetical situations in the future but not taking into consideration the actual deaths that have occurred.' Those opposed to the Bill were visibly disappointed. People had gathered to pray before the vote but the crowd of white-shirted campaigners quickly dispersed following the result. Many packed up their signs and left the square and did not speak to the press. Dignity in Dying campaigners in support of the assisted dying Bill celebrate in Westminster (Yui Mok/PA) Bishop of London Dame Sarah Mullally, a former chief nursing officer for England who sits in the House of Lords, said: 'Every person is of immeasurable and irreducible value, and should be able to access the care and support that they need – a principle that I know is shared by those of all faiths and none. 'We must oppose a law that puts the vulnerable at risk and instead work to improve funding and access to desperately needed palliative care services.' Sean Redfearn, 26, representing Christian Concern, said: 'It's disappointing the nation is stepping closer for people to take their own lives.' 'There is no progress as progress suggests flourishing and there's no flourishing with allowing the ending of a life.'

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