How could assisted dying laws change across the UK?

MSPs in Scotland will debate and vote on plans to legalise assisted dying later on Tuesday. It comes days before MPs in Westminster have another chance to consider a separate bill which would legalise assisted dying in England and Wales. A majority of MPs backed the bill in November 2024, after which a cross-party committee considered the legislation in detail. Theassisted dying bill being considered in the Scottish Parliamentsays that eligible applicants would have to: Earlier in May Liberal Democrat MSP Liam McArthur, who drafted the Assisted Dying for Terminally Ill Adults (Scotland) Bill, saidhe will raise the minimum age in the proposed legislation from 16 to 18. The "stage one vote" on Tuesday is on the general principles of the bill. It is a free vote which means MSPs will not be told how to vote by their parties or the government. If there are more "yes" votes than "noes", the bill will progress to stage two, where MSPs can propose changes. Another vote on the final draft of the bill would be held before it could become law. If MSPs do not back the bill at stage one, it will fall. First Minister John Swinney and Deputy First Minister Kate Forbes have said they will not support the bill, as have former first ministers Nicola Sturgeon and Humza Yousaf and current Scottish Labour leader Anas Sarwar. Labour MSP Pam Duncan-Glancy - the first permanent wheelchair user to be elected to Holyrood - is also opposed. Supporters include Scottish Lib Dem leader Alex Cole-Hamilton, ex-Conservative leader Jackson Carlaw and Scottish Greens co-leaders Lorna Slater and Patrick Harvie. Scottish Health Secretary Neil Gray, who will speak for the government during the debate, said he would abstain from the vote. TheTerminally Ill Adults (End of Life) Billwas introduced by backbench Labour MP Kim Leadbeater. It proposes giving terminally ill people the right to choose to end their life if they: Once a patient's application has been approved, they would have to wait 14 days before proceeding. A doctor would prepare the substance being used to end the patient's life, but the person would take it themselves. The bill defines the co-ordinating doctor as a registered medical practitioner with "training, qualifications and experience" at a level to be specified by the health secretary. It does not say which drug would be used. It would be illegal to use dishonesty, pressure, or to coerce someone into declaring they want to end their life, with a possible 14-year prison sentence. A committee of 23 MPs -including 14 supporters and nine opponents- has gone through the legislation line by line. It held a series of public hearings and took evidence from experts. Underthe original proposals, a High Court judge would have to approve each request to end a life. However, Leadbetter suggesteda three-person panel comprising a senior legal figure, a psychiatrist and a social workershould oversee applications instead. The MPs reviewing the billagreed to adopt this approach. There were concerns the High Court would not have capacity to rule on each individual case. However, opponents say the change undermines the bill's safeguards. Other changes agreed by the committee include: Many months of activity still lie ahead in the Commons and the Lords. It is still possible that the bill could fall and not become law at all. The bill returns to the House of Commons on Friday 16 May, when all MPs will have the chance to debate and vote on the changes proposed by the committee. There would then be further scrutiny in the Commons and the Lords, and more voting. Leadbeater proposed doubling the maximum period before any new law would be implemented to allow more time to set up training and systems for what would be an entirely new service. If everything was ready more quickly, assisted dying could be in place ahead of the deadline, but the BBC understands that some ministers have expressed concern about the possible delay. The historic vote saw 330 MPs support the assisted dying bill, and 275 reject it. MPs were given a free vote, meaning they could make their own decision rather than follow party instructions. The government did not support or oppose the bill. Prime Minister Sir Keir Starmer voted in favour of the bill, as did Chancellor Rachel Reeves. However, Deputy Prime Minister Angela Rayner, Foreign Secretary David Lammy, Health Secretary Wes Streeting and Justice Secretary Shabana Mahmood all voted against. Most Conservative MPs rejected the bill, including party leader Kemi Badenoch. Former PM Rishi Sunak and former deputy PM Oliver Dowden were among Tory MPs who supported it. When MPs last voted on the issue in 2015, they rejected different proposalsby 330 votes to 118. Opponents warn that people could be put under pressure to end their lives and want improvements to palliative care instead. Paralympian and House of Lords crossbencher Baroness Grey-Thompson is a vocal critic. She told the BBC she is worried about "the impact on vulnerable people, on disabled people, [the risk of] coercive control, and the ability of doctors to make a six-month diagnosis". Actor and disability-rights activist Liz Carr, who madethe BBC One documentary Better Off Dead?, also opposes changing the law. "Some of us have very real fears based on our lived experience and based on what has happened in other countries where it's legal," she wrote on X. Dr Gordon Macdonald, from campaign group Care Not Killing, said: "This bill is being rushed with indecent haste and ignores the deep-seated problems in the UK's broken and patchy palliative care system." Leadbeater argues the law needs changing because some people "have a horrible, harrowing death", however good their end-of-life or palliative care is. Cancer patient Nathaniel Dye worked on the bill with Leadbeater. He said it would allow people a death which was "as kind and compassionate as possible". The Dignity in Dying campaign group said the bill provides the "most detailed, robust proposals" on the issue that "Westminster has ever considered". According to chief executive Sarah Wootton, the fact that every year "up to 650 terminally ill people end their own lives, often in lonely and traumatic ways," shows that the status quo is not working. One of the highest-profile advocates for change isbroadcaster Dame Esther Rantzen, who has stage-four lung cancer. "All I'm asking for is that we be given the dignity of choice," Dame Esther told BBC News. Boththe British Medical Association, which represents doctors, andthe Royal College of Nursingare neutral. The Isle of Man and Jersey are both part of the British Isles but are able to set their own laws. They have both been considering proposals to allow assisted dying. The Isle of Man parliamentpassed its Assisted Dying Bill on 25 March. It will now be sent for Royal Assent, where King Charles will give formal approval for it to become law. Covering adults who have lived on the island for five years and are expected to die within 12 months, the measures could be in place by 2027. In May 2024, Jersey's politicians approved plans to allow assisted dying forthose with a terminal illness "causing unbearable suffering". Final legislation is being written, and if approved, an 18-month implementation period would begin. New rules would take effect in summer 2027 at the earliest. There issome debate over exactly what the terms mean. However,assisted dyinggenerally refers to a person who is terminally ill receiving lethal drugs from a medical practitioner, which they administer themselves. Assisted suicideis intentionally helping another person to end their life, including someone who is not terminally ill. That could involve providing lethal medication or helping them travel to another jurisdiction to die. Euthanasiais the act of deliberately ending a person's life to relieve suffering in which a lethal drug is administered by a physician. Patients may not be terminally ill. There are two types: voluntary euthanasia, where a patient consents; and non-voluntary, where they cannot because, for example, they are in a coma. The Dignity in Dying campaign group saysmore than 200 million people around the world have legal access to assisted dying. Switzerlandhas allowed assisted suicide since 1942. Its Dignitas facility accepts foreign patients as well as Swiss nationals, and between 1998 and 2023it helped 571 Britons to die. Assisted suicide is also legal inAustria. In theUS, 10 states - Oregon, California, New Mexico, Colorado, Washington, Hawaii, New Jersey, Vermont, Maine and Washington DC - allow "physician-assisted dying". It permits doctors to prescribe lethal drugs for self-administration. Voluntary euthanasia is legal inCanada, where it is called medical assistance in dying. It can be provided by a doctor or nurse practitioner, either in person or through the prescription of drugs for self-administration. Medically assisted dyingaccounted for 4.7% of deaths in Canada in 2023. It is also legal inSpainandColombia, both of which also permit assisted suicide. Assisted dying is legal in some parts ofAustralia, but the law differs across states. New Zealand's End of Life Choice Act legalises assisted dying and allows adults in their final months of life to request assistance from a medical professional. Three countries have laws that allow people who are not terminally ill to receive assistance to die:The Netherlands, Belgium and Luxembourg. Update 3 January 2025: This piece has been updated to give further detail on the definition of a co-ordinating doctor.