Summary

  • MPs have started debating the final stage of a bill today which could legalise assisted dying in England and Wales - watch the debate live above

  • The debate will be followed by a crucial vote later - if approved, it will go to the House of Lords for scrutiny, but if MPs do not support it, it will fail

  • The Terminally Ill Adults (End of Life) Bill would allow terminally ill adults with six months or less to live to get medical assistance to end their own lives

  • In November, MPs voted to back the bill introduced by Labour's Kim Leadbeater by a majority of 55 - Leadbeater says she's "confident" the bill will pass today

  • Since last year at least a dozen MPs who backed or abstained on the bill had said they were likely to oppose it

  1. Bill supporter says current status quo must be reformedpublished at 11:51 British Summer Time

    Warning: This post contains distressing details

    We're now hearing from Liberal Democrat MP Josh Babarinde who reads a letter from a constituent who says her partner's "final days were agony".

    The dying man had been diagnosed with an aggressive tumour and lost his ability to speak, was incontinent and developed painful bed sores. He repeatedly asked for help to end his life, Babarinde tells MPs.

    He then says his constituent discovered her partner trying to commit suicide. She says "this could have been avoided with an assisted dying law".

    After concluding reading the letter, Babarinde says the current status quo is unacceptable and "must be reformed" - expressing his support for the bill.

    If you have ever been affected by the issues discussed in this post, resources to help are available on BBC Action Line.

  2. Labour MP says the bill is a 'public safety issue'published at 11:46 British Summer Time

    Labour MP Naz Shah in royal blue, damasque blue blazerImage source, UK Parliament

    Labour MP Naz Shah is up next.

    She tabled an amendment to the bill that would prevent a person from meeting the requirement for assisted dying "solely as a result of voluntarily stopping eating or drinking" - this was nodded through in the Commons shortly before the debate began.

    Shah tells the commons: "Our responsibility is to make sure bill is safe, workable and effective and that is the test upon which we will be voting for or against today."

    She adds that as the bill stands "it is a public safety issue".

    She mentions the issue surround voluntarily stopping eating and drinking and says that this is due to psychiatric illness, which are "two categorically different issues".

    She says this bill does not address the anorexia issue.

  3. 'My mother faced indignity and pain, supporting bill is right thing to do'published at 11:41 British Summer Time

    Conservative MP Mark Garnier in dark blue suit, white shirt and matching blue tie stands from the green leather benches of the Commons, colleagues sitting behind himImage source, UK Parliament

    Shadow economic secretary to the Treasury, Mark Garnier, is up next in the Commons.

    He says he watched his mother suffer with pancreatic cancer and that whilst she was not frightened of dying, she was terrified of the pain.

    Garnier recalls how a few years later he attended the memorial service of a constituent who had also died from pancreatic cancer.

    He says that her widower told him she had been able to access an assisted dying program in Spain, that reduced her suffering.

    The shadow economic secretary says that conversations with campaigners, doctors and religious leaders have led him to believe supporting the bill is the right thing to do.

  4. Abbott asks members to speak up for the voicelesspublished at 11:33 British Summer Time

    Labour MP Diane Abbott continues to highlight her opposition to the bill in the House of Commons

    She says concerns of possible foul play in assisted dying cases have been raised by the Royal College of Pathologists as well as the former chief coroner.

    She says attempts to amend the issue have been opposed at committee level.

    The senior Labour MP also questions whether those who lack access to palliative care would effectively have an alternative to seeking assisted dying services.

    "I ask members in this debate to speak up for the voiceless one more time," she says. "Because there's no doubt that if this bill passes in its current form people would lose their lives who do not need to."

  5. 'What could be more unjust than losing your life because of poorly drafted legislation?' - Abbottpublished at 11:29 British Summer Time

    Diane Abbott in black suit and shirt reads from an I-pad in parliamentImage source, UK Parliament

    We're now hearing from bill opponent Diane Abbott, who begins by saying this bill is "most fateful bill that we discuss this Parliament".

    Outlining her opposition to the bill, she says: "It is literally a matter of life or death."

    On the injustices of the current system raised by bill proposer Leadbeater, Abbott asks "what could be more unjust than to lose you life because of poorly drafted legislation?".

    Abbott says it is possible to support the principle of assisted dying, as she herself does, but not support this bill.

  6. Bill opponent Cleverly poses three questions to MPspublished at 11:28 British Summer Time

    • Conservative MP James Cleverly, who opposes the bill, is still talking

    Cleverly says three questions need to be asked:

    1. Whether MPs are happy for this specific bill "as drafted" - not the principle - to become law
    2. Whether members are "genuinely happy to sign the blank cheque that this bill demands" - he says MPs "should listen" to medical professionals who say they don't have capacity or resource to deliver this legislation
    3. When it comes to coercion, pressure individuals put on themselves, or medical professionals raising this issue: "We know there are inequalities in health division already, none of which I think will be addressed by this bill"

    He raises concerns about women "who are overly deferential both to men and men in authority", adding "we cannot believe" that the bill will have "a neutral effect across all communities".

    Cleverly ends his speech by saying he doesn't believe bill is ready to go to the House of Lords.

  7. MP discusses row with doctors in sister's final monthspublished at 11:21 British Summer Time

    Labour MP Dame Siobhain McDonaghin a pink top stands in the House of Commons, several other MPs sitting behind herImage source, UK Parliament

    Labour MP Dame Siobhain McDonagh discusses her personal experience with her terminally-ill sister.

    Dame Siobhain says her sister's consultant had advised against her seeking treatment for a blood infection "because she had a brain tumour and she was going to die" - a suggestion the MP says resulted in a row.

    She says her sister received treatment, came home and died peacefully.

    She asks James Cleverly what he thinks would have happened had the bill been in place at the time her sister needed treatment. Cleverly says he suspects the "outcome could have been very, very different".

  8. Bill represents fundamental change in patient-doctor relationship, Cleverly sayspublished at 11:18 British Summer Time

    James Cleverly in tan suit, white shirt as he stands from the green leather benches of the CommonsImage source, UK Parliament

    Cleverly says MPs were told earlier in the process that "a lot of worries would be resolved".

    He adds that they were promised a "gold standard of protections and safeguards", but says these protections did not make it out of the committee stage.

    Cleverly then talks about the bill being sent to the House of Lords for amendments, saying it is "not right to sub-contract" making these changes to Parliament's second chamber.

  9. Cleverly recalls friend's death as he outlines his opposition to billpublished at 11:15 British Summer Time

    Conservative MP and former cabinet minister James Cleverly speaks next - he's one of the leading opponents of the bill.

    He has no doubt the vast majority of MPs are sympathetic with underlying motivation of the bill.

    He tells the House his closest friend died earlier this year from oesophageal cancer, and he suffered greatly in the final weeks of his life.

    "I come at this not from a position of faith, nor from a position of ignorance," Cleverly says to a quiet Commons.

  10. 'There needs to be scrutiny before people die, not after' - Leadbeaterpublished at 11:14 British Summer Time

    As Leadbeater ends her speech, she says her colleagues should consider the legal implications, saying there needs to be "scrutiny before people die - not after".

    She reiterates that the main goal is ensuring terminally ill people are given the opportunity to decide "how they die" - giving them "control, dignity and bodily autonomy".

    "Surely we should all have the right to make our own decisions about our own bodies and decide when enough is enough," she says.

  11. Leadbeater questions why it is legal to decline medical care without doctor approvalpublished at 11:13 British Summer Time

    As the debate into the bill continues, Leadbeater turns focus to those who refuse life-sustaining or life-saving treatment.

    She notes it is legal in the UK to discharge yourself and decline medical care, adding that that there is no requirement for two doctors, a psychiatrist, a social worker, a lawyer or a judge to do so.

    "It simply does not make sense," she tells MPs in the Commons.

    She says the bill is "far, far safer and significantly more compassionate than what we have now".

  12. 'We have a system where it is legal to starve yourself to death', Leadbeater sayspublished at 11:08 British Summer Time

    Leadbeater is asked why so many doctors and groups oppose not only the principle of this bill, but the bill itself.

    She says these are non-homogeneous groups with different views and different opinions.

    She then pivots back to her speech and looks at the "inconsistencies of the current law".

    Leadbeater says it's legal for someone to voluntarily stop eating and drinking, making it "legal for them to starve themselves to death," which she says is a "deeply traumatic experience – for the person and their loved ones".

    "We have a system where it is legal to starve yourself to death, which can take days or weeks, but it is not legal to seek assistance from a doctor to take an approved substance - yourself - to end your pain or suffering and take back control in your dying days," she adds.

  13. Leadbeater acknowledges mixed views of palliative care workerspublished at 11:05 British Summer Time

    Screen grab of Labour MP Kim Leadbeater makes a statement in the House of CommonsImage source, PA/House of Commons

    Leadbeater notes "people working in palliative care have mixed views" as Conservative MP James Cartlidge raises concerns on whether underfunding could force patients to chose assisted dying as an alternative to care.

    Leabeater goes on to say that conversations she has had with terminally ill people and their families highlighted some of the failings in the current system.

    She cites the case of Adil, whose father took his own life by buying drugs on the dark web and who later had to experience an extensive police investigation.

    Leadbeater also cites the case of Catie, whose mother "had a peaceful and dignified death" after seeking assisted dying services in Switzerland.

    She says, however, her family had no chance to say goodbye in person and her father was left without support upon returning "grieving and alone".

  14. 'No-one is more vulnerable than someone who is dying' - Leadbeaterpublished at 11:00 British Summer Time

    Leadbeater tells MPs that the bill aims to "correct the profound injustices" of the current system and offer a "compassionate and safe choice" to terminally ill people.

    She adds that the bill has "many safeguards" and only people eligible under "strict criteria" will be able to access assisted dying.

    Lib Dem MP Wera Hobhouse tells the Commons she "felt disturbed" by emails from constituents that "imply we here are too stupid or careless" to care for the vulnerable.

    Leadbeater notes that safeguards are in place, adding that "no-one is more vulnerable than someone who is dying".

  15. I do not underestimate the significance of this day, Leadbeater tells Commonspublished at 10:54 British Summer Time

    Labour MP Kim Leadbeater stands in the Commons wearing a hot pink blazer, black top with a silver chain around her neck. She's holding a small stack of papers with her right hand, other party members sitting on the benches behind herImage source, UK Parliament

    Kim Leadbeater, the proposer of the The Terminally Ill Adults (End of Life) Bill, is now addressing the House of Commons.

    She says it has been “a long journey to get here and I do not underestimate the significance of this day”.

    “It is not often we are asked to wrestle with issues of morality, ethics and humanity… Benjamin Franklin told us that ‘In this world, nothing can be said to be certain, except death and taxes.’"

    Leadbeater adds that in the Commons and "the country as a whole – discussing death is something we tend to shy away from".

    She pays tribute to the way in which the overwhelming majority of colleagues have approached this subject.

    But, she says it’s also important to remember “we are not voting on the merits of parliamentary procedure. We are voting on an issue that our constituents care about deeply”.

  16. MPs support Welsh government control of some regulationspublished at 10:50 British Summer Time

    Just before the debate began in the House of Commons, MPs had been voting on a series of amendments.

    They voted in favour of the final amendment 94, which proposed to give the devolved Welsh Government powers to set regulations for some aspects of the bill in Wales.

    MPs voted in favour, 274 to 224.

    • We'll bring you a recap of all the amendments MPs voted on shortly
  17. Debate begins - watch live abovepublished at 10:43 British Summer Time
    Breaking

    In the House of Commons, MPs are beginning the final debate on The Terminally Ill Adults (End of Life) Bill.

    The bill is entering its third reading and, if approved, it will go to the House of Lords for scrutiny.

    If MPs do not support it, it will fail - and that will be the end of the road for this bill.

    We're expecting a vote sometime before 14:30 BST.

    We'll bring you key lines from the debate in the Commons and you can follow by pressing watch live above.

  18. MPs voting on territorial extent of the billpublished at 10:39 British Summer Time

    Sam Francis
    Political reporter

    MPs are voting on a second amendment about the territorial extent of the bill.

    Amendment 94, tabled by Labour MP Kim Leadbeater, gives the devolved Welsh Government powers to set regulations for some aspects of the bill in Wales, and allows it to provide some services in Welsh.

    • For context: At committee stage an amendment was made, with Leadbeater on the losing side of the vote, which effectively gave the Senedd a veto on the whole bill coming into effect in Wales. Amendment 94 limits, which parts of the bill, would be subject to a Senedd vote.
  19. And now there's a surprise sixth votepublished at 10:32 British Summer Time

    Sam Francis
    Political reporter

    We weren’t expecting this. MPs are now voting on an amendment about where the bill will come into force.

    Amendment 77, by bill proposer Kim Leadbeater will enact some of the recent changes around banning of advertising for assisted dying and the rules governing when doctors provide help to Wales, Scotland and Northern Ireland.

    There has been some criticism of this amendment because it extends elements of the bill beyond England and Wales - even though the issue is devolved in Scotland and Northern Ireland.

    And it's passed - with a majority of 66.

  20. MPs support requirement for government to publish palliative care assessmentpublished at 10:29 British Summer Time
    Breaking

    Sam Francis
    Political reporter

    MPs have nodded through amendment 21, which requires the government to publish an assessment of palliative and end of life care within one year of the Act's passage.