Assisted Dying Law

Debate between Karin Smyth and Imran Hussain

Thursday 23rd January 2020 Westminster Hall

[Imran Hussain (Bradford East) (Lab)]

It is, of course, a pleasure to serve under your chairmanship, Sir Graham. I thank the hon. Member for Edinburgh West (Christine Jardine) for securing this very important debate. Although I may not personally agree with her conclusion, as many of us across the House do not, I must credit her with having set out a passionate and robust case, both this afternoon and in her recent article.

I thank other hon. Members for attending—certainly, for a Thursday afternoon, this is probably one of the largest attendances I have seen in this Chamber—and for their own moving and thought-provoking contributions. We have heard many moving and personal accounts. Many of our thoughts and beliefs, and much of what drives our opinions, on this important topic come from our own personal experiences and stories. In this debate and the debate last year, hon. Members spoke powerfully of friends and family members at the end of their lives, or of constituents at the end of theirs. Bound together with our mortality and the fact that some day each of us here will pass on, hoping to do so as peacefully as possible, those experiences are what make this such a personal and hard-hitting issue.

Across the Opposition, across the Chamber and indeed across the country, as we have heard, we are split on the issue of assisted dying, with clear arguments advocated on either side of the divide. For those advocating a change in the law on assisted dying, important and pertinent points have been made by hon. Members on both sides of the House.

Time does not permit me to go through contributions from each hon. Member, but one of the first arguments put forward is that of personal liberty—that relaxing the law would grant an individual control over their own death when it would otherwise be cruelly taken away from them by a terminal illness; and that it would allow them to end what is often incredible suffering, which leaves them with little to no quality of life and forces others to watch helplessly, witnessing the decline of their friend or relative right in front of them. We have heard some very personal experiences of that here today.

The argument that to legalise assisted dying would also spare loved ones the fear of conviction for their compassion, as we have seen with a number of cases such as those of Zoë Marley and Mavis Eccleston, has also been put forward. It will continue to be, for I doubt whether anyone here, regardless of what our views may be, really wants to see an elderly grandmother or others prosecuted for honest acts of compassion. That is joined by an argument that adequate safeguards could be applied to prevent abuses of the process and protect vulnerable people, with several examples of countries and states that have legalised assisted dying put forward as a model for the UK to copy.

However, for every argument made in favour of relaxing the law on assisted dying, a counter-argument is advanced, as it has been by hon. Members in this and previous debates. Those who oppose change point out that legalising assisted dying could lead to an abuse of the system and to pressure being applied, even unintentionally, to those suffering from terminal illness. They may feel that they are, or will become, a burden on their friends, family and carers, leaving them, in their eyes, with no real choice but to end their own life in a selfless act to spare others. That point was made by a number of hon. Members.

Hon. Members also raised the point that to relax the law on assisted dying now would slowly allow an escalation in what is allowed, creating a slippery slope whereby the eventual outcomes are far beyond the reality originally imagined by those who advocate for change. They argued that assisted dying would put immense pressure and stress on doctors and families, and even on individuals themselves.

[Karin Smyth]

Some of the phrases that my hon. Friend has used are used across the world, although there is no evidence for many of those things—for example, that there is a “slippery slope”. Does that not reinforce the idea that, whatever people think, if we can persuade the Government to look at the call for evidence, we can air these issues publicly and get the real evidence in a process that the public, and all who participate in such care, can recognise as rigorous? That call for evidence is the real thing we should be focusing on.

[Imran Hussain]

I thank my hon. Friend for being a strong and passionate advocate in this area. I think the whole House will acknowledge her work on this subject. A call for further evidence or an independent inquiry can only be of assistance to the broader debate. We cannot forget that the ethical and practical issues, and the threat of a slippery slope, have left even medical professionals reluctant to back any changes to the existing legislation on assisted dying.

Despite the clearly differing views in the House and in society, we are united on the principle that everyone should be able to pass on in peace, surrounded by family, friends and fond memories. That brings me to palliative and end-of-life care for those with terminal conditions, for at the heart of this debate is the matter of dignity. Indeed, much of the argument in favour of assisted dying is about the real fear faced by those approaching the end of their lives that they will lose control, that they will have their dignity taken away from them and that they will suffer in pain in their final days, weeks and months.

Sadly, for too many, that fear becomes a reality as insufficient palliative and end-of-life care, too much variation in practice and poor management of symptoms leave those who are at the end of their lives, and their friends and families, suffering unnecessarily. As I pointed out last year, the Institute for Public Policy Research found that there was considerable scope to improve the way that care is designed and delivered for those reaching the end of their lives, and that the experience faced by such people can still be poor, with medical and care staff sometimes failing to recognise that people are dying and failing to respond to their needs appropriately.

The IPPR also found that too few people were offered the opportunity to end their lives in the comfort of their own home, surrounded by their friends and family, and not in a hospital, surrounded by strangers fighting for every last breath. While talking about the pros and cons of relaxing the law on assisted dying—the arguments for and against—we must talk more about how palliative and end-of-life care is not nearly as good as it should be, and how that drives so many people to consider taking their own lives.

Time not permitting, I will sum up. I firmly agree—this is probably not a statement I will make often—with the Minister for Health, the hon. Member for Charnwood (Edward Argar), who stated in response to questions in a previous debate on this issue that this is a matter of conscience and must be decided by Parliament. Of course, as my hon. Friend the Member for Bristol South (Karin Smyth) indicated, for a matter to be considered properly, we must be properly informed and have as much information as possible.

I outlined my personal view at the beginning of this speech, and I believe that this is a matter of conscience that must be decided by the whole of Parliament. However, I hope that we can address some of the real issues at the heart of the debate—insufficient palliative and end-of-life care, and allowing those who are reaching the end of their lives to die peacefully and painlessly.