Assisted Dying Debate

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Department: Home Office
Monday 29th April 2024

(6 months, 3 weeks ago)

Westminster Hall
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Danny Kruger Portrait Danny Kruger
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The definition of terminal illness is incredibly difficult, and people can always find a doctor to demonstrate it. That has happened in Oregon, in Canada and other countries. Again, let me take this up offline. [Interruption.] I respect position of the hon. Member for Sheffield Central, but I stand on the point that the scope, access and eligibility expand, and of course it does, because expansion is implicit in the principle.

Robin Millar Portrait Robin Millar (Aberconwy) (Con)
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I note from the Health and Social Care Committee’s “Assisted Dying/Assisted Suicide” report that:

“Wherever the boundaries are set, evidence from other jurisdictions shows that the boundaries are eroded and criteria expanded, with concomitant escalation in numbers, most markedly seen in Canada.”

Does my hon. Friend agree that that is the concern he is trying to express?

Danny Kruger Portrait Danny Kruger
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I am very grateful to my hon. Friend. These things are very contentious, and there are issues around definition. But I stand on the principle that there is implicit expansion in the scope of any law. [Interruption.] Am I being given extra time for the interventions I am taking?

--- Later in debate ---
Robin Millar Portrait Robin Millar (Aberconwy) (Con)
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First, I give my thanks to the hon. Member for Gower (Tonia Antoniazzi) for introducing the debate on behalf of those who signed the petition. It is really important that we represent the people who write to us, and like many colleagues here, I have had lots of emails and letters on this subject.

I want to make two points. My first would be a note of caution. As parliamentarians, it is our job not only to represent those with a voice—those who are motivated, interested, engaged and who grab our attention. Our job is also to represent those without a voice—those who are vulnerable, who cannot speak or who speak with a very quiet voice. It is our duty to represent their interests and consider their situations as well. That is an important balance we must bring to this debate, and I make no apology for that. I want to commend the hon. Member for Gower for bringing that balance to her opening remarks. If we are to have these debates, it is important that they are done in the right way. The tone she set was very helpful, so I thank her for that. I also thank the Health and Social Care Committee for its report, which I found very helpful, with the facts it presented and the approach it took. I commend it to all to read, as there are many good and useful points in it.

There is very little time available, so I will finish with my second point. Some might characterise this as a slippery slope or the thin end of a wedge, and I, too, was appalled at what Matthew Parris wrote. I found the way in which he wrote and presented it to be crude, and unnecessarily so in such a debate. However, I want to speak about the issue of normalising. The point has been made in other places that suicide rates in countries where this legislation is introduced go up, and it is that normalising that I am particularly concerned about. In Scotland, the Assisted Dying for Terminally Ill Adults (Scotland) Bill includes a definition of terminal illness, which could be seen to include things like type 1 diabetes or rheumatoid arthritis. To quote the Health and Social Care Committee’s report again, it states on page 45:

“Wherever the boundaries are set, evidence from other jurisdictions shows that the boundaries are eroded and criteria expanded”.

Chloe Smith Portrait Chloe Smith
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I was following these arguments very carefully earlier. The citation my hon. Friend makes is a quote from a campaign group rather than a finding of the Committee.

Robin Millar Portrait Robin Millar
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I thank my right hon. Friend for that. It stands as it is, and I refer every interested reader to the context of the quote.

Robin Millar Portrait Robin Millar
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I will give way to the hon. Member for Sheffield Central (Paul Blomfield) and then to the hon. Member for Strangford (Jim Shannon).

Paul Blomfield Portrait Paul Blomfield
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I think it is necessary to have accuracy in this debate. I refer the hon. Gentleman to paragraph 7 on page 96 in which the Select Committee says:

“We also conclude that jurisdictions which have introduced AD/AS on the basis of terminal illness have not changed the law to include eligibility on the basis of ‘unbearable suffering’.”

Robin Millar Portrait Robin Millar
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I thank the hon. Member for putting that on the record.

Jim Shannon Portrait Jim Shannon
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To add to the hon. Member’s concerns over what is coming out of Scotland, it has been suggested that even young girls with anorexia could find themselves in a position where they might feel constrained to do this. I make this very important point. The health service saved the life of one of my constituents. When she was in difficult times, she went to St Thomas’ Hospital across the way and they saved her life. It could very well have been the other way round.

Robin Millar Portrait Robin Millar
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That speaks to my concern about normalisation. If we introduce legislation that says, “It is acceptable to end life for a wider range of conditions”—the evidence before us in Scotland is that that interpretation is correct—we risk normalising suicide as a prescription.

Thérèse Coffey Portrait Dr Coffey
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My hon. Friend is making a perfect point in terms of clause 2 of the proposed Bill going through the Scottish Parliament at the moment. There is no mention of 12 months and no mention of a person dying at a particular time. It is simply about aspects of a condition from which someone is not able to recover and could reasonably expect a premature death. The worry that we have is the interpretation of the law. It has undoubtedly expanded around the world such that we have seen an increase in the number of people with assisted suicide.

Robin Millar Portrait Robin Millar
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I thank my right hon. Friend for her intervention. I will conclude with this: we must never get to a point where assisted dying is seen as a prescription. We must never get to a point where we see death as a treatment.

Pauline Latham Portrait Mrs Pauline Latham (in the Chair)
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The wind-ups will now begin. I call Ruth Cadbury.