Terminally Ill Adults (End of Life) Bill 2024-26 Amendments

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Page 1

Eligibility to be provided with lawful assistance to voluntarily end own life

Assisted dying

(1)

A terminally ill person in England or Wales who—

(a)

has the capacity to make a decision to end their own life (see section

3 ),

(b)

is aged 18 or over at the time the person makes a first declaration (see

section 7 ),

(c)

is ordinarily resident in England and Wales and has been so resident

for at least 12 months ending with the date of the first declaration,

and

(d)

is registered as a patient with a general medical practice in England

or Wales,

may, on request, be provided in England or Wales with assistance to end

their own life in accordance with sections 7 to 27 .

(2)

Sections 7 to 27 , in particular, require steps to be taken to establish that the

person—

(a)

has a clear, settled and informed wish to end their own life, and

(b)

has made the decision that they wish to end their own life voluntarily

and has not been coerced or pressured by any other person into

making it.

(3)

The steps to be taken under sections 7 , 9 , 10 and 17 must be taken—

(a)

when the terminally ill person is in England or Wales, and

(b)

in the case of the steps under sections 9 and 10 , by persons in England

or Wales.

Page 2

Terminal illness

(1)

For the purposes of this Act, a person is terminally ill if—

(a)

the person has an inevitably progressive illness or disease which cannot

be reversed by treatment, and

(b)

the person's death in consequence of that illness or disease can

reasonably be expected within six months.

(2)

For the purposes of subsection (1) , treatment which only relieves the symptoms

of an inevitably progressive illness, disease or medical condition temporarily

is not to be regarded as treatment which can reverse that illness or disease.

(3)

For the avoidance of doubt, a person is not to be considered to be terminally

ill only because they are a person with a disability or mental disorder (or

both).

Nothing in this subsection results in a person not being regarded as terminally

ill for the purposes of this Act if (disregarding this subsection) the person

meets the conditions in paragraphs (a) and (b) of subsection (1) .

Capacity

In this Act, references to a person having capacity are to be read in accordance

with the Mental Capacity Act 2005.

Voluntary Assisted Dying Commissioner

Voluntary Assisted Dying Commissioner

(1)

There is to be a Voluntary Assisted Dying Commissioner.

(2)

The Commissioner is to be appointed by the Prime Minister.

(3)

The person appointed must hold or have held office as a judge of—

(a)

the Supreme Court,

(b)

the Court of Appeal, or

(c)

the High Court.

(4)

The Commissioner’s principal functions are—

(a)

receiving documents made under this Act;

(b)

making appointments to a list of persons eligible to sit on Assisted

Dying Review Panels (see Schedule 2 );

(c)

making arrangements in relation to such panels and referring cases

to them (see section 14 );

(d)

determining applications for reconsideration of panel decisions under

section 16 ;

(e)

monitoring the operation of this Act and reporting annually on it (see

section 45 ).

(5)

In this Act “the Commissioner” means the Voluntary Assisted Dying

Commissioner.

(6)

Schedule 1 makes provision about the Commissioner.

Page 3

Preliminary discussions

Preliminary discussions with registered medical practitioners

(1)

No registered medical practitioner is under any duty to raise the subject of

the provision of assistance in accordance with this Act with a person.

(2)

But nothing in subsection (1) prevents a registered medical practitioner

exercising their professional judgement to decide if, and when, it is appropriate

to discuss the matter with a person.

(3)

Where a person in England or Wales indicates to a registered medical

practitioner their wish to seek assistance to end their own life in accordance

with this Act, the registered medical practitioner may (but is not required to)

conduct a preliminary discussion about the requirements that need to be met

for such assistance to be provided.

(4)

If a registered medical practitioner conducts such a preliminary discussion

with a person, the practitioner must first ensure the provision of adjustments

for language and literacy barriers, including the use of interpreters.

(5)

If a registered medical practitioner conducts such a preliminary discussion

with a person, the practitioner must explain to and discuss with that person—

(a)

the person’s diagnosis and prognosis;

(b)

any treatment available and the likely effect of it;

(c)

all appropriate palliative, hospice or other care, including symptom

management and psychological support, and offer to refer them to a

registered medical practitioner who specialises in such care for the

purpose of further discussion.

(Accordingly, such a preliminary discussion may not be conducted in isolation

from an explanation of, and discussion about, the matters mentioned in

paragraphs (a) to (c) .)

(6)

A registered medical practitioner who is unwilling or unable to conduct the

preliminary discussion mentioned under subsection (3) is not required to refer

the person to another medical practitioner but must ensure that the person

is directed to where they can obtain information and have the preliminary

discussion.

Recording of preliminary discussion

(1)

This section applies where a registered medical practitioner (“the practitioner”)

conducts a preliminary discussion with a person.

(2)

Where the practitioner is a practitioner with the person’s GP practice, they

must, as soon as practicable, record the preliminary discussion in the person’s

medical records.

(3)

In any other case—

(a)

the practitioner must, as soon as practicable, give a written record of

the preliminary discussion to a registered medical practitioner with

the person’s GP practice, and

Page 4

(b)

that registered medical practitioner must, as soon as practicable, include

the record in the person’s medical records.

Procedure, safeguards and protections

Initial request for assistance: first declaration

(1)

A person who wishes to be provided with assistance to end their own life in

accordance with this Act must make a declaration to that effect (a “first

declaration”).

(2)

A first declaration must be—

(a)

in the form set out in regulations made by the Secretary of State,

(b)

signed and dated by the person making the declaration, and

(c)

witnessed by—

(i)

the coordinating doctor in relation to that person, and

(ii)

another person,

both of whom must see the declaration being signed.

(3)

Regulations under subsection (2) (a) must provide that the first declaration

contains—

(a)

the following information—

(i)

the person’s full name and address;

(ii)

the person’s NHS number;

(iii)

contact details for the person’s GP practice;

(b)

the following further declarations by the person—

(i)

a declaration that they meet the initial conditions for eligibility

(see subsection (4) );

(ii)

a declaration that they have had a preliminary discussion with

a registered medical practitioner, that they were aged 18 or

over when they had that discussion, and that they understand

the information referred to in section 5 (5) (a) to (c) that was

provided during that discussion;

(iii)

a declaration that they are content to be assessed, for the

purposes of this Act, by medical practitioners;

(iv)

a declaration that they are making the first declaration

voluntarily and have not been coerced or pressured by any

other person into making it;

(v)

a declaration that they understand that they may cancel the

first declaration at any time.

(4)

In subsection (3) (b) (i) “the initial conditions for eligibility” are that the person

making the declaration—

(a)

is aged 18 or over,

(b)

is ordinarily resident in England and Wales and has been so resident

for at least 12 months, and

(c)

is registered with a general medical practice in England or Wales.

(5)

In this Act, “the coordinating doctor" means a registered medical practitioner—

Page 5

(a)

who meets the requirements specified in regulations under subsection

(6) ,

(b)

who has indicated to the person making the declaration that they are

able and willing to carry out the functions under this Act of the

coordinating doctor in relation to the person,

(c)

who is not a relative of the person making the declaration, and

(d)

who does not know or believe that they—

(i)

are a beneficiary under a will of the person, or

(ii)

may otherwise benefit financially or in any other material way

from the death of the person.

(6)

The Secretary of State must by regulations make provision about the training,

qualifications and experience that a registered medical practitioner must have

in order to act as the coordinating doctor.

(7)

The regulations must include training about—

(a)

assessing capacity;

(b)

assessing whether a person has been coerced or pressured by any

other person;

(c)

specific and up-to-date training on reasonable adjustments and

safeguards for autistic people and people with a learning disability.

(8)

Subject to that, the regulations may in particular provide that the required

training, qualifications or experience is to be determined by a person specified

in the regulations.

(9)

Regulations under subsection (6) must specify that training in respect of

domestic abuse, including coercive control and financial abuse, is mandatory.

(10)

A person may not witness a first declaration under subsection (2) (c) (ii) if they

are disqualified under section 48 from being a witness.

Witnessing first declaration: requirements

(1)

This section applies in relation to the making of a first declaration by a person.

(2)

The person must, before signing that declaration, provide two forms of proof

of identity to the coordinating doctor and the witness mentioned in section

7 (2) (c) (ii) .

(3)

The Secretary of State may, by regulations, make provision about the forms

of proof of identity that are acceptable for the purposes of subsection (2) .

(4)

The coordinating doctor may witness the first declaration only if satisfied

that the requirements of subsection (2) have been met.

(5)

The coordinating doctor may witness the first declaration only if—

(a)

the coordinating doctor has conducted a preliminary discussion with

the person or is satisfied that another registered medical practitioner

has conducted such a discussion, and

(b)

the coordinating doctor has made or seen a written record of the

preliminary discussion.

Page 6

First doctor’s assessment (coordinating doctor)

(1)

The coordinating doctor must, as soon as reasonably practicable after a first

declaration is made by a person, carry out the first assessment.

(2)

“The first assessment” is an assessment to ascertain whether, in the opinion

of the coordinating doctor, the person—

(a)

is terminally ill,

(b)

has capacity to make the decision to end their own life,

(c)

was aged 18 or over at the time the first declaration was made,

(d)

is in England and Wales,

(e)

is ordinarily resident in England and Wales and has been so resident

for at least 12 months ending with the date of the first declaration,

(f)

is registered as a patient with a general medical practice in England

or Wales,

(g)

has a clear, settled and informed wish to end their own life, and

(h)

made the first declaration voluntarily and has not been coerced or

pressured by any other person into making it.

(3)

After carrying out the first assessment, the coordinating doctor must—

(a)

make a report about the assessment (which must meet the requirements

of regulations under subsection (4) );

(b)

give a copy of the report to—

(i)

the person who was assessed (“the assessed person”),

(ii)

if the coordinating doctor is not a practitioner with the person’s

GP practice, a registered medical practitioner with that practice,

and

(iii)

any other person specified in regulations made by the Secretary

of State;

(c)

if satisfied as to all of the matters mentioned in subsection (2) (a) to

(h) , refer the assessed person to another registered medical practitioner

who meets the requirements of section 10 (8) and is able and willing

to carry out the second assessment (“the independent doctor”).

(4)

The Secretary of State must by regulations make provision about the content

and form of the report.

(5)

The regulations must provide that the report must—

(a)

contain a statement indicating whether the coordinating doctor is

satisfied as to all of the matters mentioned in subsection (2) (a) to (h) ;

(b)

contain an explanation of why the coordinating doctor is, or (as the

case may be) is not, so satisfied;

(c)

contain a statement indicating whether the coordinating doctor is

satisfied as to the following—

(i)

that a record of the preliminary discussion has been included

in the person’s medical records;

(ii)

that the making of the first declaration has been recorded in

the person’s medical records;

(iii)

that the first declaration has not been cancelled;

Page 7

(d)

be signed and dated by the coordinating doctor.

Second doctor’s assessment (independent doctor)

(1)

Where a referral is made under section 9 (3) (c) , the independent doctor must

carry out the second assessment of the person as soon as reasonably practicable

after the first period for reflection has ended.

(2)

“The second assessment” is an assessment to ascertain whether, in the opinion

of the independent doctor, the person who made the first declaration—

(a)

is terminally ill,

(b)

has capacity to make the decision to end their own life,

(c)

was aged 18 years or over at the time the first declaration was made,

(d)

has a clear, settled and informed wish to end their own life, and

(e)

made the first declaration voluntarily and has not been coerced or

pressured by any other person into making it.

(3)

In subsection (1) “the first period for reflection” means the period of seven

days beginning with the day the coordinating doctor made the report under

section 9 (3) .

(4)

The independent doctor must carry out the second assessment independently

of the coordinating doctor, subject to section 11 (7) (sharing of specialists’

opinions).

(5)

After carrying out the second assessment, the independent doctor must—

(a)

make a report about the assessment (which must meet the requirements

of regulations under subsection (6) ), and

(b)

give a copy of the report to—

(i)

the person who was assessed,

(ii)

the coordinating doctor,

(iii)

if neither the independent doctor nor the coordinating doctor

is a practitioner with the person’s GP practice, a registered

medical practitioner with that practice, and

(iv)

any other person specified in regulations made by the Secretary

of State.

(6)

The Secretary of State must by regulations make provision about the content

and form of the report.

(7)

The regulations must provide that the report must—

(a)

contain a statement indicating whether the independent doctor is

satisfied as to all of the matters mentioned in subsection (2) (a) to (e) ;

(b)

contain an explanation of why the independent doctor is, or (as the

case may be) is not, so satisfied;

(c)

contain a statement indicating whether the independent doctor is

satisfied as to the following—

(i)

that a record of the preliminary discussion has been included

in the person’s medical records;

(ii)

that the person signed the first declaration;

Page 8

(iii)

that the making of the first declaration has been recorded in

the person’s medical records;

(iv)

that the first declaration has not been cancelled;

(d)

be signed and dated by the independent doctor.

(8)

A registered medical practitioner may carry out the functions of the

independent doctor under this Act only if that practitioner—

(a)

meets the requirements specified in regulations under subsection (9) ,

(b)

has not provided treatment or care for the person being assessed in

relation to that person’s terminal illness,

(c)

is not a relative of the person being assessed,

(d)

is not a partner or colleague in the same practice or clinical team as

the coordinating doctor,

(e)

did not witness the first declaration made by the person being assessed,

and

(f)

does not know or believe that they—

(i)

are a beneficiary under a will of the person, or

(ii)

may otherwise benefit financially or in any other material way

from the death of the person.

(9)

The Secretary of State must by regulations make provision about the training,

qualifications and experience that a registered medical practitioner must have

in order to carry out the functions of the independent doctor.

(10)

The regulations must include training about—

(a)

assessing capacity;

(b)

assessing whether a person has been coerced or pressured by any

other person.

(11)

Subject to that, the regulations may in particular provide that the required

training, qualifications or experience is to be determined by a person specified

in the regulations.

(12)

In subsection (8) (b) the reference to “terminal illness” means the illness or

disease mentioned in section 2 (1) (a) .

(13)

Regulations under subsection (9) must specify that training in respect of

domestic abuse, including coercive control and financial abuse, is mandatory.

Doctors’ assessments: further provision

(1)

In this section “assessing doctor” means—

(a)

the coordinating doctor carrying out the first assessment;

(b)

the independent doctor carrying out the second assessment.

(2)

The assessing doctor must—

(a)

examine the person and examine such of their medical records as

appear to the assessing doctor to be relevant;

(b)

make such enquiries of professionals who are providing or have

recently provided health or social care to the person as the assessing

Page 9

doctor considers appropriate, and such other enquiries as the assessing

doctor considers appropriate;

(c)

explain to and discuss with the person being assessed—

(i)

the person’s diagnosis and prognosis;

(ii)

any treatment available and the likely effect of it;

(iii)

any available palliative, hospice or other care, including

symptom management and psychological support;

(iv)

the nature of the substance that is to be provided to assist the

person to end their own life (including how it will bring about

death and how it will be administered);

(d)

discuss with the person their wishes in the event of complications

arising in connection with the self-administration of an approved

substance under section 23 ;

(e)

inform the person—

(i)

of the further steps that must be taken before assistance can

be provided to the person to end their own life in accordance

with this Act;

(ii)

that the person may decide at any time not to take any of those

steps (and of how to cancel the first declaration and any of

those further steps);

(f)

advise the person to inform a registered medical practitioner with the

person’s GP practice that the person is requesting assistance to end

their own life (unless the assessing doctor is themselves a practitioner

with that practice);

(g)

in so far as the assessing doctor considers it appropriate, advise the

person to consider discussing the request with their next of kin and

other persons they are close to.

(3)

To inform their assessment, the assessing doctor must—

(a)

consider whether they should consult a health professional or social

care professional with qualifications in, or experience of, a matter

relevant to the person being assessed;

(b)

consult such a professional if they consider that there is a need to do

so.

(4)

Where an assessing doctor consults a professional under subsection (3) (b)

, the assessing doctor must give a written record of the consultation to the

other assessing doctor.

(5)

When carrying out an assessment in accordance with subsection (2) , the

assessing doctor must first ensure the provision of adjustments for language

and literacy barriers, including the use of interpreters.

(6)

To inform their assessment, the assessing doctor—

(a)

must, if they have doubt as to whether the person being assessed is

terminally ill, refer the person for assessment by a registered medical

practitioner who holds qualifications in or has experience of the

diagnosis and management of the illness, disease or condition in

question;

Page 10

(b)

must, if they have doubt as to the capacity of the person being

assessed, refer the person for assessment by a registered medical

practitioner who is a practising psychiatrist registered in one of the

psychiatry specialisms in the Specialist Register kept by the General

Medical Council or who otherwise holds qualifications in or has

experience of the assessment of capacity;

(c)

must, if they make a referral under paragraph (a) or (b) , take account

of any opinion provided by that other registered medical practitioner.

(7)

An opinion provided to one assessing doctor under subsection (6) (a) or (b)

must be shared with the other assessing doctor.

(8)

Where the independent doctor is required to obtain an opinion under

subsection (6) (a) —

(a)

that duty may be discharged by an opinion obtained under that

provision by the coordinating doctor, or

(b)

the independent doctor may make their own referral under that

provision.

Another independent doctor: second opinion

(1)

This section applies where the independent doctor has—

(a)

carried out the second assessment, and

(b)

made a report stating that they are not satisfied as to all of the matters

mentioned in section 10 (2) (a) to (e) .

(2)

The coordinating doctor may, if requested to do so by the person who made

the first declaration, refer that person to a different registered medical

practitioner who meets the requirements of section 10 (8) and is able and

willing to carry out a further assessment of the kind mentioned in section

10 (2) .

(3)

Where a referral is made to a registered medical practitioner under subsection

(2) —

(a)

the coordinating doctor must provide that new registered medical

practitioner with the report by the independent doctor setting out

their reasons for refusal;

(b)

if the new registered medical practitioner reaches a different conclusion

from the original independent doctor, they must produce a report

setting out why they disagree;

(c)

those two reports must be made available to any subsequent decision

maker under this Act and to the Commissioner.

(4)

Where a referral is made to a registered medical practitioner under subsection

(2) , that referral is treated as a referral under section 9 (3) (c) , the practitioner

becomes the independent doctor (replacing the registered medical practitioner

to whom a referral was originally made) and section 10 and 11 apply

accordingly.

Page 11

(5)

In consequence of a particular first declaration made by a person, the

coordinating doctor may make only one referral for a second opinion under

subsection (2) ; but this is subject to subsection (6) .

(6)

Where—

(a)

a referral is made under subsection (2) to a practitioner,

(b)

the practitioner dies or through illness is unable or unwilling to act

as the independent doctor, and

(c)

no report under section 10 has been made by virtue of the referral,

a further referral may be made under subsection (2) .

Replacing the coordinating doctor on death etc

(1)

The Secretary of State may, by regulations, make provision about cases where,

after a first declaration has been witnessed by the coordinating doctor, that

doctor dies or through illness or otherwise is unable or unwilling to continue

to carry out the functions of the coordinating doctor.

(2)

Regulations under subsection (1) may, in particular, make provision—

(a)

relating to the appointment, with the agreement of the person who

made the declaration, of a replacement coordinating doctor who meets

the requirements of section 7 (5) and is able and willing to carry out

the functions of the coordinating doctor;

(b)

to ensure continuity of care for that person despite the change in the

coordinating doctor.

Referral by Commissioner of case to multidisciplinary panel

(1)

This section applies where the Commissioner receives—

(a)

a first declaration made by a person,

(b)

a report about the first assessment of the person which contains a

statement indicating that the coordinating doctor is satisfied as to all

of the matters mentioned in section 9 (2) (a) to (h) , and

(c)

a report about the second assessment of the person which contains a

statement indicating that the independent doctor is satisfied as to all

of the matters mentioned in section 10 (2) (a) to (e) .

(2)

The Commissioner must, as soon as reasonably practicable, refer the person’s

case to an Assisted Dying Review Panel for determination of the person’s

eligibility to be provided with assistance under section 23 .

(3)

But where the Commissioner receives a notification that the first declaration

has been cancelled—

(a)

the Commissioner must not refer the person’s case to such a panel,

and

(b)

if the person’s case has already been so referred, the Commissioner

must notify the panel of the cancellation.

(4)

Schedule 2 makes provision about Assisted Dying Review Panels.

Page 12

Determination by panel of eligibility for assistance

(1)

This section applies where a person’s case is referred under section 14 or 16

to an Assisted Dying Review Panel (“the panel”).

(2)

The panel’s function is to determine whether it is satisfied of all of the

following matters—

(a)

that the requirements of sections 7 to 11 have been met in relation

to—

(i)

the first declaration,

(ii)

the first assessment and the report under section 9 on that

assessment, and

(iii)

the second assessment and the report under section 10 on that

assessment;

(b)

that the person is terminally ill;

(c)

that the person has capacity to make the decision to end their own

life;

(d)

that the person was aged 18 or over at the time the first declaration

was made;

(e)

that before making the first declaration, but when the person was aged

18 or over, a registered medical practitioner conducted a preliminary

discussion with the person;

(f)

that the person is ordinarily resident in England and Wales and has

been so resident for at least 12 months ending with the date of the

first declaration;

(g)

that the person is registered as a patient with a general medical practice

in England or Wales;

(h)

that the person has a clear, settled and informed wish to end their

own life;

(i)

that the person made the first declaration voluntarily and was not

coerced or pressured by any other person into making that declaration.

(3)

Subject to the following and to Schedule 2 , the panel may adopt such

procedure as it considers appropriate for the case.

(4)

The panel—

(a)

must hear from, and may question, the coordinating doctor or the

independent doctor (and may hear from and question both);

(b)

must (subject to subsection (6) ) hear from, and may question, the

person to whom the referral relates;

(c)

in a case to which section 19 applies, may hear from and may question

the person’s proxy;

(d)

may hear from and may question any other person;

(e)

may ask any person appearing to it to have relevant knowledge or

experience to report to it on such matters relating to the person to

whom the referral relates as it considers appropriate.

In paragraphs (a) to (c) the reference to hearing from or questioning a person

is to hearing from them, or questioning them, in person or by live video or

audio link.

Page 13

(5)

Where the panel considers it appropriate for medical reasons, it may make

provision for the use of pre-recorded audio or video material for the purposes

of subsection (4).

(6)

The duty under subsection (4) (b) to hear from the person to whom the referral

relates does not apply if the panel is of the opinion that there are exceptional

circumstances which justify not hearing from that person.

(7)

The panel—

(a)

must, if it is satisfied of all of the matters mentioned in subsection (2)

, grant a certificate to that effect (a “certificate of eligibility”);

(b)

must refuse to do so in any other case.

(8)

The panel must notify the following of its decision—

(a)

the person to whom the referral relates;

(b)

the coordinating doctor;

(c)

the Commissioner;

(d)

any other person specified in regulations made by the Secretary of

State.

Where it grants a certificate of eligibility, it must give a copy of the certificate

to each of these persons.

(9)

If the panel is notified that the first declaration has been cancelled, it must

cease to act in relation to the referral (and, in particular, it may not grant a

certificate of eligibility).

Reconsideration of panel decisions refusing certificate of eligibility

(1)

This section applies where—

(a)

a person’s case is referred under section 14 to an Assisted Dying

Review Panel (“the first panel”), and

(b)

the first panel refuses to grant a certificate of eligibility in respect of

the person.

(2)

The person may apply to the Commissioner for their case to be reconsidered

on the ground that the first panel’s decision—

(a)

contains an error of law,

(b)

is irrational, or

(c)

is procedurally unfair.

(3)

The Commissioner must consider an application without a hearing.

(4)

On the application—

(a)

if the Commissioner is satisfied that any of the grounds mentioned in

subsection (2) applies, they must as soon as reasonably practicable

refer the person’s case to a different Assisted Dying Review Panel for

a fresh determination under section 15 ;

(b)

in any other case, the Commissioner must dismiss the application.

(5)

The Commissioner must give reasons, in writing, for their decision.

Page 14

(6)

The Commissioner must notify the following of the outcome of the application,

and give them a document containing their reasons for their decision—

(a)

the person who made the application;

(b)

the coordinating doctor;

(c)

any other person specified in regulations made by the Secretary of

State.

Confirmation of request for assistance: second declaration

(1)

Where—

(a)

a certificate of eligibility has been granted in respect of a person, and

(b)

the second period for reflection has come to an end,

if the person wishes to be provided with assistance to end their own life in

accordance with this Act, the person must make a further declaration to that

effect (the “second declaration”).

(2)

In this section “the second period for reflection” means—

(a)

the period of 14 days beginning with the day on which the certificate

of eligibility was granted, or

(b)

where the coordinating doctor reasonably believes that the person’s

death is likely to occur before the end of the period of one month

beginning with the day that the certificate was granted, the period of

48 hours beginning with that day.

(3)

A second declaration must be—

(a)

in the form set out in regulations made by the Secretary of State,

(b)

signed and dated by the person making the declaration, and

(c)

witnessed by—

(i)

the coordinating doctor, and

(ii)

a person other than the coordinating doctor or the independent

doctor,

both of whom must see the declaration being signed.

(4)

Regulations under subsection (3) (a) must provide that a second declaration

contains—

(a)

the following information—

(i)

the person’s full name and address;

(ii)

the person’s NHS number;

(iii)

contact details for the person’s GP practice;

(iv)

specified information about the certificate of eligibility;

(b)

the following further declarations by the person—

(i)

a declaration that they have made a first declaration and have

not cancelled it;

(ii)

a declaration that they understand that they must make a

second declaration in order for assistance to be provided under

this Act;

Page 15

(iii)

a declaration that they are making the second declaration

voluntarily and have not been coerced or pressured by any

other person into making it;

(iv)

a declaration that they understand that they may cancel the

second declaration at any time.

In this subsection “specified” means specified in the regulations.

(5)

The coordinating doctor may witness a second declaration only if the

coordinating doctor is satisfied (immediately before witnessing it) that the

person making the declaration—

(a)

is terminally ill,

(b)

has the capacity to make the decision to end their own life,

(c)

has a clear, settled and informed wish to end their own life, and

(d)

is making the declaration voluntarily and has not been coerced or

pressured by any other person into making it.

(6)

If the coordinating doctor is so satisfied, they must make a statement to that

effect.

(7)

The statement under subsection (6) must be—

(a)

in the form set out in regulations made by the Secretary of State,

(b)

signed and dated by the coordinating doctor, and

(c)

witnessed by the same person who witnessed the second declaration

under subsection (3) (c) (ii) .

(8)

Regulations under subsection (7) (a) must provide that a statement under

subsection (6) contains—

(a)

the following information—

(i)

the person’s full name and address;

(ii)

the person’s NHS number;

(iii)

the coordinating doctor’s full name and work address;

(iv)

specified information about the certificate of eligibility;

(b)

the following declarations by the coordinating doctor (in addition to

a declaration that they are satisfied of all of the matters mentioned in

subsection (5) (a) to (d) )—

(i)

a declaration that they are satisfied that a certificate of eligibility

has been granted in respect of the person;

(ii)

a declaration that the second declaration was made after the

end of the second period for reflection;

(iii)

if the second declaration was made before the end of the period

mentioned in subsection (2) (a) , a declaration that they have the

belief mentioned in subsection (2) (b) ;

(iv)

a declaration that they are satisfied that neither the first

declaration nor the second declaration has been cancelled.

In this subsection “specified” means specified in the regulations.

(9)

A person may not witness a declaration under subsection (3) (c) (ii) if they are

disqualified under section 48 from being a witness.

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(10)

Where the coordinating doctor has—

(a)

witnessed a second declaration, or

(b)

made or refused to make a statement under subsection (6) ,

the doctor must notify the Commissioner and give them a copy of the second

declaration or (as the case may be) any statement under subsection (6) .

Cancellation of declarations

(1)

A person who has made a first declaration or a second declaration may cancel

it by giving oral or written notice of the cancellation (or otherwise indicating

their decision to cancel in a manner of communication known to be used by

the person) to—

(a)

the coordinating doctor, or

(b)

any registered medical practitioner with the person’s GP practice.

(2)

Where notice or an indication is given to the coordinating doctor under

subsection (1) (a) , the doctor must as soon as practicable notify the

Commissioner of the cancellation.

(3)

Where notice or an indication is given to a registered medical practitioner

under subsection (1) (b) , the practitioner must, as soon as practicable, notify

the coordinating doctor and the Commissioner of the cancellation.

(4)

A cancellation under subsection (1) has effect from the time the notice or

indication is given.

(5)

From the time a first declaration is cancelled, any duty or power of the

coordinating doctor or the independent doctor under sections 9 to 11

(assessments, statements and referrals) that arose in consequence of that

declaration ceases to have effect.

Signing by proxy

(1)

This section applies where a person intending to make a first declaration or

a second declaration—

(a)

declares to a proxy that they are unable to sign their own name (by

reason of physical impairment, being unable to read or for any other

reason), and

(b)

authorises the proxy to sign the declaration on their behalf.

(2)

A declaration signed by a proxy—

(a)

in the presence of the person, and

(b)

in accordance with subsection (3) ,

has the same effect as if signed by the person themselves.

(3)

Where a proxy signs a declaration, the proxy is to add, after their signature—

(a)

their full name and address,

(b)

the capacity in which they qualify as a proxy,

(c)

a statement that they have signed in that capacity as a proxy, and

(d)

the reason why the person was unable to sign their name.

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(4)

A proxy may not sign a declaration—

(a)

unless satisfied that the person understands the nature and effect of

the making of the declaration,

(b)

if disqualified under section 48 from being a proxy, or

(c)

if it is a second declaration and the proxy signed the first declaration

as a witness.

(5)

In this section “proxy” means—

(a)

a person who has known the person making the declaration personally

for at least two years, or

(b)

a person of a description specified in regulations made by the Secretary

of State.

(6)

For the purposes of this section “declaration” includes the cancellation of a

declaration.

Independent advocate

(1)

The Secretary of State must by regulations make provision as to the

appointment of persons as independent advocates.

(2)

The regulations may, in particular, provide—

(a)

that a person may act as an independent advocate only in such

circumstances, or only subject to such conditions, as may be specified

in the regulations;

(b)

for the appointment of a person as an independent advocate to be

subject to approval in accordance with the regulations;

(c)

persons that may appoint independent advocates;

(d)

provision for payments to be made to, or in relation to, persons

carrying out the function of an independent advocate under this

section;

(e)

training that such advocates must undertake before being appointable;

and

(f)

obligations on persons performing functions on this Act to ensure the

presence of an independent advocate for a qualifying person.

(3)

The role of independent advocates is to provide support and advocacy to a

qualifying person who is seeking to understand options around end of life

care, including the possibility of requesting assistance to end their own life,

to enable them to effectively understand and engage with all the provisions

of this Act.

(4)

For the purposes of subsection (2) a person is a “qualifying person” if they—

(a)

have—

(i)

a learning disability,

(ii)

a mental disorder under section 1 of the Mental Health Act

1983, or

(iii)

autism,

Page 18

(b)

they may experience substantial difficulty in understanding the

processes or information relevant to those processes or communicating

their views, wishes or feelings, or

(c)

they meet criteria that the Secretary of State may specify by regulations.

(5)

Regulations may not be made under this section unless a draft of the statutory

instrument containing them has been laid before and approved by a resolution

of each House of Parliament.

Information in medical records

Recording of declarations, reports etc

(1)

This section applies where—

(a)

a first declaration is made by a person;

(b)

a report about the first assessment of a person is made under section

9 ;

(c)

a report about the second assessment of a person is made under section

10 ;

(d)

a certificate of eligibility has been granted in respect of a person;

(e)

a panel has refused to grant such a certificate;

(f)

a second declaration is made by a person;

(g)

a statement is made under section 17 (6) , or the coordinating doctor

refuses to make such a statement, in relation to a person.

(2)

In this section “recordable event” means an event mentioned in a paragraph

of subsection (1) .

(3)

Where the coordinating doctor is a practitioner with the person’s GP practice,

the coordinating doctor must, as soon as practicable, record the occurrence

of the recordable event in the person’s medical records.

(4)

In any other case—

(a)

the coordinating doctor must, as soon as practicable, give a registered

medical practitioner with that practice notice of the occurrence of the

recordable event, and

(b)

that practitioner must, as soon as practicable, record the occurrence

of the recordable event in the person’s medical records.

(5)

A record made under subsection (3) or (4) of a declaration, report or statement

within subsection (1) must include the original declaration, report or statement.

Recording of cancellations

(1)

This section applies where a person cancels a first declaration or a second

declaration under section 18 .

(2)

If the notice or indication under that section is given to a registered medical

practitioner with the person’s GP practice, that practitioner must, as soon as

practicable, record the cancellation in the person’s medical records.

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(3)

In any other case—

(a)

the registered medical practitioner to whom notice or indication of

the cancellation is given must, as soon as practicable, notify a registered

medical practitioner with that practice of the cancellation, and

(b)

the practitioner notified under paragraph (a) must, as soon as

practicable, record the cancellation in the person’s medical records.

Provision of assistance to end life

Provision of assistance

(1)

This section applies where—

(a)

a certificate of eligibility has been granted in respect of a person,

(b)

the second period for reflection (within the meaning of section 17 (2) )

has ended,

(c)

that person has made a second declaration which has not been

cancelled, and

(d)

the coordinating doctor has made the statement under section 17 (6) .

(2)

The coordinating doctor may, in accordance with this section, provide that

person with an approved substance (see section 25 ) with which the person

may end their own life.

(3)

The approved substance must be provided directly and in person by the

coordinating doctor to that person.

(4)

When providing a substance under subsection (3) the coordinating doctor

must explain to the person that they do not have to go ahead and

self-administer the substance and that they may still cancel their declaration.

(5)

The coordinating doctor must be satisfied, at the time the approved substance

is provided, that the person to whom it is provided—

(a)

has capacity to make the decision to end their own life,

(b)

has a clear, settled and informed wish to end their own life, and

(c)

is requesting provision of that assistance voluntarily and has not been

coerced or pressured by any other person into doing so.

(6)

The coordinating doctor may be accompanied by such other health

professionals, and such other persons, as the coordinating doctor thinks

necessary.

(7)

In respect of an approved substance which is provided to the person under

subsection (2) , the coordinating doctor may—

(a)

prepare that substance for self-administration by that person,

(b)

prepare a medical device which will enable that person to

self-administer the substance, and

(c)

assist that person to ingest or otherwise self-administer the substance.

(8)

But the decision to self-administer the approved substance and the final act

of doing so must be taken by the person to whom the substance has been

provided.

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(9)

Subsection (7) does not authorise the coordinating doctor to administer an

approved substance to another person with the intention of causing that

person’s death.

(10)

The coordinating doctor must remain with the person until—

(a)

the person has self-administered the approved substance and—

(i)

the person has died, or

(ii)

it is determined by the coordinating doctor that the procedure

has failed, or

(b)

the person has decided not to self-administer the approved substance.

(11)

For the purposes of subsection (10) , the coordinating doctor need not be in

the same room as the person to whom the assistance is provided.

(12)

Where the person informs the coordinating doctor that they have decided

not to self-administer the approved substance, or there is any other reason

to believe that the substance will not be used, the coordinating doctor must

remove it immediately from that person.

Authorising another doctor to provide assistance

(1)

Subject to subsection (2) , the coordinating doctor may authorise, in writing,

a named registered medical practitioner to carry out the coordinating doctor’s

functions under section 23 .

(2)

A registered medical practitioner may be authorised under subsection (1)

only if—

(a)

the person to whom the assistance is being provided has been

consulted and has consented, in writing, to the authorisation of that

practitioner, and

(b)

that practitioner has completed such training, and gained such

qualifications and experience, as the Secretary of State may specify by

regulations.

(3)

Regulations under subsection (2) (b) may in particular provide that the required

training, qualifications or experience is to be determined by a person specified

in the regulations.

(4)

Where a registered medical practitioner is authorised under subsection (1) ,

section 23 applies as if references to the coordinating doctor were to that

registered medical practitioner.

(5)

Where a registered medical practitioner who is authorised under subsection

(1) is not satisfied of all of the matters mentioned in section 23 (5) , they must

notify the coordinating doctor immediately.

(6)

Section 19 (signing by proxy) applies in relation to a consent under subsection

(2) (a) as it applies in relation to a first or second declaration, except that, for

these purposes, section 19 (4) has effect as if for paragraph (c) there were

substituted—

“(c)

if the proxy signed the first or second declaration as a witness.”

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(7)

Regulations under subsection (2) (b) must specify that training in respect of

domestic abuse, including coercive control and financial abuse is mandatory.

Meaning of “approved substance”

(1)

The Secretary of State must, by regulations, specify one or more drugs or

other substances for the purposes of this Act.

(2)

In this Act “approved substance” means a drug or other substance specified

in regulations under subsection (1) .

(3)

See section 34 for provision about prescribing, dispensing, transporting, storing,

handling and disposing of approved substances.

Final Statement

(1)

This section applies where a person has been provided with assistance to end

their own life in accordance with this Act and has died as a result.

(2)

The coordinating doctor must complete a statement to that effect (a “final

statement”).

(3)

The statement mentioned in subsection (2) must be—

(a)

in the form set out in regulations made by the Secretary of State, and

(b)

signed and dated by the coordinating doctor.

(4)

The coordinating doctor must, as soon as practicable, give a copy of the final

statement to the Commissioner.

(5)

Regulations under subsection (3) (a) must provide that a final statement

contains the following information—

(a)

the person’s full name and last permanent address;

(b)

the person’s NHS number;

(c)

the name and address of the person’s GP practice (at the time of

death);

(d)

the coordinating doctor’s full name and work address;

(e)

the date of each of the following—

(i)

the first declaration;

(ii)

the report about the first assessment of the person;

(iii)

the report about the second assessment of the person;

(iv)

the certificate of eligibility;

(v)

the second declaration;

(vi)

the statement under section 17 (6) ;

(f)

details of the illness or disease which caused the person to be

terminally ill (within the meaning of this Act);

(g)

the approved substance provided;

(h)

the date and time of death;

(i)

the time between use of the approved substance and death.

Page 22

(6)

Where the coordinating doctor is a practitioner with the person’s GP practice,

the coordinating doctor must, as soon as practicable, record the making of

the statement in the person’s medical records.

(7)

In any other case—

(a)

the coordinating doctor must, as soon as practicable, inform a

registered medical practitioner with that practice of the making of the

statement, and

(b)

the practitioner so informed must, as soon as practicable, record the

statement in the person’s medical records.

(8)

A record made under subsection (6) or (7) must include the original statement.

Other matters to be recorded in medical records

(1)

This section applies where a person is provided with assistance to end their

own life in accordance with this Act and either—

(a)

the person decides not to take the substance, or

(b)

the procedure fails.

(2)

The coordinating doctor must, as soon as practicable, notify the Commissioner

that this has happened.

(3)

Where the coordinating doctor is a practitioner with the person’s GP practice,

the coordinating doctor must, as soon as practicable, record that this has

happened in the person’s medical records.

(4)

In any other case—

(a)

the coordinating doctor must, as soon as practicable, inform a

registered medical practitioner with that practice that this has

happened, and

(b)

the practitioner so informed must, as soon as practicable, record that

fact in the person’s medical records.

Protections for health professionals and others

No obligation to provide assistance etc

(1)

No registered medical practitioner or other health professional is under any

duty (whether arising from any contract, statute or otherwise) to participate

in the provision of assistance in accordance with this Act.

(2)

An employer must not subject an employee to any detriment for exercising

their right under subsection (1) not to participate in the provision of assistance

in accordance with this Act or for participating in the provision of assistance

to a person in accordance with this Act.

Criminal liability for providing assistance

(1)

A person is not guilty of an offence by virtue of—

Page 23

(a)

providing assistance to a person to end their own life in accordance

with this Act, or performing any other function under this Act in

accordance with this Act, or

(b)

assisting a person seeking to end their own life in accordance with

this Act, in connection with the doing of anything under this Act.

(2)

Subsection (1) does not limit the circumstances in which a court can otherwise

find that a person who has assisted another to end their own life (or to attempt

to do so) has not committed an offence.

(3)

In the Suicide Act 1961, after section 2A (acts capable of encouraging or

assisting suicide) insert—

“2AA

Assistance provided under Terminally Ill Adults (End of Life) Act

2025

(1)

In sections 2(1) and 2A(1), a reference to an act that is capable of

encouraging or assisting suicide or attempted suicide does not

include—

(a)

providing assistance to a person to end their own life in

accordance with the Terminally Ill Adults (End of Life) Act

2025, or performing any other function under that Act in

accordance with that Act, or

(b)

assisting a person seeking to end their own life in accordance

with that Act, in connection with the doing of anything under

that Act.

(2)

It is a defence for a person charged with an offence under section 2

to prove that they—

(a)

reasonably believed they were acting in accordance with the

Terminally Ill Adults (End of Life) Act 2025, and

(b)

took all reasonable precautions and exercised all due diligence

to avoid the commission of the offence.”

Civil liability for providing assistance etc

(1)

The doing of any of the following does not, of itself, give rise to any civil

liability—

(a)

providing assistance to a person to end their own life in accordance

with this Act;

(b)

performing any other function under this Act in accordance with this

Act;

(c)

assisting a person seeking to end their own life in accordance with

this Act, in connection with the doing of anything under this Act.

(2)

Subsection (1) does not apply—

(a)

in relation to an act done dishonestly, or in some other way done

otherwise than in good faith, or

(b)

to any liability in tort arising from a breach of a duty of care owed to

a person.

Page 24

(3)

Subsection (1) does not limit the circumstances in which a court can otherwise

find that a person who has assisted another person to end their own life, or

to attempt to do so, is not subject to civil liability.

Offences

Dishonesty, coercion or pressure

(1)

A person who, by dishonesty, coercion or pressure, induces another person

to make a first or second declaration, or not to cancel such a declaration,

commits an offence.

(2)

A person who, by dishonesty, coercion or pressure, induces another person

to self-administer an approved substance provided under this Act commits

an offence.

(3)

A person who commits an offence under subsection (1) is liable on conviction

on indictment to imprisonment for a term not exceeding 14 years.

(4)

A person who commits an offence under subsection (2) is liable, on conviction

on indictment, to imprisonment for life.

(5)

Proceedings for an offence under this section may be instituted only by or

with the consent of the Director of Public Prosecutions.

Falsification or destruction of documentation

(1)

A person commits an offence if they—

(a)

make or knowingly use a false instrument which purports to be—

(i)

a first declaration,

(ii)

a second declaration, or

(iii)

a certificate of eligibility, or

(b)

intentionally or recklessly conceal or destroy a first declaration or a

second declaration by another person.

(2)

A person commits an offence if, in relation to another person who has made

a first declaration under this Act, they knowingly or recklessly provide a

medical or other professional opinion in respect of a relevant matter which

is false or misleading in a material particular.

(3)

In subsection (2) “relevant matter” means a matter relating to any function

under this Act.

(4)

A person commits an offence if they intentionally or recklessly fail to comply

with an obligation under—

(a)

section 18 (2) or (3) (notification of cancellation of declaration), or

(b)

section 22 (recording of cancellations).

(5)

A person who commits an offence under this section is liable—

(a)

on summary conviction, to imprisonment for a term not exceeding

the general limit in a magistrates’ court or a fine, or both;

Page 25

(b)

on conviction on indictment to imprisonment for a term not exceeding

5 years or a fine, or both.

(6)

Proceedings for an offence under this section may be instituted only by or

with the consent of the Director of Public Prosecutions.

Falsification of documentation etc with intent to facilitate provision of

assistance

(1)

A person commits an offence if, with the intention of facilitating the provision

of assistance to a person (B) under this Act to end their own life, they—

(a)

make or knowingly use a false instrument which purports to be—

(i)

a first declaration,

(ii)

a second declaration, or

(iii)

a certificate of eligibility,

(b)

provide a medical or other professional opinion in respect of B which

is false or misleading in a material particular, or

(c)

fail to comply with an obligation under section 18 (2) or (3) (notification

of cancellation of declaration).

(2)

In subsection (1) the reference to assistance under this Act includes assistance

purporting to be under this Act.

(3)

A person who commits an offence under this section is liable, on conviction

on indictment, to imprisonment for a term not exceeding 14 years.

(4)

Proceedings for an offence under this section may be instituted only by or

with the consent of the Director of Public Prosecutions.

Regulatory regime for approved substances

Prescribing, dispensing, transporting etc of approved substances

(1)

The Secretary of State must, by regulations, make provision—

(a)

about the prescribing and dispensing of approved substances;

(b)

about the transportation, storage, handling and disposal of approved

substances;

(c)

about the records to be kept in relation to the prescribing, dispensing,

transportation, storage, handling and disposal of approved substances.

(2)

Regulations under subsection (1) must make provision about enforcement,

including provision imposing civil penalties.

Investigation and registration of deaths

Inquests, death certification etc

(1)

A person is not to be regarded as having died in circumstances to which

section 1(2)(a) or (b) of the Coroners and Justice Act 2009 (duty to investigate

Page 26

certain deaths) applies only because the person died as a consequence of the

provision of assistance to that person in accordance with this Act.

(2)

In the Births and Deaths Registration Act 1953, after section 39A, insert—

“39B

Regulations: assisted dying

(1)

The Secretary of State may by regulations—

(a)

provide for any provision made by or under this Act relating

to the registration of deaths to apply in respect of deaths which

arise from the provision of assistance in accordance with the

Terminally Ill Adults (End of Life) Act 2025 with such

modifications as may be prescribed in respect of—

(i)

the information which is to be provided concerning

such deaths,

(ii)

the form and manner in which the cause of such deaths

is to be certified, and

(iii)

the form and manner in which such deaths are to be

registered, and

(b)

make such incidental, supplemental and transitional provisions

as the Secretary of State considers appropriate.

(2)

Regulations under subsection (1) must specify that the following

information is collected for each assisted death—

(a)

the person’s age,

(b)

the person’s gender,

(c)

the person’s ethnicity,

(d)

the postcode of the person’s address at the time of their death,

(e)

whether the person had a disability for the purposes of section

6 of the Equality Act 2010 (disability), and

(f)

any illness or disease the person had that was deemed terminal

for the purposes of section 2 of the Terminally Ill Adults (End

of Life) Act 2025.

(3)

Any regulations made under subsection (1) (a) (ii) must provide for the

cause of death to be recorded as “assisted death” along with a record

of the person’s terminal illness by reason of which they were entitled

to be provided with assistance to end their own life in accordance

with the Terminally Ill Adults (End of Life) Act 2025.

(4)

In subsection (3) “terminal illness” means the illness or disease

mentioned in section 2(1)(a) of that Act.

(5)

The power of the Secretary of State to make regulations under

subsection (1) is exercisable by statutory instrument.

(6)

Regulations may not be made under subsection (1) unless a draft of

the statutory instrument containing them has been laid before and

approved by a resolution of each House of Parliament.”

(3)

The Registrar General for England and Wales must, at least once each year,

prepare and lay before Parliament a report providing a statistical analysis of

Page 27

deaths which have arisen from the provision of assistance to persons in

accordance with this Act.

Codes and guidance

Codes of practice

(1)

The Secretary of State must issue one or more codes of practice in connection

with—

(a)

the assessment of whether a person has a clear and settled intention

to end their own life, including—

(i)

assessing whether the person has capacity to make such a

decision;

(ii)

recognising and taking account of the effects of depression or

other mental disorders (within the meaning of the Mental

Health Act 1983) that may impair a person’s decision-making;

(b)

the information which is made available as mentioned in sections 5

and 11 on treatment or palliative, hospice or other care available to

the person and under section 11 on the consequences of deciding to

end their own life;

(c)

the provision of information and support to persons with learning

disabilities who are eligible to request assistance to end their own life

under this Act, including the role of advocates for such persons;

(d)

the arrangements for providing approved substances to the person

for whom they have been prescribed, and the assistance which such

a person may be given to ingest or self-administer them;

(e)

the arrangements for a qualifying person requesting assistance to end

their own life to receive the support of an independent advocate under

section 20 ;

(f)

responding to unexpected complications that arise in relation to the

administration of the approved substance under section 23 , including

when the procedure fails;

(g)

the forms of proof of identity that are acceptable for the purposes of

section 8 .

(2)

The Secretary of State may issue one or more codes of practice in connection

with any matters relating to the operation of this Act not required under

subsection (1) as the Secretary of State considers appropriate.

(3)

The Secretary of State must, within six months of the passing of this Act,

issue one or more codes of practice in connection with the arrangements for

ensuring effective communication in connection with the provision of

assistance to persons in accordance with this Act, including the use of

interpreters.

(4)

Before issuing a code under this section the Secretary of State must consult

such persons as the Secretary of State considers appropriate.

(5)

A code issued under subsection (1) does not come into force until the Secretary

of State by regulations so provides.

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(6)

When draft regulations are laid before Parliament in accordance with section

50 , the code to which they relate must also be laid before Parliament.

(7)

A person performing any function under this Act must have regard to any

relevant provision of a code.

(8)

A failure to do so does not of itself render a person liable to any criminal or

civil proceedings but may be taken into account in any proceedings.

Guidance about operation of Act

(1)

The relevant Chief Medical Officer must prepare and publish guidance relating

to the operation of this Act.

(2)

Before preparing guidance under this section, the relevant Chief Medical

Officer must consult such persons as that Chief Medical Officer considers

appropriate.

(3)

The persons consulted under subsection (2) must include persons with learning

disabilities.

(4)

When preparing that guidance, the relevant Chief Medical Officer must have

regard to the need to provide practical and accessible information, advice

and guidance to—

(a)

persons requesting or considering requesting assistance to end their

own lives;

(b)

next of kin and families of such persons;

(c)

persons with learning disabilities;

(d)

the general public.

(5)

In this section “relevant Chief Medical Officer” means—

(a)

in relation to England, the Chief Medical Officer for England;

(b)

in relation to Wales, the Chief Medical Officer for Wales.

Provision of and about voluntary assisted dying services

Voluntary assisted dying services: England

(1)

The Secretary of State must by regulations make provision securing that

arrangements are made for the provision of voluntary assisted dying services

in England.

(2)

In this section “commissioned VAD services” means services provided by

virtue of regulations under subsection (1) .

(3)

The Secretary of State may by regulations make other provision about

voluntary assisted dying services in England (whether or not the services are

commissioned VAD services).

(4)

Regulations under this section may for example provide that specified

references in the National Health Service Act 2006 to the health service

continued under section 1(1) of that Act include references to commissioned

VAD services.

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(5)

Regulations under this section must provide that section 1(4) of that Act

(services to be provided free of charge except where charging expressly

provided for) applies in relation to commissioned VAD services.

(6)

Regulations under this section may make any provision that could be made

by an Act of Parliament; but they may not amend this Act.

(7)

In this section “voluntary assisted dying services” means—

(a)

services for or in connection with the provision of assistance to a

person to end their own life in accordance with this Act, and

(b)

any other services provided by health professionals for the purposes

of any of sections 5 to 27 except section 15 .

Voluntary assisted dying services: Wales

(1)

The Welsh Ministers may by regulations make provision about voluntary

assisted dying services in Wales, including provision securing that

arrangements are made for the provision of such services.

(2)

Regulations under subsection (1) may make any provision that—

(a)

could be made by an Act of Senedd Cymru, and

(b)

would be within the legislative competence of the Senedd if it were

contained in such an Act.

(3)

The Secretary of State may by regulations make provision about voluntary

assisted dying services in Wales.

(4)

Regulations under subsection (3) may make any provision that—

(a)

could be made by an Act of Parliament, and

(b)

would not be within the legislative competence of the Senedd if it

were contained in an Act of the Senedd.

(5)

Regulations under this section may not amend this Act.

(6)

In this section “voluntary assisted dying services” has the meaning given by

section 38 .

Notifications and information

Notifications and provision of information to Commissioner

(1)

The Secretary of State may by regulations make provision requiring a

registered medical practitioner to notify the Commissioner of the occurrence

of an event of a specified description.

(2)

The Secretary of State may by regulations make provision enabling the

Commissioner, by notice, to require persons (or a specified description of

persons) to give the Commissioner information (or a specified description of

information).

(3)

Regulations under this section may—

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(a)

specify the information which must be contained in a notification

under subsection (1) ;

(b)

specify the manner in which such a notification must be given;

(c)

make provision about enforcement of the regulations.

(4)

In this section “specified” means specified in the regulations.

Information sharing

(1)

The Commissioner may disclose information to a person within subsection

(3) , for the purposes of any function of either of them.

(2)

A person within subsection (3) may disclose information to the Commissioner,

for the purposes of any function of either of them.

(3)

The persons within this subsection are—

(a)

the Care Quality Commission;

(b)

the General Medical Council;

(c)

the General Pharmaceutical Council;

(d)

the Nursing and Midwifery Council;

(e)

any other person specified in regulations made by the Secretary of

State.

(4)

The Commissioner and the Secretary of State may disclose information to

each other, for the purposes of—

(a)

any function of the Commissioner, or

(b)

any function of the Secretary of State relating to the operation of this

Act.

Obligations of confidence etc

(1)

A disclosure of information which is required or authorised by or under this

Act does not breach—

(a)

any obligation of confidence owed by the person making the disclosure,

(b)

any other restriction on disclosure (however imposed).

This is subject to subsection (2) .

(2)

This Act does not (and regulations under it may not) require or authorise the

disclosure of information which would contravene the data protection

legislation (but in determining whether a disclosure required or authorised

by or under this Act would do so, the requirement or authorisation is to be

taken into account).

(3)

In this section “the data protection legislation” has the same meaning as in

the Data Protection Act 2018 (see section 3 of that Act).

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Monitoring and review

Reporting on implementation of Act

(1)

As soon as reasonably practicable after the end of each reporting period, the

Secretary of State must prepare and publish, and lay before Parliament, a

report about—

(a)

progress made in that period in connection with the implementation

of this Act, and

(b)

the Secretary of State’s plans for implementing the Act in subsequent

reporting periods (including the expected timetable for

implementation).

(2)

For the purposes of this section the reporting periods are—

(a)

the period of one year beginning with the day on which this Act is

passed;

(b)

each subsequent period of six months (subject to subsection (3) ).

(3)

The sixth reporting period under subsection (2) (b) is the last reporting period.

Disability Advisory Board on the implementation and implications of the

Act for disabled people

(1)

The Commissioner must, within six months of the Commissioner being

appointed under this Act, appoint a Disability Advisory Board to advise on

the implementation and impact of this Act in its operation on disabled people.

(2)

The Board must include—

(a)

people who have a disability under the Equality Act 2010,

(b)

representatives from disabled people’s organisations, and

(c)

other such persons or organisations as the Commissioner considers

relevant to the impact of the Act on disabled people.

(3)

Within six months of its appointment, the Advisory Board must report to the

Secretary of State and the Commissioner to advise on the implementation of

the Act and then annually thereafter report on the impact of the Act’s

operation on disabled people.

(4)

The Secretary of State must, within three months of receipt of any report

under subsection (3), lay the report before both Houses of Parliament.

Monitoring by Commissioner

(1)

The Commissioner must—

(a)

monitor the operation of the Act, including compliance with its

provisions and any regulations or code of practice made under it,

(b)

investigate, and report to an appropriate national authority on, any

matter connected with the operation of the Act which the appropriate

national authority refers to the Commissioner, and

(c)

submit an annual report to each appropriate national authority on the

operation of the Act.

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(2)

The annual report must include information about the occasions when—

(a)

a report about the first assessment of a person does not contain a

statement indicating that the coordinating doctor is satisfied as to all

of the matters mentioned in section 9 (2) (a) to (h) ;

(b)

a report about the second assessment of a person does not contain a

statement indicating that the independent doctor is satisfied as to all

of the matters mentioned in section 10 (2) (a) to (e) ;

(c)

a panel has refused to grant a certificate of eligibility;

(d)

the coordinating doctor has refused to make a statement under section

17 (6) .

(3)

An annual report must include information about the application of the Act

in relation to—

(a)

persons who have protected characteristics, and

(b)

any other description of persons specified in regulations made by the

Secretary of State.

(4)

When preparing an annual report, the Commissioner must consult—

(a)

the Chief Medical Officer for England,

(b)

the Chief Medical Officer for Wales, and

(c)

such persons appearing to the Commissioner to represent the interests

of persons who have protected characteristics as the Commissioner

considers appropriate.

(5)

An appropriate national authority must—

(a)

publish any report received under this section,

(b)

prepare and publish a response to any such report, and

(c)

lay before Parliament or Senedd Cymru (as the case may be) a copy

of the report and response.

(6)

In this section “appropriate national authority” means the Secretary of State

or the Welsh Ministers.

(7)

In this section “protected characteristics” has the same meaning as in Part 2

of the Equality Act 2010 (see section 4 of that Act).

Review of this Act

(1)

The Secretary of State must, during the period of 12 months beginning at the

end of the initial 5-year period—

(a)

undertake a review of the operation of this Act,

(b)

prepare a report on that review, and

(c)

as soon as reasonably practicable, publish and lay the report before

Parliament.

(2)

“The initial 5-year period” means the period of five years beginning with the

day on which this Act is passed.

(3)

The report must, in particular, set out—

Page 33

(a)

the extent to which the Act has successfully met its aim of allowing

adults who are terminally ill, subject to safeguards and protections,

to request and be provided with assistance to end their own lives;

(b)

an assessment of the availability, quality and distribution of appropriate

health services to persons with palliative and end of life care needs,

including—

(i)

pain and symptom management;

(ii)

psychological support for those persons and their families;

(iii)

information about palliative care and how to access it;

(c)

an assessment of the impact of this Act on persons with learning

disabilities, including any concerns about the operation of this Act in

relation to such persons;

(d)

any concerns with the operation of this Act which have been raised;

(e)

the Secretary of State’s response to any such concerns, including any

recommendations for changes to codes of practice, guidance or any

enactment (including this Act).

General and final

Provision of information in English and Welsh

(1)

Any service, report, declaration or certificate of eligibility provided under

this Act to a person seeking assistance to end their own life must either be—

(a)

in the person’s first language, if that language is English or Welsh, or

(b)

their preferred language of English or Welsh.

(2)

The person’s choice of language under subsection (1) must be recorded in

that person’s medical records.

(3)

Any regulations made under sections 7 , 9 , 10 , 17 or 26 specifying the form

and content of declarations or statements must make provision for their being

in both the English and Welsh language.

(4)

No regulations that contain provision for the Welsh language under the

requirements of subsection (3) may be made unless a draft has been laid

before and approved by a resolution of Senedd Cymru.

(5)

An Assisted Dying Review Panel must make certificates of eligibility available

in either English or Welsh depending on the person’s choice of language

under subsection (1) .

Disqualification from being witness or proxy

(1)

The individuals specified in subsection (2) are disqualified from—

(a)

witnessing a first declaration by a person under section 7 (2) (c) (ii) ;

(b)

witnessing a second declaration by a person under section 17 (3) (c) (ii) ;

(c)

being a proxy for a person intending to have a document signed by

proxy under section 19 .

(2)

Those individuals are—

Page 34

(a)

any relative of the person;

(b)

anyone who knows or believes that they—

(i)

are a beneficiary under a will of the person, or

(ii)

may otherwise benefit financially or in any other material way

from the death of the person;

(c)

any health professional who has provided treatment or care for the

person in relation to that person’s terminal illness;

(d)

any person who has not attained the age of 18.

(3)

In subsection (2) (c) , the reference to “terminal illness” means the illness or

disease mentioned in section 2 (1) (a) .

Power to make consequential and transitional provision etc

The Secretary of State may by regulations make—

(a)

such supplementary, incidental or consequential provision, or

(b)

such transitory, transitional or saving provision,

as the Secretary of State considers appropriate for the purposes or in

consequence of any provision made by this Act.

Regulations

(1)

A power to make regulations under any provision of this Act includes power

to make—

(a)

different provision for different purposes, and

(b)

incidental, consequential, transitional or saving provision.

(2)

Regulations under this Act are to be made by statutory instrument.

(3)

The Secretary of State may not make a statutory instrument containing

(whether alone or with other provision) regulations under section 7 (6) , 10 (9) ,

36 (5) , 38 or 39 unless a draft of the instrument has been laid before, and

approved by a resolution of, each House of Parliament.

(4)

Any other statutory instrument made by the Secretary of State containing

regulations under this Act is subject to annulment in pursuance of a resolution

of either House of Parliament.

(5)

The Welsh Ministers may not make a statutory instrument containing

regulations under section 39 unless a draft of the instrument has been laid

before, and approved by a resolution of, Senedd Cymru.

(6)

This section does not apply to regulations under section 54 (commencement).

Duty to consult before making regulations

(1)

Before making regulations under section 7 , 9 , 10 , 17 , 24 or 26 , the Secretary

of State must consult—

(a)

the Commission for Equality and Human Rights, and

(b)

such other persons as the Secretary of State considers appropriate.

Page 35

(2)

The persons to be consulted under subsection (1) (b) must include—

(a)

persons appearing to the Secretary of State to have expertise in matters

relating to whether persons have capacity, and

(b)

persons appearing to the Secretary of State to have expertise in matters

relating to whether persons have been coerced,

unless the Secretary of State considers that, having regard to the subject-matter

of the proposed regulations, it would not be appropriate to consult such

persons.

Interpretation

(1)

In this Act, references to the provision of assistance to a person to end their

own life in accordance with this Act are to the provision of assistance to that

person to end their own life in circumstances where the provision is authorised

by section 1 .

(2)

In this Act—

“approved substance” has the meaning given in section 25 (2) ;

“capacity” (except in section 19 (3) (b) ) is to be construed in accordance

with section 3 ;

“certificate of eligibility” has the same meaning as in section 15 ;

“the Commissioner” has the meaning given by section 4 ;

“the coordinating doctor” has the meaning given in section 7 (5) ;

“first assessment” has the same meaning as in section 9 ;

“first declaration” has the same meaning as in section 7 ;

“GP practice” , of a person, means the general medical practice with which

the person is registered;

“health professional” means—

(a)

a registered medical practitioner;

(b)

a registered nurse;

(c)

a registered pharmacist or a registered pharmacy technician

within the meaning of the Pharmacy Order 2010 (S.I. 2010/231)

(see article 3 of that Order);

“the independent doctor” has the meaning given in section 9 (3) (c) ;

“preliminary discussion” means a discussion of a kind mentioned in

section 5 (3) ;

“relative” , in relation to any person, means—

(a)

the spouse or civil partner of that person,

(b)

any lineal ancestor, lineal descendant, sibling, aunt, uncle or

cousin of that person or the person’s spouse or civil partner,

(c)

the spouse or civil partner of any relative mentioned in

paragraph (b) ;

“second assessment” has the same meaning as in section 10 ;

“second declaration” has the same meaning as in section 17 .

Page 36

(3)

For the purpose of deducing any relationship mentioned in the definition of

“relative” in subsection (2) —

(a)

a spouse or civil partner includes a former spouse or civil partner and

a partner to whom the person is not married, and

(b)

a step-child of any person is treated as that person’s child.

(4)

For the purposes of this Act, a registered medical practitioner is not to be

regarded as benefiting financially or in any other material way from the death

of a person by reason only of the practitioner receiving reasonable

remuneration for the provision of services in connection with the provision

of assistance to that person in accordance with this Act.

Extent

This Act extends to England and Wales.

Commencement

(1)

Sections 43 , 49 to 53 , this section and section 55 come into force on the day

on which this Act is passed.

(2)

Section 4 , except subsection (4) of that section, and Schedule 1 come into force

at the end of the period of one year beginning with the day on which this

Act is passed.

(3)

The other provisions of this Act come into force on such day or days as the

Secretary of State may by regulations appoint.

(4)

But if any provision of this Act has not been fully brought into force before

the end of the period of four years beginning with the day on which this Act

is passed, that provision (so far as not already in force) comes into force at

the end of that period.

(5)

Subsections (3) and (4) do not apply in relation to Wales.

(6)

In relation to Wales, the provisions of this Act not brought into force by

subsection (1) come into force on such day or days as the Welsh Ministers

may by regulations appoint (and such regulations may not be made unless

a draft of the statutory instrument containing them has been laid before, and

approved by a resolution of, Senedd Cymru).

(7)

The Secretary of State may by regulations make transitional or saving provision

in connection with the coming into force of any provision of this Act.

(8)

The power to make regulations under this section includes power to make

different provision for different purposes.

(9)

Regulations under this section are to be made by statutory instrument.

Short title

This Act may be cited as the Terminally Ill Adults (End of Life) Act 2025.

Page 37

Schedules

Schedule 1

Section 4

The Voluntary Assisted Dying Commissioner

Status

(1)

The Commissioner is to be a corporation sole.

(2)

The Commissioner is not to be regarded as—

(a)

the servant or agent of the Crown, or

(b)

as enjoying any status, immunity or privilege of the Crown.

(3)

The Commissioner’s property is not to be regarded as property of, or

property held on behalf of, the Crown.

General powers

The Commissioner may do anything the Commissioner considers

appropriate for the purposes of, or in connection with, the Commissioner’s

functions.

Deputy Commissioner

(1)

The Prime Minister must appoint a person to be the Deputy Voluntary

Assisted Dying Commissioner (the “Deputy Commissioner”).

(2)

The person appointed must hold or have held office as a judge of—

(a)

the Supreme Court,

(b)

the Court of Appeal, or

(c)

the High Court.

(3)

The Commissioner may delegate any of the Commissioner’s functions to

the Deputy Commissioner, to the extent and on the terms that the

Commissioner determines.

(4)

The delegation of a function under sub-paragraph (3) does not prevent the

Commissioner from exercising that function.

(5)

The functions of the Commissioner are to be carried out by the Deputy

Commissioner if—

(a)

there is a vacancy in the office of the Commissioner, or

(b)

the Commissioner is for any reason unable or unwilling to act.

Appointment and tenure of office

(1)

A person holds and vacates office as the Commissioner or Deputy

Commissioner in accordance with the terms and conditions of their

appointment as determined by the Secretary of State, subject to the

provisions of this paragraph.

Page 38

(2)

An appointment as the Commissioner or Deputy Commissioner is to be

for a term not exceeding five years.

(3)

A person may not be appointed as the Commissioner or Deputy

Commissioner if a relevant appointment of them has been made on two

occasions.

“Relevant appointment” here means appointment as the Commissioner or

Deputy Commissioner.

(4)

The Commissioner or Deputy Commissioner may resign by giving written

notice to the Secretary of State.

(5)

The Secretary of State may by notice in writing remove a person from the

office of Commissioner or Deputy Commissioner if satisfied that the

person—

(a)

has behaved in a way that is not compatible with their continuing

in office, or

(b)

is unfit, unable or unwilling to properly discharge their functions.

Remuneration

The Secretary of State may pay to, or in respect of, the person holding

office as the Commissioner or Deputy Commissioner—

(a)

remuneration;

(b)

allowances;

(c)

sums by way of or in respect of pensions.

Staff: appointed by Commissioner

(1)

The Commissioner may appoint staff.

(2)

Staff are to be appointed on terms and conditions determined by the

Commissioner.

(3)

The terms and conditions on which a member of staff is appointed may

provide for the Commissioner to pay to or in respect of the member of

staff—

(a)

remuneration;

(b)

allowances;

(c)

sums by way of or in respect of pensions.

(4)

In making appointments under this paragraph, the Commissioner must

have regard to the principle of selection on merit on the basis of fair and

open competition.

(5)

The Employers' Liability (Compulsory Insurance) Act 1969 does not require

insurance to be effected by the Commissioner.

Staff: secondment to Commissioner

(1)

The Commissioner may make arrangements for persons to be seconded to

the Commissioner to serve as members of the Commissioner's staff.

Page 39

(2)

The arrangements may include provision for payments by the Commissioner

to the person with whom the arrangements are made or directly to seconded

staff (or both).

(3)

A period of secondment to the Commissioner does not affect the continuity

of a person's employment with the employer from whose service he or she

is seconded.

Staff: general

(1)

Before appointing staff under paragraph 6 or making arrangements under

paragraph 7 (1) , the Commissioner must obtain the approval of the Secretary

of State as to the Commissioner's policies on—

(a)

the number of staff to be appointed or seconded;

(b)

payments to be made to or in respect of staff;

(c)

the terms and conditions on which staff are to be appointed or

seconded.

(2)

A function of the Commissioner may be carried out by any of the

Commissioner's staff to the extent authorised by the Commissioner (but

this is subject to sub-paragraph (3) ).

(3)

Sub-paragraph (2) does not apply in respect of—

(a)

the Commissioner’s function under paragraph 2 (1) of Schedule 2

of making appointments to the list of persons eligible to be panel

members;

(b)

the Commissioner’s function of determining applications for

reconsideration under section 16 .

Financial and other assistance from the Secretary of State

(1)

The Secretary of State may—

(a)

make payments to the Commissioner of such amounts as the

Secretary of State considers appropriate;

(b)

give such financial assistance to the Commissioner as the Secretary

of State considers appropriate.

(2)

The Secretary of State may—

(a)

provide staff in accordance with arrangements made by the Secretary

of State and the Commissioner under paragraph 7 ;

(b)

provide premises, facilities or other assistance to the Commissioner.

Accounts

(1)

The Commissioner must—

(a)

keep proper accounts and proper records in relation to them, and

(b)

prepare a statement of accounts in respect of each financial year in

the form specified by the Secretary of State.

(2)

The Commissioner must send a copy of each statement of accounts to the

Secretary of State and the Comptroller and Auditor General—

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(a)

before the end of August next following the end of the financial

year to which the statement relates, or

(b)

on or before such earlier date after the end of that year as the

Treasury may direct.

(3)

The Comptroller and Auditor General must—

(a)

examine, certify and report on the statement of accounts, and

(b)

send a copy of the certified statement and the report to the Secretary

of State.

(4)

The Secretary of State must lay before Parliament each document received

under sub-paragraph (3) (b) .

(5)

In this paragraph, “financial year” means—

(a)

the period beginning with the date on which the Commissioner is

established and ending with the second 31 March following that

date, and

(b)

each successive period of 12 months.

Application of seal and proof of documents

(1)

The application of the Commissioner's seal is to be authenticated by the

signature of—

(a)

the Commissioner, or

(b)

a person who has been authorised by the Commissioner for that

purpose (whether generally or specially).

(2)

A document purporting to be duly executed under the Commissioner’s

seal or signed on the Commissioner’s behalf—

(a)

is to be received in evidence, and

(b)

is to be treated as duly executed or signed in that way, unless the

contrary is shown.

Public Records Act 1958

In Part 2 of the Table in paragraph 3 of the First Schedule to the Public

Records Act 1958 (bodies whose records are public records), at the

appropriate place insert—

“The Voluntary Assisted Dying Commissioner.”

House of Commons Disqualification Act 1975

In Part 3 of Schedule 1 to the House of Commons Disqualification Act 1975

(offices disqualifying person from membership of House of Commons), at

the appropriate place insert—

“The Voluntary Assisted Dying Commissioner or the Deputy

Voluntary Assisted Dying Commissioner.”

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Freedom of Information Act 2000

In Part 6 of Schedule 1 to the Freedom of Information Act 2000 (public

authorities for the purposes of the Act) , at the appropriate place insert—

“The Voluntary Assisted Dying Commissioner.”

Equality Act 2010

In Part 1 of Schedule 19 to the Equality Act 2010 (public authorities subject

to public sector equality duty), at the end of the group of entries for bodies

whose functions relate to health, social care and social security insert—

“The Voluntary Assisted Dying Commissioner.”

Schedule 2

Section 14

Assisted Dying Review Panels

Introduction

In this Schedule—

(a)

“referral” means a referral under section 14 or 16 (and similar

references are to be construed accordingly);

(b)

“panel” means an Assisted Dying Review Panel.

List of persons eligible to be panel members

(1)

The Commissioner must make appointments to a list of persons eligible to

sit as members of panels.

(2)

A person may be appointed to the list only if—

(a)

the person (a “legal member”)—

(i)

holds or has held high judicial office,

(ii)

is one of His Majesty’s Counsel, or

(iii)

has (at any time) been requested to act as a judge of the

Court of Appeal or the High Court by virtue of section 9 (1)

of the Senior Courts Act 1981 ,

(b)

the person (a “psychiatrist member”) is—

(i)

a registered medical practitioner,

(ii)

a practising psychiatrist, and

(iii)

registered in one of the psychiatry specialisms in the

Specialist Register kept by the General Medical Council, or

(c)

the person is registered as a social worker in a register maintained

by Social Work England or Social Work Wales (a “social worker

member”).

(3)

In this paragraph “high judicial office” means office as—

(a)

a judge of the Supreme Court,

Page 42

(b)

a judge of the Court of Appeal, or

(c)

a judge or deputy judge of the High Court.

Tenure of persons appointed to list

(1)

Subject to the provisions of this paragraph, persons on the list hold and

vacate their appointments in accordance with the terms on which they are

appointed.

(2)

An appointment to the list is to be for a period not exceeding five years.

(3)

A person who has held appointment to the list is eligible for re-appointment

for one further period not exceeding five years.

Membership of panels

(1)

The Commissioner must make arrangements for determining the

membership of a panel.

(2)

The arrangements must ensure that a panel consists of—

(a)

a legal member,

(b)

a psychiatrist member, and

(c)

a social worker member.

(3)

The Commissioner must ensure that each member of a panel has had

training in respect of domestic abuse, including coercive control and

financial abuse.

Decisions of panels

(1)

The legal member of a panel is to act as its chair.

(2)

Decisions of a panel may be taken by a majority vote; but this is subject

to sub-paragraph (3) .

(3)

The panel is to be treated as having decided to refuse to grant a certificate

of eligibility if any member votes against a decision to grant such a

certificate.

Panel sittings

(1)

Panels are to determine referrals in public; but this is subject to

sub-paragraph (2) .

(2)

The chair of a panel may, at the request of the person to whom a referral

relates, decide that the panel is to sit in private.

Staff and facilities

The Commissioner may make staff and other facilities available to panels.

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Practice and procedure

(1)

The Commissioner may give guidance about the practice and procedure

of panels.

(2)

Panels must have regard to any such guidance in the exercise of their

functions.

Reasons

Panels must give reasons, in writing, for their decisions.

Money

The Commissioner may pay to or in respect of members of panels—

(a)

remuneration;

(b)

allowances;

(c)

sums by way of or in respect of pensions.

House of Commons Disqualification Act 1975

In Part 3 of Schedule 1 to the House of Commons Disqualification Act 1975

(offices disqualifying persons from membership of House of Commons),

at the appropriate place insert—

“Person on the list of those eligible for membership of an Assisted

Dying Review Panel.”

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Amendments

No amendments available.