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Official Report: search what was said in Parliament

The Official Report is a written record of public meetings of the Parliament and committees.  

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Dates of parliamentary sessions
  1. Session 1: 12 May 1999 to 31 March 2003
  2. Session 2: 7 May 2003 to 2 April 2007
  3. Session 3: 9 May 2007 to 22 March 2011
  4. Session 4: 11 May 2011 to 23 March 2016
  5. Session 5: 12 May 2016 to 4 May 2021
  6. Current session: 13 May 2021 to 14 November 2025
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Displaying 1403 contributions

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Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 11 November 2025

Jeremy Balfour

Just let me develop this point.

We already have that in other areas of law. We say that people have to have certain beliefs or follow certain practices to take certain jobs. It is not a new concept, and it is important to note that we are not telling people that they must think in a certain way. All that we are saying is that particular homes, hospices, refuges or whatever will not carry out the procedure. That gives clarity to staff and to those who might want to use the service.

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 11 November 2025

Jeremy Balfour

With regard to your first point, the overwhelming majority of people in Scotland now go to hospices at a very late stage. They do not go there for weeks or months; they go there for the very last few days of their lives. Very few people will go to a hospice for a long period of time. That is not how the hospice movement works in Scotland.

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 4 November 2025

Jeremy Balfour

I am just looking for clarification. In principle, as the bill stands, if someone got a terminal diagnosis and had maybe 10 years to live, would you be content for that individual to go through the process—I appreciate that they would have to go through the safeguards—and then for the assisted suicide to take place?

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 4 November 2025

Jeremy Balfour

Will the member give way?

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 4 November 2025

Jeremy Balfour

Will the member take a quick intervention on that point?

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 4 November 2025

Jeremy Balfour

If the committee—and the member—is willing in principle to accept what I have said, and members feel that there is just a technical drafting issue that needs to be tidied up, I am happy to look at that. I am interested to know whether that is the member’s view or whether he is opposed to the amendment in principle, which I think is a different issue.

I conclude by saying that amendment 147 asks us to protect the vulnerable, to defend hope and to ensure that no one’s darkest moment is mistaken for their final one.

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 4 November 2025

Jeremy Balfour

This has been a really helpful debate, although contributions from members have probably raised more concerns for me. There are some contradictions in what we are hearing. If we accept that prognosis is flawed, how can we ever offer assisted suicide? Prognosis is open to debate. I understand that it is difficult for general practitioners and other doctors to give people an accurate prognosis.

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 4 November 2025

Jeremy Balfour

I accept that, and I am sure that Liam McArthur has spoken to many people in the medical profession who feel very uncomfortable about this bill, because they will be asked to make decisions. At the moment, when it comes to prognosis, they are making decisions about what future treatment might be wanted, rather than saying, “Do you want to end your life?” That is a very different position to put general practitioners in.

As many know, my older brother is a GP, and he tells me a story. Many years ago, somebody came into his surgery. He did the usual tests and things. The person said, “How long do I have to live?”, and he replied, “Probably six to eight months.” However, last week, he was still playing golf with that person.

The situation is therefore very open, and I understand that it is very difficult to put time limits on a prognosis, but we are having to make law not just for the next two or three years but the future. Unless we have clear interpretation and clarity in the bill, we are open to judicial creep. That is a concern.

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 4 November 2025

Jeremy Balfour

I absolutely agree—and I was coming on to that.

In his contribution about whether someone’s life is meaningful, Sandesh Gulhane seemed to say that, if I have an early diagnosis but take the view that my life is no longer meaningful, the process can start. I accept that people would have to go through discussions and all that, but I am deeply worried that, as a society, we are saying to somebody that, although they can have years to live with the appropriate treatment, we will open the door for them. The disabled community will be very concerned by what we have heard this morning from some members of the committee. We are opening a door, maybe not next year or the year after but in years down the line, for disabled people to face extreme pressure from society.

On reflection, I think that Daniel Johnson’s amendment 4, which suggests a six-month timeframe, is appropriate for the committee to look at. For that reason, I ask the committee to support Daniel Johnson’s amendment and I seek to withdraw amendment 143.

Amendment 143, by agreement, withdrawn.

09:45  

Amendment 4 moved—[Daniel Johnson].

Health, Social Care and Sport Committee [Draft]

Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 2

Meeting date: 4 November 2025

Jeremy Balfour

I am interested to explore that a wee bit, because the member is saying that someone could say, “My life is no longer meaningful because I have been diagnosed with something,” even if that person has X number of years to live. For example, motor neurone disease is a cruel, horrible disease, but the prognosis can be very short, or someone can end up with a Stephen Hawking situation where they live for 40 years. If someone is diagnosed with MND and they say after day 2 of that diagnosis, “My life is no longer meaningful,” would the member be open to them being allowed assisted suicide if the bill goes ahead?