Assisted Dying (No. 2) Bill Debate

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Department: Ministry of Justice
Friday 11th September 2015

(8 years, 7 months ago)

Commons Chamber
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Keir Starmer Portrait Keir Starmer
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I hope that I have been faithful to my obligation to try to put this in a neutral, objective way, setting out the position.

As Director of Public Prosecutions I never expressed a view on the law; I faithfully applied the law. I have come to the position I now hold on the basis of my experience of the guidelines. It was not a pre-conceived view that I held back then, in answer to a comment that was made earlier; it is a view that I have arrived at on the basis of my experience.

My experience is that there are two inherent limitations in the guidelines that I issued. For the reasons I have explained, my understanding of the constitutional role of the DPP was that doctors and medical practitioners are more likely to be prosecuted. The first limitation is that, as a result, those who have reached a voluntary, clear, settled and informed decision to end their lives can now be confident of the compassionate assistance of loved ones without exposing them to the law, but they cannot have the assistance of professionals. They can have amateur assistance from nearest and dearest, but they cannot have professional help in fulfilling their desire unless they have the means and the physical ability to get to Dignitas. One of the points that Debbie Purdy made to the judicial committee was that she wanted to live her life for as long as possible, although she wanted to end it at her own choosing, and that if she was forced to go to Dignitas she would have to end her life earlier because she would lose the physical means of getting there.

I understand those who say that we should revert to a position where nobody should be given any assistance at all, but we have arrived at a position where compassionate, amateur assistance from nearest and dearest is accepted but professional medical assistance is not, unless someone has the means and physical assistance to get to Dignitas. That to my mind is an injustice that we have trapped within our current arrangement.

On the second limitation in my guidelines, the only safeguard I could put into them was a requirement for an after-the-event investigation by the police into what had happened. Let me quote what the president of the Supreme Court said when he analysed that. This is what our most senior judge—not me—said:

“A system whereby a judge or other independent assessor is satisfied in advance that someone has a voluntary, clear, settled and informed wish to die and for his or her suicide then to be organised in an open and professional way would…provide greater and more satisfactory protection for the vulnerable, than a system which involves a lawyer from the DPP’s office inquiring, after the event, whether the person who had killed himself or herself had such a wish”.

I have heard the comments about the safeguards in the Bill and I know how hard it was to come up with the right safeguards in my guidelines. It took me time to arrive at safeguards that I think could be generally accepted.

Nigel Evans Portrait Mr Nigel Evans (Ribble Valley) (Con)
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On a point of order, Madam Deputy Speaker. At the beginning of this sitting, we were told that 85 Members had put in to speak and we were given guidance on how long our speeches should be. I fully appreciate that the current speaker is making a valuable contribution, but please could you remind the House yet again of the time limit you think people should adhere to without a compulsory time limit having to be set? [Interruption.]

Eleanor Laing Portrait Madam Deputy Speaker (Mrs Eleanor Laing)
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Order. I am grateful for the advice of my hon. Friend. I would not have taken advice from any other Member of this House, as I am quite capable of judging how long a Member is taking. My hon. Friend is in the unique position of being able to offer me advice and I am taking it. The hon. and learned Member for Holborn and St Pancras (Keir Starmer), who currently has the floor—

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Nigel Evans Portrait Mr Nigel Evans (Ribble Valley) (Con)
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It is a privilege to follow the hon. Member for Ynys Môn (Albert Owen), and I agree with everything he has just said. I believe in dignity in death, but I also believe in the sanctity of life. We have heard powerful speeches from both sides today and we have all received many emails from constituents arguing both sides. We cannot agree with both sides. I remember that the hon. Member for Barrow and Furness (John Woodcock) said that he was torn, but we must finally take a decision.

Like my hon. Friend the Member for Bath (Ben Howlett), I found the speeches of the hon. Member for Central Ayrshire (Dr Whitford) and my hon. Friend the Member for Totnes (Dr Wollaston), who both spoke with experience and authority, incredibly powerful. It is rare for people to be swayed in this Chamber—they come in with their minds made up—but my goodness me, what powerful speeches. I am sure that they have had an effect today.

When my father was diagnosed with cancer in 1978, the family watched him die a painful death. It was a bad death, and when he died, I said, “Thank God he has died.” As the hon. Member for Ynys Môn has just said, we should be putting far more resources into palliative care. We should admit that it is patchy and that some people have bad deaths, though that is not acceptable. I know that we put many resources into finding a cure for all sorts of diseases and conditions, but at times we have to recognise that a cure might be some time off and sufficient resources ought to be put in to ensuring absolutely the right amount of palliative care so that when people come to the end of their lives they are not in unnecessary pain. We must remember the relatives around them and the pain they feel in seeing someone who has looked after them for all their lives—their father, a strapping person—wasting away over a period of months and then dying. I went to get his last shot of morphine and I am absolutely certain that that was what pushed him over the edge, but at least he did it without unnecessary pain at that final juncture.

We say that people should not be put under undue pressure or feel they are burdens on their family. They should not feel, “Well, I have the choice, perhaps I should exercise that choice.” It is almost impossible to say that people with terminal conditions will not be pushed into an earlier death simply because they have that choice. At the moment, they do not. It is impossible to calculate how many people will say towards the end of their lives, “I think I am going to take that poisonous cocktail because I do not want to be a burden on my family and because it is costing them to keep me in a nursing home, with all that that entails.”

I pay tribute to Macmillan nurses, Marie Curie nurses and the hospice care in this country. I do not believe that Dignitas brings dignity to death; I think it brings a speedier death, and I ask the best minds that we have in the world: is that the best that we can offer?

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Jonathan Reynolds Portrait Jonathan Reynolds
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claimed to move the closure (Standing Order No. 36).

Question put forthwith, That the Question be now put.

Question agreed to.

Question put accordingly, That the Bill be now read a Second time.

The House proceeded to a Division.

Nigel Evans Portrait Mr Nigel Evans
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On a point of order, Madam Deputy Speaker. Some Members will have sat throughout the debate today and will have decided that they will not register a vote as they cannot make up their minds. Will you confirm that outside of voting in both Lobbies, which is strongly discouraged, there is no way in which a Member of Parliament can register an abstention following a debate?

Natascha Engel Portrait Madam Deputy Speaker (Natascha Engel)
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It is indeed the case that voting in both Lobbies is discouraged, so it is not possible to register an abstention. I thank the hon. Gentleman for making that point and putting it on the record.