Esther Rantzen pleads with MPs to back assisted dying law change as debate begins

Dame Esther, credited for her efforts in bringing the conversation on assisted dying to the fore in recent years, said the Terminally Ill Adults (End of Life) Bill was “strong, safe, carefully considered”.

The 84-year-old broadcaster, who has stage four cancer, said in a letter to MPs:“We all hope for a good, pain-free death for ourselves and those we love and care for.

Read More: Assisted dying bill ‘stronger’ after MPs scrap High Court judge sign-off, claims Kim Leadbeater

Read More: All you need to know as the assisted dying Bill returns to Parliament

“Please vote for this crucial reform, as so many other countries have, not for me, and for those like me who are running rapidly out of time, but for future generations to have the right, if necessary, not to shorten their lives, but to shorten their deaths.”

Assisted dying must be legalised to avoid terminally ill people acting out of desperation or making "traumatic" trips to Switzerland, the MP behind a Bill to change the law has told Parliament.

The Terminally Ill Adults (End of Life) Bill is back before the Commons on Friday for the first time since a historic yes vote in November saw a majority of MPs support the principle of assisted dying.

Since then the proposed legislation has undergone significant changes, after a weeks-long committee process which saw a High Court judge safeguard replaced with a three-member expert panel and the timeframe in which an assisted dying service might come into effect doubled to four years from royal assent.

Opponents have argued the Bill does not have enough safeguards and has been rushed through, with two royal medical colleges voicing their doubts on the legislation in its current form.

As Friday's session - which could last for up to five hours - opened, Kim Leadbeater told those gathered in the Commons: "Put simply, if we do not vote to change the law, we are essentially saying that the status quo is acceptable.

"Over recent months, I have heard hundreds of stories from people who have lost loved ones in deeply difficult and traumatic circumstances, which show that that is clearly not the case.

"Too many have seen their terminally ill loved ones take their own lives out of desperation, or make the traumatic, lonely and costly trip to Switzerland, and then face a police investigation while dealing with their grief and loss."

The Bill being considered by Parliament would apply only in England and Wales.

In its current form it 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.

It is possible this part of the parliamentary process, known as the report stage, will run into a second day next month, meaning a vote on approval or rejection of the overall Bill would not take place on Friday.

The Royal College of Physicians (RCP) this week said it believes there are "concerning deficiencies" with the proposed legislation as it stands while the Royal College of Psychiatrists (RCPsych) said it has "serious concerns" and cannot support the current Bill.

RCPsych warned of a shortage of consultant psychiatrists to meet the demands of a Bill which would currently require a psychiatrist to sit on the panel to assess a terminally ill person's application.

The RCPsych statement was this week branded by one opponent of the Bill as a "blow to its foundations" but pressed on the issue in Parliament, Ms Leadbeater said she does not have concerns on staffing.

She said: "If we refer to the impact assessment, the numbers of people who access assisted dying in the first few years will be very small.

"I think there are around 4,500 psychiatrists in the country, but there's also a period of time again to do the training that's required for those psychiatrists who will be taking part in the process over a number of years, so I wouldn't anticipate any problems there."

Amid questions around the process by which the Bill has progressed through Parliament, Prime Minister Sir Keir Starmer - who is on a trip to Albania and so is not at the debate - has indicated he remains supportive of the proposed legislation.

The PM voted for the Bill last year and, in comments to reporters this week, said it was facing "a lot of scrutiny", adding that he was "satisfied" it had "sufficient time" in Parliament.

The Government is neutral on the Bill and any votes MPs make are according to their own conscience rather than along party lines.

Paralympian Baroness Tanni Grey-Thompson, who would have a vote on the Bill should it make its way to the Lords, argued ahead of the debate that the Bill has "not been made safer", criticising the scrapping of the much-lauded High Court safeguard in favour of expert panels.

But in a boost, new Reform MP Sarah Pochin has confirmed she will support it.

Mike Amesbury, whom she replaced in the Runcorn and Helsby constituency earlier this month, had voted no last year.

Amendments being debated on Friday include ensuring there is no obligation on anyone, such as medical staff, to take part in the assisted dying process.

Demonstrators from both sides of the argument gathered outside Parliament ahead of the debate on Friday.

While pro-change campaign group Dignity in Dying said Friday is a "milestone in the journey towards a more compassionate and safeguarded law", the Christian Action Research and Education group, which is against the Bill, urged MPs to instead focus on end of life care.