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MPs share their own stories as assisted dying debate continues

MPs share their own stories as assisted dying debate continues

Debating the proposal to roll out assisted dying in the UK, Sir James Cleverly described losing his 'closest friend earlier this year' and said his opposition did not come from 'a position of ignorance'.
The Conservative former minister said he and 'the vast majority' of lawmakers were 'sympathetic with the underlying motivation of' the Terminally Ill Adults (End of Life) Bill, 'which is to ease suffering in others and to try and avoid suffering where possible'.
I have seen someone suffering – my closest friend earlier this year died painfully of oesophageal cancer and I was with him in the final weeks of his life. So I come at this not from a position of faith nor from a position of ignorance Sir James Cleverly
But he warned MPs not to 'sub-contract' scrutiny of the draft new law to peers, if the Bill clears the Commons after Friday's third reading debate.
Backing the proposal, Conservative MP Mark Garnier said 'the time has come where we need to end suffering where suffering can be put aside, and not try to do something which is going to be super perfect and allow too many more people to suffer in the future'.
He told MPs that his mother died after a 'huge amount of pain', following a diagnosis in 2012 of pancreatic cancer.
Sir James, who described himself as an atheist, said: 'I've had this said to me on a number of occasions, 'if you had seen someone suffering, you would agree with this Bill'.
'Well, Mr Speaker, I have seen someone suffering – my closest friend earlier this year died painfully of oesophageal cancer and I was with him in the final weeks of his life.
'So I come at this not from a position of faith nor from a position of ignorance.'
Labour MP Siobhain McDonagh spoke int he assisted dying debate (House of Commons/PA)
Labour MP for Mitcham and Morden Dame Siobhain McDonagh intervened in Sir James's speech and said: 'On Tuesday, it is the second anniversary of my sister's death.
'Three weeks prior to her death, we took her to hospital because she had a blood infection, and in spite of agreeing to allow her into intensive care to sort out that blood infection, the consultant decided that she shouldn't go because she had a brain tumour and she was going to die.
'She was going to die, but not at that moment.
'I'm sure Mr Speaker can understand that a very big row ensued. I won that row.
'She was made well, she came home and she died peacefully. What does (Sir James) think would happen in identical circumstances, if this Bill existed?'
Sir James replied: 'She asks me to speculate into a set of circumstances which are personal and painful, and I suspect she and I both know that the outcome could have been very, very different, and the the moments that she had with her sister, just like the moments I had with my dear friend, those moments might have been lost.'
He had earlier said MPs 'were promised the gold-standard, a judicially underpinned set of protections and safeguards', which were removed when a committee of MPs scrutinised the Bill.
He added: 'I've also heard where people are saying, 'well, there are problems, there are still issues, there are still concerns I have', well, 'the Lords will have their work to do'.
'But I don't think it is right and none of us should think that it is right to sub-contract our job to the other place (the House of Lords).'
Mr Garnier, who is also a former minister, told the Commons he had watched 'the start of the decline for something as painful and as difficult as pancreatic cancer' after his mother's diagnosis.
'My mother wasn't frightened of dying at all,' he continued.
'My mother would talk about it and she knew that she was going to die, but she was terrified of the pain, and on many occasions she said to me and Caroline my wife, 'can we make it end?'
'And of course we couldn't, but she had very, very good care from the NHS.'
Conservative MP Mark Garnier said he would back the Bill (PA)
Mr Garnier later added: 'Contrary to this, I found myself two or three years ago going to the memorial service of one of my constituents who was a truly wonderful person, and she too had died of pancreatic cancer.
'But because she had been in Spain at the time – she spent quite a lot of time in Spain with her husband – she had the opportunity to go through the state-provided assisted dying programme that they do there.
'And I spoke to her widower – very briefly, but I spoke to him – and he was fascinating about it. He said it was an extraordinary, incredibly sad thing to have gone through, but it was something that made her suffering much less.'
He said he was 'yet to be persuaded' that paving the way for assisted dying was 'a bad thing to do', and added: 'The only way I can possibly end today is by going through the 'aye' lobby.'
If MPs back the Bill at third reading, it will face further scrutiny in the House of Lords at a later date.

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Assisted dying law closer but MPs' support narrows in historic vote
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Assisted dying law closer but MPs' support narrows in historic vote

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'. 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.

The Lords must now revise this dreadful assisted dying Bill
The Lords must now revise this dreadful assisted dying Bill

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Britain is a less civilised country today. Seldom has the House of Commons enacted legislation with such potentially calamitous consequences as the Terminally Ill Adults (End of Life) Bill, which has passed its third reading by a majority of 314 to 291. The narrow margin of victory for the assisted dying Bill indicates that opinion had turned against the legalisation of euthanasia during the process of scrutiny, but not in sufficient numbers to defeat it. The only hope of mitigating its worst aspects now lies with the House of Lords. The Lords is a revising chamber and it should now do the job that the Commons failed to do: proper scrutiny. In this case, the revision required to make this legislation workable and safe will have to be radical. This Private Member's Bill was not in the Labour manifesto and so the Upper House is much less limited by convention in the scope of possible amendments. Peers are not generally eager to correct the follies of MPs, but this time their Lordships' duty is to make root and branch changes to the Bill, even if this risks confrontation with the Commons. In particular, the bishops of the Church of England have a responsibility to speak out much more clearly on a matter of such moral gravity. We know that in countries where euthanasia has been legalised, a large and growing proportion of all deaths are now assisted by doctors. In Canada, for example, some studies suggest up to 10 per cent of all lives will end in this way. Surely the Lords Spiritual should be leading the national conversation about what is likely to become reality here, too, in the very near future. Many people will rightly feel a sense of dread at the prospect of death on the NHS. When the new law takes effect in 2029, our health service will be obliged to offer assisted suicide as though it were just another form of care. Palliative care (already the Cinderella of the NHS) will now compete for resources with the new 'service'. As we report, assisted death is likely to overwhelm the NHS and finally break its budgets. Doctors will have to offer lethal drugs to any and all patients who are deemed to be terminally ill, as long as they have mental capacity. Those who meet the criteria could include patients with all kinds of disabilities, people with Down's Syndrome and those with eating disorders. The panels that will decide whether to authorise assisted dying do not need to have personal knowledge of the patient, nor to inform families or friends. They need only decide on the balance of probabilities that the patient is not being coerced. How did Britain find itself saddled with such a 'bad Bill', as the Conservative leader Kemi Badenoch called it, on a matter of such cardinal importance? The Prime Minister must carry much of the blame. Unwilling to shoulder responsibility, he chose to pass the buck to Kim Leadbeater, a backbench MP with more zeal than sagacity. A Government Bill would have allowed much more time to examine the practical costs and benefits of shoehorning the provision of medicalised death into a service designed to preserve life. One of Sir Keir Starmer's predecessors, Gordon Brown, rightly observed that in the name of autonomy the Bill sets up a false choice. Patients who request assisted dying will in future have a legal right to receive it, 'without guaranteeing anything approaching an equivalent right to high-quality palliative care for those close to death', he said. The refusal of the Commons to acknowledge this glaring injustice now places the onus on the Lords to enable physicians to offer terminal patients a genuine choice. Whatever one's views about the principle of assisted dying, this Bill is a case of legislating in haste and repenting at leisure. Posterity will have to live with its lasting impact on the relationship between the public and the medical profession. But it is not too late for peers to remedy some of the Bill's flaws.

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