Terminally Ill Adults (End of Life) Bill

Lee Dillon Excerpts

2nd reading
Friday 29th November 2024 Commons Chamber

[Layla Moran]

The right hon. Gentleman might want to raise that issue in Committee, at a later stage. However, it is important for hon. Members to appreciate that they can vote yes today, and vote no later.

I want to come on to palliative care, which is really important. The message from the sector, patients and their families is crystal clear: palliative care is not good enough and we must do better.

[Mr Lee Dillon (Newbury) (LD)]

Does my hon. Friend agree that we are not talking about a choice between palliative care and assisted dying? The two can go hand in hand, but with the knowledge that if palliative care does not provide the individual with the comfort they require, the Bill would give them the option to decide how they want to end their life, rather than drifting away without being able to have a final cuddle or say a final goodbye.

[Layla Moran]

There needs to be a debate around palliative care. My concern is that we have not had any firm commitments from Government, other than woolly words, about how they are actually going to tackle the issue, and that a royal commission will push it into the long grass.

I say to the Secretary of State for Health and Social Care, who is in his place, that the gauntlet has been thrown down. If he wants someone like me to not vote for the Bill moving forward, he needs to do two things: he needs to put firm commitments on palliative care on the table and resolve them within the next one or two years, and then, afterwards, commit to bringing back a Bill like this one in Government time. Without those firm commitments, I will continue to make the case for wanting to see progress.

Terminally Ill Adults (End of Life) Bill

Lee Dillon Excerpts

Report stage
Friday 20th June 2025 Commons Chamber

[Mr Peter Bedford (Mid Leicestershire) (Con)]

On Second Reading I spoke in support of the principle of the Bill, because I believe that freedom of choice, especially at the end of life, should always rest with the individual; that it is the individual with a terminal diagnosis who is best placed to decide when it is their time to slip away.

As a society, we do not talk about death enough—it is one of those subjects that we shy away from—but thousands of our fellow citizens each year must come to terms with terminal diagnoses, their medical treatment and their final days. I put on record my thanks to the hon. Member for Spen Valley (Kim Leadbeater) for the way that she has conducted the debate. I know that it has been difficult at times, particularly with the criticism coming from outside this place.

Voting for the status quo—voting against the Bill—will not solve the problem. Indeed, with the advance of medical techniques that prolong life but not necessarily the quality of life, the case for the compassionate ending to one’s life will continue to grow. At least one Brit every week is taking the stressful and too often lonely journey to Switzerland for an assisted death at the cost of £12,000. To decide the time of one’s own death is an option only available to those who have the wealth.

[Mr Lee Dillon (Newbury) (LD)]

Will the hon. Gentleman give way?

[Mr Bedford]

I am not giving way. As a supporter of the Bill, I have listened to the debate closely and I agree that we need better palliative care across the UK. My own grandparents were both superbly supported by amazing Macmillan nurses in their final weeks battling incurable cancers. But I recognise that this support is not universal across the country, and that more needs to be done to improve this important service. The blunt truth of the matter is this: if someone is dying from an incurable condition, they could have the best palliative care possible, but ultimately they are still dying.

In her final weeks, my nan told me that it was her time to go, that she had made peace with her God, and that she did not want to endure the next few weeks of decline in her physical and mental health. Days before her death, she was hallucinating from the high dose of medication to treat her pain, telling me vividly how she was flying a spaceship. That was not how she wanted to spend her final weeks, and I know that because she told me so. She, like so many others, had been denied her final wish.

The legislation has received far more scrutiny than much of what we vote on in this place—and rightly so. The 28 Public Bill Committee meetings interviewed 40 witnesses, and divided 110 times on proposed amendments. As a country we have been debating this subject for over 20 years. I can recall as a 16-year-old law student discussing the case of Diane Pretty, and her campaign back then to change the law. I believe the Bill as presented is narrowly defined, with the necessary safeguards to ensure that those with a terminal condition can freely choose the time of their own passing.

There are those in this House, often through religious beliefs or otherwise, who could never support a Bill of this kind. That is their right and I respect that. But that right should not extend to denying the choice to other people. There are those who argue for what they see as even greater safeguards, but we should remember that legislation must be balanced and workable in the real world beyond this Chamber. The Bill is not about shortening life; it is about shortening death. I ask all hon. Members across the House to support it.

Terminally Ill Adults (End of Life) Bill

Lee Dillon Excerpts

Report stage
Friday 13th June 2025 Commons Chamber

The amendment needs to go hand in hand with urgent action, however, which is why I have been persuaded today to support amendment 42 so that the parlous state of palliative care can start to be meaningfully addressed before the Bill comes into force. If it is not in a better state, the Bill should not be enacted.

[Mr Lee Dillon (Newbury) (LD)]

I hear the argument from hon. Members on both sides of the Chamber about palliative care in this country not being at the level that we would expect, and I accept that. What I do not hear from those who oppose the Bill is exactly what level we need so that assisted dying can go hand in hand with it as a genuine option.

[Munira Wilson]

I note that the Health and Social Care Committee and the hon. Member for York Central (Rachael Maskell) have undertaken a report, so they will advise us on that issue. [Interruption.] I am aware that I need to finish, so I urge hon. Members to support the amendments of my hon. Friends the Members for Wimbledon (Mr Kohler) and for Richmond Park (Sarah Olney) to ensure that we do not allow the Bill to implement sweeping Henry VIII powers on such a sensitive and important issue, and to ensure that we collect, through new schedule 2, important monitoring data on how any assisted dying or death service will operate. We need transparency.