Scotland Bill

Debate between Fiona Bruce and Eleanor Laing

Thursday 26th April 2012 Commons Chamber

[Mrs Laing]

I rise to speak to Lords amendment 18, which I thoroughly support, like everyone else who has spoken. I pay tribute to my hon. Friend the Member for Milton Keynes South (Iain Stewart), who is something of an expert in these matters, for his measured and helpful approach, to my hon. Friend the Member for Congleton (Fiona Bruce) for all her work on these matters in the Select Committee, and to my hon. Friend the Member for Penrith and The Border (Rory Stewart), whose impassioned speech has, I am sure, left its mark on the House, as it should have done. Unsurprisingly, however, I take issue with the hon. Member for Perth and North Perthshire (Pete Wishart) over his patronising remarks about the indulgence of Members speaking in the debate whose seats are not in Scotland—[Interruption.] The hon. Gentleman has just indicated that he was being pleasant in his remarks. If that was the case, I thank him for them.

[Fiona Bruce]

If my hon. Friend was referring to a comment made following my speech, I must tell her that I took it in good part.

[Mrs Laing]

Perhaps I am being cynical about the hon. Gentleman’s motives; I have listened to him speaking in the House over many years.

Assisted Suicide

Debate between Fiona Bruce and Eleanor Laing

Tuesday 27th March 2012 Commons Chamber

[Fiona Bruce]

I do, and that is entirely the intent of my amendment.

[Mrs Eleanor Laing (Epping Forest) (Con)]

Will my hon. Friend give way?

[Fiona Bruce]

I will continue now, if I may, to allow for the many other speakers who want to speak this afternoon.

If encouragement or assistance is given for others to commit suicide, individuals are answerable for their actions, but when appropriate, the law takes a compassionate approach. Patients at the end of life are very vulnerable to influence, particularly from those providing care. Just yesterday a specialist consultant in palliative care told me of his concerns about any change in the law in this area. He told me of an incident which, he said, was not isolated, but typical. He said: “I had a single male patient who was dying of cancer. Life was difficult for him; he had an estranged daughter who confided in me that her father had asked to be taken to Switzerland because his life was not worth living. His daughter had left home quite early in life and they had lost all contact. I talked with him and he told me how proud he was that she had become a head teacher, he himself having been a teacher earlier in his life. I encouraged him to get to know his daughter again, to tell her he loved her, and that he was proud of her. They did so and they spent the last two weeks of his life together in the hospice having these conversations, which meant so much to both of them.” Is not that the approach that we should take towards those at the end of their life?

The consultant continued, “We”—that is, doctors—“have real concerns that it would place us in a very difficult position if the law is changed, since at the heart of what we do is the tenet that we should do no harm to our patients. So for someone to have their life terminated would place our relationship on a very different footing.” Doctors do not want the relationship of trust between doctor and patients fractured. That surely is why the DPP guidelines tend towards prosecution if assistance with suicide is given by a doctor or nurse as part of their clinical relationship with the patient.

Several disability groups have told me that they would be extremely concerned should there be any change in the law—that is, in this relationship—a change which could well occur should doctors, such as the consultant I mentioned, have the “option to kill”—as he put it—their patients as one of their choices.

Unlike Oregon, where assisted suicide was made legal in 1997, we have specialist palliative care in the UK, with a full four-year training programme. Oregon has had a four and a half-fold rise in assisted suicides since it legalised the practice in 1997, a practice that would result in over 1,100 assisted suicides in this country on a population basis. And Oregon’s safeguards are paper-thin. The Royal College of Physicians has stated that physician assisted suicide

“would fundamentally alter the role of the doctor and their relationship with their patient. Medical attendants should be present to preserve and improve life—if they are also involved in the taking of life, this creates a conflict that is potentially very damaging.”

Help the Hospices says:

“It is right that actions by a care professional are treated differently from actions by a friend or family member”.

Baroness Campbell of Surbiton, speaking on behalf of disabled groups, has said that a change in the law

“wouldn’t just apply to the terminally ill, no matter what the campaigners may say. It would affect disabled people too, not to mention the elderly. A change in the law. . . would alter the mindset of the medical and social care professions, persuading more and more people that actually the prospect of an ‘easy’ way out is what people such as me really want. Well, the vast majority of us do not.”

The motion should keep the DPP guidelines as they are, and support improved care at the end of life.