Thursday 23rd January 2020

(4 years, 3 months ago)

Westminster Hall
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Karin Smyth Portrait Karin Smyth (Bristol South) (Lab)
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I am grateful for the chance to speak in this debate. I do so not only as the Member for Bristol South, but as chair of the all-party parliamentary group for choice at the end of life.

I want to pick up the discussion where we left it at the end of the last Parliament. We were hoping for a call for evidence and to have some discussion with the Government on that. The Government said that they would continue the debate but were not currently persuaded. We can indeed debate, but ultimately only the Government can make a call for evidence; only the Government have the power to gather evidence. Only this Government can show their own compassion and demonstrate to the people of this country that compassion is not a crime.

I was privileged last year to welcome Geoffrey and Ann Whaley to the House to talk about their experiences. I do not have time today to repeat their stories, but people like Ann Whaley and Adam and Kate Wellesley are still being investigated by the police. They dreaded that knock on the door, which did come. Police officers are required to intrude on a family in the last days and weeks before the loss of their loved ones. I therefore welcome the debate that is now happening within policing. It was surfaced by Ron Hogg, a police and crime commissioner, and many police and crime commissioners are now also asking for a review of the evidence. Ron sadly died in December, but that was a powerful call about how the law is currently impacting on policing.

The current law does not offer protection. Assisted deaths are very rarely investigated. Illegal and unregulated voluntary euthanasia happens now. Current end-of-life practice is, if anything, less safeguarded than assisted dying and it is just as ethically challenging. Who decides whether someone should be sedated until death? How do doctors check that someone is not being coerced into refusing treatment? Is it right to support someone to starve and dehydrate themselves to death? I do not think so. If assisted dying laws are not proven to work, why are more and more being introduced rather than the existing ones being overturned?

My own interest in this area came from my time working in the NHS with clinicians talking to people about how to live and die. I found that it is often no one’s job to talk to people about dying, and it is very lonely for those people. Despite the care from the NHS and our brilliant hospices, 17 people a day—

Luke Evans Portrait Dr Luke Evans (Bosworth) (Con)
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I thank the hon. Lady for giving way; I appreciate that time is short. It is interesting that we are in a place that deals with finalities—death and taxes—yet we never have a wider debate about what death is. As a GP, I speak to people all the time, and it is very difficult to raise the subject of death. Fundamentally, as a society, we need to be talking about what death actually is, because it is inevitable. That inevitability means that we have to answer some of these questions. Does the hon. Lady agree with me that that may well be the best place to start to move the discussion on?

Karin Smyth Portrait Karin Smyth
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I wholeheartedly agree and am grateful for that intervention from a clinical perspective, because what the hon. Gentleman describes is also my experience. Around the world, the current law does not protect the doctor-patient relationship and people are not having those honest conversations. The law does not allow the doctor to really talk to people about end-of-life choices, because people are frightened that their intention to perhaps go to Switzerland will result in someone being fearful of breaking the law.

I am not sure what the Government’s response will be today. I hope that the Minister can respond with compassion for people who are desperate for some recognition of the way the current law is not working. We cannot keep ignoring that. Asking families to retell their stories only perpetuates the trauma that they are going through. Families will keep coming forward, and their experiences are shocking—heartbreaking. For me, representing the constituency of Bristol South, the fact that only people who have between £10,000 and £15,000 spare can access safe care—in Switzerland—is equally shocking.

Is the law working now? No, it is not. Are people safer now? No, they are not. I am disappointed not to have more time to go into why that is the case. That is why, beyond the debate today, we need a review of the current law and how it is working. People need to have time to review the law. It is not working for families at the moment, and I hope that the Government will meet me and others who would like to discuss how a review might work in practice.