Read Bill Ministerial Extracts
Terminally Ill Adults (End of Life) Bill Debate
Full Debate: Read Full DebateLord Murray of Blidworth
Main Page: Lord Murray of Blidworth (Conservative - Life peer)Department Debates - View all Lord Murray of Blidworth's debates with the Home Office
(6 months ago)
Lords ChamberMy Lords, irrespective of the underlying moral and policy question, as many noble Lords have already identified, the Bill in its present form is seriously procedurally flawed. I am against it.
I am most concerned about the impact those flaws will have on vulnerable people. Given the time available, two points occur to me which demonstrate this problem. First, at no point in the mechanism under the Bill does anyone expressly ask the applicant the reason why they wish to die. Such a question would not be an intrusion on private autonomy; to the contrary: it would be a reasonable and compassionate inquiry. In its own way, it would be a significant guard to protect the most vulnerable.
Secondly, more technically, there are very significant failings in the panel stage of the process, as described in the Bill and embodied in Clause 17. In its current form, the panel stage of the process, as the noble Lord, Lord Grabiner, identified, is lawyer window dressing—I agree. Unlike him, though, I suggest that this stage could and should be used to reinforce the process and to protect the most vulnerable against abuse.
Clause 17 provides that the panel’s function in an application for a certificate of eligibility for assisted suicide is simply to determine whether the nine tick boxes set out in Clause 17(2) are met. To do so, the panel, who are described in Schedule 2 as comprising a lawyer, a psychiatrist and a social worker, must hear from the co-ordinating doctor, the applicant, and they may hear from anyone else. Subsection (7) then requires that the panel must grant a certificate if they have satisfied that the nine boxes in subsection (2) are met.
This is a quasi-tribunal process in which the tribunal is bereft of any appropriate powers. Frankly, even a parking adjudicator has more evidential power than these panels. In the past few months, this Government have given more enforceable rights to employees and tenants, to mention two Bills that have recently passed through your Lordships’ House—the Employment Rights Bill and the Renters’ Reform Bill—than to those who seek assistance to die under this Bill. How is that so? Because those other pieces of legislation—employment legislation and landlord and tenant legislation—go before a court or tribunal with evidential powers to look into the matter before them.
The panel in this Bill is toothless. It has no power to require evidence to protect vulnerable people, no power to summon witnesses or experts, no power to order the disclosure of documents and no powers of compulsion at all. Indeed, the panel would have no power even to see an applicant’s will or to summon witnesses to explain the relationships in the application before them. There is no logical reason why those applying for assistance to die should have their request for a certificate of eligibility scrutinised by a body with fewer powers to compel evidence and make decisions than a person would have had if they had brought an employment claim, a landlord and tenant claim or a road traffic matter. At the very least, this Bill should explicitly provide that part of the statutory role of the panel should be to investigate motivation and possible coercion. The panel should have the powers of any other tribunal in performing that task.
Terminally Ill Adults (End of Life) Bill Debate
Full Debate: Read Full DebateLord Murray of Blidworth
Main Page: Lord Murray of Blidworth (Conservative - Life peer)Department Debates - View all Lord Murray of Blidworth's debates with the Ministry of Justice
(2 weeks, 3 days ago)
Lords ChamberMy Lords, it is a long time since I last spoke on this Bill, at about 3.20 pm on Friday 12 September, the first day of Second Reading. In that speech I outlined my concerns about the panels proposed in Clause 17. It gives me great pleasure to introduce the group of amendments to those panels. I will come to my amendments in a moment.
The concerns in my Second Reading speech, which were reflected by a number of others, were also seen in the evidence provided to the Bill Committees in the other place and here. Of course, the addition of the panels happened organically during the passage of the Bill through the Commons and, as a result, there have been adverse comments, particularly, as we will see, by legal stakeholders concerned about how the proposed system works and about the lack of detail on the panels in the Bill.
It is perhaps of note that the Justice Minister, Sarah Sackman, when asked by the noble and learned Baroness, Lady Scotland, about the lack of policy definition regarding the process and the fitness of those adjudicating, said that
“the commissioner, in establishing the office of the commissioner, will be responsible for producing the procedural rules governing the panel’s activity and, potentially, guidance that will govern how they go about their work”.
She then said that the noble and learned Baroness, Lady Scotland,
“is absolutely right that what it does then is give the commissioner the powers to go away and develop the governing practices of the panel”.
The Minister suggested that that was not unusual in the establishment of bodies of similar nature, but many do not share the somewhat laissez-faire approach that she adopted there.
The Law Society raised specific concerns about how the panels would operate. Kirsty Stuart noted in her evidence:
“What is unclear at the moment is where the panels will be held and how people would know about them”,
and whether they would be public or private. In the Law Society’s written evidence, it was said that Parliament should
“clarify how Assisted Dying Review Panels would deal with and decide cases”,
and that the Bill
“leaves substantial details about how the scheme would operate to be dealt with in secondary legislation and guidance”.
Professor Charles Foster also criticised the lack of statutory requirements for the panel’s procedure. He noted:
“There is no requirement for the panel to ask anybody, including the applicant, anything at all, or to test the evidence in any way. Cases can be dealt with in private. There is no obligation to publish the reasons”.
Professor Ruck Keene—I declare an interest that he and I are in chambers together—noted that the panel’s design suffered from being developed “on the fly” and that it was “neither fish nor fowl” regarding its powers. He noted that the policy had not been formed and said that the panel had
“too few powers to deal with more difficult cases”.
With my amendments I hope to address some of the problems that have been highlighted. My Amendment 925A concerns the power to appoint the members of the panel. At the moment, the position is that the panel members would be self-selecting. By setting various criteria for the appointment of panel members, this amendment would reduce that risk. It says:
“A person may only be appointed to the list following … an independent appointments process involving tests, interviews and role-play … professional vetting”—
that is perhaps topical—
“and … in the case of a legal member, a recommendation from the Judicial Appointments Commission”.
My next set of amendments deal with the question of panel procedure. Amendment 142 would require that the commissioner, when providing guidance to the panels, has an obligation to produce that guidance. In the way the Bill is structured at the moment, there is no requirement to provide guidance; this measure would introduce that requirement. Amendment 937 would make that mandatory. Amendment 938 would require that the guidance must be produced following consultation with various relevant bodies: the Tribunal Procedure Committee; experts in domestic abuse, old-age psychiatry and neurodivergence; and disability groups. Amendment 463 is intended to address how the procedure is to work.
Finally, my Amendment 464 deals with powers of evidence gathering. As I noted at Second Reading, at the moment the panel has fewer coercive powers than a parking adjudicator. This body is going to be determining matters of life and death, and ultimately it needs to know whether there is coercion and whether the wishes of all involved have been taken into account. Amendment 464 is drafted in such a way that the panel shall have the powers and privileges of the High Court. I appreciate that it is far from perfect. It is a probing amendment so that I can hear what proposals the noble and learned Lord may have to improve the powers of the panel and to rectify the obvious deficits that exist in the current system proposed in the Bill. I beg to move.