Terminally Ill Adults (End of Life) Bill

Pippa Heylings Excerpts

2nd reading
Friday 11th September 2026 Commons Chamber

[Pippa Heylings (South Cambridgeshire) (LD)]

I begin by thanking the hon. Member for Rochester and Strood (Lauren Edwards) for her courage and compassion in bringing this Bill back before Parliament. The debate in this House, the other place and across the country is profoundly important.

“We need to get better at talking more openly about death and what dying well means.” Those were the words of the end-of-life care clinical lead during my last week’s visit to the new dedicated palliative and end-of-life care ward at Addenbrooke’s hospital in my constituency of South Cambridgeshire. It is something my own father said to me many, many times over 40 years ago. He was a family doctor in Hull, in the deprived communities, witnessing the family births and deaths of many patients at home and in hospital. “Love life, live life as much as possible and have a good death.” The last time this Bill came before the House, it encouraged that conversation. There was respectful debate, evidence was examined and safeguards were strengthened. The Commons voted in favour and the Bill was sent to the House of Lords for further scrutiny. What we are doing today is allowing due process to continue by sending the Bill back to the Lords, so it can complete its passage.

I am grateful to the many constituents who have written to me on all sides of the debate, sharing deeply personal experiences that have shaped their views and informed my own thinking. Having listened carefully over all our debates—the Bill Committee, the witnesses, the evidence—I continue to support the Bill. There is a need to change the status quo.

Receiving a terminal diagnosis, as we have heard, is devastating. It brings a loss of control of the future that many people find deeply frightening. One of those people is my constituent Jodie, who is living with a terminal grade 4 astrocytoma brain tumour. Following lifesaving surgery, she continues treatment aimed at preserving the best quality of life possible. Fiercely independent, she is living every single day. Yet, in her own words, the prospect of the disease eventually taking over her brain, leaving her unable to think clearly, communicate or make decisions, frightens her more than she can express:

“None of us know what the future holds, but knowing that the option of assisted death would be available should I ever reach that point…would provide me with enormous comfort and reassurance”.

As we have heard today, what we do not talk enough about is the status quo—it is almost as if there is a taboo—which for some terminally ill people is an unsafe and cruel status quo, with hundreds of people already taking matters into their own hands.

I want to share the story of my constituent Cath Shepherd. Her sister, Emma Windred, was a keen and active outdoors woman who loved life. Facing the end of that life, she chose the only legally defensible and medically supported route available to her: voluntarily stopping eating and drinking. We know that many medical practitioners feel that that is a grey area, and much more guidance is needed. That should not be the only option. Emma felt robbed of the death she wanted and she campaigned for the law to change until her end came. After Emma’s death, Cath has continued that campaign so that others might have the option of the gentle and dignified death her sister believed she was denied.

As we have again heard today, too often assisted dying and palliative care are presented as competing alternatives. They are not. Both are rooted in the same aim: ensuring that people approaching the end of life are treated with dignity, compassion and respect. I am fortunate that Arthur Rank hospice serves my constituency and the wider region. It provides outstanding care and support to patients and families at some of the most difficult moments in their lives. Its staff and volunteers do extraordinary work. Yet, like many hospices around the country, it faces huge cuts and the loss of beds, something that I and many others are campaigning to stop happening.

We all know there is a disgraceful crisis in adult social care. Hospices, hospice-at-home services, district nursing and community palliative care are all desperately underfunded. I therefore welcome the Prime Minister’s call for cross-party talks on social care—we all do as Liberal Democrats—but I do not share the premise that assisted dying legislation must wait until palliative care is fully funded and available everywhere. This is not an either/or. This is not a before/until. These are not and should not be competing priorities.

My support for the Bill is matched by my belief that we must equally strengthen palliative and end-of-life care. Dying with dignity means access to outstanding palliative care, compassion at every stage of life and the ability to have choice, agency and dignity for those very final days. This Bill will not make a choice for anyone. It will simply allow terminally ill people to make that choice for themselves, safely, challenging the status quo and with their loved ones around them, if they so wish.

Terminally Ill Adults (End of Life) Bill

Pippa Heylings Excerpts

Report stage & 3rd reading
Friday 20th June 2025 Commons Chamber

[Kevin McKenna]

No, I will not.

Many colleagues have talked about whether this debate has been too short, too long, too complicated or not complicated enough. I have heard questions about whether the Bill is ready to for us to hand on to the House of Lords. To be clear, I believe that it is. It is really important to remember that we have been debating this issue not just during this Parliament; the debate has gone on for decades. I remember being taught by a really strong advocate for palliative care when I was a student nurse; he was dead set against assisted dying. His argument was that if we bring in assisted dying, it will mean that palliative care will never get the funding and resources that it needs—something that so many people have said. That was nearly 30 years ago, and we have not grasped that nettle as a country.

At the end of this debate, I really hope that we can finally bring to fruition the ambition of almost every Member of this House: the ambition to ensure that palliative care works and is accessible to everyone in this country. However, if we do, that is not a reason not to have assisted dying. Assisted dying is the choice of many people in this country, and I want it to be a choice for me. If I get to that point in my life, I want that choice available to me, and that will be true for some other Members. Still others do not want to ever have that choice, but it needs to be there. I want people to think about themselves as well.

[Pippa Heylings (South Cambridgeshire) (LD)]

Will the hon. Member give way?

[Kevin McKenna]

I will not.

It is important to think about ourselves as well. Sometimes we Members of Parliament think it selfish to think about what we may need, but it is fundamental, because this is about individuals. This is about each of us at the end of life.

The Bill is much stronger than it was at the start, and I was already convinced that it was the right thing to vote for. I really think it is ready for us to hand on to our colleagues in the other place. Many members of the public are behind us, and I commend the Bill in its current from. I will vote for it on Third Reading, and I hope many other people will too.

--- Later in debate ---

[Luke Taylor]

In conclusion, in the heart-wrenching words of Decca Aitkenhead, who wrote in The Times last week, and which I found particularly moving:

“critics of the bill have begun to frame the debate as if leaving the law as it stands does not hurt anyone. It does.”

She said that opponents

“worry about speculative, hypothetical victims—but the status quo creates indisputable, real life victims”.

[Pippa Heylings]

Will my hon. Friend give way?

[Luke Taylor]

I will not, sorry—I am close to closing.

She went on to say:

“The bill’s opponents portray it as cruel, heartless and macabre. I wish they could have sat at”

—her friend—

“Charlotte’s bedside, heard her groan, “Let … me … die”, and seen what cruel, heartless and macabre actually looks like.”

This Bill is the right thing to do. It has been scrutinised, amended and debated. This Bill is ready. Please vote in favour today to give our residents a choice.