Terminally Ill Adults (End of Life) Bill

Earl of Effingham Excerpts

Friday 13th March 2026 Lords Chamber

Debate on Amendment 142 resumed.

[The Earl of Effingham (Con)]

My Lords, debate on this group, as with every group thus far in the Bill, has been extensive and in depth. We have heard from around 19 noble Lords on over 70 amendments. His Majesty’s loyal Opposition do not believe that it would be an effective use of your Lordships’ time for us to summarise the excellent contributions made across all Benches by many noble Lords. The relevant points have been highlighted. We welcome the opportunity to hear from the Minister and the noble and learned Lord, Lord Falconer, to understand their position on the proposals that we have all listened to with interest.

[The Parliamentary Under-Secretary of State, Ministry of Justice (Baroness Levitt) (Lab)]

My Lords, as with the groups on 27 February, I have structured this speech by grouping amendments by theme rather than taking them in order. This is in the interests of dealing with them as quickly as possible. If anything needs a longer explanation then I will take interventions, but it would be a more effective use of time if noble Lords wrote to me so that I could try to give a fuller and more detailed explanation.

I will begin with some observations about the legal implications of some of the amendments, then outline what the Government see as operational workability issues presented by some of the amendments. Finally, there will be some brief drafting considerations. I shall continue to limit my comments to amendments on which the Government have major legal, technical or operational workability concerns. I remain happy to write to any of your Lordships who have further questions relating to the workability of any amendment and will place a copy in the House Library.

The Government’s position remains that it is for Parliament to consider the policy. I will therefore not provide a government view on the merits of any proposed changes or make any observations in a personal capacity. When we were last in Committee, the noble Baroness, Lady Fox, raised how the Government plan to implement this Bill; she was not alone in doing so but she mentioned it specifically. We have not undertaken detailed implementation work as that would precede the parliamentary process. Should Parliament pass the Bill, the Government will undertake detailed work to develop a delivery model and on workforce planning, engaging with stakeholders and delivery partners, including the judiciary.

I turn first to legal considerations and specifically the compatibility of some of the amendments with the European Convention on Human Rights. The articles in question are Article 6 and Article 8. I turn first to Article 6 risk. There are four amendments in this group which, in the Government’s opinion, may interfere with a person’s right to a fair trial under Article 6. The first is Amendment 499, in the name of the noble Baroness, Lady Finlay of Llandaff, which would introduce a route to annulment of a certificate of eligibility where material circumstances have changed. However, it requires further detail about the process, so it is difficult for us properly to assess it at the moment.

The Government have concerns that Amendment 498, in the name of the noble Baroness, Lady Grey-Thompson, would prohibit any further referral to a panel where the commissioner has previously dismissed the individual’s application to review a panel decision. This has the potential to breach Article 6 in circumstances where a material change has subsequently arisen.

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[The Earl of Effingham (Con)]

My Lords, these amendments make fundamental changes to the process by which a person is able to access assistance with ending their life under the Bill. It is clear that the noble Baroness, Lady Finlay, has put great care and thought into these proposals, drawing on her decades-long, extensive experience in medicine. The noble Baroness, Lady Hollins, put it so well when she said that “years of work” and thinking on how this will work have been done by the noble Baroness, Lady Finlay.

Amendment 333 replaces the doctor’s assessment with the multidisciplinary panel process, bringing skills and knowledge from the health sector, the social work sector and the justice sector, including 10 years of minimum relevant experience. Our understanding is that the noble Baroness, Lady Finlay, is seeking to strengthen the safeguards for people who are seeking an assisted death, which was also referenced by the noble Lord, Lord Harper.

We know from previous groups already debated, and indeed this very group, that many noble Lords are profoundly concerned about vulnerable individuals. On the basis of what appears prima facie to be a widespread sentiment in your Lordships’ House, may we ask whether the noble and learned Lord, Lord Falconer, agrees that potentially more can be done to safeguard those vulnerable people and ensure that they are not pressured into seeking assistance under the Bill?

If the noble and learned Lord were to acknowledge these concerns and accept relevant amendments, will the Minister, the noble Baroness, Lady Blake, please set out any assessment that the Government may have researched regarding the practical solutions required to implement the proposals of the noble Baroness, Lady Finlay—points touched on by the noble Baroness, Lady Cass, and the noble and learned Baroness, Lady Butler-Sloss? Will the Minister also give your Lordships’ House a sense of the Government’s view on the balance that they will need to strike between the risks of a vulnerable individual dying in a circumstance where their capacity, understanding or will might be in doubt versus the practicality of delivering an assisted dying service?

[Baroness in Waiting/Government Whip (Baroness Blake of Leeds) (Lab)]

My Lords, I thank all noble Lords for taking part in the debate so far today. As we know, this group of amendments focuses on two core subjects: first, adding a new multidisciplinary panel process into the Bill, tabled by the noble Baroness, Lady Finlay, and secondly, amendments in relation to approved substances. This is a large group of amendments. As ever, my comments will be limited to amendments where the Government have major legal or technical workability concerns.

On the suite of amendments tabled by the noble Baroness, Lady Finlay, it is the Government’s view that, logically, these amendments stand or fall together, as they are a systemic change to the Bill. The amendments would introduce a new system of “assisted dying panels”, distinct from the existing assisted dying review panel in the Bill. These panels would receive and consider requests for assistance as part of the first declaration process, replacing the role of the co-ordinating doctor. The amendments would also introduce the concepts of “licensed assisted dying services”, “navigators for assisted dying”, and “designated” pharmacies. These are rightly policy choices and matters for the sponsor and for Parliament to decide on.

However, noble Lords may wish to note that it is the Government’s view that this package of amendments would lead to major technical, legal or operational workability concerns. The amendments introduce new concepts that would require significant further work to ensure that the policy intent was clearly understood and could work with the rest of the Bill.