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It’s a mess, they know it, some regret it and it’s Sir Keir Starmer’s fault.

That’s the view of some at the top of government watching, dismayed, as the red-on-red conflict drags on over the Terminally Ill Adults (End of Life) Bill, aggravating a sore which crosses party lines, dominates the airwaves for the foreseeable and creates problems which bear some of the characteristics of the Brexit days.

Whatever way you look at it, there’s a feeling there’s been a miscalculation over their handling of the assisted dying issue, and some at the top of government are quite open about this to me.

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As some now acknowledge, the politics were always going to be fraught but they failed to spot this early enough, with the consequence the issue is now taking up more bandwidth than was assumed.

It has become a distraction from the main priorities of the Labour government – improving people’s living standards and securing the borders.

As a result, there will be few tears shed in influential parts of Downing Street, including by chief of staff Morgan McSweeney, if a week on Friday the assisted dying bill fails its first Commons test and ends its journey there.

More on Assisted Dying

If MPs do not kill it then, the issue will hang over the government for at least the whole first half of next year, and quite possibly to the point of implementation in early 2026.

The sheer amount of parliamentary time it will take up has unnerved the whips’ office. The public don’t distinguish between government and parliamentary priorities.

The Labour leader’s ‘mistake’

The mistake was made in March. Sir Keir promised broadcaster and campaigner Dame Esther Rantzen to “make time” “…early in the next parliament”.

At that point they thought they were being smart – not to commit a possible future Labour government on the issue one way or another ahead of an election and leave it to MPs’ consciences – and inside Labour HQ this must have sounded like a pain-free promise ahead of polling day by a party not wanting to annoy any section of the electorate.

But they appear not to have gamed the consequences.

Social liberals v Blue Labour social conservatives

This issue pits social liberals against Blue Labour social conservatives, with each side digging in and Sir Keir (previously on record in favour) now set to vote in the opposite side of the chamber to his deputy Angela Rayner.

Wes Streeting will be set against his own fellow health ministers, and symbolically – a Labour prime minister against a Tory leader of the opposition.

Health Secretary Wes Streeting delivering a keynote speech on the second day of the 2024 NHS Providers conference and exhibition, at the ACC Liverpool. Picture date: Wednesday November 13, 2024. PA Photo. See PA story POLITICS NHS. Photo credit should read: Peter Byrne/PA Wire
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Health Secretary Wes Streeting

That there are two sides to this isn’t a surprise, even if the volume of complaining is now unnerving them.

Ministers can’t sidestep debate

A bigger issue for the government is they underestimated how ministers are being dragged into the centre of the debate, even though they are meant to be remaining neutral.

Ministers are finding they cannot simply sidestep this debate, as happened in previous votes of conscience such as gay marriage and abortion.

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This is because of the active and complex involvement of the government legal and health systems if the legislation passes and assisted dying is permitted in law.

This may be a private members’ bill, but it will be for the government to determine which doctors perform the assessments, and who carries out the end-of-life service for those that qualify.

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What is assisted dying?

Take one question that has been left hanging: whether a newly formed part of the NHS provides the end of life drugs, or whether it is something that can be done by the private sector.

According to allies of Kim Leadbeater, the Labour MP fronting the legislation, it is up to the secretary of state for health to decide whether this is done publicly or privately.

I’m told there’s a presumption this is done in the public sector, yet other countries have private services like Dignitas carrying out the procedure for a fee, and in an era of constrained resources, could this be an option?

Read more:
Assisted dying opponents believe they have the momentum

Cabinet minister reveals she will vote against assisted dying

This part of the debate seems largely to have been passed over – yet there are huge cost benefits should the government allow the private, not public sector, to carry out the service.

Overall I’m told there will be no impact assessment – which sets out the costs of assisted dying legislation – until and unless the legislation passes second reading.

At that point it will be done by government, not parliament. This means MPs will be engaging in one of their most totemic votes of this parliament without access to all the facts – and being asked to commit on partial information. This has left some unhappy, unsurprisingly.

This was an easy promise – but it’s proving much harder to deliver than expected.

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Trump reignites row with ‘nasty’ Sadiq Khan as Starmer responds

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Trump reignites row with 'nasty' Sadiq Khan as Starmer responds

Donald Trump has reignited his row with London mayor Sir Sadiq Khan after calling him a “nasty person” who has done “a terrible job”.

During an hour-long news conference with Sir Keir Starmer in Scotland, the US president hit out at the Labour mayor, who has responded with his own snipey remarks.

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Asked if he would visit London during his state visit in September, Mr Trump said: “I will, I’m not a fan of your mayor, I think he’s done a terrible job.

“A nasty person, I think.”

The prime minister then interrupted and said: “He’s a friend of mine.”

But the president added: “I think he’s done a terrible job but I will certainly visit London, I hope so.”

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Sir Sadiq’s spokesperson then released a statement saying: “Sadiq is delighted that President Trump wants to come to the greatest city in the world.

“He’d see how our diversity makes us stronger not weaker; richer, not poorer.

“Perhaps these are the reasons why a record number of Americans have applied for British citizenship under his presidency.”

The Right Honourable Sir Sadiq Khan after receiving the Honour of Knighthood during an Investiture ceremony.
Pic: PA
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Sir Sadiq Khan was knighted in June. Pic: PA

They noted that Sir Sadiq has won three mayoral elections, including when Mr Trump lost the US election in 2020.

This is not the first time Mr Trump and Sir Sadiq have locked horns.

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Prime minister, Sir Keir Starmer (right) and Mayor of London Sir Sadiq Khan lays a wreath at the 7/7 Memorial, in Hyde Park, London, to mark
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The PM told Mr Trump that Sir Sadiq is a friend of his – seen here laying wreaths for the anniversary of the 7/7 bombings. Pic: PA

During his first presidential term, Mr Trump called the London mayor a “stone cold loser who should focus on crime in London”.

Sir Sadiq then described Mr Trump as a “poster boy for racists”.

And in November 2024, after Mr Trump won his second term, Sir Sadiq said many Londoners would be “fearful” about what it would “mean for democracy”.

However, as Sir Keir tried to show diplomacy with Mr Trump after becoming PM, Sir Sadiq said he “wanted to work closely with the American president” ahead of his inauguration in January.

The London mayor said as somebody “who believes in democracy, and voting and elections, we should recognise the fact that Donald Trump is the elected president of the United States”.

But he added: “Let’s keep our fingers crossed that this president is different from the last time he was president.”

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Trump’s Truth Social Bitcoin ETF among multiple crypto funds delayed by SEC

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Trump’s Truth Social Bitcoin ETF among multiple crypto funds delayed by SEC

Trump’s Truth Social Bitcoin ETF among multiple crypto funds delayed by SEC

The SEC delayed decisions on the Truth Social Bitcoin ETF and Grayscale’s Solana Trust, extending review periods as the US Congress moves with crypto regulation.

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Anti-CBDC bill could curb Fed’s power over digital dollar, sponsor says

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Anti-CBDC bill could curb Fed’s power over digital dollar, sponsor says

Anti-CBDC bill could curb Fed’s power over digital dollar, sponsor says

The US House of Representatives will be in recess for the month of August, but the Senate still has a week of business to address two crypto bills before breaking.

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