MPs to debate assisted dying bill - everything you need to know

MPs will debate and are expected to vote on proposed legislation for the first time in almost a decade.

MP Kim Leadbeater who has put forward the Terminally Ill Adults (End of Life) Bill
Author: Chris MaskeryPublished 29th Nov 2024

MPs in the House of Commons will debate an assisted dying bill today and are likely to vote on proposed legislation for the first time in almost a decade.

Labour backbencher Kim Leadbeater has put forward the Terminally Ill Adults (End of Life) Bill, saying it is about giving choice to dying people and is “robust”, with potentially the “strictest protections” against coercion anywhere in the world, requiring sign-off by two doctors and a High Court judge.

Some MPs and campaigners have raised concerns that the Bill has been rushed and will not get the scrutiny it requires – an argument rejected by Ms Leadbeater who insisted it is likely to be subject to more scrutiny because of the level of public debate on the divisive issue.

Here's everything you need to know about what's happening today:

What is assisted dying?

This, and the language used, varies depending on who you ask.

Pro-change campaigners Dignity in Dying argue that, along with good care, dying people who are terminally ill and mentally competent adults deserve the choice to control the timing and manner of their death.

But the campaign group Care Not Killing uses the terms “assisted suicide” and “euthanasia”, and argues that the focus should be on “promoting more and better palliative care” rather than any law change.

They say legalising assisted dying could “place pressure on vulnerable people to end their lives for fear of being a financial, emotional or care burden upon others” and argue the disabled, elderly, sick or depressed could be especially at risk.

What is the current law?

Assisted suicide is banned in England, Wales and Northern Ireland, with a maximum prison sentence of 14 years.

In Scotland, it is not a specific criminal offence but assisting the death of someone can leave a person open to being charged with murder or other offences.

What is happening at Westminster today?

Labour MP Kim Leadbeater formally introduced her Terminally Ill Adults (End of Life) Bill to Parliament in October.

If the Bill passes the first stage in the Commons today, it will go to committee stage where MPs can table amendments, before facing further scrutiny and votes in both the House of Commons and the House of Lords.

Ms Leadbeater’s Bill would apply only to England and Wales, a seperate member's bill has been introduced in Scotland, but not voted on yet. Nothing has yet been passed in Northern Ireland.

Who would be eligible for assisted dying?

Only terminally adults who are expected to die within six months and who have been resident in England and Wales and registered with a GP for at least 12 months.

They must have the mental capacity to make a choice about the end of their life and be deemed to have expressed a clear, settled and informed wish – free from coercion or pressure – to end their life.

How would the process work?

The terminally ill person must make two separate declarations, witnessed and signed, about their wish to die.

The process must involve two independent doctors being satisfied the person is eligible and the medics can consult a specialist in the person’s condition and get an assessment from an expert in mental capacity if deemed necessary.

A High Court judge must hear from at least one of the doctors regarding the application and can also question the dying person as well as anyone else they consider appropriate.

How long would it take?

There must be at least seven days between the two doctors making their assessments and a further 14 days after the judge has made a ruling, for the person to have a period of reflection on their decision.

For someone whose death is expected imminently, the 14-day period could be reduced to 48 hours.

What safeguards are there?

It would be illegal for someone to pressure, coerce or use dishonesty to get someone to make a declaration that they wish to end their life or to induce someone to self-administer an approved substance.

If someone is found guilty of either of these actions, they could face a jail sentence of up to 14 years.

What are the views of the public on assisted dying?

This varies. Research by the Policy Institute and the Complex Life and Death Decisions group at King’s College London (KCL) in September suggested almost two-thirds of just over 2,000 adults surveyed in England and Wales want assisted dying to be legalised for terminally ill adults in the next five years.

But it showed the changeable nature of some people’s views, with some of those voicing support saying they could change their minds if they felt someone had been pressured into choosing an assisted death or had made the choice due to lack of access to care.

Paul Blomfield is the former Labour MP for Sheffield Central & current chair of the Dignity in Dying campaign group - whose dad took his own life after being diagnosed with a terminal illness:

"I hope the MP's will vote for it in order to allow Parliament to have that full debate.

"All the issues need exploring, before in several months' time, there's a final view reached on the matter.

"In changing the law, we would be creating so much improvement for people in their final days and weeks."

Lee Pitcher is the Labour MP for Doncaster East + the Isle of Axholme. He's been telling us why he plans to vote in favour of progressing the assisted dying bill in Parliament:

"I have been with loved ones right at the end of their lives and I've seen some of those die really peacefully.

"However, I've also seen some people who I absolutely love - and they've died in terrible pain in their final days - and I know if they'd had a choice, they'd have died with greater dignity.

"I have read books on it, I've spoken to constituents, friends, colleagues and family about the topic of assisted dying.

"I've listened to both my head and my heart in coming to a decision on this."

Mandy Platts - from Thurnscoe - used to work in palliative care at Rotherham Hospice:

"I believe the assisted dying bill should be passed.

"Everybody has got the right to choose how they die in my opinion.

"I've seen too many people die in discomfort, so I believe it should be passed."

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