Assisted Dying Law

Debate between Fiona Bruce and Karin Smyth

Thursday 23rd January 2020 Westminster Hall

[Fiona Bruce (Congleton) (Con)]

I will turn to the part of my speech that deals with some concerning developments from other jurisdictions that have legalised assisted suicide, as I prefer to call it. In Oregon physician-assisted suicide for the terminally ill was legalised 10 years ago. The annual Government report of 2018 stated that more than half of those applying now cite

“fear of being a burden”

as their major end-of-life concern. Far fewer cite pain concerns. Disability groups are extremely concerned about what has happened, for example, in Canada since 2016. In just four years, under the law that has allowed terminally ill people to request assisted suicide and euthanasia, safeguards have been ignored, removed and extended to non-terminally ill people such as those with depression. In July a depressed but otherwise healthy man was killed by lethal injection, despite not being terminally ill. Another man who suffers from a neurological disease actually recorded hospital staff offering him a medically assisted death, despite repeated statements that he did not want to die. Only this week, on Tuesday, there was an article in The Times about three Belgian doctors on trial in relation to the euthanasia of someone reported to have a personality disorder and autism. The family believes that she was depressed but that she did not, as required by Belgian law, have a serious and incurable disorder.

The point to note is that, regardless of the wording of eligibility criteria in legislation, in practice safeguards are often discarded, and vulnerable and depressed people are assisted to end their lives. That applies in all jurisdictions that have legalised assisted suicide or euthanasia. In Canada, where medical aid in dying was legalised in 2016, the superior court of Quebec ruled last September that it was unconstitutional to limit access to medical assistance in dying to people nearing the end of life. That is particularly concerning because, while the ruling applies only to Quebec, the Canadian Government have now committed to changing the MAID law for the whole country, so it will no longer be, as was originally intended, limited to those nearing the end of life.

[Karin Smyth (Bristol South) (Lab)]

I am grateful to the hon. Lady for giving way; I realise that time is short. I do not have time to rebut all those arguments, and I will not do so in my speech, but will she address why more and more jurisdictions across the United States, Canada and Australia are changing the law and extending provision, if they think it is not safe?

Community Hospitals

Debate between Fiona Bruce and Karin Smyth

Tuesday 12th March 2019 Commons Chamber

[Fiona Bruce]

My hon. Friend has made one of my points for me. None of the major hospitals in east Cheshire lie within my constituency, although it is reasonably large, so my constituents must travel some distance to use their services.

I have mentioned the four-hour GP appointments on Saturdays and Sundays. They are always full, and are meeting a very clear local need. The convenience of such services cannot be overstated. During my visit, an elderly gentleman, clearly frail, arrived asking for directions to the X-ray department. I watched as he was directed to it immediately. He was seen, and he departed. All that happened within what seemed to me to be about three minutes flat.

The value of such local services for a population like mine, which contains a higher than average number of older residents, cannot be overstated. They are particularly appreciated by those who are less mobile owing to age or infirmity, or for whom a lack of convenient public transport facilities would make travel to the larger hospitals outside my constituency very difficult, if not impossible. Moreover, 9,000 fewer out-patient appointments across east Cheshire must reduce congestion.

The trust informs me that the Congleton Hospital site also has space for use by other NHS organisations, including providers of mental health and health visiting services. As local health partners and providers increasingly work together in support of their local communities’ health and wellbeing, Congleton Hospital, located as it is almost in the centre of the town, is ideally placed to become an even more strategic community health hub for additional services.

[Karin Smyth (Bristol South) (Lab)]

The hon. Lady is making a powerful speech on behalf of community hospitals. South Bristol Community Hospital was opened only in 2012, after 60 years of campaigning by local people. As three providers run different services in it and as it is a LIFT building, no one is really responsible for making it work. Does the hon. Lady agree that the health service must bear in mind that such hospitals are developed and fundamentally loved by their communities, and that those communities should have the ultimate say in what goes into them?

[Fiona Bruce]

The hon. Lady is absolutely right. Indeed, members of the community in Congleton are speaking out about the importance to them of their community hospital. I shall say more about that shortly.

On behalf of my constituents, I am pressing Ministers to consider resourcing Congleton Hospital as a community hub going forward. It has a very special place in local people’s hearts, as I have said, not least because of the manner in which it was funded many decades ago by local people’s contributions from wage packet deductions. It was founded in 1924 by public subscription as a memorial to those locally who gave their lives in the first world war, hence its full name: Congleton War Memorial Hospital. I spoke at greater length about this here in this place in 2014, when I raised concerns about the future sustainability of the hospital, so this is by no means a new issue. Indeed, in 1962 when there was a suggestion that the hospital be closed, it resulted in a mass meeting in the town hall with an overflow of some 2,000 residents, presided over by the then mayor leading to a petition of 24,000 signatures. Plans were quickly dropped. More recently, the £20 billion additional funding announced by the Prime Minister for investment in the NHS surely offers an opportunity for the future of the hospital to be secured, or even augmented as a community hub for the long term.

I have been in continuing dialogue for some months now with—and have met, together with local councillors—John Wilbraham, chief executive of the local NHS trust responsible for the management of the hospital, the East Cheshire NHS Trust. I am grateful to Mr Wilbraham for that open dialogue. We spoke again recently when he confirmed that, in his words, the sustainability of the site is on the agenda for the transformation programme to be discussed by the trust shortly. So also on the agenda is the future of the minor injuries unit, which is, as I have mentioned, causing particular concern to residents, as the trust is aware from recent public demonstrations which involved people from right across the community and political divides, including me and Congleton town mayor Suzie Akers Smith, who was in full mayoral regalia and chain.

I am grateful that Mr. Wilbraham has agreed to meet a cross-party group in the town shortly to discuss the hospital’s future further and look forward to that meeting. In the meantime, for the record I note that in his most recent letter to me of late December 2018 he confirmed, and I welcome this, that

“the Trust has no plans to change the service provision at the Congleton Hospital site and this remains the case. I continue to discuss with health and social care partners about the service offer from the hospital site and I understand the desire of you and the local population to maintain the facility. We await the publication of the NHS 10-Year Plan in early 2019 which provides the basis for the local health partners, including the town’s GPs, to set out its plans for the next 5-10 years. I am certain this will provide the opportunity to be clear on future service provision across the local health economy including Congleton.”

I am optimistic that both Mr. Wilbraham, as its chief executive, and the trust itself have listening ears. We need only witness the furore that arose in Congleton three years ago when there was a suggestion that car-parking charges be introduced at the hospital. The trust clearly registered the indignation of local residents, not least through a petition I presented here in Parliament at that time. That they could be asked to pay to park at their own hospital—a hospital they and their forebears had paid for by both wage packet deduction and subsequent fundraising and donations over the decades—aroused considerable consternation. The trust subsequently discounted the suggestion of car park charges outright; it listened to local people’s concerns.

I was pleased to note the chief executive’s reconfirmation of this in his most recent letter to me, with the words:

“I note the suggestion of car parking charges being introduced to supplement the income for the hospital site but this is not something the Board will be considering.”

Now that the 10-year plan has been published, and in the light of the Secretary of State’s indication of his support for community hospitals, I am today asking the Minister what more can be done to ensure that vital services provided by community hospitals in the heart of our local communities, like Congleton, are not swallowed up by larger hospitals at a distance. What the Congleton community seeks is reassurance that the future of Congleton hospital is put on a firm, clear and sustainable footing going forward, so that the periodic recurring concerns over the years about its future can be fully and finally put to rest.