Terminally Ill Adults (End of Life) Bill

Lord McCrea of Magherafelt and Cookstown Excerpts

Committee stage
Friday 9th January 2026 Lords Chamber

[Lord Meston (CB)]

My Lords, as the noble and learned Lord, Lord Garnier, said, we really have to make a choice between court-based decisions and the panel, as the Bill provides for in its present form. There is merit in both. There is a strong case for the use of the expertise and skills of the Family Division of the High Court and designated family judges—I should declare that, until quite recently, I was one of them. However, as the noble and learned Lord said, the courts will be faced with an initial rush of applications. That tends to happen with any significant change in the law, and it is likely to happen in this situation. It will take some time for the procedures to settle down, whether they are in front of a panel or the court. As the noble Baroness, Lady Berridge, said, we require some realistic assessment of the likely additional workload on the judiciary and the court system. The judiciary is of course well used to hard work and working under pressure, finding time when it is required. It should also be borne in mind that not all these cases will be complex or contested. In fairness to what was said by the noble Lord, Lord Shinkwin, there is no question of cases being nodded through or rubber-stamped, whether by the court or the panel. Family judges are used to prioritising cases when urgency is required, and they do so by underpinning their decisions with focused and robust case management.

The noble Baroness, Lady Berridge, is right, and I endorse what she said: judges are real people. I therefore endorse her call for consultation with the current President of the Family Division. I also suggest that one way through this might be an enhanced role for the independent advocate provided for in Clause 22, who will assume the role that guardians have in more conventional family cases—representing the interests of the person, whether a child or an adult, at the heart of the litigation.

[Lord McCrea of Magherafelt and Cookstown (DUP)]

My Lords, I want to draw the implications for Northern Ireland into the conversation on the amendments from the noble Lord, Lord Carlile. Clearly, Northern Ireland has its own family court system, which, incidentally, has its own issues and backlog. However, that does not mean that people in Northern Ireland are entirely unaffected by court decisions in England and Wales. Each year, the family court for England and Wales hears cases involving parties on both sides of the Irish Sea, perhaps most notably applications for a child arrangements order, where one parent is living in England and the other in Northern Ireland. In such cases, delays in the English court can result in parents and children in Northern Ireland being left in limbo, awaiting decisions, with all the connected anxiety and parental conflict that goes with it. I simply present that as an example of the sort of impacts that ought to be considered, if we want to make any claim to be engaging in serious policy work.

There is no doubt that there will be even more acute impacts in England and Wales, where the strain on the court will be more direct. Catherine Atkinson MP in the other place reminded Members that:

“More than two thirds of care proceedings involving the most vulnerable children in our society cannot be completed within six months”.—[Official Report, Commons, 29/11/24; col. 1030.]


If that is the case at the moment, what can we expect if family court judges are increasingly swamped with assisted suicide cases instead?

The estimates from the former head of the Family Division, Sir James Munby, suggested that at least 34,000 hours of judicial involvement will be required each year for a proposal such as this to work, whereas the 20 judges in the Family Division of the High Court currently sit for only a total of 19,000 hours between them across all cases. Clearly, that is not something that we can ignore, and it is quite apparent that the bulk of the work will fall on circuit judges.

In saying that, I stress that I am not without sympathy for many of the concerns raised by the noble Lord, Lord Carlile. In the words of the Medical Defence Union, the current approach leaves doctors “unduly exposed”, making assessments on coercion, capacity and—as we heard a few weeks ago— residency that they feel unqualified to make. In my opinion, the Bill, as drafted, is not fit for purpose.

I have to say that I am equally concerned about the prospect of attempting to legislate on the fly, which is what we seem to be doing. What level of resource would the family court proposal require? How many additional circuit judges will be designated family judges? What impact would this have on the principle that, ideally, judges should be specialists in the area in which they are engaged? Incidentally, I believe the noble and learned Lord, Lord Falconer, has previously supported that principle. What would be the cost for an already overstretched court system?

We have been left to do policy in the dark. As former Lord Chief Justice the noble and learned Lord, Lord Thomas, warned in November,

“no one has grappled with the detail”

of the legislation’s impact on family courts. The legislative hokey-cokey on the issue of judicial involvement, which goes back much further than this Bill, has certainly not helped. It gives the impression that no one has worked out how to resolve the dilemma at the heart of the Bill—that the necessary level of safeguarding that such a Bill needs ultimately renders it unworkable. I know that the noble Lord, Lord Pannick, has said that this applies only to those who have six months to live, but no one can state categorically that a person has only six months to live. As a minister in the Church for 50 years, I have known numerous people who have been told that they have only six months to live, but they lived for years after that. Therefore, while it has been suggested that this applies only to those who have six months to live, we do not know that, and we cannot give that assurance.

In 2012, the Commission on Assisted Dying, chaired by the noble and learned Lord, Lord Falconer, considered several models for approval of assisted suicide. Those included: a medical decision-making model where doctors are solely responsible for decision-making; an NGO or volunteer-based organisation model, as they have in Switzerland or—to a certain extent—in Oregon; a tribunal model; and a court model, with the question posed whether the court should be the family court, as in the amendment, or another, such as the Court Of Protection. In 2012, the noble and learned Lord, Lord Falconer, firmly backed the medical-only model, as his report reads:

“Our assessment of the body of evidence overall has convinced us that it is health and social care professionals who have the knowledge, skills and training structures that would be needed to implement a safeguarded system to permit assisted dying in the UK. Therefore, we do not consider that it would be necessary or desirable to involve a tribunal or other legal body in decision-making”.


However, just two years later, in Committee on the Assisted Dying Bill, the noble and learned Lord made an about-turn—the court model had become the silver bullet. He told the House that

“I do not think that one can leave it to doctors alone, in particular to form two views: first, on whether it is the voluntary, clear, settled and informed wish that somebody wishes to end their own life; and, secondly, whether they have the capacity”.

In fact, he was such a convert that he made it clear in that debate that it needed to be

“the highest-quality judges to decide these issues”,—[Official Report, 7/11/14; cols. 1880-81.]

and the role for the Family Division was added into the Bill.

That position briefly persisted when the noble and learned Lord’s co-sponsor introduced the Bill in the other place, announcing it as the safest in the world due to the High Court element. But then that idea fell apart too, and the tribunal-style model, combining medical and legal elements, was adopted instead, on the claim that it would be “more robust”. At first, I thought that this was the plan all along because Dignity in Dying—the real sponsor behind the Bill—indicated this as its preferred option to the Commission on Assisted Dying in 2012. But then I read a line in the commission’s report where Dignity in Dying said:

“If there was going to be a tribunal then you would expect it to be part of the tribunal service”,


which of course the panel process currently in the Bill does not do.

This flip-flopping does not inspire confidence, and I certainly think that we should bear this in mind if the noble and learned Lord, Lord Falconer, indicates shortly that he suddenly once again thinks that the High Court judge is the way to go. It is incumbent on us to consider the reason that the High Court judge was scrapped in the Commons—again, not because I think that it was better but because it raises those questions of workability.

When interviewed by the Select Committee, Ms Leadbeater in the other place claimed that the removal of the High Court was to ensure a more “patient-centred approach”. But I am not sure that this tells the full story. In February, the Guardian reported that senior officials in the Ministry of Justice were understood to have significant concerns about the sign-off from a High Court judge in the original Bill, given lengthy backlogs in the family court. Perhaps the Minister would like to confirm these reports when she replies.

To conclude, it is important to stress that decisions around Amendment 120 are not peripheral but a central policy consideration that touches the very heart of the Bill. Is the Bill about introducing a new so-called treatment option to be overseen principally by the healthcare professionals, like other end-of-life choices, or is it more about giving the courts extraordinary discretionary power to resolve concerns about the operation of the Suicide Act in extreme cases? It is astonishing that at this late stage in the process, with the Bill having passed through the Commons, we have still not resolved this important point of principle.

[Lord Gove (Con)]

My Lords, I speak because I was persuaded by the case made by the noble Lord, Lord Carlile, but I recognise that there are inevitable questions that his case provokes, which have been reflected in the debate.

Of course, not everyone has been convinced. I am reassured by the strength of the noble Lord’s case, having spent four and a half years as an Education Minister and one and a half years as a Justice Minister with direct responsibility for liaising with the family courts, and so my respect for those who work in those courts and the judges in them is all the greater for it.

However, as the noble Lord, Lord Pannick, has pointed out, not everyone believes that judges would be the ideal people to make decisions in this case. I remind the noble Lord, Lord Pannick, with respect, of the case that he made in his wonderful book, Judges, where he said:

“So long as men and women continue to wound, cheat, and damage each other, there will be a need for judges … Judges do not have an easy job. They repeatedly do what the rest of us seek to avoid: make decisions”.


Each of us may consider either judges or a panel preferable, but there is one key question for those who agree with the noble Lord, Lord Pannick, in his current incarnation and believe that a panel is preferable. Can we know what the promoter of the Bill understands by “legal member”, and can we also understand what the Government believe the definition of “legal member” to be? What is the threshold, what qualification—

Assisted Dying Bill [HL]

Lord McCrea of Magherafelt and Cookstown Excerpts

2nd reading
Friday 22nd October 2021 Lords Chamber

[Lord McCrea of Magherafelt and Cookstown (DUP)]

My Lords, I appreciate that this is very sensitive subject. Life is an amazing and wonderful journey, but death is inevitable for us all. I believe, as the scripture said, that

“it is appointed unto men once to die”—

but that is not the end—

“but after this the judgment.”

As well as considering the impact of the Bill on patients and the vulnerable, we must consider the impact on healthcare professionals, especially of Clause 5, the wording of which will be a source of real concern. No health professional can be certain that they are entitled to fully opt out, as the Bill envisages. There is a wide range of different types of involvement for health professionals in what is termed the assisted dying process. Health professionals who conscientiously object to assisted dying would expect to take no part in the process, yet a person who facilitates, supports and plays a necessary part in the practice may perceive themselves to share in the moral responsibility for it.

The experience of other jurisdictions highlights that doctors face considerable trauma, stress and ethical dilemmas as a result of assisted suicide legislation. For doctors, switching from medical interventions designed to prolong life to procedures designed to rapidly end life has profound consequences. Indeed, this Bill is in direct conflict with the moral and ethical duties of healthcare professionals, which focus on the avoidance of harm and the safety of patients. True assisted dying is the work of palliative care, which has at its core a genuine compassion and respect for human life. Actively assisting a patient to take his own life undermines the fundamental principles of doctor-patient relationships irrevocably and harmfully.

A 2019 paper in the Palliative & Supportive Care journal reported the experience of doctors in the US and the Netherlands and found that almost half of all doctors surveyed described experiencing significant psychological and emotional distress after participating in the assisted death of a patient. About half of those doctors reported a

“significant ongoing adverse personal impact”.

Doctors reported feeling a sense of loneliness, shame and guilt, which manifested itself in sleepless nights, exhaustion and poor mental health. One said:

“I felt very lonely. I couldn’t share that with anyone ... I felt powerless and alone.”


I am aware that some suggest that under the conscientious objection clause medical professionals will not be required to be involved and they can exercise their conscience rights. However, we all know in other jurisdictions how this has worked. For example, conscience is protected by the Canadian constitution and statute but nevertheless hospice facilities have been closed for refusing to offer assisted dying on their premises and healthcare professionals have felt undermined and unable to fulfil their calling to care for the sick and dying.

The Bill fails to protect both vulnerable people and medical professionals and for these reasons and many others besides, I strenuously oppose it.

Queen’s Speech

Lord McCrea of Magherafelt and Cookstown Excerpts

Tuesday 18th May 2021 Lords Chamber

[Lord McCrea of Magherafelt and Cookstown (DUP)]

My Lords, I refer to my entry in the register of Members’ interests. In the gracious Speech, the Government have promised measures to ban conversion therapy. No one should seek to justify dangerous medical or other practices that are abhorrent, coercive or humiliating in the name of so-called conversion therapy, but freedom to carry out legitimate religious activities, such as preaching the gospel, prayer and pastoral support, must not be hindered or criminalised. People have a right to seek spiritual counsel, and threatening preachers who fulfil their God-given duty is a serious denial of religious freedom. Indeed, the coverage of this issue is quite prejudiced against biblical Christianity.

Preachers who faithfully expound God’s word and call people to repentance and salvation—will the Government’s proposed legislation limit or criminalise them? I note that the Education Secretary in the other place has heralded the Queen’s Speech as a “milestone moment” and that universities could be fined if they fail to protect free speech on campus. But recently a 71 year-old pastor was forcibly pulled down from the steps on which he was standing in west London and led away with his hands cuffed behind his back for exercising his religious liberty to preach. He suffered some injury to his wrists and elbow. Recently, Blackpool Council banned adverts from the Lancashire Festival of Hope and it took a court’s intervention to overturn that decision. Also, the Robertson Trust terminated a contract to rent its premises to Stirling Free Church and ordered it to leave. There is open hostility to the Christian belief in marriage. It makes me wonder: are we losing our religious liberties here in the United Kingdom? I challenge this Government to reaffirm their commitment to freedom of speech and religious belief.

In the gracious Speech the Government promised to increase sentences for the most serious and violent offenders, yet many in Northern Ireland fear that we are being told that those who brutally murdered our loved ones may never have to face the possibility of a criminal conviction or imprisonment. After the release of the report into what was termed the Ballymurphy massacre—I offer my genuine condolences to those families—I received a text which included photographs of 30 innocent victims of IRA terrorism with these words: “Where is our truth and justice?” The answer is, they have received none. There has been no justice for the families of Teebane, where 14 innocent construction workers were blown up. Eight were murdered and the rest still bear serious injuries. On that unforgettable night, I personally walked among the dead and assisted the injured into the ambulances. What about justice for the massacres of Kingsmill, Enniskillen, Warrenpoint and so on? Yet no Sinn Féin leader has been ordered to any dispatch box to unreservedly apologise for their evil deeds; nor have they offered to go and look the innocent families of their victims in the eye and tell them why their loved ones had to die, as Mary Lou McDonald asked our Prime Minister to do. There is one law for them and another for everybody else.

As for Ballymurphy, I note that no one has mentioned that, prior to those killings, seven British soldiers were murdered by the IRA, when it is widely accepted that Gerry Adams was the so-called officer commanding. I will read out their names lest we forget their sacrifice: British soldier George Hamilton, aged 21; Stephen McGuire, 20; Alan Buckley, 22; Eustace Hanley, 20; George Lee, 22; James Jones, 18; and Brian Thomas. They were all murdered in Ballymurphy by IRA gunmen.

I acknowledge that the pain and heartache experienced right across the community is the same but I will not allow Irish Republicans to equate British soldiers with terrorists. Neither will I allow to go unchallenged the vexatious claims against veteran soldiers or police officers simply for the promotion of anti-British propaganda. Successive Governments sent our young soldiers out for the purpose of protecting the community and preserving law and order, but every terrorist went out with lust for blood, deliberately aiming to leave some home in grief or a child fatherless. Justice demands that the legacy of our past in Northern Ireland is tackled, but to rely on some supposed truth-telling exercise is totally unacceptable. Remember that Gerry Adams still denies that he was ever in the IRA. My appeal to this House is that justice is not for the chosen few, nor for those who shout the loudest, but for all.

Public Health (Coronavirus) (Protection from Eviction) (England) (No. 2) Regulations 2021

Lord McCrea of Magherafelt and Cookstown Excerpts

Thursday 18th March 2021 Lords Chamber

[Lord McCrea of Magherafelt and Cookstown (DUP) [V]]

My Lords, evictions should be viewed as a last resort, only after all other avenues have been exhausted, and even more so at this time when the global pandemic is having a serious adverse impact on household incomes and employment.

Affording sufficient breathing space to tenants who have found themselves in financial difficulties through no fault of their own during Covid-19 is, therefore, a constructive and compassionate gesture. This reflects separate measures taken across the UK to suspend insolvency proceedings and protect commercial tenants from eviction where their circumstances have been directly influenced by Covid-19.

It is appropriate that we encourage landlords not to issue any new notices to evict or quit at this time unless absolutely unavoidable. Collectively, landlords, tenants, local authorities and departments should be able to examine what steps can be taken, short of eviction, where a tenant is in arrears due to financial difficulties arising from Covid-19. Having that early, joined-up conversation can help to prevent situations escalating and chart a better way forward.

However, it is absolutely right for us to recognise that continuing enforcement of eviction or repossession will be entirely justified in some cases. This includes cases of anti-social behaviour and domestic abuse or where rent arrears are at such an advanced stage to pose a disproportionate burden on a landlord. The Government are right to highlight the need for practical discretions in these situations.

The pandemic will ultimately have a negative and long-lasting impact on jobs and prosperity right across the province, and therefore I believe that these regulations are appropriate.

Oral Answers to Questions

Lord McCrea of Magherafelt and Cookstown Excerpts

Tuesday 17th March 2015 Commons Chamber

[Chris Grayling]

We are making good progress towards the introduction of the victims information service, which will signpost victims to services available locally. We intend to mesh that with the current system for tracking crimes, so that we have a single point where victims can find out the situation with the case they are going through. It is really important that we do the right thing for victims, and we have done as much as any previous Government to step forward and provide that support.

[Dr William McCrea (South Antrim) (DUP)]

The Secretary of State must acknowledge that many victims of crime feel that the criminals have more rights and protection than they do. For many that is not only a perception, but a reality. Therefore, we urgently need not only a strategy to support victims through the very difficult circumstances of their trauma, but to prove through the sentencing process that crime does not pay.

[Chris Grayling]

I agree with the hon. Gentleman. I am pleased that under this Government sentence lengths have increased. It is absolutely right and proper that those who commit crimes should serve a proper period of recompense for what they have done. Of course, it is also important that we rehabilitate them to ensure that they do not do it again.

Oral Answers to Questions

Lord McCrea of Magherafelt and Cookstown Excerpts

Tuesday 3rd February 2015 Commons Chamber

[Chris Grayling]

Decisions on individual bail cases lie with the courts, which are independent of Government, but I never want the courts to be in a position where they do not have a place to send those whom they wish to put behind bars. I hope our courts will exercise extreme care in deciding whether to put somebody behind bars or to let them out on bail. As we go into the election in May, there are 3,000 more adult male prison places than there were in 2010.

[Dr William McCrea (South Antrim) (DUP)]

Will the Justice Secretary outline some of the additional educational opportunities that he believes would assist in preventing people from falling back into a life of crime?

[Chris Grayling]

We continue to work to expand education in our prisons, and I am pleased that this year we expect a significant increase in the number of prisoner qualifications. Great work is done by our education professionals in our prisons. We will look to expand and develop that as far as logistically possible.

Oral Answers to Questions

Lord McCrea of Magherafelt and Cookstown Excerpts

Tuesday 8th October 2013 Commons Chamber

[Chris Grayling]

I can give that confirmation. We have tried to ensure that through a contracting structure for duty work, we can guarantee that anybody who is arrested and taken to a police station will always have access to a lawyer. At the same time, we recognise the point about small firms in my hon. Friend’s constituency, and those in Liverpool mentioned by the hon. Member for Liverpool, Wavertree (Luciana Berger). Such firms can continue to do their own client work, albeit in a tough financial environment, so that the choice that has been enjoyed in the past will continue.

[Dr William McCrea (South Antrim) (DUP)]

Will the Secretary of State tell the House what recent discussions he has had with the Minister of Justice in the Northern Ireland Assembly on the sensitive issue of legal aid, and say what was the outcome of those discussions?

[Chris Grayling]

I have had a number of discussions with the Justice Minister over the months. We have not specifically discussed our legal aid reforms, but I know he has similar financial challenges to ours. He has mentioned those challenges to me, and I know he is looking at how best to deal with them.

Oral Answers to Questions

Lord McCrea of Magherafelt and Cookstown Excerpts

Tuesday 2nd July 2013 Commons Chamber

[Jeremy Wright]

I am certainly in favour of anything that can be demonstrated to assist in reducing reoffending, but there is another test that needs to be applied: a public acceptability test. The public have certain expectations of what should and should not happen in prison, so we need to apply that filter, but I am certainly interested in imaginative ideas that will help to drive down reoffending rates.

[Dr William McCrea (South Antrim) (DUP)]

Can the Minister assure the House that improving literacy among prisoners is provided equally across the United Kingdom? What consultation has he had with the Minister of Justice in the Northern Ireland Assembly?

Oral Answers to Questions

Lord McCrea of Magherafelt and Cookstown Excerpts

Tuesday 21st May 2013 Commons Chamber

[Chris Grayling]

I have a lot of sympathy with what my hon. Friend says on frozen assets. Of course, they are already used to fund police, the Crown Prosecution Service and victims’ services, so this is not an untouched resource. In the Crime and Courts Act 2013, we have taken powers to extend the use of frozen assets, but I do not believe that the amounts of money available are sufficient to make a material difference to our proposals.

[Dr William McCrea (South Antrim) (DUP)]

What recent representations has the Secretary of State had from the Department and Minister of Justice in the Northern Ireland Assembly concerning the reform of legal aid?

[Chris Grayling]

I am not aware that I have received a letter concerning that. I obviously have regular meetings and exchanges with the Northern Ireland Minister. I will come back to the hon. Gentleman if I have received such a representation; I am not aware of having seen it.

Marriage (Same Sex Couples) Bill

Lord McCrea of Magherafelt and Cookstown Excerpts

Tuesday 21st May 2013 Commons Chamber

[Dr William McCrea (South Antrim) (DUP)]

I know that for some this is a day for self-congratulation. Others in our society and our country are deeply wounded. I humbly and unashamedly confess that I am a born-again, Bible-believing Christian. I fear that in many ways our nation is swiftly turning its back on many of the great principles it was built upon. Some suggest that we hold on to our traditional views of marriage because of culture or tradition, but I do not believe that that is so. I believe the biblical definition of marriage. I did not make it up; God gave it to us in his precious word.

Some have suggested that over the years religious organisations and church councils have changed their mind on a number if issues, and indeed some have already changed their opinion on the definition of marriage. That might be so, but the word of God, by which all men and women shall be judged on the day of judgment, and the standards revealed therein have not changed. Man may have changed, but God’s word has not. We may be a nation that seeks to go back to the days of Judges, when

“every man did that which was right in his own eyes.”

I suggest that this legislation will bring our nation many problems, whether for teachers or in our day schools. Indeed, I certainly pray that God will deliver us even when the Bill goes to another place.