The prospect of legalising assisted dying in England and Wales is set to be tested again this Friday as MPs prepare to vote on the Terminally Ill Adults (End of Life) Bill. The proposal, which would permit adults with a life expectancy of less than six months to request medical assistance to end their own lives under strict safeguards, previously cleared the House of Commons earlier this year before stalling in the House of Lords.
Labour MP Lauren Edwards, who is sponsoring the bill, urged her colleagues to return the identical legislation to the upper chamber so peers could complete their scrutiny. She highlighted the “real human cost” of continued delays, arguing that the democratic process requires the Lords to either refine the bill or return it for a final Commons decision.
High-profile campaigner Dame Esther Rantzen also weighed in, calling on MPs to support the measure. The 86-year-old broadcaster, who is living with terminal cancer, described her current condition as “unbearable” and noted she was too frail to travel to Switzerland for assisted suicide as she had originally planned.
Opponents, however, maintain that the bill’s safeguards are insufficient to protect vulnerable individuals from coercion. Labour MP Ashley Dalton argued the proposal remains “deeply flawed and unsafe,” echoing concerns from disability advocates and medical bodies such as the Royal College of Physicians and the Royal College of Psychiatrists. Tony Porter of Hospice UK stressed that the priority should be improving access to palliative care, which he described as currently lacking across the country.
Religious leaders have also voiced strong opposition. Archbishop Richard Moth of the Catholic Church in England and Wales termed the bill “wrong in principle,” while the Church of England’s Archbishop of Canterbury, Dame Sarah Mullally, warned it signals a societal belief that some lives are not worth living.
The vote comes with significant procedural implications. If the Commons passes an identical version of the bill in two successive parliamentary sessions, the Parliament Acts could allow it to become law without the Lords’ consent. This possibility has drawn criticism from backbench MPs including Gareth Snell and Dame Meg Hillier, who signed a letter warning colleagues against a “this or nothing” ultimatum that might rush through legislation with serious concerns attached.
Prime Minister Andy Burnham has confirmed he will remain neutral and not cast a vote, stating the issue is a matter for Parliament. He has previously indicated that enhancements to end-of-life care should precede any legalisation of assisted dying. With attendance on a typical constituency day expected to be low, analysts predict the outcome will be tightly contested.
Is using the Parliament Act to bypass the Lords really the right democratic move here?
Why is palliative care so poor right now? Fix that before changing the law!
I worry about the safeguards being weak. If we start here, where does it stop for vulnerable people?
The personal stories like Esther Rantzen’s are heartbreaking. We need compassion, not just politics.