Kit Malthouse

Kit Malthouse

Conservative — North West Hampshire

Speaking in the House of Commons on 20 June 2025

Debate

Terminally Ill Adults (End of Life) Bill

Contribution

Those of us who have come here today to support the Bill do not speak lightly of life and death, as some have accused us: we come here to recognise that this House has a responsibility to draw lines where there are none. Many of us have campaigned for many years, as the Mother of the House, the right hon. Member for Hackney North and Stoke Newington (Ms Abbott), said, to give voice to dying people—not because they want to be rescued, but because time and again they are begging us for mercy. It is worth reiterating that this Bill is about not choosing death but how to face death when it is already at the door. It is about that final chapter of life—that short chapter. As many of our constituents have told us time and again, it is a chapter that they write in pain, fear and desperation. We are here today to ask a simple question: in essence, is the law, in those final, often agonising moments, to be a barrier? Are we to be a barrier, or are we here to be a companion, to assist those people to fulfil their dying wishes? I believe in autonomy—I believe in dignity—but, more than that, I believe in compassion governed by care, not chaos. That is what the system lacks. Right now, friends, as the hon. Member for Spen Valley (Kim Leadbeater) said, we live with the cruel illusion that doing nothing is neutral. It is not. Those who have objected to the Bill are conspicuous in not saying that they accept the status quo for however long the Bill may take to reappear if it fails. We have heard, again and again, stories of people forced to travel abroad to die in lonely circumstances. We see loving spouses prosecuted for holding the hand of someone they have loved for 50 years. We see lonely suicides in quiet suburban bedrooms: lives ended not because of terminal illness, but because of a lack of legal options. The Bill brings order where there is confusion; it brings safeguards where there is silence; and it replaces secrecy with structure and fear with honesty. Notwithstanding the claims made today and elsewhere, it has been built in the right way. This House has taken its duties seriously, in all its forms of legislation. The Bill has gone through detailed scrutiny in Committee and concerns about coercion, training, eligibility and oversight have been met head on and addressed through carefully considered amendments. The panel model that we have now is shaped by those concerns. To ensure the right expertise, legal oversight and continuous consent checks are in place from beginning to end. This is how Parliament should legislate: carefully, collaboratively and with humility in the face of complexity. To those who worry about coercion, I would say that the greatest risk of coercion is under the status quo. Today there are no checks, no panels, no oversight. We do not know who is choosing freely because there is no system to ask and no conduct to examine. We have heard the argument about a slippery slope, and I would say this. This law is very tightly drawn. There is no constitutional pathway here for expansion by stealth. Any change would require this House—us—to decide again. It cannot drift. It cannot slide. It is anchored in law and in the authority of this place. To those who talk about misdiagnosis, I say that the Bill requires two independent doctors, clear clinical criteria and a final check at the point of delivery. Even then, the person must still be mentally competent and willing at every step. The answer can be no, but at the last—at last—there will be the possibility of a choice. To those who ask, often movingly, what if the patient lives longer than expected, I would say, “Good—they live.” This law does not force a single death. It simply allows a dying person to decide when enough is enough. Madam Deputy Speaker, I will finish with this. I have sat with dying friends. I have watched the slow unwinding of bodies that once held vigour, humour and pride. I have seen families trying to honour the unspoken wishes of someone too far gone to speak. Finally, I will say this. We do not honour life by prolonging suffering. We honour life by giving it meaning and power. The one thing that dying people ask for in their agonising final moments is control over the disease that is destroying them. The status quo, my friends, is completely unacceptable. Whatever you think of the Bill, it is indisputable that it is an improvement on what we have now, and I urge you to support it.

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