Terminally Ill Adults (End of Life) Bill

Baroness Jay of Paddington Excerpts

Friday 20th March 2026 Lords Chamber

[Lord Stevens of Birmingham (CB)]

On the thrust of the argument, I agree with the noble Lord, Lord Moylan, that approaching this probabilistically, rather than with a single number, clearly makes sense. It is wonderful to hear the impact that these new immunotherapies have had in his own personal case as well as for oesophageal cancer.

Just for the record, I want to associate myself with the comments of the noble Baroness, Lady Royall, because the evidence is pretty clear that there is not an association between positive thinking and cancer survival. There may be a link with quality of life, but frankly, it is perfectly normal, having had a cancer diagnosis, for people to feel depressed or anxious.

The only reason for raising this very briefly at this point is that we need to be very sensitive. When somebody’s cancer progresses and ultimately kills them, we should not be leaving the impression that we think that is because they lacked the positive attitude that would in some way have enabled them to survive. I know that is not what the noble Lord was suggesting, but just for the record, I think that the noble Baroness, Lady Royall, was right to draw that to our attention, and we should be clear about that.

[Baroness Jay of Paddington (Lab)]

To add to what the noble Lord, Lord Stevens, said, I very much dislike the death notices, for example, which refer to people having put up a great fight or having failed to deal with the battle, or whatever expression is used, which suggests precisely what the noble Lord said—that they have somehow failed in a mortal combat.

[Lord Young of Norwood Green (Lab)]

My Lords, I only want to challenge the point that was made that the Bill suggests that six months is inevitable. It does not do that at all. In fact, all Clause 7 says is that if you go to the doctor, there will be a record of a preliminary discussion. It does not say anything else. Clause 8 refers to the initial request for assistance and first declaration. Where does the idea come from that the Bill somehow inevitably leads to a six-month progression? There is no such thing in it, other than the fact that the doctor is required by law to produce a written record of the preliminary discussion. In that preliminary discussion, he or she could raise a whole range of things, as we have heard from noble Baroness, Lady Cass, and a number of others.