Assisted Suicide

1. Did you know that the Terminally Ill Adults (End of Life) Bill isn't government policy, but a Private Members’ Bill? 

This means it wasn’t introduced by the government or drafted by a team of civil servants. Unlike government bills, which are developed by departmental lawyers, policy experts, and the Office of the Parliamentary Counsel, Private Members’ Bills are usually prepared by MPs or Peers who are not ministers, often with input from external lawyers, campaigners, or think tanks. That means it may not have undergone the same level of legal and policy scrutiny. 

2. Did you know that the current Terminally Ill Adults (End of Life) Bill is about assisted suicide and not pain relief at the end of life? 

The Bill is not about improving palliative care or access to good end-of-life support. It’s about legalising assisted suicide, which would allow doctors to give terminally ill patients lethal drugs to end their own life. This is very different from helping someone manage pain or distress in their final days. 

3. Did you know that under the current Terminally Ill Adults (End of Life) Bill, the person must take the drugs themselves? 

And depending on what the government chooses, this could mean crushing dozens of pills, mixing them with a liquid, and drinking it all, with no guarantee that it works quickly or effectively. Some countries report patients experiencing side-effects in the process which include seizures and vomiting. Some individuals take several days to die, making it anything but a peaceful death. 

4. Shouldn't deaths involving assisted suicide by lethal drugs be investigated by a coroner? 

Currently all medication-related deaths are referred to the coroner. However, the Terminally Ill Adults (End of Life) Bill would explicitly exclude these deaths from coroner’s investigation, despite them clearly being unnatural even when there are concerns about possible coercion or duress. 

5. Do we really want this in our NHS? 

This Terminally Ill Adults (End of Life) Bill mandates the creation of free of charge "Voluntary Assisted Dying Services" in England and Wales, while palliative care is still not properly funded or available to many dying patients. 

6. Did you know that there’s no international agreement on what drugs should be used for assisted suicide? 

Around the world, a wide variety of substances are used in assisted suicide. Some countries use antianxiety medications followed by large doses of painkillers or cardiac drugs; others use barbiturates or sedatives. There is no international consensus on the safest or most effective method, and outcomes can vary significantly, sometimes resulting in prolonged or distressing deaths. 

7. Did you know that the drugs used in assisted suicide haven’t been tested to modern pharmaceutical standards? 

Unlike normal medicines, the safety and effectiveness of these lethal drug combinations haven’t been rigorously assessed through clinical trials or approved by regulatory bodies like the MHRA or NICE. In fact, their use is often improvised, more like experimental practice than evidence-based prescribing. If any other medication had this level of uncertainty, we would demand proper trials before allowing it to enter our healthcare system. 

8. Did you know there are no licensed drugs for assisted suicide in the UK or anywhere else? 

No medication has ever been licensed specifically for assisted suicide. The UK government isn’t planning to license one either. Instead, they would rely on drugs that are licensed for other purposes, like sedatives or heart medications, and use them off-label to end life. That means these drugs have not been properly assessed for safety or effectiveness when used for this purpose. 

9. Did you know that there have been no proper clinical trials of assisted suicide drugs? 

There are no robust clinical trials evaluating the safety, efficacy, or side effects of the drugs used to cause death in assisted suicide either in the UK or internationally. And yet the government plans to introduce assisted suicide without conducting any trials in the UK beforehand. Would we accept this lack of evidence for any other medical intervention? 

10. Did you know that the government can bypass normal drug safety regulators for assisted suicide under the current Terminally Ill Adults (End of Life) Bill?

 Under the current Bill, the government would choose the drugs used for assisted suicide without involving the MHRA (the UK's medicines safety regulator) or NICE (which issues clinical guidance). That means the substances used to end life wouldn’t go through the usual process for testing safety or effectiveness, even though they’re intended to cause death. 

11. Did you know that it’s still not clear what drugs would be used for assisted suicide in England and Wales? 

The government hasn’t said which drugs would be used to end life, and unlike other areas of medicine, there’s no international agreement on which drugs are best or safest for assisted suicide. Countries use very different substances, and outcomes vary. This level of uncertainty would never be accepted in any area of healthcare. 

12. Did you know that the government has calculated how much money could be saved if people choose assisted suicide? 

The official impact assessment for the Terminally Ill Adults (End of Life) Bill includes a cost-saving analysis, estimating how much money could be saved if a certain number of people end their lives this way. 

13. Did you know that most hospice palliative care in England is funded by charities, not the NHS? 

Despite being essential, the majority of funding for hospice care comes from charitable donations not public health budgets. Access to community and end-of-life care varies greatly depending on where you live. Not everyone has access to good quality palliative care. Shouldn’t we fix that first, before introducing assisted suicide? 

14. Did you know that assisted suicide could be available on the NHS before everyone has access to good palliative care? 

There’s a real risk that legalised assisted suicide will be rolled out nationally, within the NHS before there’s widespread access to good quality community or hospice-based end-of-life care. Shouldn’t widespread access to good palliative care be available before being offered lethal drugs to end my own life? 

15. Did you know that there are novel promising treatments for end-of-life distress, like psychedelic assisted therapy, that aren’t even being explored in the UK?

Drugs like psilocybin have shown encouraging results in clinical trials for reducing anxiety, depression, and existential distress in terminal illness. However, further development of these therapies remains hindered by outdated drug laws. Instead of exploring these options, the UK is debating whether to offer lethal drugs first. 

16. Did you know that the Royal College of Psychiatrists does not support the Terminally Ill Adults (End of Life) Bill in its current form? 

The UK’s leading psychiatric body has raised serious concerns about the Bill, including its implications for individuals with mental illness and the challenges of assessing mental capacity in terminal illness. When even psychiatrists are not confident that the process is safe, shouldn’t the proposed Bill be reconsidered? 

17. Did you know that psychiatrists may not be the right specialists to assess decision-making capacity for assisted suicide? 

Psychiatrists are trained to assess capacity in the context of mental illness, not necessarily in cases of terminal illness where existential, physical, social, emotional, and cognitive factors interact in complex ways. Yet under this Bill, they could be called on to make life-or-death judgments outside their usual scope of expertise or practice. 

18. Did you know that the Mental Capacity Act wasn’t designed for assessing decisions about assisted suicide? 

The Terminally Ill Adults (End of Life) Bill relies on the Mental Capacity Act to decide whether someone is capable of choosing to end their life, but this law wasn’t designed with that purpose in mind. International research shows that people near the end of life may have subtle impairments in decision making ability that standard interviews often miss. Shouldn’t we require a higher standard of assessment when the outcome is irreversible – when the outcome is death? 

19. Did you know that assisted suicide doesn’t have to be part of the healthcare system? 

In countries like Switzerland, assisted suicide is available but sits largely outside healthcare and is often delivered by non-medical not-for-profit organisations. With the current Bill there is a high chance that it will be embedded within the NHS. That could change how it’s perceived, how it’s accessed and how many people choose it. 

20. Did you know that in some countries, assisted suicide laws have expanded far beyond terminal illness? 

In Canada and the Netherlands, people can choose to end their life solely for mental health conditions including depression, learning disabilities, and autism. And in the Netherlands, children as young as 12 can legally request to die. Is this the direction we want to go in? 

21. Did you know that drugs used in palliative care have far stronger scientific evidence behind them than those used in assisted suicide? 

Medications for pain relief, breathlessness, and anxiety at the end of life are backed by decades of research, clinical guidelines, and ongoing quality improvement. In contrast, the drugs proposed for assisted suicide have little to no formal evidence for their safety or effectiveness, and no standardised international protocols. 

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The Bill fails to protect healthcare and end-of-life care institutions, such as hospitals, hospices and care homes from being required to facilitate assisted suicide. There are a number of Catholic and other faith-based hospices and care homes around England and Wales, many of which are run by religious orders, and which are seriously concerned about the impact of this Bill on their future. Hospices, such as St Joseph’s in London, have already made their opposition to assisted suicide known, and showed how it is inconsistent with the ethos of palliative care. Toby Porter, CEO of Hospices UK has commented: “The implications for hospices must not be underestimated or sidelined. There are huge unanswered questions.”

In its current form the Bill does not sufficiently protect the right of medical practitioners to opt out of participating in assisted suicide. Requiring practitioners to participate in assisted suicide undermines their duty of care, fundamentally changing the relationship between the medical professional and the patient. Doctors and nurses will be unable to opt out of their duty to direct patients to information about assisted suicide. This serious conflict between professional responsibility and personal conscience will be devastating for Catholic practitioners and may cause many of them to leave the medical profession.

This Bill puts the lives of vulnerable patients at risk due to inadequate safeguards against coercion. Evidence from other jurisdictions indicates that patients often feel pressured to choose assisted suicide because they feel as though they are a burden on those caring for them. In addition, countries such as Canada demonstrate that wherever assisted suicide is initially introduced for a limited group, the criteria quickly expand to include the non-terminally ill, and soon those without mental capacity. Moreover, introducing assisted suicide does not reduce the overall number of suicides. Where palliative care provision is absent, individuals will inevitably feel pressured to end their lives.

What is the difference between assisted suicide and euthanasia?

According to the definitions currently provided by the NHS, assisted suicide is “the act of deliberately assisting another person to kill themselves” whilst euthanasia is “the act of deliberately ending a person’s life to relieve suffering”. Euthanasia can be voluntary or non-voluntary where it is not possible for the patient to provide consent and another person is authorised to make the decision on their behalf.

Assisted suicide and euthanasia are both illegal in England and Wales.

Why does the Catholic Church oppose assisted suicide and euthanasia?

The Catholic Church opposes the legalisation of assisted suicide out of concern for the good of every person in society, the protection of this good in law, and the spiritual and pastoral care of the sick and dying. Assisted suicide is inherently wrong. In addition, the evidence from other jurisdictions shows that there can be no “safe” or limited assisted suicide law.

Life is a gift from God and remains equally valuable even in times of suffering. Life is to be cherished and cared for at all stages from conception until natural death, and it is morally wrong to intentionally end the life of a person, including at their request. Both assisted suicide and euthanasia involve the deliberate termination of human life and are therefore a violation of the sanctity of life.

In practice, the legalisation of assisted suicide and euthanasia would endanger the lives of some of the most vulnerable members of our society. Many people living with disabilities, suffering from progressive illnesses or approaching the end of their lives can be highly vulnerable and feel themselves to be a burden on their loved ones and the wider community. Evidence from countries in which assisted suicide has been legalised demonstrates that those who seek it often report a fear of burdening their loved ones with their suffering. In the words of Pope Francis, “the sick, the vulnerable and the poor are at the heart of the Church” and thus it is our duty to protect them. Legalising assisted suicide or euthanasia would also send a strong message that people who are suffering are less worthy than other members of our community.

Why do we oppose the use of the phrase “assisted dying”, which is commonly used by proponents of assisted suicide and euthanasia?

Replacing the word “suicide” with “dying” conflates the wrongful and intentional act of deliberately ending a life with the natural process of dying, implying that helping to deliberately end a person’s life is as normal and as familiar as assisting somebody by caring for them as they are coming towards the end of their lives. True assisted dying means caring for those coming towards the end of life with love, companionship and support. Similarly, calling assisted suicide “dignity in dying”, as campaigners for assisted suicide and euthanasia do, implies that there is something undignified about living with severe disabilities or that physical or psychological discomfort denies the innate dignity of every human life.

Clarity of language is central to effective public debate on important moral issues, and we know from polling that public support for assisted suicide can depend on which term is used.

Where have assisted suicide and/or euthanasia been legalised elsewhere in the world?

Assisted suicide and/or euthanasia are currently legal in countries or states comprising about 2.5 per cent of the world’s population.

Assisted suicide is legal in Austria, Belgium, Canada, Luxembourg, the Netherlands, New Zealand, Spain, Switzerland parts of the United States (the most well-known being Oregon) as well as in almost all of Australia.

Euthanasia is legal in Belgium, Canada, Colombia, Luxembourg, the Netherlands, New Zealand, Spain and most Australian states.

In some countries, assisted suicide and euthanasia have been deemed permissible by their relevant courts but have yet to be legalised by the government.

What does the experience of assisted suicide and euthanasia laws tell us about the dangers of their introduction in our own country?

The experience of other jurisdictions reveals that there is a “slippery slope” whereby laws are quickly and progressively widened to cover much wider scenarios.

Oregon, often referenced as a model template by proponents, now allows assisted suicide for non-terminal conditions including anorexia, arthritis and kidney failure. Canada, legally and culturally very similar to England and Wales, now offers assisted suicide even when death is not “reasonably foreseeable”. Belgium has expanded their provision of assisted suicide to include children.

Any legalisation of assisted suicide for terminal illnesses in England and Wales would be likely to be challenged in our courts on grounds of discrimination and thereby extended to allow for assisted suicide in cases of non-terminal illnesses. It is likely that it would also be extended to allow euthanasia in cases of physical difficulty in self-administering lethal medication. There are increasing dangers that mental health will be included in assisted suicide legislation, and it is known that few of those seeking assisted suicide in countries in which it is legal are referred for psychiatric evaluation.

Are laws legalising assisted suicide and/or euthanasia likely to be introduced in England and Wales?

Past attempts to introduced assisted suicide have failed. However, since December 2023, an active campaign to support assisted suicide has been underway initiated by Dame Esther Rantzen. Many other celebrities have been “fronting” campaigns using the, often tragic, circumstances of their own illnesses to promote sympathy for the cause of assisted suicide.

The leader of the opposition, Sir Keir Starmer, has publicly confirmed his support for assisted suicide and committed to giving Parliament a vote on the matter were he to become Prime Minister. It is highly likely that a future government will give parliamentary time to a bill legalising assisted suicide and/or euthanasia. It will be a matter for individual Members of Parliament as to how they vote. Given the celebrity-driven and media support for assisted suicide, opposing legislation has become harder.

What is the Church’s view on the continued treatment of people who are in serious discomfort?

The Catholic faith commands that we care for the sick and dying. The Church supports the provision of necessary medical care and the alleviation of suffering for those who are in serious discomfort, as long as the intention of administering any medication is to relieve pain and not to shorten life.

At the same time, to care for the sick and dying does not mean that we should seek to prolong life at all costs. The Church recognises a difference between ordinary and extraordinary means of sustaining a person’s life and that there exist times when the continuation of medical treatment would be futile and even cause additional suffering to patients and their loved ones. In those cases, the patient, or their loved ones on their behalf, should make decisions on treatment in dialogue with the physician and after considering medical advice. At the same time, care for the patient should be the priority.

Are we certain that assisted suicide and euthanasia lead to a pain-free death?

Assisted suicide typically involves the oral ingestion of a lethal dose of medication. In euthanasia, the medication is administered to the patient by a doctor or nurse. Research published in 2022 revealed that such medication can lead to various complications and sometimes fails to end life, leaving patients and their loved ones in a deeply distressing situation. Data on deaths from assisted suicide in the American state of Oregon has shown that complication rates have been close to 15%. Around a third of deaths from assisted suicide in Oregon take over an hour.

Deaths by euthanasia through lethal injection can also involve complications, such as difficulties in performing the operation and protracted deaths. Given the difficulties in ensuring that patients remain unconscious during euthanasia, it has been argued that such deaths could be akin to drowning or suffocating without the patient having any means of communicating the agony.

What is the alternative to assisted suicide and euthanasia?

Rather than the legalisation of assisted suicide and/or euthanasia, the Church strongly supports greater provision of high-quality specialist palliative care and hospice care for the sick and dying. Such care can comprise pain management, symptom relief and holistic support for patients and their loved ones towards the end of life. The intention of such care is to cherish and care for the lives of those who are approaching their death based on the view of human life as remaining inherently dignified and valuable even in times of great physical or psychological suffering.

It is worth noting that the introduction and availability of assisted suicide and/or euthanasia may well lead to a decline in investment in palliative and hospice care given that the provision of lethal medication is often a much cheaper option than holistic, life-affirming care.

What support does the Catholic Church offer to individuals and families facing terminal illness or difficult end-of-life decisions?

The Church offers pastoral and spiritual support to those facing terminal illness and difficult end-of-life decisions. Such support can be sought from a priest, deacon or religious sister, as well as from hospital chaplains in various hospitals across England and Wales.

Besides local hospice provision, several religious congregations and Catholic organisations in England and Wales provide different forms of support and care for those nearing the end of life and their family. These include St Joseph’s Hospice in London, the Saint Vincent de Paul Society in England and Wales, St Raphael’s Hospice in Cheam and St Gemma’s Hospice in Leeds. A variety of resources are available for those approaching the end of their life and for their loved ones, such as on the “Art of Dying Well”.

How does the Catholic Church view the reality of suffering at the end of life?

Although God never desires that we suffer, suffering is an unavoidable part of human life, including as we approach death. While we should seek to relieve rather than prolong suffering as much as possible, the reality of suffering is also an invitation to come closer to God and depend more on His grace as we realise the limitations of our physical and psychological capacities. In such moments, it is crucial to remember that Christ shared our suffering, including when He experienced suffering Himself toward the end of His life on earth for the sake of our redemption: “In the Cross of Christ not only is the Redemption accomplished through suffering, but also human suffering itself has been redeemed” (Pope John Paul II, Salvifici Doloris 19). We can offer our own suffering to God for our sins and the sins of others as well as experience His compassionate love and mercy amidst our difficulty. This is especially important towards the end of life, as we approach our death and an encounter with the justice and mercy of God.

What has been the role of Christianity in the development of hospice care?

Driven by the Christian ethos of fraternity, care and compassion, hospices and similar facilities have been always closely tied to the Catholic Church. The first hospices opened in the Middle Ages and were aimed at caring for sick and dying pilgrims. From the seventeenth century onwards, Catholic societies and orders emerged with the purpose of serving the poor, the sick and the dying, such as the Daughters of Charity of Saint Vincent de Paul in France, or the Religious Sisters of Charity in Ireland. It was a committed Christian, Dame Cicely Saunders, who created the first modern hospice and contributed to developing the holistic approach to patient care within palliative and hospice care of today.

What are the potential spiritual implications for those involved in assisted suicide or euthanasia?

The Church teaches that assisted suicide and euthanasia are inherently immoral actions through their violation of the inherent dignity of human life. Of course, we can always turn back to God through the sacrament of confession, and we should never hesitate to seek spiritual direction to help us deal with difficult situations in the family or workplace.

What guidance does the Catholic Church offer to healthcare professionals who may be confronted with requests for assisted suicide or euthanasia?

Healthcare professionals are called to protect and preserve life and to conscientiously object to any practices that undermine this calling. Therefore, healthcare professionals must not support, encourage or provide assisted suicide or euthanasia. We are also called to do good as well as to avoid evil. We therefore encourage healthcare professionals to prioritise and promote palliative care and hospice care. Support is available through relevant organisations, such as the Catholic Medical Association.

Will assisted suicide and euthanasia laws allow healthcare professionals and Catholic institutions not to assist with euthanasia and assisted suicide?

Laws have generally allowed individual healthcare workers to “opt out” of participation in euthanasia and assisted suicide when they have been introduced. However, in many areas that are contested ethically, so-called “conscientious objection” clauses have come under attack and/or they have been narrowed to apply only to direct involvement with the relevant act. In addition, in many countries, there have been no protections given for institutions that do not wish to facilitate assisted suicide and/or euthanasia. Such protections are also not provided for in the proposed Scottish assisted suicide bill. Under This may put Catholic care facilities under threat because they will not be able to operate as Catholic institutions in such a legal environment when they are required to facilitate a client’s wish to avail themselves of assisted suicide. There will be additional pressures where Catholic institutions are in receipt of government funding.

Where can I read more about how the Catholic Church views assisted suicide and euthanasia?

As well as Samaritanus Bonus, another important papal document outlining Church teaching on life ethics is the papal encyclical Evangelium Vitae written by Pope Saint John Paul II. More information can be found in the Catechism of the Catholic Church and in resources prepared by various Catholic Bishops’ Conferences in countries where assisted suicide and euthanasia have been legalised, such as the United States Conference of Catholic Bishops. Useful resources are also provided by organisations working on medical ethics from a Christian perspective, such as the Anscombe Bioethics Centre.

The Catholic Bishops’ Conference of England and Wales opposes the legalisation of assisted suicide, out of concern for the good of every person in society, the protection of this good in law, and the spiritual and pastoral care of the sick and dying.

Our opposition is a matter of human reason, as well as religious faith: assisted suicide is inherently wrong, and the evidence from other jurisdictions shows there can be no safe or limited assisted suicide law.

Clarity of language is central to effective public debate on important moral issues. The use of the term ‘assisted dying’ in this Inquiry, endorses the euphemism that assisted suicide means compassionate assistance in dying, rather than the prescription of lethal medication.

1/ Life is a gift and equally valuable even in times of suffering

The Catholic Church teaches that life is a gift to be cherished and cared for at all stages until natural death, and that it is morally wrong to intentionally end one’s own life or that of another person, including at their request.1

2/ Assisted suicide is based on a flawed idea of autonomy

Assisted suicide can never be an isolated act but is always deeply relational, involving many beyond the dying person such as family, friends, and healthcare professionals.2

3/ Assisted suicide is based on a misleading view of compassion

Appeals for assisted suicide are often based on a false view of ‘compassion’, which fails to address the reality of suffering that is part of being human.3 The Catholic Church consistently teaches that ‘human compassion consists not in causing death, but in embracing the sick, in supporting them in their difficulties, in offering them affection, attention, and the means to alleviate suffering,’ such as through nursing homes, hospices, and chaplaincy work in hospitals.4

4/ Calling assisted suicide ‘dignity in dying’ ultimately passes judgement on the value of human life

Those who propose assisted suicide are, implicitly, denying that life has an inherent value beyond its abilities and capacities. 5 Deliberately bringing about death in the name of ‘dignity’ denies the innate dignity of every human life which, in turn, has damaging consequences for how society views those with severe disabilities, those who are dying and those in great discomfort.

5/ Assisted suicide undermines the medical duty to care for patients

Legalising the intentional killing of patients would gravely undermine the vocation of healthcare professionals to care for life until its natural end. Trust between doctor and patient would be undermined by the difficulty in accurately predicting the outcome of terminal illness.6 No doctors’ groups in the UK support assisted suicide, including the British Medical Association, the Royal College of General Practitioners, and the Association for Palliative Medicine. 

6/ Assisted suicide undervalues the lives of people with disabilities

The legalisation of assisted suicide would be likely to result in a change in the way society views those with disabilities by effectively reducing the value of life to its physical or psychological capabilities, such that those living with disabling, terminal, or progressive conditions could easily become disillusioned with their lives to the extent that they see death as preferable.7 The dehumanising effect of assisted suicide legislation on people living with disabilities has been highlighted by the United Nations which has expressed serious concern at a growing international trend in providing access to assisted suicide largely based on whether people have a disability.8 All major disability rights groups in the UK have opposed any change in the law on assisted suicide, including Disability Rights UK, Scope, and Not Dead Yet UK.9

7/ People may choose assisted suicide because they feel a burden

Evidence from countries where assisted suicide has been legalised demonstrates that those who seek it often report a fear of burdening their loved ones with their suffering, which is particularly concerning for those who are elderly and infirm.10 The fear of being burdensome would be amplified by the current health and social care crises and cost-of-living crisis.11

8/ We cannot know for sure if people seeking assisted suicide have full mental capacity

Prescribing lethal medication for individuals suffering from suicidal ideation would be a grave betrayal of the public health duty to save life. Expressions of suicidal ideation by any other group, such as young women suffering from eating disorders, would be treated as psychological distress requiring compassionate care rather than as cause for lethal medication. International experience suggests that there are serious dangers to those who have mental health conditions from the gradual extension of assisted suicide legislation.

9/ Legalising assisted suicide is likely to lead to a slippery slope

The experience of other jurisdictions illustrates the slippery slope of assisted suicide legislation from hard cases to more comprehensive provision. Oregon, often referenced as a model template for mild assisted suicide legislation, now allows assisted suicide for non-terminal conditions including anorexia, arthritis, and kidney failure.13 Canada, legally and culturally very similar to England and Wales, now offers assisted suicide when death is not ‘reasonably foreseeable’.14 Belgium has expanded their provision of assisted suicide to include children.15 Any legalisation of assisted suicide for terminal illnesses in England and Wales would be likely to be challenged in court on discrimination grounds and extended to allow for cases of non-terminal illnesses and euthanasia in cases of difficulties in self-administering lethal medication.

10/ Investing in palliative care is a better way to support people suffering at the end of life

Rather than legalising assisted suicide, the Catholic Bishops’ Conference of England and Wales strongly supports greater Government investment in the availability and accessibility of specialist palliative care across the country.16 We reiterate the Catholic Church’s commitment to protecting and valuing life at all stages, no matter how physically or psychologically limited, and our opposition to assisted suicide as an attack on the inherent dignity of human life.

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