Assisted Dying (No. 2) Bill

Stuart Andrew Excerpts

Friday 11th September 2015 Commons Chamber

[Barbara Keeley (Worsley and Eccles South) (Lab)]

I do not support the Bill. We should maintain the clear principle that this Government, the justice system and the medical profession have upheld for many years—that we do not encourage or help people to commit suicide, and that we should work to prevent all forms of suicide. The Assisted Dying (No. 2) Bill would be a departure from that principle, and I believe that we would start to see people in very difficult circumstances becoming even more vulnerable if the Bill were passed.

Clearly at present—we have heard a former DPP, my hon. and learned Friend the Member for Holborn and St Pancras (Keir Starmer), lay out the current situation—committing suicide is not illegal but encouraging someone to commit suicide is illegal, and I firmly believe that that protects us all, and that that basic principle against suicide should be upheld. Wednesday was world suicide prevention day. Many moving messages appeared on social media about the importance of preventing suicide, so it is ironic that we should today be debating a Bill that drives our society in the opposite direction.

I have significant concerns about the detail of the Bill, and whether any regulatory regime surrounding the introduction of assisted suicide would be fit for purpose. I would argue, as others have done in this debate, that making assisted suicide legal creates a pressure on people to take their own lives rather than giving them greater choice, because it creates a fundamental shift in people’s perception—that our society accepts suicide. One of the major risks in the Bill has been eloquently outlined by my hon. Friend the Member for West Ham (Lyn Brown), and it is that people will feel under pressure to take their own life if they feel they are becoming a burden to their family or society. That would grow from an illness-related reason to encompass financial ones and even mental health reasons. People in my constituency have written to me about their concerns, saying:

“If this Bill is passed it will put greater pressure on vulnerable people, the elderly and the sick, who will increasingly see themselves as a burden to society. I don’t want to see that.”

[Stuart Andrew (Pudsey) (Con)]

rose—

[Barbara Keeley]

If we are to live in a society that values and cares for each individual regardless of the state of their health and disability, it is difficult to see why we should be relaxing our stance on suicide. The Not Dead Yet UK network of disabled and terminally ill people tells us that not one organisation of disabled people supports assisted suicide, and Richard Hawkes, the former CEO of Scope, has said:

“Why is it that when people who are not disabled want to commit suicide, we try to talk them out of it, but when a disabled person wants to commit suicide we focus on how we can make that possible?”

The campaign to legalise assisted suicide reinforces deep-seated beliefs that the lives of disabled people are not worth as much as other people’s.

We must also consider the question of the involvement, through the Bill, of the doctors who would have to assess the person and administer the drugs to assist their suicide. The British Medical Association has a clear policy against physician-assisted suicide and the Bill before us, as do the college of GPs and the college of physicians. The BMA says that it opposes all forms of assisted dying, supports the current legal framework, which allows compassionate and ethical care for the dying, and supports the establishment of a comprehensive, high-quality palliative care service. Many of us here today have spoken very strongly about our support for palliative care, and the hon. Members for Totnes (Dr Wollaston) and for Central Ayrshire (Dr Whitford) have given us their reasons, as a former GP and former surgeon.

I want to end on that point about social care, because much of my work here has been focused on social care and carers. I believe I agree with the hon. Member for Totnes: improving palliative care is a real alternative to the Bill. We should bring in free social care at the end of life, because the denial of care should not be driving people to take their own lives.

I want to make a final point about the last implications of changing this law. At the moment, it is clear that we want to prevent people from committing suicide and that society should help and support those reaching the end of their life. Passing the Bill would change that and set a dangerous precedent.

--- Later in debate ---

[Stuart Andrew]

Will my hon. Friend give way?

[Andrew Bridgen]

I will not, if my hon. Friend does not mind.

Supporters of the Bill have said that 80% of the public favour medically assisted suicide. I am not sure how much understanding those respondents had at that time, but when participants are exposed to the counter-arguments to legalisation, support wavers, in one poll dropping from 73% to only 43%, and among palliative care doctors 90% oppose the Bill.

I am a trustee of a local hospice charity, Hospice Hope, in Ashby de la Zouch. I am a great supporter of and believer in the hospice movement and palliative care sector. I would like to quote Dr Robert Twycross, a retired palliative care specialist, who recently stated that

“despite upsetting ‘horror stories’…palliative care does not…leave patients to suffer unbearably. In extreme situations, increasing the dose of symptom relief and sedative drugs is already permissible as a ‘last resort option’. The most appropriate response to horror stories is to increase the availability of specialist palliative care”—

not to kill people.

As has been said, many people are desperate when first diagnosed with a terminal illness. It is completely understandable, and it is easy to make a rash decision. Many feel a burden on their family and wish to die to alleviate that burden, when actually that family love them, want to care for them and do not want them to die. The way to alleviate distress in dying people and their families is to care for them properly with good palliative care, not to murder them.

I am aware of time pressures. I would ask hon. Members to bear it in mind that we fund, to a huge extent, the national health service. It is not the national death service. In a recent survey in May of 1,000 GPs, only one in seven was willing to get involved with this Bill. I feel that for vulnerable people the right to die will quickly become the obligation to die. The only thing that deserves a quick death is this Bill and I shall vote against it.