Assisted Dying Debate

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Department: Home Office
Monday 29th April 2024

(2 months, 4 weeks ago)

Westminster Hall
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Rachael Maskell Portrait Rachael Maskell (York Central) (Lab/Co-op)
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It is a pleasure to follow the Chair of the Health and Social Care Committee, having also travelled to take evidence over the last 18 months and really engaged with everything people have written to us about in sharing their opinions and life experiences. I really do commend the report to the House. We learned especially about the need to have a better death, and there are lots of opportunities for that, through improvements in palliative care and listening to clinicians about the extent to which that can be brought about. We also heard very clearly that if the law were to change, it would fundamentally change the relationship between the physician and the patient, and the House must take that into consideration.

Not only should there be more investment in palliative care, but we should push on with the opportunity for more research in that area. Of course, we should also address the social factors that are cited as reasons why people want to access palliative care. It is often about poor death literacy. Certainly, I am disappointed that the Government do not have a plan to improve that, so I urge them to consider it.

We must also look at the reasons why people have opted for end of life in other jurisdictions, as set out in the petition, including the loss of meaningful daily activities, the loss of dignity and incontinence. For many people, perhaps those with an impairment, that is their daily experience, and yet it would be wrong to say that that dehumanises them as individuals. We should move on from the embarrassment and inconvenience and look at how quality of life can be given to everyone, no matter their impairment.

Loneliness and isolation are also cited, but that is a societal failure that must be addressed. If we improve our NHS care, our social care and civil society, many of those reasons will be dismissed. The reason why we are debating this issue is not lost on me: the NHS is in tatters, social care is in a dire condition and so much funding has been withdrawn from civil society. There is much for the Government to do, and they must address those reasons in order to ensure that everyone has the opportunity for a good end-of-life experience.

I am worried about the person who says, “I’m just getting in the way. My children will have a better future without me. Perhaps the savings I have put aside could be better spent by them than on me.” It is not necessarily coercion, but the way that people feel in a society that changes the law. We have much to address, including the physical, psychological and spiritual needs of people in our country, and that must be our first consideration.