Assisted Dying Bill [HL]

Debate between Lord Mawson and Lord Winston

Friday 16th January 2015 Lords Chamber

[Lord Winston (Lab)]

My Lords, with great respect to my noble friend Lord Pannick, I disagree, and totally agree with the noble Baroness, Lady O’Neill. There is another issue beyond clarity here. One of the issues that was raised at Second Reading and, I think, on the first day in Committee was the concept that fragile and possibly deranged, angry and distressed elderly people coming into hospital have of the nature of their status as patients. The use of the word “suicide” brings clarity for them, because it makes a very big difference to medical and nursing practitioners, who can quite clearly see that they will not be involved in a process of assisted dying. It is, effectively, suicide, and that limits any notion of how they might feel when they feel that somebody is not really worth supporting in hospital. This is a major problem and will become an increasing one. We see the increasing difficulties in the health service when dealing with cancer care at the moment and the provision of drugs. There will be pressures on budgets and increasing pressures on patients who will feel under pressure to take a decision that is not entirely theirs. I therefore support this amendment.

[Lord Mawson (CB)]

My Lords, I agree with the previous speaker. I do not believe there is clarity in the country about this matter at the moment. This is the first time I have spoken in Committee on the Bill, and I think I was the only person at Second Reading to draw attention to the practical implications of the Bill for modern multicultural Britain. Today in this country we are privileged to share our lives with virtually every nationality and culture on earth. This is a great privilege but also a considerable responsibility when it comes to the life and death issues captured in the Bill. It is from within this context, having spent the past 31 years working in the East End of London, that I speak today.

On an issue as sensitive and as important as the state helping people in modern Britain to sign their lives away, it is very important that the national debate about these matters is carried out as fairly and objectively as possible, so that British people can make balanced and informed judgments about these important matters that affect both them and members of their families. One of my primary concerns in speaking today is to ensure that the hard facts are all on the table and can be seen in the clear light of day. In that regard, the words we use in the Bill and what we mean by them really matters when we have to translate their meaning and purpose into the languages and dialects of every nationality on earth—but more of that later.

The Second Reading debate in your Lordships’ House and the first day in Committee demonstrated the House at its best and brought to the surface the very real, practical and complex issues for all to see, if only members of the public were allowed to both hear and see them. This House, packed as it is with so much experience and knowledge, is probably the only place in the country where a debate such as this can take place in a way that addresses the detail in all its glory.

That said, I have been concerned during the process of this debate in the country that some of our media, which have a responsibility to educate and inform the general public about all sides of this argument, have simply gone into campaigning mode. It would be interesting to ask how many of the journalists and commentators have actually read Lords Hansard and dug down into the issues with us, and then honestly and fairly communicated their findings. This issue sadly lends itself to lots of sentimental stories on all sides, but the hard realities are far less palatable in a media-driven age that skims across the surface of our lives.

I am concerned that much of our media are not covered with glory with regard to setting out clearly the complex choices and practical issues that need to be understood if members of the public are to seriously engage with the issues and make informed choices on this matter. I have tested this at home with members of my own family and got the sense, before they were encouraged to look further, that, for them, going for this injection would be a bit like going to the optician or dentist. Of course, the dentist analogy carries with it far more personal experience, I suspect, and fear.

There have been considerable sentimental stories about individuals in our media who, of course, have gone through terrible times, without the necessary balance given—