Doctors raise concerns over assisted dying Bill ahead of return to Parliament
In what will be seen by some as a blow for the Terminally Ill Adults (End of Life) Bill, the Royal College of Psychiatrists (RCPsych) said it cannot support the proposals in their current form, while separate research has highlighted division on the issue amongst family doctors in England.
The Bill, which relates to England and Wales, will come before MPs in the House of Commons on Friday for its report stage – where various further amendments will be debated and voted on.
It is not yet clear whether time will allow on the day for a third reading vote.
It will be the first time the Bill is back before the Commons since the historic yes vote in November.
The Bill's continued passage through Westminster comes as the Scottish Parliament backed the general principles for assisted dying in a vote on Tuesday.
Holyrood voted by 70 votes to 56 in favour of the Assisted Dying for Terminally Ill Adults (Scotland) Bill.
On the Westminster Bill, the Royal College of Psychiatrists (RCPsych) has said it cannot support the proposed legislation in its current form, highlighting 'serious concerns'.
Conservative MP Danny Kruger, who is opposed to the Bill, said this was a 'very significant intervention', and Labour's Melanie Ward, who also voted against it, said it was a 'blow to (the Bill's) foundations'.
The college said it has 'unanswered questions' about the safeguarding of people with mental illness and warned of a shortage of consultant psychiatrists to meet the demands of the Bill.
Meanwhile, research by the BBC suggested varying views among GPs.
Of 1,000 doctors who responded to questions on assisted dying, 500 were opposed to legalisation while about 400 were in favour, the broadcaster said.
Professor Kamila Hawthorne, chair of the Royal College of GPs, told the BBC the results showed doctors had 'real concerns about the practical and legal implications of a change in the law on assisted dying', which she said 'must be acknowledged and addressed, so that any legislation is watertight'.
The Bill was amended during committee stage earlier this year, including the High Court element being scrapped in favour of multidisciplinary panels featuring a social worker, senior legal figure and psychiatrist.
The RCPsych has said it is 'not clear what a psychiatrist's role on a multidisciplinary panel would be', and also demanded any new law 'must exclude the physical effects of mental disorder, such as anorexia or dementia, as the basis for eligibility'.
Dr Lade Smith, president of the RCPsych, said: 'It's integral to a psychiatrist's role to consider how people's unmet needs affect their desire to live. The Bill, as proposed, does not honour this role, or require other clinicians involved in the process to consider whether someone's decision to die might change with better support.
'We are urging MPs to look again at our concerns for this once-in-a-generation Bill and prevent inadequate assisted dying/assisted suicide proposals from becoming law.'
Dr Annabel Price, also from the RCPsych, said: 'The college has spent decades focused on preventing people from dying by suicide.
'A significant part of our engagement on this Bill to date has been to point out that people with terminal physical illnesses are more likely to have depression.
'Terminal illness is a risk factor for suicide, and unmet needs can make a person's life feel unbearable. But we know that if a person's situation is improved or their symptoms treated, then their wish to end their life sooner often changes.
'The Bill does not specify whether assisted dying/assisted suicide is a treatment option – an ambiguity that has major implications in law.'
Labour MP Simon Opher, who is also a GP and is supportive of the Bill, said the legislation has been amended to be even safer than it was.
He told the BBC Radio Four Today programme: 'I totally understand the criticisms around the Bill but I think that actually if you read the Bill it's incredibly safe now and it has a number of safeguards around capacity and coercion and indeed that's why we've involved psychiatrists for the very difficult cases around assessing mental capacity – which are very few but we need their expertise on that level.'
Asked whether he felt concerns raised by royal colleges might put MPs off voting in favour of the Bill, he said: 'GPs are split on this and I totally acknowledge that and I know many people who I deeply respect who are against it and many who are for it.
'But I think that actually talking to MPs, many of them haven't changed their views on this.
'There's about three or four I know that may vote in favour of the Bill because of the extra safeguards we've built into it.'
Meanwhile, Kim Leadbeater, the MP behind the Westminster Bill, praised the 'lengthy, constructive and compassionate debate' in the Scottish Parliament, saying they had 'listened to the voices of those with personal experience of those injustices and concluded that the status quo cannot be defended any longer'.
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Glasgow Times
15 minutes ago
- Glasgow Times
TV doctor Hilary Jones says he would help terminally ill to die if law changed
The GP, often seen on ITV's Good Morning Britain and the Lorraine show, said medicine will go 'back to the Dark Ages' if proposed legislation being considered at Westminster is voted down. The Terminally Ill Adults (End of Life) Bill will return to the House of Commons for debate on Friday, with MPs expected to consider further amendments. In its current form the Bill, which applies only to England and Wales, would mean terminally ill adults with only six months left to live could apply for assistance to end their lives, with approval needed from two doctors and the expert panel. Last month, MPs approved a change in the Bill to ensure no medics would be obliged to take part in assisted dying. Doctors already had an opt-out but the new clause extends that to anyone, including pharmacists and social care workers. Dr Jones, in an interview with the PA news agency, said medics are 'looking over their shoulders because of the legal repercussions of the law' as it stands. Encouraging or assisting suicide is currently against the law in England and Wales, with a maximum jail sentence of 14 years. MPs in the Commons during a previous debate on the Terminally Ill Adults (End of Life) Bill (House of Commons/UK Parliament/PA) Asked about the significance if the law does change, Dr Jones told PA: 'It will relieve healthcare professionals who deal with terminal illness. 'There are wonderful people who are caring and compassionate, who just live in fear of their actions being misinterpreted, of being accused of wrongdoing, and because of that fear, people at the end of life are often undertreated. 'People are looking over their shoulder because of the medications they're using or the doses they're using, it means that patients aren't getting the best palliative care that they could have. 'And I think the Bill, if it passes, will alleviate a great deal of that, and put people's minds at rest that they're not going to suffer unnecessarily at the end of life.' Ahead of last month's Commons debate on the Bill, two royal medical colleges raised concerns over the proposed legislation. The Royal College of Physicians (RCP) said it believes there are 'concerning deficiencies', while the Royal College of Psychiatrists (RCPsych) said it has 'serious concerns' and cannot support the Bill. Dr Jones, who has been practising medicine for more than 45 years and spent time working on cancer wards during his career, said he has 'always supported it (assisted dying)'. He added: 'I've always felt it is the most humane, kind and compassionate thing that relatives and doctors can provide, knowing that that person's wishes are respected and known, that there is full mental capacity and that they're surrounded by love. 'And for me, it's always been very clear.' Asked if, were the law to change, he would be content to help someone who had chosen assisted dying at the end of their life, he said: 'Absolutely, if I know the patient, I know what their wishes are, I see them suffering, and there's nothing more I can do to help their suffering then, absolutely, I would hold their hand and help them achieve what they want to achieve.' Some of the Bill's opponents have urged MPs to focus on improving end-of-life care rather than legislating for assisted dying. But Dr Jones said his mother, who was a nurse and died 'suffering unnecessarily' despite the 'best possible palliative care' would be 'proud of me speaking on this subject now, in the way I am'. He told of his respect for people's 'religious beliefs, cultural beliefs and personal feelings' in being opposed to assisted dying but insisted it should be an area of choice. He said: 'The bottom line is that I think it's the patient's individual choice. I think we should respect the right of the individual to choose what they want. 'This is not a mandatory thing. This is not being imposed on anybody. 'And I think people should have the individual right to make a decision about how they end their life if they've got a terminal illness where there's no prospect of cure and they're suffering and they fear an undignified death.' Asked about the prospect of the Bill being voted down by MPs, Dr Jones said: 'We would be back to square one, back to the Dark Ages, in my opinion, medically, and that would be a shame. 'I don't think we would be advancing medicine if the Bill is not passed.' Our Duty Of Care, a group of healthcare professionals campaigning against a change in the law, said the question must be whether someone is making a 'true choice' if they apply for assisted dying. Dr Gillian Wright, a spokesperson for the group, said: 'If someone has not had access to palliative care, psychological support or social care, then are they making a true choice?' 'At a time when the NHS is on its knees, when palliative are social care are struggling and our amazing hospices are having to close beds and cut services because of lack of money, as someone who has cared for people at the end of life, I would urge MPs to vote against this Bill but instead invest in excellent specialist palliative care, social care and psychological support.'
South Wales Argus
an hour ago
- South Wales Argus
TV doctor Hilary Jones says he would help terminally ill to die if law changed
The GP, often seen on ITV's Good Morning Britain and the Lorraine show, said medicine will go 'back to the Dark Ages' if proposed legislation being considered at Westminster is voted down. The Terminally Ill Adults (End of Life) Bill will return to the House of Commons for debate on Friday, with MPs expected to consider further amendments. In its current form the Bill, which applies only to England and Wales, would mean terminally ill adults with only six months left to live could apply for assistance to end their lives, with approval needed from two doctors and the expert panel. Last month, MPs approved a change in the Bill to ensure no medics would be obliged to take part in assisted dying. Doctors already had an opt-out but the new clause extends that to anyone, including pharmacists and social care workers. Dr Jones, in an interview with the PA news agency, said medics are 'looking over their shoulders because of the legal repercussions of the law' as it stands. Encouraging or assisting suicide is currently against the law in England and Wales, with a maximum jail sentence of 14 years. MPs in the Commons during a previous debate on the Terminally Ill Adults (End of Life) Bill (House of Commons/UK Parliament/PA) Asked about the significance if the law does change, Dr Jones told PA: 'It will relieve healthcare professionals who deal with terminal illness. 'There are wonderful people who are caring and compassionate, who just live in fear of their actions being misinterpreted, of being accused of wrongdoing, and because of that fear, people at the end of life are often undertreated. 'People are looking over their shoulder because of the medications they're using or the doses they're using, it means that patients aren't getting the best palliative care that they could have. 'And I think the Bill, if it passes, will alleviate a great deal of that, and put people's minds at rest that they're not going to suffer unnecessarily at the end of life.' Ahead of last month's Commons debate on the Bill, two royal medical colleges raised concerns over the proposed legislation. The Royal College of Physicians (RCP) said it believes there are 'concerning deficiencies', while the Royal College of Psychiatrists (RCPsych) said it has 'serious concerns' and cannot support the Bill. Dr Jones, who has been practising medicine for more than 45 years and spent time working on cancer wards during his career, said he has 'always supported it (assisted dying)'. He added: 'I've always felt it is the most humane, kind and compassionate thing that relatives and doctors can provide, knowing that that person's wishes are respected and known, that there is full mental capacity and that they're surrounded by love. 'And for me, it's always been very clear.' Asked if, were the law to change, he would be content to help someone who had chosen assisted dying at the end of their life, he said: 'Absolutely, if I know the patient, I know what their wishes are, I see them suffering, and there's nothing more I can do to help their suffering then, absolutely, I would hold their hand and help them achieve what they want to achieve.' Some of the Bill's opponents have urged MPs to focus on improving end-of-life care rather than legislating for assisted dying. But Dr Jones said his mother, who was a nurse and died 'suffering unnecessarily' despite the 'best possible palliative care' would be 'proud of me speaking on this subject now, in the way I am'. He told of his respect for people's 'religious beliefs, cultural beliefs and personal feelings' in being opposed to assisted dying but insisted it should be an area of choice. He said: 'The bottom line is that I think it's the patient's individual choice. I think we should respect the right of the individual to choose what they want. 'This is not a mandatory thing. This is not being imposed on anybody. 'And I think people should have the individual right to make a decision about how they end their life if they've got a terminal illness where there's no prospect of cure and they're suffering and they fear an undignified death.' Asked about the prospect of the Bill being voted down by MPs, Dr Jones said: 'We would be back to square one, back to the Dark Ages, in my opinion, medically, and that would be a shame. 'I don't think we would be advancing medicine if the Bill is not passed.' Our Duty Of Care, a group of healthcare professionals campaigning against a change in the law, said the question must be whether someone is making a 'true choice' if they apply for assisted dying. Dr Gillian Wright, a spokesperson for the group, said: 'If someone has not had access to palliative care, psychological support or social care, then are they making a true choice?' 'At a time when the NHS is on its knees, when palliative are social care are struggling and our amazing hospices are having to close beds and cut services because of lack of money, as someone who has cared for people at the end of life, I would urge MPs to vote against this Bill but instead invest in excellent specialist palliative care, social care and psychological support.'
South Wales Guardian
2 hours ago
- South Wales Guardian
TV doctor Hilary Jones says he would help terminally ill to die if law changed
The GP, often seen on ITV's Good Morning Britain and the Lorraine show, said medicine will go 'back to the Dark Ages' if proposed legislation being considered at Westminster is voted down. The Terminally Ill Adults (End of Life) Bill will return to the House of Commons for debate on Friday, with MPs expected to consider further amendments. In its current form the Bill, which applies only to England and Wales, would mean terminally ill adults with only six months left to live could apply for assistance to end their lives, with approval needed from two doctors and the expert panel. Last month, MPs approved a change in the Bill to ensure no medics would be obliged to take part in assisted dying. Doctors already had an opt-out but the new clause extends that to anyone, including pharmacists and social care workers. Dr Jones, in an interview with the PA news agency, said medics are 'looking over their shoulders because of the legal repercussions of the law' as it stands. Encouraging or assisting suicide is currently against the law in England and Wales, with a maximum jail sentence of 14 years. Asked about the significance if the law does change, Dr Jones told PA: 'It will relieve healthcare professionals who deal with terminal illness. 'There are wonderful people who are caring and compassionate, who just live in fear of their actions being misinterpreted, of being accused of wrongdoing, and because of that fear, people at the end of life are often undertreated. 'People are looking over their shoulder because of the medications they're using or the doses they're using, it means that patients aren't getting the best palliative care that they could have. 'And I think the Bill, if it passes, will alleviate a great deal of that, and put people's minds at rest that they're not going to suffer unnecessarily at the end of life.' Ahead of last month's Commons debate on the Bill, two royal medical colleges raised concerns over the proposed legislation. The Royal College of Physicians (RCP) said it believes there are 'concerning deficiencies', while the Royal College of Psychiatrists (RCPsych) said it has 'serious concerns' and cannot support the Bill. Dr Jones, who has been practising medicine for more than 45 years and spent time working on cancer wards during his career, said he has 'always supported it (assisted dying)'. He added: 'I've always felt it is the most humane, kind and compassionate thing that relatives and doctors can provide, knowing that that person's wishes are respected and known, that there is full mental capacity and that they're surrounded by love. 'And for me, it's always been very clear.' Asked if, were the law to change, he would be content to help someone who had chosen assisted dying at the end of their life, he said: 'Absolutely, if I know the patient, I know what their wishes are, I see them suffering, and there's nothing more I can do to help their suffering then, absolutely, I would hold their hand and help them achieve what they want to achieve.' Some of the Bill's opponents have urged MPs to focus on improving end-of-life care rather than legislating for assisted dying. But Dr Jones said his mother, who was a nurse and died 'suffering unnecessarily' despite the 'best possible palliative care' would be 'proud of me speaking on this subject now, in the way I am'. He told of his respect for people's 'religious beliefs, cultural beliefs and personal feelings' in being opposed to assisted dying but insisted it should be an area of choice. He said: 'The bottom line is that I think it's the patient's individual choice. I think we should respect the right of the individual to choose what they want. 'This is not a mandatory thing. This is not being imposed on anybody. 'And I think people should have the individual right to make a decision about how they end their life if they've got a terminal illness where there's no prospect of cure and they're suffering and they fear an undignified death.' Asked about the prospect of the Bill being voted down by MPs, Dr Jones said: 'We would be back to square one, back to the Dark Ages, in my opinion, medically, and that would be a shame. 'I don't think we would be advancing medicine if the Bill is not passed.' Our Duty Of Care, a group of healthcare professionals campaigning against a change in the law, said the question must be whether someone is making a 'true choice' if they apply for assisted dying. Dr Gillian Wright, a spokesperson for the group, said: 'If someone has not had access to palliative care, psychological support or social care, then are they making a true choice?' 'At a time when the NHS is on its knees, when palliative are social care are struggling and our amazing hospices are having to close beds and cut services because of lack of money, as someone who has cared for people at the end of life, I would urge MPs to vote against this Bill but instead invest in excellent specialist palliative care, social care and psychological support.'
