One of the amendments to the bill being debated today has been tabled by the Labour MP Naz Shah, who voted against the bill at second reading. Her amendment 14 would tighten the bill so that anyone not terminally ill cannot qualify as terminally ill (meaning they can use assisted dying) “by voluntarily stopping eating or drinking or both”.
In her speech Leadbeater said that she could understand the concerns behind Shah’s amendment, but that she thought the risk of anyone being able to qualify for assisted dying as a result of anorexia was “negligible”. She said:
Not only would someone with severe anorexia be highly unlikely to be assessed to have capacity to make a decision about assisted dying, the other tragic reality is that if a patient was so ill as a result of not eating and drinking for whatever reason, they would die before the process of assisted dying would be able to take place.
I know that some people have expressed concerns that the severe physical consequences of a decision to stop eating or drinking could still enable someone to claim eligibility for assisted dying when otherwise they would not be able to do so, and I believe that is the motivation behind this amendment … As I’ve set out, I think that risk is negligible.
Leadbeater suggested she was not opposed in principle to the Shah amendment. But she said there was some concern “that clinicians might have difficulty in assessing with certainty that the decision to stop eating and drinking was the only reason for a person’s terminal prognosis”, and that the amendment might have to be reworded for it to be passed by the Lords.