Terminally Ill Adults (End of Life) Bill

Matthew Patrick Excerpts

Friday 20th June 2025 Commons Chamber

[Matthew Patrick (Wirral West) (Lab)]

Today we are faced with a defining choice. We have debated assisted dying for months, and in some ways we could never have enough time for this. I wish there had been more opportunity to debate the amendments, but I can also say, based on my time in these debates, that hon. Members have approached these issues with great dignity and care.

My hon. Friend the Member for Spen Valley (Kim Leadbeater), who is a friend of mine and who I am very proud of, has led this debate with characteristic humanity, decency and honour. I am sure all of us have found that whenever we have approached her with our concerns or those of others, she has had a willing ear and an open heart. I pay tribute to her.

Opponents of the Bill have also worked tirelessly to understand and voice people’s concerns, and like my hon. Friend the Member for Spen Valley, they brought that expertise so that all voices could be heard today. My office has been approached more than 1,000 times by people in Wirral West regarding this issue, and that has shown that people are guided by all faiths and none. As others have said, that deserves great respect. I think back to a meeting I held to discuss this matter in Melrose Hall in Hoylake with more than 50 constituents. With candour and respect, people shared their personal stories. They disagreed wholeheartedly, but they did so with compassion and dignity. They are the best of us.

Standing here, I recognise that however today ends up, we will let people down—whether the Bill passes and people who would otherwise not choose to have an assisted death go through with one, or whether the Bill falls and people who I believe should have the choice to end their illness on their own terms are denied that opportunity. I am conscious of that, yet the vote before us is not on the harrowing stories we have heard but on a system, and it is that system that I worry about, as it would have implications that go beyond individual cases. The consequences of getting this wrong are severe, and the risks of getting it wrong with an NHS still in recovery are too high.

[Iqbal Mohamed (Dewsbury and Batley) (Ind)]

Will the hon. Member give way?

[Matthew Patrick]

I will not take interventions.

The hon. Member for Twickenham (Munira Wilson) tabled an important amendment about palliative care that has opened a door to an important conversation, and I thank her for that. If our NHS is not able to deliver the highest quality of care at the end of a person’s life now, would assisted dying improve that, or could it end up creating a one-sided choice? I know that hon. Members will be concerned that there will never be a good time for the NHS to introduce this—that it will never quite be ready for assisted dying. I hear that, but I sincerely do not believe that it is ready to bear the weight of the system we are voting on today.

I am not settled on the issue of coercion either. We have heard from experts across the House; my hon. Friend the Member for Bexleyheath and Crayford (Daniel Francis) and the hon. Member for Richmond Park (Sarah Olney) have spoken about mental health issues and learning disabilities, and my hon. Friend the Member for Lowestoft (Jess Asato) talked about issues of domestic abuse and how they could intersect with this. My hon. Friend the Member for Vauxhall and Camberwell Green (Florence Eshalomi), my right hon. Friend the Member for Hackney North and Stoke Newington (Ms Abbott) and the right hon. Member for Braintree (Sir James Cleverly) spoke about how ethnic minority communities could be impacted by the Bill, and about the trust in the health system and the dynamics that could lead to someone taking their life.

I worry about the quiet, imperceptible and unspoken coercion that could emerge if we go ahead with this system. I worry about vulnerable people who would feel a duty to die, and I am not satisfied that the Bill has enough safeguards against that. For that reason, I am voting against the Bill, and I call on others to do the same. I say to those watching at home that I hope they share my confidence that whichever Lobby colleagues walk through today, they have reached their decision with great care and consideration. To weigh up the consequences—good and bad—of this vote is the burden of duty that such a Bill brings. I share that burden with others today.