Terminally Ill Adults (End of Life) Bill

Debate between Lord Falconer of Thoroton and Baroness Lawlor
Lord Falconer of Thoroton Portrait Lord Falconer of Thoroton (Lab)
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I will come to that in a moment, because I have to get through the amendments—we have to make progress a bit. However, I completely understand the question.

Amendment 50 is from the noble Lord, Lord Evans. He basically said that when anybody tries to behave badly, trying to coerce or pressure somebody into making the decision to have an assisted death, that should be sufficient to bar it for ever, even if it had no impact whatever in relation to it. I see the force of that; I think it would be a wrong amendment, for the following reasons. Somebody—a doctor—might go over the line, but it is absolutely clear that the person definitely wants an assisted death. I do not think they should be barred from doing that because they are concerned about what might happen to the doctor or to the person they love if it is absolutely clear that they have not been coerced or pressured into it.

On Amendment 52 from the noble Baroness, Lady Grey-Thompson, she is saying that somebody should not be subject to or at risk of coercive control. Everybody agrees that the person who is adopting the assisted death should not be subject to coercive control. If they are at risk, I would expect the two doctors and the panel to investigate that fully and, if they are not satisfied that the person is reaching a decision of their own, plainly an assisted death cannot go ahead. But I think we are all on the same page in that the risk has to be properly investigated and a conclusion reached.

Amendment 57A in the name of the noble Baroness, Lady Lawlor, says you should not be allowed to have an assisted death if someone has been

“prompted to consider ending their own life”—

presumably in the context of assisted death—by any professional person. Clause 5 leaves it to the judgment of the doctor as to whether they raise the question with the patient. If they raise it, they have to raise it under Clause 5 in the context of the treatment available to the patient and all other options available, including palliative care. I do not think that if a doctor, or indeed any other professional person, makes a judgment that it would be sensible to raise it, that should thereby debar the person from having an assisted death. The noble Baroness wants to intervene. By all means let us prolong the debate if it is a new point.

Baroness Lawlor Portrait Baroness Lawlor (Con)
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It is about the level of authority which the professional person, who is in a way a public servant, and the trust which one endows in one’s GP or family doctor. As we have heard today from other people who are medically qualified, that has great weight with the patient—I speak as someone who comes from a medical family. They constantly agonise about their prescriptions for patients and their emotional condition, and all that. But if one raises assisted dying with somebody who is terminally ill, the professional—the doctor, say—is planting the idea.

Terminally Ill Adults (End of Life) Bill

Debate between Lord Falconer of Thoroton and Baroness Lawlor
Lord Sandhurst Portrait Lord Sandhurst (Con)
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I wanted to make it plain because some people listening to the noble and learned Lord might have thought I had not said that.

Baroness Lawlor Portrait Baroness Lawlor (Con)
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Before the noble and learned Lord finishes, can he clarify for the Committee that a person who can grasp only a diluted amount of information, or who cannot retain the information in any real sense that would be intelligible to us, can be deemed to have capacity for the purposes of the Mental Capacity Act, but for this Bill, which is designed to give people agency and allow an individual as much choice as possible to choose treatment or have agency over medical and palliative care decisions and so on, an entirely different threshold should, quite rightly, be expected for such a serious measure as this?

Lord Falconer of Thoroton Portrait Lord Falconer of Thoroton (Lab)
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I respect the noble Baroness for repeating her speech. Section 3 of the Mental Capacity Act says that if a person is unable to

“understand the information relevant to the decision … to retain that information … to use or weigh that information ... or … to communicate his decision”,

then they do not have capacity. I am content that that should be the approach under the Bill.

Safety of Rwanda (Asylum and Immigration) Bill

Debate between Lord Falconer of Thoroton and Baroness Lawlor
Baroness Lawlor Portrait Baroness Lawlor (Con)
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My Lords, I welcome the Government’s determination to stop the boats, and I commend the provisions to disapply six sections of the Human Rights Act 1998 and to leave open to a Minister of the Crown whether to comply with an interim remedy from a court or tribunal that prevents or delays removal. I wish the Government success and hope the Bill will succeed, but it needs further tightening to avoid potential legal challenges that would prevent it from achieving its aims.

My Amendment 32 therefore is to disapply, for the purposes of the Bill, the relevant international arrangements and other law that prevents the UK from controlling its borders. The first reason for this amendment is a practical one. It is pointless to make a law that is unlikely to work. That, sadly, seems to be the case for the present Bill unless it is amended. The second reason is a deeper one. There is no doubt that there is a popular wish for the small boats to be stopped, and that one of the reasons why the Government were elected was to control our borders. Unless they make a law strong enough to withstand whatever challenge might be brought to it through national or international law, the Government will fail the people on whose support the laws made to govern Britain should be grounded. Trust in the democratic system, with its political parties, Parliament, Government and the judiciary, will be lost.

I do not accept the narrowness of contemporary theory about the dominant position that international treaty law should command. The apparent demand that international law should trump UK law is a form of legal and ideological utopian internationalism.

Lord Falconer of Thoroton Portrait Lord Falconer of Thoroton (Lab)
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Is it therefore the noble Baroness’s position that if there were extensive refoulement by Rwanda, that would not be a reason for not having the Bill?

Baroness Lawlor Portrait Baroness Lawlor (Con)
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That is not my view. My view is that, none the less, given the ingenuity of many noble and learned Lords in this House, and members of the judiciary, barristers and solicitors outside this Chamber, there may very well be intelligent and ingenious challenges that will hold up the operation of the Bill. That is why I want to bring forward my amendment.

By contrast, there are treaties that govern trade, diplomatic or military alliances, and they deal with the national interests of a state and, at one remove, its people. Many who advocate the pre-eminence of international law base themselves on theories of universal rights formulated in the heady days of treaty-making in the decades after World War II—for a European world, by and large, and circumstances very different to our own. These arrangements have provided a quasi-legal framework—