Nikki da Costa Profile picture
Feb 16 8 tweets 3 min read Read on X
Kim Leadbeater and 6 pro-Bill MPs on the Committee have tabled 123 amendments. Concerned Committee MPs 88. This is a bad faith argument.

Amendments from across the House include those from 'Ayes' such as Tessa Munt, Wera Hobhouse, Brian Matthews, Claire Hazelgrove 1/ Image
"consequentials" complicate a numbers game but this kind of assertion is very poor.

Would she rather not see amendments from @DamianHinds requiring specific guidance if a doctor suggests assisted suicide to someone who has Downs syndrome? 2/ Screenshot of text of Damian Hinds amendment: Clause 4, page 2, line 20, after “person” insert “, unless that person has Down syndrome, in which case the registered medical practitioner must be acting in accordance with any statutory guidance issued by the Secretary of State under the Down Syndrome Act 2022 to meet the needs of adults with Down syndrome.”
Or @danfrancis02 raising concerns that a doctor might raise assisted suicide with someone under the age of 18 3/ Text of Daniel Francis amendment: Clause 4, page 2, line 20, after “person” insert “who has attained the age of 18”
Or @BrianMathewLD asking for a referral to be made to social workers to check for coercion and pressure 4/ Text of Brian Mathew MP amendment:  Clause 9, page 6, line 26, at end insert— “(ab) must refer the person for assessment by two social workers who are registered with Social Work England or Social Care Wales in order to provide an opinion on matters related to coercion and pressure.”
Or @libdemdaisy amendment requiring a doctor to refer if they have any doubt as to a person's capacity 5/ Screenshot of text of Daisy Cooper's amendment: Clause 9, page 6, line 26, at end insert— “(ab) must refer the person for assessment by two social workers who are registered with Social Work England or Social Care Wales in order to provide an opinion on matters related to coercion and pressure.”
Or @hbaldwin amendment to ensure that reasons for refusal by a doctor are communicated to the CMP and made available to the other doctors and to the Court 6/ Screenshot of text of Harriett Baldwin's amendment:   Clause 9, page 6, line 41, at end insert— “(6) Where the assessing doctor declines to sign the relevant statement, they must set out their reasons for doing so in a statement to the relevant Chief Medical Officer who shall ensure that it is made available to any other assessing doctor and to the Court.”
This Bill is dealing with very complex matters. It will completely change our society. Report stage may be as little as 5 hours, only some amendments will be selected. This is the one chance MPs have to get this right 7/
More progress could have been made on the first two days of line-by-line scrutiny, but it was pro-bill MPs who moved to adjourn at 5pm.

This is more smoke and mirrors and it is not befitting legislation of this gravity. /end

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More from @nmdacosta

Apr 4
I’ve been given a copy of the briefing Kim Leadbeater issued journalists and MPs.

There are so many misleading statements in 7 pages, I've just chosen 8. 3 on the first page. This is not ok.

A thread 👇
1) DOCTOR INITIATED PROCESS
There is no mention that the Bill explicitly allows - and the Committee defended - doctors raising ending the patient's life.
🚨 ANY doctor can decide if, and when, to raise (5.2)
🚨 With anyone, no matter how vulnerable Extract from briefing: “Initial discussion: There is no obligation on any doctor to conduct the initial discussion but, fi they do, an assisted death can only be discussed alongside all other options including any available palliative, hospice or other care, including symptom management and psychological support.”
2) UNDER 18s:
On discomfort with raising with minors, the document says that applicants must confirm “they were 18 at the time of *the* initial discussion”. This is not the same.
🚨 Only relates to a specific discussion, before requesting assistance, and signing the form Extract: “First declaration: If a person wants to request an assisted death they must first prove their identity and make a declaration confirming their eligibility, age and residency and that they are registered with a GP in England and Wales. They must confirm they were 18 at the time of the initial discussion. This declaration must be witnessed.”
Read 5 tweets
Mar 25
Final day on the bill in committee, (probably). Kicking off at 9:25 am we start with a huge Henry VIII power to amend any act of parliament to make this happen. It makes explicit ‘services’ can be commissioned out to private businesses. Promised cap on profit making is MIA
"It is a hard thing to do to take a red pen to Bevan's legacy", to go "from the National Health Service to the National Health and Assisted Suicide Service...in the same clause...designed to enable the private sector to be paid from NHS funds to end the lives of terminally ill"
Read 22 tweets
Mar 18
Debate now focussing on who can opt-out of providing assistance to end someone's life. Danny Kruger argues no individual should be under any duty to be involved, directly or indirectly. Kim Leadbeater indicates support for principle, but not for specific amendment 1/ Image
Also NC22 to allow hospices or care homes (specific premises) to opt out of facilitating assisted dying on their premises. If living in community, supported by members of staff, rights of community as a whole should be acknowledged and those overseeing service. Image
Malthouse: other beliefs can discriminate against?

Kruger: not beliefs, but what happens on premises - a hotel can say prostitution can't take place on their premises. Appropriate to consider the impact on certain places live - and give specific protection.
Read 23 tweets
Mar 18
"Assisted Dying" Committee starts shortly. They will be sitting to 10pm according to reports. You can watch live here and I'll aim to pull out highlights as they go until about 5pm: parliamentlive.tv/Event/Index/bf…
Committee starting with Cl13 - the second declaration, and the 14 day period of reflection that follows. The bill allows that to be shortened to 48 hrs if death expected within a month. Sarah Olney raising issue of overriding the reflection period by refusing food and water.
Naz Shah raising risk of those wanting to hasten death, voluntarily stopping eating and drinking to accelerate their deterioration. Quotes evidence from other jurisdictions where this is happening.
Read 87 tweets
Mar 4
Committee resumes. Danny Kruger notes MPs this morning were saying 'conscious of time', 'need to hurry up', but important to do what's necessary and take time needed. Chair agrees and says it is important that Members deal with this in a sensible fashion.
Minister says effect of sponsor's Amdt 183 is that assisted dying should not be discussed in isolation (govt helped draft). Continues with outline of what govt understanding of amendments are. On the MDT says obligation to refer each and every time has resource implications
Kim Leadbeater 'will keep comments brief'. Mirroring other pro-bill MPs saying "conscious of time' this morning, and genuine speed at which they are rattling through speeches. They've only sat for 4.5 days!
Read 7 tweets
Feb 26
The afternoon got worse. The Government's official position appears to be not to put things on the face of the bill. Leave it to later. 1/
Government "understands Members want to address risks through primary legislation" but they shouldn't. Just leave it to guidance and regs.
Despite Attorney General saying "excessive reliance on delegated powers, Henry VIII clauses, or skeleton legislation, upsets the proper balance between Parliament and the executive...strikes at the rule of law...[and] cardinal principles of accessibility and legal certainty."
Read 6 tweets

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