Assisted Dying

Debate between Steve McCabe and Kevin Hollinrake

Monday 4th July 2022 Westminster Hall

[Kevin Hollinrake]

I will look to the Chair—who says no; I apologise. We will talk about it afterwards.

As has been said any number of times this afternoon, this is about choice. Of course, all of us in this country are so lucky to have this free society we live in. This is about freedom of choice, but it is not about freedom of choice over anything; it is about freedom of choice about the thing we fear most in life: death.

I would say today that I do not actually fear death; I might think differently in a few years’ time—that point in time is getting closer—but I will tell you what I fear, Mr McCabe. I fear a painful death. I absolutely fear a painful death. I may have options. Some of us are lucky enough that we could plan ahead and say, “Well, we’ll make that trip to Zurich”, or we might take the terrible path that the father of the hon. Member for Sheffield Central (Paul Blomfield) had to take. People have a choice, of course, to do what they think is right and not to take that option, but instead to take the natural path. However, I think it is wrong to remove from people the choice, a choice that other countries and other places allow and that we can choose to have, as well—the ones who are lucky enough to have that choice.

There is one thing that we have probably not discussed in this debate. It is not just about the fear of dying; it is about the fear of what might happen. There is a quote from Dr Sandy Briden, who died of a form of cancer that is rare in the UK:

“Knowing I had the option of an assisted death when things get too much would allow me to live now, without the constant fear of what might happen at the end. For me, assisted dying isn’t about dying; it’s about living.”

It is about living that last time we have, knowing we have the choice—away from that anxiety, which must be terrible for people nearing these situations—and it is certainly something that I would have wished for my mother when she passed away at the end of 2019. The palliative care was there, but still it was, for all those around her, a traumatic experience.

I do not get the slippery-slope argument. We have seen that in Oregon, which has not changed its law in 25 years, a very low percentage of people—0.7%—take this path of death through assisted dying.

However, I understand that there are really cogent arguments as to why we would not have this law, which is why I support an inquiry. I just do not see what the argument against an inquiry is. We could look at best practice around the world and decide what is best practice for the United Kingdom.

[Steve McCabe (in the Chair)]

We have got 31 speakers into this debate. We have had to squeeze the Front Benchers a little bit to do that, so if they could confine themselves to nine or 10 minutes, the mover of the motion might just get a last word.

Health and Social Care

Debate between Steve McCabe and Kevin Hollinrake

Monday 27th February 2017 Commons Chamber

[Steve McCabe]

I don’t think I need any lectures on cross-party dialogue from the party of the death tax and the £8 billion financial fib.

In Birmingham, we have seen £28 million cuts to the social care budget, bringing the service to its knees. Elderly people are being treated like cattle, lying around on trolleys, waiting in corridors and dispatched from hospital in the middle of the night. Everywhere we look, we see our hospitals, GPs and social care services collapsing under the strain.

This Secretary of State is quite happy to flex his muscles when it comes to bullying junior doctors, but it is always someone else’s fault when it comes to resources, management and administration of the NHS. There was a time when the deal was simple: in return for the red box and a ministerial salary, Ministers took responsibility —the buck stopped with them. But no more. I have lost track of how many parliamentary answers begin with the words, “The Department does not collect that data centrally,” or “It would not be cost-effective to provide information in that format”. Basically, Ministers do not know, do not want to know and do not want us to know what is really happening. They no longer preside over a genuinely national health service. Whether it is the postcode lottery that characterises the provision of IVF, with clinical commissioning groups ignoring NICE guidelines and making up their own criteria as they go along, or children’s dentistry, where there is a growing crisis and a heavy reliance on hospital emergency surgery because of the lack of provision and monitoring of proper dental services for children, all this Government want to do is hide behind and blame others for their shambolic decisions.

The latest disaster is the business rates revaluation, which in Birmingham is estimated to see a rise for University Hospitals Birmingham’s Queen Elizabeth hospital from £2.8 million to £6.9 million per year—talk about robbing Peter to pay Paul! And yet Ministers from the Department for Communities and Local Government and the Department of Health have not even met to discuss the problem—although I note that private hospitals get an 80% reduction because they are registered as charities.

In my constituency, we have been fighting a battle to save our Katie Road walk-in centre for several years: we have had stop-go consultations, money wasted, explanations and excuses that vary from month to month, consultations announced and then scrapped, and now we have a sustainability and transformation plan that sadly, as acknowledged, has turned into a secret strategy drawn up by non-elected bureaucrats from which the public and their elected representatives have been largely excluded. It seems that Katie Road is now caught up in this fiasco. With its contract scheduled to finish on the 31st of next month, we still do not know what is happening, although if rumours are true, even more money that ought to be spent on healthcare in Birmingham is about to be siphoned off to rescue bankrupt neighbours.

Only the other week, I discovered that the contract for South Maypole GP services was to be cancelled. It is apparently no longer cost-effective—not cost effective to provide GP services to the sick and elderly! Only under this Secretary of State could the NHS have come to this.

[Kevin Hollinrake]

In my remarks, I talked about a cross-party conversation. I could easily have pointed out that between 2011 and 2014 there was an 8.6% real-terms drop in health spending in Wales, under a Labour Administration, while there was a 4% increase in England, but would it not be better to have a constructive conversation about how we take the NHS and social care off the front pages of the tabloids and to sit down and work out a solution together?

[Steve McCabe]

It is always desirable to have that conversation when the Tories are in power. When Labour is in power, we talk about death tax campaigns and we hear about £8 billion funding fibs. It is funny how the argument always changes when they are responsible.

As I was saying, the contract for South Maypole GP services is about to be withdrawn. I found that out not when the CCG, which it turns out has been ruminating on this since November, told me, but when I was contacted by anxious constituents who had just found out they had eight weeks to find a new GP. Many of them are elderly people, and some have long-term conditions and rely on regular medication, but they are dismissed as if they do not matter. The loss of their GP service is treated like the closure of a local hairdresser or petrol station. They are told to shop around. Apparently the CCG thinks there are enough GPs in the area—enough at any rate to satisfy their little diagrams and tables on their secret little plans. Reducing demand for acute care is one of the Government’s plans to ease pressures in the NHS. Exactly how do we achieve that by closing walk-in centres and GP surgeries? Is that not the fastest route to our already overstretched A&E departments?

It is not just the estimates at issue here, but a proper long-term plan for the NHS and social care. This Secretary of State has failed us. His stewardship is a disaster. Rather than accepting more of it, the House should be calling for a motion of censure. The Government and the Secretary of State are presiding over the steady dismantling of the country’s greatest peacetime achievement. It is a total disgrace.