Overview

This bill proposes to legalize assisted dying for terminally ill adults in England and Wales under strict safeguards. It requires a voluntary, informed, and settled wish to die, confirmed by the High Court, along with medical assessments and a waiting period.

Description

The bill allows terminally ill adults to request assistance in ending their lives, subject to High Court approval. The court must confirm the individual:

• Voluntarily, clearly, and settledly wishes to die.
• Has made a formal declaration to that effect (witnessed and signed by two independent doctors, neither of whom are related or financially benefitting from the death).
• Is 18 or older, possesses the mental capacity to make the decision, and has lived in England and Wales for at least a year.
• Is terminally ill (diagnosed with an irreversible condition with an expected lifespan of six months or less).

The attending doctor, following High Court approval, can prescribe medication. A 14-day waiting period (or six days if death is expected within a month) applies before the medication is given to the patient, who must self-administer the medication. The attending doctor (or an authorised colleague) must remain nearby. Conscientious objection is permitted for those involved in the process.

The bill includes provisions for death registration ("assisted death"), inquests, and safeguards against fraud and coercion, with associated penalties for any violations.

Regular monitoring and reviews of the process will take place with annual reports to Parliament.

Government Spending

The bill doesn't specify direct government spending figures, but costs are expected to arise from implementation, monitoring, and administration related to the court process, medical assessments and reporting requirements.

Groups Affected

• Terminally ill adults: Potentially allows for a legal pathway to assisted dying.
• Medical professionals: Impacts their professional duties and could involve ethical considerations, and requires the involvement of multiple doctors.
• Families of terminally ill adults: Could alleviate suffering and provide peace of mind, but may cause emotional distress.
• High Court (Family Division): Will be involved in confirming cases meet the required criteria.
• Legal professionals: May be involved in advising individuals and/or contesting cases.

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