(5 years, 1 month ago)
Commons ChamberMr Speaker, I think I have been very generous. I respect all hon. Members, and I will give way to the hon. Member for Hampstead and Kilburn (Tulip Siddiq) now.
I echo your words, Mr Speaker. The hon. Member for Canterbury (Rosie Duffield) is an extraordinarily brave woman. It takes the most enormous courage to stand up in this place and say what she has said. If any of us needed a reminder of why we are here today—why it is so important that we unite across the Chamber to take this action today—she has provided it. She will have given so much hope to so many people across the country. Knowing that it can happen to someone so beautiful, brave, strong and successful—successful enough to get to sit on these Benches—will give them the confidence, self-belief and self-worth to take action and break free from the torture she had to endure. I would like to thank her, as I am sure would everyone in the Chamber and listening at home, for being so brave as to do what she has done today. [Hon. Members: “Hear, hear.”]
In the few minutes remaining, I want to raise one or two things that I would like the Minister to think about. This is an extremely good Bill. As we have heard, many Members across the House, not least my right hon. Friend the Member for Basingstoke (Mrs Miller), the Chair of the Women and Equalities Committee, have spent a huge amount of time on pre-legislative scrutiny of the Bill and as a result it is already in really good shape.
As has been mentioned, at the heart of the Bill is culture change. The Bill starts in the right place because it talks about how we need to change our attitude towards relationships so that everybody knows what a good relationship is. That must start with every child in every school being given extremely good education about what makes a good relationship.
Does the hon. Lady agree that, as well as educating every child, we need to support children who have specific difficulties as a result of witnessing violence in their homes, and that child and adolescent mental health services need beefing up and proper funding in order to do so?
I completely agree with the hon. Lady that, in addition to education, every child must be supported. We know, as has been said today, that when children grow up in a home where there is controlling or coercive behaviour, economic control or any sort of abuse, including physical abuse, they will be affected by it. Boys and girls will think, “That’s what love looks like.” Is it any wonder that so many of those affected go on to become perpetrators or victims themselves? Of course, we need to help those perpetrators understand that this behaviour is totally unacceptable, and to help those victims understand that they can be survivors and that their lives need not follow this cycle. We need to make sure that every adult who comes into contact with children understands what domestic abuse is. That means statutory training for all people in the public sector who will come into contact with children, so that they can support them to get what they need to break that cycle.
There is a group of people who are often neglected in this debate, namely older people and people with disabilities. The briefing given to us by Age UK highlights work that is replicated—I have seen it at first hand—in my constituency. I recently attended a meeting with the excellent women’s centre, which does absolutely fantastic work in my constituency, as does an organisation called SEEDS—Survivors Empowering and Educating Domestic Abuse Services. So many older women are the subject of domestic abuse, but they are the least likely to speak out about it or to have access to services. The same goes for disabled people.
Although I very much agree with the definition in the Bill, I ask the Minister to consider gathering an evidence base of the prevalence of undisclosed domestic abuse of people with disabilities, particularly learning disabilities, as well as of those with physical disabilities and older people, to make sure that we have got the definition absolutely right. I know from the homicide reviews conducted in Cornwall that there are many more examples than any of us would like to think of family members financially, economically and physically abusing and even killing an older member of their family. Clearly, much more needs to be done to recognise those families who are at risk and really struggling, so that we can prevent those avoidable deaths.
It is not just family members; it can be people who deliberately befriend vulnerable people, including those with disabilities or older people. They can work their way into people’s affections with the sole purpose of abusing them. Often it is economic abuse. The definition really matters. I would like the Minister to consider the prevalence of undisclosed abuse. If it is the case, as I feel it is, that there are people beyond the family who become close and trusted friends of vulnerable people and commit this abuse, those perpetrators’ activities should come within the purview of the Bill.
In conclusion, people are right to say that victims and survivors have waited a long time for us to have this debate. They have been campaigning vigorously to get to this point. It is now down to all of us to take really important action through this Bill, so that we can prevent the avoidable deaths and the terrible suffering that go with domestic abuse, and make sure that we consign this appalling behaviour to the history books.
(5 years, 4 months ago)
Commons ChamberI thank the hon. Lady for her question. It is incredibly important to understand all the concerns raised, perhaps especially those from such groups. What I think drives that very understandable concern is the fear that although a law might start off tightly constrained, there will be what people refer to as “the slippery slope”, and it might then be abused somehow: there might be situations in which people come under pressure to take their own lives when, in fact, they do not want to do so at all.
All I would say to the hon. Lady—I am happy to have further conversations with her about this—is that in jurisdictions such as Oregon, where for 20 years now there has been a law of the kind that was proposed here, there is no evidence of that slippery slope argument leading to people being put under pressure. If ever there were to be such a change of the law here, it would of course be essential to have safeguards that would prevent that and ensure that disabled people knew they had the same right to life as any of us, for as long as they wanted.
I will give way to the hon. Member for West Ham (Lyn Brown) first.
This is an incredibly difficult debate for many of us; most of us will have personal stuff that informs our judgments about it. My mum died suddenly, riddled with cancer. I know that had this law been passed at that time, she would have spent her last months consumed by guilt and anxiety about when she should press that button. She would have worried about the pressure on me and my sister, about the cost of her care, and that people would have thought she was consuming resources that she should not consume. Sometimes when we have this debate, we do not consider collectively the pressure we would put on people by giving them that choice.
The hon. Lady makes a very good point. All I would say is that the law could operate only with independent assessment—both by doctors and by a High Court judge, under the proposal in the most recent Bill—that would be clear that the person could not show any signs of coming to a decision under pressure or because they felt they were a burden.
Interestingly, talking to the Whaleys about Dignitas, I heard how the Dignitas doctors explained that if at any point Geoff had said anything like, “I think it is time to go. My family wants me to go; they are ready, we are here,” they would have sent them home. On no account would they allow somebody to go through with it if there was any indication that they might have changed their mind or that they might be prioritising other people’s feelings.
I have been engaged in this issue since the very early days when I arrived in this Parliament in 1997, guided, along with many other right hon. and hon. Members, by the experience within my own wider family.
By 2040, nearly one in seven people is projected to be aged over 75, so we will be engaged in supporting an ageing population who will lead fuller lives, working longer, by adapting the workplace and ensuring that individuals can reskill throughout their life. But people will be living with chronic conditions, and multiple morbidities and cognitive impairments will become more common within our population. I have no doubt that our innovative and caring society will solve, or certainly ameliorate, these conditions, but the hard truth is that more of us will have to grapple with surviving with the pain and indignity of crippling progressive infirmity in later life.
If we do not change the law, even more people than the current one every eight days may travel to Switzerland for an assisted death—and, of course, there are all those people who do not have the means to travel and all those travelling to Switzerland early so that they can exercise the autonomy available to them there. I do appreciate the views not only of right hon. and hon. Members but of the public who express concerns over assisted dying. It is of course a controversial subject. However, the injustice and the tyranny of having no escape from pain and indignity that our law continues to impose on a growing number of our fellow citizens will not go away until we address it. In Oregon, since 1997, a total of 1,127 patients have died from ingesting these medications. Not only does the yearly figure barely rise above the 0.003% mark, but only 64% of those who have received prescriptions for the medications since 1997 have actually taken them.
When we discuss this emotional topic, the most grotesque characteristics of greedy, overbearing relatives are conjured up in some hypothetical dark fantasy, but these arguments about a slippery slope or the vulnerability of people simply ignore the fact that this applies only to terminally ill people. When the Assisted Dying Bill came to this House in 2015, its terms would require two doctors to sign off on the fact that the person would be dead within six months and the process to be overseen by a High Court judge. How many more measures would opponents of this principle want to satisfy them? The difficult truth is that for many, it is none. This is about the imposition of a faith-based view of the sanctity of life overriding any sensible application of personal autonomy for people in dreadful and terminal strife.
No, I will not. I might want to pick up on the example the hon. Lady gave later in my remarks.
That personal autonomy on any individual application of universal human rights includes the freedom to control and direct one’s own life and, in this case, death. Yet again, despite a poll in March of more than 5,000 people showing that 84% of Britons wanted a change in the law on assisted dying, they have to contend with the moral certainties of those who are not suffering extreme pain and who are taking these decisions on their behalf—us. We have a responsibility to discuss this issue in an honest, compassionate and evidence-based manner, and we have a swathe of evidence available to us.
The whole Oregon experience entirely supports that this is a practical, sensible, humane and decent measure. Over two decades later, the opinion of the people has not changed one iota. This Parliament, in not facing up to its responsibilities, is party to increasing tyranny, pain and despair.
Ultimately, this is about potential control. Just as people exercise control over how they live, they should be able to exercise control over how they die. In reality, the vast majority of people will never take this choice, even when faced with it. With strong safeguards, Oregon, Washington state, Montana and Vermont have had no documented reported cases of abuse. Why, when the evidence is clear, do we deny everyone the comfort of some personal control over the end of their life?
To return to the point made by the hon. Lady, I wonder what her mother’s view was, because under the law, she could not exercise her autonomy. I am utterly certain that the hon. Lady would have wanted, with all the generosity in the world, to ensure that her mother had the full support available to her. Well, that just might not have been the view of her mother, in the pain and difficulty that she was facing. Why was she not allowed the opportunity to make that decision?
The hon. Gentleman is absolutely right; she would have argued that she should have had the right to take her own life, but let me put one statistic to him. He mentioned Washington state—51% of the people who took the tablets there said that their reason for doing so was that they were a burden to the people they loved. That is the exact reason that my mother would have done the same. We must weigh the evidence properly.
The evidence is there to be weighed by two doctors and a High Court judge, and the hon. Lady’s mother and other people in those circumstances would have had the right to exercise their autonomy. It is that autonomy and that control that we are choosing to suppress. Sadly, for now, it remains that we have a cruel, outdated law that forces people to die earlier by traveling to Switzerland while they are fit enough to travel, or to suffer pain, indignity and degradation that we would never impose on a suffering animal.
I thank my hon. Friend for his intervention and acknowledge that that is a deeply held view for him and many others, but I am afraid it is not one that I share.
I am grateful to the hon. Gentleman for giving way because, counter to that, there is the issue of vulnerability, which we have not really come to in this debate. On Friday an elderly couple came to me, terrified for their daughter, who was in a very expensive care facility. Their grandsons, who they love dearly, wanted to take that woman out of that expensive care facility because it was costing too much of their inheritance. We cannot have this debate in a vacuum; we need to understand people’s vulnerabilities—the vulnerabilities of my constituents’ daughter, the vulnerabilities of my mum, and the vulnerabilities of the constituent of whom the hon. Member for Eddisbury (Antoinette Sandbach) spoke, who ended her life. We must understand that this issue is a reality, and not just dodge the subject.
I thank the hon. Lady for that intervention. As I mentioned earlier, every situation is different and I think the complexity of framing a law that covers everything is beyond us, to be honest.
I do not plan to take the full six minutes, not least because we have heard so many really eloquent and brilliant speeches today. I pay particular tribute to the hon. Member for Grantham and Stamford (Nick Boles) and to my hon. Friend the Member for Sheffield Central (Paul Blomfield) for their incredibly moving and powerful contributions.
I supported changing the law in 2015, and I would do so again. I pay tribute to the Members who came to this debate with an open mind and said that they have changed their minds for having the bravery and open-mindedness to do so. I still support changing the law because I believe that it is not working. I want to emphasise three areas where is not. First, there is the unfairness of the current situation. We have already heard that roughly one person a week goes to Switzerland. However, people go to Switzerland if they have the financial resource, practical resource, and, very often, emotional support to do so. We should not be condemning those without the financial resources to an end that is not of their choosing while other people can afford to go abroad. Even that, I would argue, would not be their first choice and is not the ideal situation, but at least they have the financial means and support to be able to make a choice of some kind. We should be giving that choice to everybody who needs it.
Secondly, the current law results in perverse outcomes. My hon. Friend the Member for Sheffield Central and the hon. Member for Eddisbury (Antoinette Sandbach) pointed out that it results in people dying sooner than they should. I am not going to repeat those remarks because they put it far better than I could. I pay tribute to them for their speeches.
Thirdly, I want to touch on the issue of palliative care. This debate is often framed as a choice between good palliative care and the right to choose how to die, but that should not be the case. Of course we need to invest in good palliative care—we need the best that we can get—but even with the best palliative care, we cannot stop all suffering at the end of life. A person should have the opportunity to choose their way of dying in addition to the availability of great palliative care.
I also want to respond briefly to three points from the debate. First, I agree very strongly with the hon. Member for Grantham and Stamford in his request for a call for evidence to study the experience of Oregon and Canada. I do not share the pessimism of others that we cannot frame legislation that works for the people who need it to work, and gathering that evidence and learning from those examples will, I believe, allow us to do so.
I strongly disagree with the hon. Member for Cleethorpes (Martin Vickers), who said that introducing assisted dying will lessen the value we put on human life. If we value human life and if we value people, we should allow them to live the life they choose, and that includes the death they choose.
My hon. Friend the Member for West Ham (Lyn Brown) quoted a statistic about the number of people in Oregon who gave being a burden as their reason for choosing assisted dying. That only tells part of the story, because people who request assisted dying in Oregon give several reasons—
People in Oregon and Washington give several reasons. In both those states, the most frequently given reason for requesting to die—by over 90% of people—is a loss of autonomy. Being less able to enjoy life is chosen by around 88%, and a loss of dignity is chosen by around 74%. It is important to tell the whole story with the statistics.
I really regret not putting myself down to speak in the debate, because I think there is an absence of understanding about just how difficult it is for many people in this country and elsewhere to withstand the pressures of family who might feel that they are a burden. We are tripping gently into a hellish nightmare for many people. I urge my hon. Friend to listen properly to what people say.
I hear what my hon. Friend says, and I accept that there is real concern, but I think we can create a legislative framework that takes account of those concerns and allows safeguards to be put in place to ameliorate those concerns.
In the end, it comes down to one key question: if faced with a terminal illness and a painful end, would we want the death of our choosing for ourselves and for our family? If the answer is yes, as I believe it would be, we should allow that choice for everyone.
(6 years, 4 months ago)
Commons ChamberI beg to move, That the Bill be now read the Third time.
It is an honour to follow the hon. Member for Croydon North (Mr Reed), who has done great work on his private Member’s Bill.
I am grateful to Members from across the House for giving clear cross-party support to this Bill, which is small but nevertheless important. There are a number of people I would like to thank. I particularly want to thank the Clerks of the Public Bill Office, who have helped me through every stage of the process to get the Bill to Third Reading. As we know, it can be difficult to get a private Member’s Bill to this stage, and their support has been so helpful. I would also like to thank the Ministry of Justice team for all their support and information, and all Members of the House, particularly those from the Opposition, who have supported the Bill and who recognise the important difference that this will make in prisons up and down the country. In particular, the Bill will make a great difference for prison officers, who do such sterling work under very difficult circumstances.
Members may know that I inherited this Bill, so I want to put on record my thanks to my right hon. Friend the Member for Tatton (Ms McVey) for her previous work in championing the Bill and for trusting me with the responsibility of ensuring its safe passage. I hope I have repaid her confidence. I also want to acknowledge the groundbreaking work of my hon. Friend the Member for Mole Valley (Sir Paul Beresford) in steering the original Prisons (Interference with Wireless Telegraphy) Act 2012 through Parliament. It could be argued that because we are revisiting the 2012 Act only six years later, it was in some way deficient, but nothing could be further from the truth. The 2012 Act was an important and far-sighted contribution to the fight against the scourge of illicit mobile phones in prisons. The reason it has proved necessary to legislate again so soon is the sheer speed of technological change and the sheer scale of the problem posed by illicit mobile phones in our prisons.
Figures provide a stark illustration of the scale of the problem. In 2011, just a year before the 2012 Act was introduced, about 7,000 illicit mobile phones and SIM cards were found in prisons in England and Wales. By 2016, that figure was nearly 20,000. Last year, it had risen to 23,656 mobile phones and SIM cards.
I congratulate the hon. Lady on how far the Bill has progressed so far. Last night I was talking to some mums whose young people had been caught up in crime, and they were horrified to tell me that people are using mobile phones to continue criminal activities in jail, and to continue to hold in their thrall the young people they have groomed. Does the hon. Lady share my concern that that is allowed to continue?
(7 years, 1 month ago)
Commons ChamberWell, there we are—that is the secret. I was going to poke some fun at my hon. Friend and say that his constituents must be proud of him, but of course having heard that he canvassed his constituents I am sure that they are actually very proud to see him introducing the Bill today.
I should declare that which a number of colleagues know: I was a member of London fire brigade for 23 years before being elected to this place. During my 13 years as an operational firefighter, the great anomaly was that on 364 days of the year there were always those, young and old, who wanted to come into the station to see the fire engines, but on 5 November we were not always that popular. In my day, there were many fewer organised bonfires and firework displays, and sometimes they needed fire attention and dousing for public protection. In the approach to fireworks season, whether Diwali, which is on now, or Guy Fawkes night, I hope we have a safe period for all celebrating. We have heard too often of fireworks being used as weapons against police, fire and ambulance workers.
I am grateful to the House of Commons Library, the Fire Brigades Union and London fire brigade for their briefings on this debate. The House of Commons Library briefing says, “Prime Minister Nick Hurd”—[Interruption.] Sorry, I meant to say Policing Minister, although some of us see the hon. Member for Ruislip, Northwood and Pinner (Mr Hurd) as a future Prime Minister—and the hon. Member for East Surrey (Mr Gyimah) has also been mentioned as a prospective future Prime Minister. The House of Commons Library briefing cites the Policing Minister as saying that
“the Government supports the spirit and principle of the Bill, but that ‘there will be detail to work through’.”
Of course that is great news for the whole House, where we have heard positive speeches from Members on both sides indicating that the Bill will pass Second Reading. The briefing goes on to list the number of assaults and attacks, saying that the Home Office estimated that there were 24,000 assaults on police officers in 2016-17 and that the latest bulletin from the Ministry of Justice on safety in prisons in England and Wales says that there were more than 7,000 assaults on prison staff.
On the subject of NHS staff, NHS Protect—which my hon. Friend the Member for Rhondda mentioned as being under threat—states that, according to the figures it has collected, more than 70,000 staff were affected in 2015-16.
I was in Moorfields hospital the other day, having had an eye haemorrhage, and as I sat there during the afternoon, three instances came up on the screen of someone being assaulted in one of the cubicles. I think that numbers such as those are grossly under-reported. Does my hon. Friend agree?
My hon. Friend quotes from personal experience, and we have heard anecdotes in other contributions in the Chamber this morning that officers and hospital staff are reluctant to report incidents other than the most serious. Clearly, there seem to be barriers preventing all the assaults that appear to be taking place from being put on record. My hon. Friend makes a powerful point, and I am sure that the Minister will want to comment on it. I am also grateful to her because she gives me the opportunity to mention West Ham. Just as an aside, we need three points against Brighton this evening.
In an intervention on the right hon. Member for Preseli Pembrokeshire (Stephen Crabb), I mentioned that there were no data on attacks against firefighters. Dr Paul Hampton from the Fire Brigades Union has written to me:
“You probably know that data on attacks on firefighters is not published by the Home Office for England (figures are published in Scotland by the Scottish Fire and Rescue Service).”
The right hon. Gentleman indicated that there are figures for Wales, and other hon. Members have made that same point. Dr Hampton continues:
“So I think you can make the points about the lack of central government monitoring and under-reporting in the debate.”
That supports the point made by my hon. Friend the Member for West Ham (Lyn Brown), and I would be grateful if the Minister commented in his winding-up speech on the absence of data on firefighter assaults in England.
Matt Wrack, general secretary of the Fire Brigades Union, made this point:
“It is never acceptable for anyone to go to work and have to put up with verbal abuse or physical assault. Yet that is what fire crews are now facing on a daily basis in some areas of the United Kingdom.”
That was written 10 years ago, and sadly it is still true today.
It is always a pleasure to follow the hon. Member for Poplar and Limehouse (Jim Fitzpatrick), who brings an awful lot of professional experience to the debate, given his career in the fire service. I was particularly interested to hear what he had to say. It would also be remiss of me not to pay tribute to the hon. Member for Rhondda (Chris Bryant), who is undoubtedly a canny parliamentarian. He has introduced his Bill with great skill. In my experience, he has always been happy-go-lucky, so I am not at all surprised that he was successful in the ballot. In bringing forward his Bill, he has made sure that he gets the maximum bang for his buck. We have to get the Bill on the statute book.
The hon. Member for Halifax (Holly Lynch) has also contributed a lot to the debate and championed this work in the House. For her, and for me, there is a personal dimension to all this. Both my parents were police officers. My dad did 30 years’ service and my mum was a frontline officer until she had me, at which point she gave that up and went to work on the administrative side of the police service. I cannot imagine how I would have felt, when I was growing up, if my mum or dad had come home and told me that they had been assaulted at work. I cannot imagine the sense of anger, upset, bemusement and concern that I would have felt if we had had that discussion at the dinner table on an evening while I was growing up.
It is just horrendous that anybody should feel that they have to go home after work and try to cover up what has happened so that their children will not be concerned about what mummy or daddy does at work every day.