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David Cameron has become the first former prime minister to come out in support of the assisted dying bill.

The former Tory leader has written a piece in The Times explaining his decision, and saying that in the past he opposed moves to introduce measures allowing terminally ill people to end their own life.

Lord Cameron of Chipping Norton wrote: “My main concern and reason for not supporting proposals before now has always been the worry that vulnerable people could be pressured into hastening their own deaths.”

However, he says he has now been reassured by those arguing in favour of the Terminally Ill Adults (End of Life) Bill.

Labour MP Kim Leadbeater will put the bill forward for a vote in the House of Commons on Friday.

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MP has ‘no doubts’ about assisted dying bill

“As campaigners have convincingly argued, this proposal is not about ending life, it is about shortening death,” Lord Cameron wrote in The Times.

His intervention comes after Gordon Brown, Theresa May, Boris Johnson and Liz Truss all came out in opposition to the bill.

None of Sir John Major, Sir Tony Blair or Rishi Sunak have made their positions public.

Gordon Brown. File pic: PA
Image:
Gordon Brown. File pic: PA

In his article, Lord Cameron says he asked four questions before reaching his conclusion – whether there are sufficient safeguards to protect vulnerable people, whether this is a “slippery slope”, whether it would put unnecessary pressure on the NHS and will the proposed law lead to a meaningful reduction in human suffering?

On the first point, Lord Cameron says protections like two doctors needing to give approval as well as a judge, alongside the requirement of self-administration of the fatal drugs, are enough.

He also highlights the criminalisation of coercing someone to end their own life.

On whether the bill is a “slippery slope” – as Justice Secretary Shabana Mahmood claimed – he says such an argument can be made for any social change.

The former prime minister writes that the bill is in “a sensible and practical resting place for public policy in this area”, and is explicitly only for the terminally ill, rather than those with mental illnesses and disabilities.

Read more:
What is in the assisted dying legislation?
Lawyer says Canada’s assisted dying has gone too far

The most senior Conservative to back the bill


Jon Craig - Chief political correspondent

Jon Craig

Chief political correspondent

@joncraig

Former prime ministers David Cameron and Gordon Brown both lost a child in tragic circumstances. But they’ve now come to a different conclusion about assisted dying.

Lord Cameron lost son Ivan, aged six, who was severely disabled and suffered from epilepsy and cerebral palsy, in February 2009. Mr Brown, the then prime minister, cancelled PMQs out of respect.

When assisted dying was last debated in the Commons in 2015 – when he was prime minister – Mr Cameron voted against it. But now, in a major and potentially influential intervention, he’s changed his mind.

“When we know that there’s no cure, when we know death is imminent, when patients enter a final and acute period of agony, then surely, if they can prevent it and – crucially – want to prevent it, we should let them make that choice,” Lord Cameron writes in The Times.

But the former premier is in a minority of Conservatives who back the bill and most senior Tory MPs, including Kemi Badenoch, Priti Patel and former leader Sir Iain Duncan Smith, are opposed.

Lord Cameron is also the first of all the UK’s living former prime ministers to back Kim Leadbeater’s controversial bill, which is being debated in the Commons on Friday.

This week three former Conservative PMs – Theresa May, Boris Johnson and Liz Truss – let it be known that they oppose the bill. Baroness May, like Lord Cameron, will have a vote if the bill reaches the Lords.

Mr Brown’s daughter Jennifer, born seven weeks prematurely weighing 2lb 4oz, died after just 11 days in January 2002 following a brain haemorrhage on day four of her short life.

A son of the manse who was strongly influenced by his father, a Church of Scotland minister, Mr Brown says the tragedy convinced him of the value and imperative of good end-of-life care, not the case for assisted dying.

On whether it put undue pressure on the NHS, Lord Cameron dismisses the argument.

“It’s not just that the bill would be applicable in only a very small number of cases, it is that the NHS exists to serve patients and the public, not the other way around,” he writes.

On the fourth point – whether it will reduce human suffering – the former prime minister says: “I find it very hard to argue that the answer to this question is anything other than ‘yes’.”

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Lord Cameron adds that, as a member of the House of Lords, he gets letters from terminally ill patients and that poses questions.

He wrote: “When we know that there’s no cure, when we know death is imminent, when patients enter a final and acute period of agony, then surely, if they can prevent it and – crucially – want to prevent it, we should let them make that choice.

“It’s right that MPs are having a free vote on this issue – and our tradition of free votes on such moral issues should be maintained.

“The fact it is a free vote gives legislators the chance to think afresh and, if the evidence convinces them, to change their mind. That’s what I have done. And, if this bill makes it to the House of Lords, I will be voting for it.”

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MI5 boss says he will ‘never back off’ from China threat – as Beijing plot disrupted in last week

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MI5 boss says he will 'never back off' from China threat - as Beijing plot disrupted in last week

The head of MI5 says he will “never back off” from confronting threats from China as he revealed his officers disrupted a case linked to Beijing in just the past week.

More broadly, Sir Ken McCallum said the number of people in the UK under investigation for “state threat activity” – also including from Russia and Iran – has jumped by 35% in the past year compared with the previous 12 months.

He admitted he felt frustration at the collapse last month of a trial against two British men accused of spying for China, but he stressed that the Security Service had still successfully derailed the alleged espionage operation.

With pressure mounting on Sir Keir Starmer over why the high-profile trial foundered, the director general of MI5 – choosing his words carefully given the controversy – confirmed that “Chinese state actors” pose a threat to UK national security “every day”.

Politics latest: Senior MPs launch ‘formal inquiry’ into China spy case collapse

More broadly, he warned that the threat from states – also including Russia and Iran – are escalating and becoming as ugly as terrorism.

He used an annual speech at MI5’s headquarters in London to say:

More on China

• The wider threat from nation states is escalating and becoming as ugly as terrorism

• Attempts by states – principally China, Russia and Iran – to carry out operations involving violence, sabotage, arson or surveillance are “routinely” being uncovered

• MI5 has tracked more than 20 “potentially lethal” plots backed by Iran in the past year

• Russia is hatching a “steady stream” of surveillance plots with “hostile intent”, while MI5 officers take it as a working assumption that Russian trolls will attempt to exploit any particular “fissures” in UK society using online posts, though these efforts are largely unsuccessful

• On terrorism, MI5 and the police have disrupted 19 late-stage attack plots since 2020 and have intervened in many hundreds of developing threats

• There is growing concern about children becoming involved in terrorism, with one in five of the 232 terrorism arrests last year involving minors under 17

“MI5 is contending with more volume and more variety of threat from terrorists and state actors than I’ve ever seen,” Sir Ken said.

Declaring a “new era”, the MI5 boss warned of “fast-rising” state threats coupled with a “near record” number of terrorism investigations.

He said this was forcing the biggest shift in MI5’s mission since the 11 September 2001 terrorist attacks on the United States.

China is a particular challenge as the Starmer government seeks to bolster economic ties with Beijing, while also wary of the security threat posed by Chinese spies.

“The UK-China relationship is by its nature complex, but MI5’s role is not,” Sir Ken said.

“We detect and deal, robustly, with activity threatening UK national security.”

These threats range from cyber espionage; attempts to steal secrets from universities such as by cultivating academics; or efforts to target parliament and other parts of public life.

“MI5 will keep doing what the public would expect of us, preventing, detecting and disrupting activity of national security concern,” said the MI5 chief.

“Our track record is strong. We’ve intervened operationally again just in the last week and we will keep doing so.”

The spy boss continued: “I am MI5 born and bred. I will never back off from confronting threats to the UK wherever they come.”

The speech was delivered amid a growing row around a decision by Crown Prosecution Service (CPS) to drop the espionage trial of Christopher Cash, a former parliamentary researcher to two prominent Conservative MPs, and Christopher Berry, a teacher.

Both have denied any wrongdoing.

Read more: Three questions about spy case that need answering

Prosecutors said the government had not provided evidence that China represented a threat to national security, prompting allegations by the Conservatives that the prime minister’s team had interfered with the case to protect the UK’s trading ties with China.

Attempting to push back, ministers on Wednesday released written evidence by Matthew Collins, the deputy national security adviser, that was given to the CPS. It spelt out the threat posed by China and his assessment of the allegations against the two individuals.

Given the political storm, the MI5 director general was careful when responding to questions on the furore.

But he chose to voice his support for Mr Collins who he has worked with, describing him as a “man of high integrity and a professional of considerable quality”.

Sir Ken was asked by journalists if he had been frustrated at the failure to prosecute.

“Of course I am frustrated when opportunities to prosecute national security threatening activity are not followed through for whatever reason,” he said, though he noted not all cases that involve MI5 lead to prosecution.

“I would remind you all that in the particular case… the activity was disrupted.”

On whether he regarded China to be a threat, the MI5 chief said: “Do Chinese state actors present a UK national security threat? And the answer is of course yes they do every day.”

But he added that UK wider bilateral foreign policy on China is a matter for the government.

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Widow who helped husband ‘die with dignity’ won’t face charges

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Widow who helped husband 'die with dignity' won't face charges

A woman who accompanied her husband as he took his own life at the Dignitas clinic in Switzerland has been told by police she will not face criminal charges.

Louise Shackleton had been under investigation for assisted suicide since handing herself in to police after her husband Anthony’s death in December.

The 59-year-old had been battling motor neurone disease for years and Mrs Shackleton said they had discussed at length his decision to end his life.

Louise Shackleton and her husband Anthony
Image:
Louise Shackleton and her husband Anthony

In April, she told Sky News she accepted she had committed a crime but had no regrets over supporting her husband.

But North Yorkshire Police has now confirmed she will face no action.

In a statement the force said: “This has clearly been a complex and sensitive investigation which has required detailed examination by the Crown Prosecution Service.

“Whilst they concluded the evidential test had been met regarding assisted suicide, it was decided not to be in the public interest to prosecute.

“Our thoughts remain with Mr Shackleton’s family.”

‘We’re treated like criminals’

Mrs Shackleton told Sky News she was not surprised by the decision but was critical of the time it had taken.

“In reality, I didn’t commit a crime,” she said.

“The reality is I enabled my husband to get to a place he wanted to be, and to do what he wanted to do.

“I knew nothing would come of it because there was no coercion.

“I could have stopped him, but why would I do that? Why would I stop his will? He died like he lived, with dignity.

“The regret I have is other people are going to have to make this journey and be left in limbo like I’ve been left in.

“People shouldn’t have to go through this.

“In the darkest days of our lives, we’re treated like criminals and that is just unfair.”

Anthony left a final letter for his wife on his laptop
Image:
Anthony left a final letter for his wife on his laptop

Mrs Shackleton said she was sad her husband could not choose to die surrounded by his family in his own home.

She added: “It makes me dreadfully sad, and my heart aches that at least one person a week, just from England, is having to make that journey and their loved ones, in the deepest darkest part of their lives, are going to have to go through a police investigation.”

It has been legal to help someone die in Switzerland since 1942 – provided the motive is not “selfish”.

The country’s Dignitas group has become well-known as it allows non-Swiss people to use its clinics.

Will UK legalise assisted dying?

Mrs Shackleton has become a vocal supporter of legislation going through parliament to legalise assisted dying.

It would permit a person who is terminally ill and with less than six months to live to legally end their life.

The law in the UK currently prohibits people from assisting in the suicide of others, but prosecutions are rare.

Opponents to the assisted dying bill have raised concerns about the safety of vulnerable people and the risk of coercion and a change in attitudes toward the elderly, seriously ill and disabled.

Read more:
What does assisted dying look like?

Assisted dying poses ‘substantial task’ for NHS

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For and against assisted dying

Mrs Shackleton chose to speak out publicly to honour a promise made to her husband to push for people to have choice, and believes he would be proud of her campaigning.

“People should have the right to a choice,” she said.

“I know people will say they don’t agree with that, that’s absolutely fine, I respect that, but because you don’t want something doesn’t mean you should stop someone else doing it.”

A final farewell

During the police investigation, she avoided opening her husband’s laptop in case it would have been needed as evidence. Since the investigation has been closed, she has opened that laptop and found the last letter her husband wrote to her.

“For nearly 10 months I’d been denied that letter, a letter that could have helped a lot,” she said.

“And I was denied it, and that’s wrong.”

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Be bold with tax hikes or risk ‘groundhog day’, chancellor told as limited growth recorded

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Be bold with tax hikes or risk 'groundhog day', chancellor told as limited growth recorded

Rachel Reeves faces the prospect of another “groundhog day” unless next month’s budget goes further than plugging an estimated £22bn black hole in the public finances, according to a respected thinktank.

It comes as latest official figures showed the UK economy grew 0.3% in the three months to August, limited growth, despite the Treasury saying it is the fastest growth in the G7.

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The Institute for Fiscal Studies (IFS) said there was a “strong case” for the chancellor to substantially increase the £10bn headroom she has previously given herself against her own debt rules, or risk further repeats of needing to restore the buffer in the years ahead.

It said Ms Reeves could bring the cost of servicing government debt down through ending constant chatter over the limited breathing space she has previously given herself, in uncertain times for the global economy.

The chancellor herself used an interview with Sky News this week to admit tax rises were being considered, and appeared to concede she was trapped in a “doom loom” of annual increases.

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Tax hikes possible, Reeves tells Sky News

What is the chancellor facing?

Speculation over the likely contents of the budget has been rife for months and intensified after U-turns by the government on planned welfare reforms and on winter fuel payments.

The Office for Budget Responsibility’s determination on the size of the black hole facing Ms Reeves could come in well above or below the IFS estimate of £22bn, which includes the restoration of the £10bn headroom but not the cost of any possible policy announcements such as the scrapping of the two-child benefit cap.

Economists broadly agree tax rises are inevitable, as borrowing more would be prohibitive given the bond market’s concerns about the UK’s fiscal position.

Long-term borrowing costs have recently stood at levels not seen since the last century.

What are her tax options?

While there has been talk of new levies on bank profits and the wealthy, to name but a few rumours, the IFS analysis suggests the best way to raise the bulk of sufficient funds is by hiking income tax, rather than making the tax system even more complicated.

Earlier this week, it suggested reforms, such as to property taxes, could raise tens of billions of pounds.

But any move on income tax would mean breaking Labour’s manifesto pledge not to target the three main sources of revenue from income, employee national insurance contributions and VAT.

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Is Labour plotting a ‘wealth tax’?

She is particularly unlikely to raise VAT, as it would risk fanning the flames of inflation, already expected by the International Monetary Fund to run at the highest rate across the G7 this year and next.

Business argues it should be spared.

The chancellor’s first budget, which raised taxes by £40bn, has been blamed by the sector for raising costs in the economy since April via higher minimum pay and employer national insurance contributions.

They say the measures have dragged on employment, investment, and growth.

Read more:
Reeves plots budget boost to entrepreneur tax incentives
Four big themes as IMF takes aim at UK growth and inflation

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The big issues facing the UK economy

‘A situation of her own making’

Analysis by Barclays, revealed within the IFS’s Green Budget, suggested inflation was on course to return to target by the middle of next year but that the UK’s jobless rate could top 5% from its current 4.8% level.

Ms Reeves, who has blamed the challenges she faces on past austerity, Brexit and a continuing drag from the mini-budget of the Liz Truss government in 2022, was urged by the IFS to not harm growth through budget measures.

IFS director Helen Miller said: “Last autumn, the chancellor confidently pronounced she wouldn’t be coming back with more tax rises; she almost certainly will.

“For Rachel Reeves, the budget will feel like groundhog day. This is, to a large extent, a situation of her own making.

“When choosing to operate her fiscal rules with such teeny tiny headroom, Ms Reeves would have known that run-of-the-mill forecast changes could easily blow her off course.”

Ms Miller said there was a “strong case for the chancellor to build more headroom against her fiscal rules”, adding: “Persistent uncertainty is damaging to the economic outlook.”

‘No return to austerity’

A Treasury spokesperson responded: “We won’t comment on speculation. The chancellor’s non-negotiable fiscal rules provide the stability needed to help to keep interest rates low while also prioritising investment to support long-term growth.

“We were the fastest-growing economy in the G7 in the first half of the year, but for too many people our economy feels stuck. They are working day in, day out without getting ahead.

“That needs to change, and that is why the chancellor will continue to relentlessly cut red tape, reform outdated planning rules, and invest in public infrastructure to boost growth – not return to austerity or decline.”

The budget is scheduled for 26 November.

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