Assisted Dying

Andrew Mitchell Excerpts

Monday 4th July 2022 Westminster Hall

[Mr Andrew Mitchell (Sutton Coldfield) (Con)]

I draw Members’ attention to my entry in the Register of Members’ Financial Interests and to the fact that I am co-chair—with the hon. Member for Bristol South (Karin Smyth)—of the all-party parliamentary group on choice at the end of life.

I speak today as a convert to the campaign for the legalisation of assisted dying. My mind has been changed over the years, principally because of the number of constituents to whom I have spoken who have faced terrible suffering at the end of life, or who have witnessed loved ones dying in painful and undignified circumstances. I want the change for my constituents, for myself and for those whom I love.

Last Friday, in the royal town of Sutton Coldfield, I met Lyn Ellis, a constituent from Wylde Green whose husband died from prostate cancer. During covid, he was told that he had three to six months to live, and he died not long afterwards. Lyn told me:

“Until you’ve been through something like this, you don’t realise how hollow the argument is that there is a palliative answer. As John died, he shrank to nothing; he couldn’t eat; he was in pain; suicidal. I felt we’d been cheated. What could be a better way to go than a glass of champagne and saying goodbye to each other?

Those last few weeks of his life were incredibly painful; he shut down, wouldn’t speak, and we’d always had such a close and loving relationship. I feel the state let me down. A good and decent country would not have put us through this.”

We in the Commons have not been asked to vote on assisted dying for almost seven years. A great deal has changed in that time: California, Colorado, New Jersey, Maine, and even the District of Columbia have legislated for choice at the end of life. In just the past five years, every state in Australia has passed laws on assisted dying; New Zealand, too, legislated on assisted dying following a referendum that showed 66% support for the proposal. Other jurisdictions have gone further than the proposals that I support, including in Canada and Spain, and change is on the cards in Italy, Portugal and even Ireland. Proposals are under consideration in Scotland, Jersey and the Isle of Man that could be voted on before the end of next year.

Our hospice and end-of-life care in this country is superb, but nobody—not even the most ardent defenders of the palliative provisions that are in place—can claim that every person who dies in their care does so without pain, in peace and with dignity. For those facing even the prospect of a traumatic death, knowing that they had the option of choosing the moment and manner of their end would offer so much reassurance.

Right now, some people with terminal illnesses feel they have no other option than to take their own life into their own hands. They do so privately and alone so as not to incriminate their loved ones, and they often do so in violent and distressing ways. The Office for National Statistics published data in April demonstrating that those with severe health conditions are twice as likely to end their own life as those without. Estimates suggest that every week, between six and 12 people with terminal illnesses choose to die in that way.

We have evidence of the harm caused by our existing laws, and growing evidence of the reforms we could adopt from overseas. New polling from YouGov shows that three quarters of the British public support an inquiry into assisted dying, including 80% of Conservative voters, 77% of Labour voters, 80% of those who voted remain and 79% of those who voted leave. It is refreshing to find unity in our politics at the moment, and it is clear from every opinion poll on the subject that assisted dying is a unifying issue for people across the country. I understand that the Health and Social Care Committee is considering conducting an inquiry into the subject, including looking at the experience of countries that are ahead of us on the issue. I very much hope that it will do so, and that its report will inform the thinking of the Government and the House.

In closing, I ask that when my hon. Friend the Minister replies to the debate, he acknowledges the enormous changes that have taken place over the past couple of years, both internationally and in UK jurisdictions. We cannot continue to let dying people’s suffering go unanswered; it is time for dignity, for compassion, and for a choice at the end of life.

--- Later in debate ---

[Ian Paisley (North Antrim) (DUP)]

Each of us has personal experiences of our closest, our nearest and dearest, dying—if we do not, we one day will. I watched my father die, I watched my father-in-law die and I watched my brother-in-law die. One was in a hospice, one was at our family home and one was in a hospital, and the experience is shocking. That is life: in the midst of life, we are in death. Here we have no continuing. This is not our final resting place.

As a nation, we need a national conversation about death. The hon. Member for Gower (Tonia Antoniazzi) mentioned that briefly, but we need to focus on it. It was said during the last debate that that should happen, but no one bothered their backsides doing it; no one took it forward. This House really should have a proper conversation about death, and let us put into that conversation real palliative care.

My dear friend, the right hon. Member for Sutton Coldfield (Mr Mitchell), who I oppose, said that our hospice care in this country is superb. Indeed, there is an element of it trying to be superb, but let us be clear: our palliative care and hospice care system in the United Kingdom is struggling. It does not have the resources it requires. Hence, people say, “Let’s give hope to someone in a different way. Let’s try to find a way of ending pain.”

When we were faced with the coronavirus, did our Government give up hope, or did they put massive resources into funding a way to find a vaccine? That vaccine gave hope. When our country was struggling with the AIDS epidemic, did we give up hope? Did we say, “That’s a life sentence. Tough luck”? No, we put money and resources into medication and medicines that now ensure that it is not a life sentence.

What more can we do if the Government, with our help, put resources into cancer care and cancer research, incurable diseases and care, and palliative care? If we do that, we will achieve so much more, and as a Parliament we will give hope to people. Today, I am afraid we are giving hopelessness to some and saying, “This is the only way out. We can’t do anything more.” We can do more if we find the courage to do so. I appeal to the Minister: if there is a national debate—a national conversation about death and dying—will he make sure it is also a conversation about palliative care, faith, spiritualism and all the things we need a conversation about? If we have that conversation, we will find that we can give people hope.

[Mr Mitchell]

I hope I can just nail this point about palliative care. Both sides of this debate are strongly in favour of increasing palliative care. Does the hon. Gentleman accept that all the jurisdictions that have gone down the route that I and many of my colleagues have proposed have also prioritised palliative care and increased spending on it?

[Ian Paisley]

I am not for one moment saying, and I do not think that I can be accused of saying, that those who look at assisted dying do not care about palliative care. I do not think anyone is—are we really that heartless?—but I think we have to give hope to people. We need to turn this debate around into a debate about palliative care and helping people when they are at their lowest.

It is a fact that our health service is struggling; it is a fact that our cancer waiting lists are the worst in western Europe; and it is a fact that we need to do much more when it comes to giving care and carrying out research into rare and unique diseases, so that people can find a way out.

It is also very important that the statistics are not with this blasé view that says, “This is where Britain stands. They want to see a law change.” First of all, in the Republic of Ireland the assisted dying law was rejected overwhelmingly by Dáil Éireann, because it did not believe that it was a way that could bring satisfaction.

The threat to the disabled and the vulnerable has been raised by Disability Rights UK, Scope and the United Kingdom’s Disabled People’s Council, all of which say that this debate on assisted dying causes them great concerns. The British Medical Association, the Royal College of General Practitioners, the Royal College of Surgeons and the Royal College of Physicians do not support moves towards assisted dying.

I think there has been some—

--- Later in debate ---

[Sir Desmond Swayne]

I was speaking about the Dutch figures, not Oregon, but my hon. Friend is right that it depends on us.

I last debated this issue at Durham University earlier this year against Baroness Meacher. She wanted to confine the debate clearly and specifically to the terms that she had set out in her Bill, with all the provisions and the safeguards, such as that it has to be within six months of the end of life prognosis and all the rest. Unfortunately, she was rather undermined by the seconder of her motion, who was a psychiatrist and, I understood, represented an organisation called My Life, My Death, My Choice. There was no question that this was a service that should be available for us all at whatever stage of our lives. Once we open the door and go down that road, it is a one-way street. We have certainly seen that in the evidence from Canada.

[Mr Mitchell]

Will my right hon. Friend give way?

[Sir Desmond Swayne]

I have given way enough and my right hon. Friend has had his say.

I accept entirely that people are put in a dreadful position if they have a terminal diagnosis. They have the capacity to end their lives but they want to live a bit longer and are worried about the loss of that capacity to end their lives, putting their friends and relatives in a difficult position. But it is a mistake to believe that for every one of life’s horrible dilemmas there is a lever that we can pull to make things better. My fear is that we will make things so much worse for those elderly and infirm people who will feel under pressure to do the “decent” thing and not consume resources.