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.

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an hour ago

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‘They feel betrayed': how Reform UK is targeting votes in Britain's manufacturing heartlands

When Nigel Farage called for the nationalisation of British Steel on a visit to the Scunthorpe steelworks this spring, it was a marked change in direction for a man who had spent almost all of his political career campaigning for a smaller, Thatcherite state. Two years earlier, he had questioned why British taxpayers' money should be thrown into keeping the fires of the very same blast furnaces burning. Back in 2018 he told an interviewer: 'I supported Margaret Thatcher's modernisation and reforms of the economy. It was painful for some people, but it had to happen.' After gaining a fifth MP and sweeping to a string of victories in England's local elections last month, his Reform UK is coming for Labour in places Keir Starmer's party once considered its traditional heartlands: the former mill towns, pit villages and workshops of northern England and the Midlands, the steel towns of south Wales and the shipyards of Scotland. Farage's success in what journalists and politicians know as the 'red wall' – ripped from Labour control by Boris Johnson in 2019 – is no coincidence. The targeted campaign plotted from Reform's Millbank Tower headquarters overlooking the River Thames has the general election in 2029 squarely in mind. Rightwing populists around the world are increasingly campaigning on the consequences of deindustrialisation: from Donald Trump's efforts to champion the US rust belt to Alternative für Deutschland (AfD) targeting east German auto workers. Railing against net zero, sky-high energy prices and threats to sovereignty – after supply chain disruption in the Covid crisis, and a fracturing geopolitical landscape – are central to the playbook. There is, however, an irony of a privately educated former commodities trader and career politician offering hope for Britain's deindustrialised communities, where successive governments have promised – and largely failed – to turn around decades of living standards stagnation. In the first on a series on the battle for Britain's deindustrialised areas, the Guardian maps out the rise in support for Reform, and speaks to its campaigners, Labour, the Conservatives, union leaders and economists to document the high-stakes fight. From the vantage point of the 34th floor of the Shard, Zia Yusuf explained how Reform would unshackle the City of London by cutting wealth taxes and deregulating bitcoin. But the party's then chair had his sights elsewhere at the same time. The former Goldman Sachs banker and millionaire startup founder said there was good reason why working-class voters were turning to Reform. 'If you go and speak to people who live in these communities, they just feel completely betrayed,' he said. 'I spent a lot of time in Runcorn. A lot of this is driven basically by a political class that's never really thought about the experience of people living in these areas. And Nigel speaks to those people. '[As with] one of the things Trump is trying to do – whatever your views on the approach he is taking – I think we've got to manufacture more things here. We've got to have energy security. We can't be in a crazy situation where we're unable to produce primary steel.' The message of reindustrialisation is viewed as a unifying theme for Reform's policies. In the pivot to the economic left, Farage's road trip has taken him to Runcorn and Newton Aycliffe, County Durham – where Reform triumphed in elections last month – and the steel towns of Scunthorpe and Port Talbot. In Port Talbot, the south Wales town that recently lost its blast furnaces, he demanded their reopening – along with the valleys' coalmines. However, Labour is fighting back. Rachel Reeves placed investment and regional economic 'renewal' at the heart of her spending review last week, namechecking places that would be sprayed with cash. The government's long-awaited industrial strategy, due on Monday, is designed to bolster manufacturing, and there are hopes that it will tackle sky-high energy prices for industry. Such is the threat in Labour's old heartlands that Starmer used a hastily arranged visit to a St Helens glass factory last month to decry Reform for its 'fantasy economics', comparing Farage to Liz Truss. Will Jennings, the professor of political science and public policy at the University of Southampton, said: 'The fact they are focusing their campaigns there are because the sorts of voters drawn to their messages are there. 'The structure of support for Reform, much like for the Brexit party and Ukip before it, very much tends to be in particular areas, described often, sometimes unhelpfully, as 'left-behind towns'. They tend to be older, have former manufacturing industries, tend to be distant from Westminster, and tend to have suffered economic loss.' Reform came second to Labour in 89 constituencies at the 2024 general election, running Starmer's party closest in the 103-year-old south Wales Labour stronghold of Llanelli, a steel town once famous for manufacturing tinplate. Most of the constituencies are in the north and Midlands. It is these seats where the 2029 battle will be most fierce. Analysis by the Guardian shows these target seats have a higher share of manufacturing jobs than the country at large, demonstrating that, despite decades of industrial decline, they remain more dependent than most on steel, car manufacturing and chemicals. Overall they account for a fifth of Britain's industrial base. Including towns such as Redcar, Wigan and Rotherham, the average share of manufacturing employment is 12.3%, compared with 8.8% for the UK as a whole. The seat of Washington and Gateshead South, home to the vast Nissan factory near Sunderland, has the highest share, at 35.3%. Separate research by the Trades Union Congress shows Labour seats with the most manufacturing jobs are more likely to have Reform as the second party (34% of seats), compared with the average across all Labour constituencies (22%). Recent predictions from MRP models show Reform would win at least 180 seats if an election was held tomorrow, including nearly all of the places where it placed second to Labour in 2024. Most of the seats cover towns that have been hit hard economically by manufacturing decline. When Margaret Thatcher came to power in 1979, Britain's industrial base was already dwindling from its peak in the early 20th century, yet still contributed about 30% to GDP. Many areas were also still dominated by industry – including Hartlepool, Burnley and Stoke-on-Trent, where more than half of all jobs were in manufacturing. The deindustrialisation of the 1980s was, however, brutally fast as the UK transitioned to a more services-oriented economy, reliant on imported goods. Today manufacturing accounts for about a tenth of annual output. But Reform is not only targeting nostalgia for a bygone age when Britain made things. When the factories closed, the jobs they offered were either not replaced or were supplanted by lower-paid, insecure work. Whole towns have suffered economically as a result, falling behind the rest of the country despite the promises of successive governments to turn things around. Austerity made matters worse. Last month, research by academics at the University of Staffordshire showed cuts since 1984 have disproportionately affected coalfield and deindustrialised areas, including reductions in welfare and benefit worth £32.6bn between 2010 and 2021. Andy Haldane, the former Bank of England chief economist, said: 'Whichever lens you look at – economic, social, environmental – those places have been lost, and in that sense they have been left behind. And if not overlooked, then underinvested in, systematically, over at least a generation. If not two. 'The longer that has gone on and has turned into generational stasis, or a lack of social mobility, the greater people in those places have willingness to seek redemption elsewhere. Brexit was that, almost a decade ago. And Reform might be it now.' Haldane, the architect of levelling up, and a key figure in the last government's industrial strategy, said Farage had effectively become a 'tribune for the working classes'. The Guardian's analysis shows Reform's target seats would have an average ranking on the English index of multiple deprivation of 92, out of 543 places in total, with 1 being the most deprived. The index brings together a wide range of data sources to build a picture of deprivation, including income, work, education, health and crime rates. Sign up to Business Today Get set for the working day – we'll point you to all the business news and analysis you need every morning after newsletter promotion Average wages are £65 a week lower than the UK average. Unemployment, economic inactivity and the rate of jobless benefit claims are higher. To track the rise of Reform, Labour researchers have been using data from parliamentary petitions as a straw poll to see if the party is growing in their local area. Analysts are poring over data from the 'Call a General Election' online poll, launched within months of the last one, and signed by 3 million people. Signatories have to enter a postcode, enabling support to be plotted geographically. Hotspots included Essex and Lincolnshire – Reform strongholds. 'We're looking at how active they are, where we can assign a high probability that it [a petition] is being driven by Reform or their organised groups via WhatsApp,' said one adviser to a Labour MP. Almost all the Reform target seats backed Brexit, including 15 Labour won from the Tories in 2024. Most had only been Tory since 2019, when many decades-old Labour seats backed Boris Johnson's 'levelling up' and 'get Brexit done' messages. On average, leave voters tend to be more socially conservative and anti-immigration. Many 'red wall' MPs are pushing Starmer to adopt a tougher stance on immigration as a result, including the Blue Labour caucus founded by Maurice Glasman. Reform has pushed hard on the issue, in a high-stakes campaign after last summer's riots across the UK – including in many post-industrial towns. Experts said economic conditions alone did not explain anti-migrant views or justify rioting, but that austerity and stalling living standards fuelled grievances and mistrust of institutions. Luke Telford, a criminal and social policy academic at the University of York and author on Brexit and deindustrialisation, said: 'The key narratives we heard in the months after [the riots] was it is all about the far right and social media. 'Undoubtedly that's an important contributor to the outbursts of inarticulate rage we saw. But that rage doesn't occur in a vacuum, it is bound to certain social, cultural and economic conditions that combined. 'It's certain that the areas among the most deprived, were among those with high levels of rioting. It's impossible to ignore that kind of correlation.' However, fetishising industrial jobs and prioritising the restoration of British manufacturing might not be the best route to an economic renaissance. Not least because England's regions are more economically and culturally diverse places than some in Westminster give them credit for. Many economists say the idea is riddled with misunderstanding about modern Britain, where its strengths mainly lie in high-value services, rather than on low-paid production that is at risk of being automated away. Most Britons think manufacturing is important for the economy. Most parents do not want their children to pursue a career in the sector. 'I don't think you have to replace manufacturing job with manufacturing job in a Trump-like fashion to resist the rise of populism,' said Haldane. 'But you do need to replace them with something that is at least as good, in terms of quality of work, pay, security and a degree of pride around it. And you do need to invest in the supporting infrastructure. Whether that's transport, housing, or social infrastructure – like youth clubs and parks.' Reindustrialisation runs like a seam of coal through the rhetoric of rightwing populists worldwide – seen most prominently in Trump's Make America Great Again campaign to 'bring back' factory jobs to rust belt states. Much of the intellectual driving force behind reviving industry emanates from the US. The economist Oren Cass and his American Compass conservative thinktank, with close ties to JD Vance in particular, has promoted a 'new right' strategy prioritising a pro-worker, pro-trade union, pro-industry agenda that is scathing of corporate America. Cass was among speakers – including Farage and Kemi Badenoch – at a London conference held by the Alliance for Responsible Citizenship (Arc) this year, sharing a stage with Michael Gove, the Spectator editor and former Tory cabinet minister. Founded by the Canadian psychologist and self-help author Jordan Peterson and the Tory peer Philippa Stroud, Arc's financial backers include the British hedge fund manager Paul Marshall and the Dubai-based investment firm Legatum – who also co-own GB News, where Farage has a prime-time show. Another figure is Matthew Goodwin, also a GB News commentator and regular speaker at Reform rallies. An ex-academic, he studied what he calls the 'realignment' of British politics, whereby the left has shifted to supporting liberal, metropolitan values, allowing the right to hoover up more socially conservative, working-class voters. Farage and Trump share common ground in promising to roll back net zero – ostensibly to boost manufacturing jobs in heavier polluting sectors, including oil and gas, coal, steel and chemicals. And both are courting trade union members and their worries over foreign competition, the impact of decarbonisation and high energy costs on heavy industry. Gary Smith, the general secretary of the GMB union, which includes offshore workers in Scotland among its members, has called for an 'honest debate' about Labour's plans for industry. He told the Guardian that net zero advocates on the left risked fuelling support for Reform by leaving workers out of the debate. 'Climate fundamentalism and rightwing populism are two cheeks of the same backside,' he said. 'We need to have a programme about jobs and apprenticeships to bring back hope. Neoliberalism is dead and globalisation as we knew it is over. Working-class people aren't voting for cheap TVs and training shoes. They want their jobs back.' At an event in Westminster late last year to lobby Labour MPs on high manufacturing energy costs, GMB's shop stewards were approached uninvited by the Reform deputy leader, Richard Tice, trying to curry their favour. But while Reform can count on support from some union members, the labour movement's leaders are furious at its overtures. 'We wouldn't talk to those fuckers. Load of posh boys hanging tough for the working class? They can go fuck themselves,' said one union boss. Paul Nowak, the general secretary of the TUC, said: 'The hypocrisy is stunning. This is a guy [Farage] who was hanging on the coat-tails of Donald Trump. He turns up at Scunthorpe saying he wants to save British Steel at the same time as his mate in the White House is slapping tariffs on steel and could cost jobs across Britain's manufacturing base. 'In industrial communities there is a lot of cynicism about politics and whether it can make a difference. But it can make a tangible difference to peoples lives who is in Downing Street.' For Labour, the challenge from Farage showed the importance of an 'ambitious' industrial strategy, he said. It could be central to its hopes of winning a second term.