Health Secretary Wes Streeting has ordered his department to carry out a review of the costs of potentially changing the law to legalise assisted dying.
It comes as MPs weigh up whether to vote for a change in the law when given the opportunity to do so later this month.
The Terminally Ill Adults (End of Life) Bill, put forward by Labour MP Kim Leadbeater, would give terminally ill people with six months to live the choice to end their lives.
There has been much debate about the bill since its details were published on Monday evening, including that the medicine that will end a patient’s life will need to be self-administered and that people must be terminally ill and expected to die within six months.
Ms Leadbeater, who has the support of former government minister Lord Falconer and ChildLine founder Dame Esther Rantzen, believes her proposed legislation is the “most robust” in the world and contains safeguards she hopes will “reassure” those who are on the fence.
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They include that two independent doctors must confirm a patient is eligible for assisted dying and that a High Court judge must give their approval.
The Labour MP has argued the fact terminally ill patients will have to make the choice themselves and administer the drugs themselves “creates that extra level of safeguards and protections”.
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MP discusses End of Life Bill
However, several cabinet ministers – including Mr Streeting and Justice Secretary Shabana Mahmood, who would be responsible for the new law – have spoken out against the legislation.
Announcing the review, Mr Streeting said: “Now that we’ve seen the bill published, I’ve asked my department to look at the costs that would be associated with providing a new service to enable assisted dying to go forward, because I’m very clear that regardless of my own personal position or my own vote, my department and the whole government will respect the will of parliament if people vote for assisted dying.”
While the health secretary has warned of the potential cost downsides for the NHS, his critics have pointed out there may be potential savings to be made if patients need less care because they choose to end their own lives – something Mr Streeting branded a “chilling slippery slope argument”.
“I would hate for people to opt for assisted dying because they think they’re saving someone somewhere money – whether that’s relatives or the NHS,” he said.
“And I think that’s one of the issues that MPs are wrestling with as they decide how to cast their vote.
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‘Impossible’ for assisted bill to be safe
“But this is a free vote – the government’s position is neutral.”
Speaking to reporters after delivering a speech to the NHS Providers conference in Liverpool, Mr Streeting said there were “choices and trade-offs” and that “any new service comes at the expense of other competing pressures and priorities”.
“That doesn’t mean people should vote against it on that basis,” he said.
“People need to weigh up this choice in the way that we’re weighing up all these other choices at the moment.”
MPs will debate and vote on Ms Leadbeater’s Private Member’s Bill on 29 November, in what will be the first Commons vote on assisted dying since 2015.
The government has given MPs a “free vote” on the issue, meaning they will be able to vote according to their conscience and without the pressure to conform to party lines.
A major incident had been declared in Shropshire following reports of a sinkhole affecting a canal in the Chemistry area of Whitchurch.
Emergency services are currently on the scene, and a multi-agency response has been set up, co-ordinated through the Shropshire Tactical Co-ordination Group (TCG).
There are currently no reports of any casualties, and residents are being assisted by the fire service.
A picture seen by Sky News shows a whole section of the canal completely drained of water. Two narrowboats appear to have fallen into the hole and are sitting on the canal bed.
Image: This is the section of the canal which has been affected. Pic: Uy Hoang/Google Street View
Image: Pic: Shropshire Fire and Rescue Service
Shropshire Fire and Rescue Service said on X: “Shropshire FRS is responding to a landslip affecting the canal in the Whitchurch area.
“For everyone’s safety, members of the public are kindly asked to remain away from the affected area, including Whitchurch Marina, while crews and partners manage the incident.”
Puppy farms, trail hunting and snare traps are all set to be banned under animal welfare reforms being introduced by the government.
Ministers have today unveiled the government’s Animal Welfare Strategy, which also takes aim at other measures seen as cruel, such as shock collars, as well as cages and crates for farm animals.
But while proposals to improve animals’ lives have been welcomed, Labour have been accused of acting like “authoritarian control freaks” for plans to ban trail hunting.
This is the practice that sees an animal scent laid through the countryside, which then allows riders and dogs to ‘hunt’ the smell.
Labour banned fox hunting outright in 2004, but Sir Keir Starmer’s government has suggested trail hunting is now “being used as a smokescreen for hunting” foxes.
Announcing the reforms, Environment Secretary Emma Reynolds said: “This government is delivering the most ambitious animal welfare strategy in a generation.
“Our strategy will raise welfare standards for animals in the home, on the farm and in the wild.”
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Image: Emma Reynolds has said the UK is a “nation of animal lovers”.
Pic: PA
Under the proposals, puppy farms – large-scale sites where dogs are bred intensively – will be banned.
This is because these farms can see breeding dogs kept in “appalling conditions” and “denied proper care”, resulting in “long-term health issues”, according to the Department for the Environment, Food and Rural Affairs (DEFRA).
The strategy has also launched a consultation on banning shock collars, which use electricity to sting pets and prevent them from escaping.
Other proposals include introducing new licences for rescue and rehoming organisations, promoting “responsible” dog ownership and bringing in new restrictions for farms to improve animal welfare.
These will see bans on “confinement systems” such as colony cages for hens and pig-farrowing crates, while requirements will be brought in to spare farmed fish “avoidable pain”.
The use of carbon dioxide to stun pigs will also be addressed, while farmers will be encouraged to choose to rear slower-growing meat chicken breeds.
In order to protect wild animals, snare traps will be banned alongside trail hunting, while restrictions on when hares can be shot will be introduced.
Image: Reform UK leader Nigel Farage has said the government “might as well ban walking dogs in the countryside”.
Pic: PA
The reforms have been publicly welcomed by multiple animal charities, including the RSPCA, Dogs Trust, Battersea Dogs and Cats Home, and World Farming UK, as well as by the supermarket Waitrose.
Thomas Schultz-Jagow, from the RSPCA, called the proposals a “significant step forward” and said they have the potential to improve millions of lives.
He added: “People in the UK love animals, and they want to see governments leading the way to outlaw cruel practices which cause suffering. This strategy leads the way by showing a strong commitment to animal welfare.”
Meanwhile, the Greens have also welcomed it but warned the strategy must have “real teeth”, “clear timescales” and “properly support farmers through the transition and not allow imports that don’t meet UK standards”.
Adrian Ramsay said: “Puppy legislation must end breeding for extreme, unhealthy traits in dogs. The strategy could go further for animals, particularly by ending greyhound racing, as the Welsh Government is doing.”
But the Conservatives have hit out at the strategy, saying it shows Labour “simply doesn’t care about rural Britain”.
Victoria Atkins, the shadow environment secretary, said: “While it is good to see the government taking forward Conservative policies to tackle puppy smuggling and livestock worrying, Labour is yet again favouring foreign farmers over British farmers by allowing substandard foreign imports to undercut our already-high welfare standards.”
She also accused Labour of announcing the strategy on the Monday before Christmas “to avoid scrutiny” as “they know that this will be another hammer blow to farming profitability”.
Hundreds of tractors are heading to Westminster to protest over changes to inheritance tax rules.
Meanwhile, Nigel Farage said: “So now Labour wants to ban trail hunting. You might as well ban walking dogs in the countryside as they chase rabbits, hares, deer and foxes. Labour are authoritarian control freaks.”
The Countryside Alliance, an organisation that promotes rural sport, said: “Why does the government want a war with the countryside?
“Trail hunting supports hundreds of jobs and is central to many rural communities. After its attack on family farms, the government should be focusing on addressing issues that actually help rural communities thrive, rather than pursuing divisive policies that hinder them.”
Wes Streeting has pledged to do all he can to avoid industrial action in 2026, as doctors in England return to work following a five-day walkout.
The health secretary said the strike, coupled with surging flu cases, constituted “the most serious threat to the NHS” since he began the role a year and a half ago.
He said: “The double whammy of strike action and flu this December posed the most serious threat to the NHS since I became health and social care secretary.
“The health service has only been able to cope because of the extraordinary efforts of the dedicated staff who work in it, and the hardest yards are in the weeks ahead as we get the NHS through the busiest weeks of the year.
“To everyone who played a role in keeping NHS services running through this exceptionally challenging month, thank you for the real difference you have made.
“I do not want to see a single day of industrial action in the NHS in 2026 and will be doing everything I can to make this a reality.
“My door remains open, as it always has done, and I’m determined to resume discussions with the BMA in the new eear to put an end to these damaging cycles of disruption.”
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Doctors’ strike begins at ‘worst possible time’ for NHS says health secretary
Sir Keir Starmer called the action “irresponsible”, while Mr Streeting accused the union of a “shocking disregard for patient safety”.
The BMA said the strike was “entirely avoidable” and has demanded a “credible offer” for English doctors to avert “real-terms pay cuts”.
The government’s offer had included a fast expansion of specialist training posts as well as covering out-of-pocket expenses such as exam fees.
It also offered to extend the union’s strike mandate to enable any walkout to be rescheduled to January.
Flu hits record for time of year
It does not address resident doctors’ demand for a 26% salary rise over the next few years to make up for the erosion in their pay in real terms since 2008 – this is on top of a 28.9% increase they have had over the last three years.
Public support for the strikes is low, according to a recent YouGov poll.
The results showed 58% of those asked either somewhat or strongly opposed the industrial action, while 33% somewhat or strongly supported it.