Terminally Ill Adults (End of Life) Bill

Debate between Layla Moran and Jess Asato

2nd reading
Friday 11th September 2026 Commons Chamber

[Layla Moran (Oxford West and Abingdon) (LD)]

I pay tribute to all the Members who have shared their story; I feel we have learned a bit more today about how the hon. Member for Birmingham Yardley (Jess Phillips) became how she is. I am sure we have all heard so many heartbreaking stories from our constituents, and I want to thank all those who have contacted me, whether or not we agree, because sharing these stories is profoundly difficult.

One constituent with incurable cancer contacted me, asking for the freedom to choose when to give up their battle. Her own brother had an incurable melanoma spreading down his neck, which left him barely able to speak to his loved ones. He went out at 2 am in his dressing gown, climbed on to a bridge and jumped on to a motorway below. This was witnessed by two girls who were walking home from a party. My constituent asks:

“how many more need to take their own lives in horrific ways because they simply cannot bear the pain, discomfort and hopelessness any more?”

She wants the right to decide for herself when enough is enough.

Then there is the constituent whose sister went abroad to access assisted dying. The 84-year-old sang to her sister, who ended her life peacefully with her family around her. My constituent said:

“It was a painless, peaceful and dignified death at the time of her own choosing. Together with giving birth to my children, it was one of the most beautiful experiences of my long life.”

I do not believe that only families with means should be able to have that experience; it should be open to everyone.

Let me turn to the issue of palliative care. I pay tribute to the hon. Member for Calder Valley (Josh Fenton-Glynn), who is a fellow member of the Health and Social Care Committee. Although we wrote the reports together, I have come to a different conclusion, with great respect. It is, frankly, a stain on successive Governments that palliative care is in this state. Our Committee’s findings were stark: commissioning variation creates a postcode lottery, bereavement support is frequently inaccessible, services are fragmented, workforce and skill shortages are widespread, and systemic inequalities persist.

[Jess Asato]

Will the hon. Member give way?

[Layla Moran]

No, I shall not.

It is worth noting that the NHS has not been meeting its own standards on palliative care for decades. The then Minister for Care, the right hon. Member for Aberafan Maesteg (Stephen Kinnock), appeared before our Committee in the spring, and he mentioned the importance of workforce. I ask again, where is that workforce plan? We need it, but that will not be the whole answer; we also need better data and early identification, clearer guidance and joined-up working with adult social care and local authorities.

The Government have said that they will publish a modern service framework for palliative and end-of-life care, and it is very positive that the interim MSF has been published, but let me tell the House how I see it as Chair of the Health and Social Care Committee. I genuinely do not believe that palliative care would have been included in the early batch of MSFs if it were not for this Bill forcing the Government to do so. Furthermore, given all the issues and competing priorities of the NHS, let alone the competing political priorities of this Government or any other that comes after it in the next four years, I do not believe that palliative care will improve as fast as we want it to without the pressure of a Bill like this. I do not believe that this is an either/or proposition. I want palliative care to improve, therefore I will be voting for this Bill.

I have to end with one more constituent’s story, and it is the story of Robert. His two parents had different views on this issue: his father did not agree with assisted dying, but his mother did. We are lucky in Oxfordshire that we have some of the best palliative care in the country. He described how her care was exemplary—she died without pain and was well looked after—but he felt that her wishes were not respected while his father’s were, and there were consequences to her not being able to access assisted dying, as her brother could not be there at her bedside when she passed. For those constituents who want a real choice at the end of life, I will tirelessly continue to want to improve palliative care, but I will also be supporting the Bill.