Assisted Dying (No. 2) Bill

David Jones Excerpts

Friday 11th September 2015 Commons Chamber

[Rob Marris]

No. I will make some progress. The doctor countersigns the declaration that the patient is terminally ill and of sound mind, is acting voluntarily, and has been informed of palliative and other care available. A second independent specialist doctor with expertise in that area countersigns that declaration. If a medical person has a conscientious objection to any of that, she or he—quite properly—does not have to participate in any way. Having had the signature of two doctors, the declaration has to go to a High Court judge. If the High Court judge agrees and makes an order, there is a 14-day cooling off period.

[Mr David Jones (Clwyd West) (Con)]

On the High Court judge’s agreement, what independent inquiries does the Bill provide for that judge to make?

[Rob Marris]

Like many Bills it does not fetter the discretion of the High Court judge. It is up to the High Court judge what inquiries they feel it appropriate to make. After the 14-day cooling off period, if the patient still wishes to proceed a medical person takes the lethal medicine to the patient and waits. At that point the patient could decide not to proceed. The medical person stays there until that decision is made. If the patient decides to take the lethal medication, the medical person waits there. If the patient decides not to take the medication, the medical person takes the medication away. There is no question of it being left on the premises.

--- Later in debate ---

[Mr David Jones (Clwyd West) (Con)]

I have the most profound concerns about the Bill, most of which have already been rehearsed by other hon. Members. In view of the shortness of time, I do not intend to repeat them. However, I also consider it to be a deeply flawed Bill. I will focus on three concerns that I believe are sufficient to persuade hon. Members not to support it.

First, although clause 1 provides that the person seeking the consent of the court must have

“a voluntary, clear, settled and informed wish to end his or her own life”,

the Bill is completely silent on what inquiries should be undertaken to establish how that wish has been arrived at. The right hon. Member for Knowsley (Mr Howarth) made the perfectly reasonable point that it is possible to come to a rational decision that one does not wish to be a burden on one’s family. Equally, it is possible to be coerced, cajoled and browbeaten into that position, and the Bill provides no safeguards in that respect.

[Andy McDonald (Middlesbrough) (Lab)]

rose—

[Mr Jones]

I will not give way, as we have very little time.

Secondly, the Bill provides that the person seeking the order should have a terminal illness and

“as a consequence of that terminal illness, is reasonably expected to die within six months.”

Medical experts have pointed out that it is very difficult to ascertain whether an individual will die within three months. One is reminded of the Scottish case of Abdelbaset al-Megrahi, who was convicted of the Lockerbie bombing and discharged from prison on compassionate grounds because he was not expected to survive a further three months, and that was on the evidence of highly respected oncologists. In fact, he survived a further two years and nine months. Irrespective of the merits of the release, that illustrates how difficult it is to assess how long a patient might live.

Thirdly, the Bill is totally silent about what inquiries should be made by the court on whether an order should be made. I intervened on the hon. Member for Wolverhampton South West (Rob Marris) on that point, and he replied that it was a matter for the court. I venture to suggest that when one is talking about whether or not a declaration permitting assisted dying is to be made, there should be strong guidance in the Bill on how the court is to make that decision. In other words, it looks very much like a rubber-stamping operation, which cannot be right.

Ethical questions are notoriously difficult, and most of us here in this House are not medical professionals. We therefore have to rely on medical ethicists and on medical practitioners and clinicians. We should all have regard to what the BMA and the royal colleges have to say. We should listen to hospices such as St David’s and St Kentigern, which serve my constituency. In this House, we should listen to people such as the hon. Member for Central Ayrshire (Dr Whitford) and my hon. Friend the Member for Totnes (Dr Wollaston), who clearly understand the issues. I urge all hon. Members to oppose the Bill.