Assisted Dying (No. 2) Bill

Baroness Keeley Excerpts

Friday 11th September 2015 Commons Chamber

[Rob Marris]

My hon. Friend, like me, is a solicitor, and she will know that professionals commonly give advice on a balance of probabilities. That is the same for medical professionals. On the gross statistics, when errors in prognosis occur for the terminally ill, it is usually an overestimate of life expectancy.

The second point is that the patient must be aged 18 or over and ordinarily resident in England or Wales. The patient must be of sound mind, and must voluntarily sign a declaration that they wish to embark on this process. Then the attending doctor, as defined in the Bill, countersigns the declaration—

[Barbara Keeley (Worsley and Eccles South) (Lab)]

Will my hon. Friend give way on that point?

[Rob Marris]

I will not. The patient’s attending doctor countersigns the declaration—

--- Later in debate ---

[Barbara Keeley (Worsley and Eccles South) (Lab)]

I do not support the Bill. We should maintain the clear principle that this Government, the justice system and the medical profession have upheld for many years—that we do not encourage or help people to commit suicide, and that we should work to prevent all forms of suicide. The Assisted Dying (No. 2) Bill would be a departure from that principle, and I believe that we would start to see people in very difficult circumstances becoming even more vulnerable if the Bill were passed.

Clearly at present—we have heard a former DPP, my hon. and learned Friend the Member for Holborn and St Pancras (Keir Starmer), lay out the current situation—committing suicide is not illegal but encouraging someone to commit suicide is illegal, and I firmly believe that that protects us all, and that that basic principle against suicide should be upheld. Wednesday was world suicide prevention day. Many moving messages appeared on social media about the importance of preventing suicide, so it is ironic that we should today be debating a Bill that drives our society in the opposite direction.

I have significant concerns about the detail of the Bill, and whether any regulatory regime surrounding the introduction of assisted suicide would be fit for purpose. I would argue, as others have done in this debate, that making assisted suicide legal creates a pressure on people to take their own lives rather than giving them greater choice, because it creates a fundamental shift in people’s perception—that our society accepts suicide. One of the major risks in the Bill has been eloquently outlined by my hon. Friend the Member for West Ham (Lyn Brown), and it is that people will feel under pressure to take their own life if they feel they are becoming a burden to their family or society. That would grow from an illness-related reason to encompass financial ones and even mental health reasons. People in my constituency have written to me about their concerns, saying:

“If this Bill is passed it will put greater pressure on vulnerable people, the elderly and the sick, who will increasingly see themselves as a burden to society. I don’t want to see that.”

[Stuart Andrew (Pudsey) (Con)]

rose—

[Barbara Keeley]

If we are to live in a society that values and cares for each individual regardless of the state of their health and disability, it is difficult to see why we should be relaxing our stance on suicide. The Not Dead Yet UK network of disabled and terminally ill people tells us that not one organisation of disabled people supports assisted suicide, and Richard Hawkes, the former CEO of Scope, has said:

“Why is it that when people who are not disabled want to commit suicide, we try to talk them out of it, but when a disabled person wants to commit suicide we focus on how we can make that possible?”

The campaign to legalise assisted suicide reinforces deep-seated beliefs that the lives of disabled people are not worth as much as other people’s.

We must also consider the question of the involvement, through the Bill, of the doctors who would have to assess the person and administer the drugs to assist their suicide. The British Medical Association has a clear policy against physician-assisted suicide and the Bill before us, as do the college of GPs and the college of physicians. The BMA says that it opposes all forms of assisted dying, supports the current legal framework, which allows compassionate and ethical care for the dying, and supports the establishment of a comprehensive, high-quality palliative care service. Many of us here today have spoken very strongly about our support for palliative care, and the hon. Members for Totnes (Dr Wollaston) and for Central Ayrshire (Dr Whitford) have given us their reasons, as a former GP and former surgeon.

I want to end on that point about social care, because much of my work here has been focused on social care and carers. I believe I agree with the hon. Member for Totnes: improving palliative care is a real alternative to the Bill. We should bring in free social care at the end of life, because the denial of care should not be driving people to take their own lives.

I want to make a final point about the last implications of changing this law. At the moment, it is clear that we want to prevent people from committing suicide and that society should help and support those reaching the end of their life. Passing the Bill would change that and set a dangerous precedent.