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On Friday, the social fabric of England and Wales might be changed forever.

MPs are set to vote on the assisted dying bill and supporters are confident that they have the numbers to win.

But the hugely controversial legislation polarises opinion. Communities remain divided, and medical colleagues can’t agree.

Three royal colleges have withdrawn support for the bill in its current form. They want more time to be given for further scrutiny of the legislation.

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How will the assisted dying bill work?

Frank Sutton does not have time. When we went to Frank’s home in East Dulwich, London, last November to watch the vote unfold she already had terminal liver disease and cancer.

As the vote was passed with a majority of 55, Frank broke down in tears and said: “Finally, I can die in peace.”

Frank is unlikely to live long enough to see assisted dying introduced in England and Wales. If the legislation passes, it will be introduced in four years.

More on Assisted Dying

Frank now suffers from diabetes and fibromyalgia.

She said: “On top of everything I’ve got, to start developing more comorbidities, I have a massive thought in my head, which I live with every day, which is, is my body, am I on the road to the end, you know, is my body just giving up?

“I mean, I was taking morphine anyway for pain, but now I’m living on morphine, and that’s not a life that you want.”

But even as MPs prepare to vote, many important questions remain over who will take responsibility for determining a patient’s mental capacity and their prognosis. The Royal College of Psychiatrists said it was approaching Friday “with trepidation”.

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Psychiatrists criticise bill
Palpable anger as both sides of debate gather

Dr Annabel Price, the RCPsych's lead on assisted dying
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Dr Annabel Price, the Royal College of Psychiatrists’ lead on assisted dying

Dr Annabel Price, the RCPsych’s lead on assisted dying, told Sky News: “If this bill as it stands proceeds through the rest of the parliamentary process, we as psychiatrists are left in a situation where there are so many unknowns about what is expected of us, about what patients can expect and about the safety of the process.

“We will continue to engage and there may be opportunities for reconsideration at further points in the bill. But yes, I approach this professionally with trepidation.”

The Royal College of GPs says the assisted dying process should happen outside of general practice.

Dr Susi Caesar is in favour of the bill being passed and feels it is okay for the medical community to be so divided on the issue.

She said: “I think people have the right to make their own choices and absolutely I would not want to see anybody forced into being part of this process who didn’t. Our current system is broken and this law would go a long way towards fixing it, at least for a certain group of people.”

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Psychiatrists raise assisted dying concerns

But the Royal Colleges of Physicians (RCP) also has reservations about the bill in its current form.

It says it would be hard for a panel of experts who have no connection to a patient requesting an assisted death to determine if the person is being coerced or has mental capacity.

Dr John Dean, clinical vice president at the RCP has concerns, saying: “Currently decisions clearly are made by patients but agreed by single doctors and then the social worker and psychiatrists are not meeting the patient and those that have been caring for them.

“This has to be done in keeping with modern clinical practice which is complex decisions made with patients and families by teams.”

But for patients like Frank, these concerns have not changed her mind.

She said: “I’m praying for Friday that it still goes through because, like I said, it’s not going to happen in my lifetime, but the thought that people like me who still try to look nice, who still tried to have a life and everything, that they can just have some peace of mind and they can have a weight lifted off their shoulders knowing that they’re going to be able to do it peacefully with their family.”

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No 10 appointed Mandelson despite security concerns, Sky News understands

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No 10 appointed Mandelson despite security concerns, Sky News understands

The security services expressed concern about the appointment of Lord Mandelson as ambassador to Washington, but No 10 went ahead anyway, Sky News understands.

Downing Street today defended the extensive vetting process which senior civil servants go through in order to get jobs, raising questions about whether or not they missed something or No 10 ignored their advice.

Politics Live: Mandelson sacked as US ambassador following ‘new information’

Sky News has been told by two sources that the security services did flag concerns as part of the process.

No 10 did not judge these concerns as enough to stop the ambassadorial appointment.

It is not known whether all of the detail was shared with Prime Minister Sir Keir Starmer personally.

Sky News has been told some members of the security services are unhappy with what has taken place in Downing Street.

More on Keir Starmer

Lord Mandelson is close to Sir Keir’s chief of staff, Morgan McSweeney, who is known to have been keen on the appointment – and the pair spoke regularly.

No 10 says the security vetting process is all done at a departmental level with no No 10 involvement.

Shadow foreign secretary Priti Patel described the revelations as “extraordinary”.

“For Keir Starmer, and his Chief of Staff Morgan McSweeney, to have appointed Lord Mandelson despite concerns being raised by the security services shows a blatant disregard of all national security considerations and their determination to promote their Labour Party friends,” she said in a statement.

“Starmer leads a crisis riddled government consumed by a chaos of his own making, because he puts his Party before the needs of our country.

“The country deserves the honest truth this spineless prime minister refuses to give them.”

Priti Patel described the revelations as 'extraordinary'.
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Priti Patel described the revelations as ‘extraordinary’.

Lord Mandelson was sacked as the UK’s ambassador to the US by Sir Keir earlier on Thursday over his ties to disgraced financier Jeffrey Epstein.

The prime minister, who selected Lord Mandelson for the role, made the decision after new emails revealed the Labour peer sent messages of support to Epstein even as he faced jail for sex offences in 2008.

In one particular message, Lord Mandelson had suggested that Epstein’s first conviction was wrongful and should be challenged.

Read more:
Starmer sacks Mandelson as US ambassador
Analysis: Mandelson is never far from a scandal

The Foreign Office said the emails showed “the depth and extent of Peter Mandelson’s relationship with Jeffrey Epstein is materially different from that known at the time of his appointment”.

The decision to sack the diplomat was made by the prime minister and Foreign Secretary Yvette Cooper on Thursday morning, Sky News understands.

This was after Sir Keir had reviewed all the new available information last night.

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Harriet Harman, Ruth Davidson, and Beth Rigby react to the news of Lord Mandelson’s sacking.

It comes after a string of allegations around the diplomat’s relationship with Epstein, which emerged in the media this week, including a 2003 birthday message in which he called the sex offender his “best pal”.

Further allegations were then published in The Telegraph on Wednesday morning, suggesting that Lord Mandelson had emailed Epstein to set up business meetings following the latter’s conviction for child sex offences in 2008.

Additional emails were then published detailing how the diplomat wrote to Epstein the day before he went to prison in June 2008 to serve time for soliciting sex from a minor. Lord Mandelson said: “I think the world of you.”

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Mandelson is never far from a scandal – and this time he’s been sacked

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Mandelson is never far from a scandal - and this time he's been sacked

Peter Mandelson, the UK ambassador to the US, has been sacked from his role as scrutiny builds over his relationship with disgraced financier Jeffrey Epstein.

The diplomat’s most famous quotation sums up his attraction to the rich and famous and his fondness for the trappings of wealth.

“We are intensely relaxed about people getting filthy rich,” he told tech executives when he was Sir Tony Blair’s trade and industry secretary in 1998.

“As long as they pay their taxes,” he added hurriedly, the former spin doctor known as the “Prince of Darkness” acutely aware of the risk of damaging headlines.

Keir Starmer and Peter Mandelson. Pic: PA
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Keir Starmer and Peter Mandelson. Pic: PA

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Now, less than nine months after his controversial appointment by Sir Keir Starmer as UK ambassador, his association with convicted sex offender Epstein suggests once again that he appears unable to avoid scandal.

Aged 71, Lord Mandelson – awarded a peerage by Gordon Brown in 2008 – had to resign from Sir Tony’s cabinet twice, first over an undeclared bank loan and then over intervening in a passport application by a top Indian businessman.

More on Peter Mandelson

Over four decades, nearly all on the front line of British politics, he has been a consummate political networker, but he has also been one of the most divisive figures in public life and his appointment last December was seen by critics as an act of cronyism by Sir Keir.

Acknowledging that Lord Mandelson was a controversial and divisive figure, Sir Tony declared in 1996: “My project will be complete when the Labour Party learns to love Peter Mandelson.”

Read more: Starmer sacks Mandelson as US ambassador

The Washington role is seen as the most glittering and important diplomatic post in the UK government. The perks of the job include the luxurious ambassador’s residence in Massachusetts Avenue, a magnificent Queen Anne mansion designed by top architect Sir Edwin Lutyens.

When he appointed him as ambassador, Sir Keir saw Lord Mandelson as a skilful and persuasive link to the president, with his trade experience from his time as a cabinet minister and Brussels commissioner a vital qualification for the job.

Never one for false modesty, Lord Mandelson claims that when he first walked into the Oval Office the president said to him: “God, you’re a good-looking fellow, aren’t you?”

Lord Mandelson can be credited with several diplomatic triumphs in Washington. He played a vital role in ensuring the UK escaped the worst of Trump’s tariffs and he was instrumental in securing a much sought-after trade deal between the UK and the US.

And his silky PR skills were displayed when during Sir Keir’s first visit to the White House in February the PM theatrically pulled out of his inside pocket a letter from King Charles inviting the present to visit the UK.

It was a classic Lord Mandelson stunt and confirmed he’d lost none of the flair for presentation he’d first deployed when he was Labour leader Neil Kinnock’s spin doctor in the 1980s.

Lord Mandelson’s high-profile political career began as a TV producer until his appointment as Labour’s director of communications under Neil Kinnock in 1985.

He was seen as a brilliant if ruthless spin doctor, who masterminded the birth of New Labour but would berate newspaper editors when unfavourable stories were written by their political journalists.

Another classic Lord Mandelson attempt to kill an embarrassing story was to tell the journalist who wrote or broadcast it in a sneering voice: “That is a story that I believe will remain an exclusive.”

He became MP for Hartlepool in 1992 and helped propel Sir Tony to the leadership of the party after John Smith’s death in 1994, a move that led to a bitter feud with Mr Brown.

There’s an amusing story about Mandelson in Hartlepool, which he claims is a myth and blames Mr Kinnock for. It’s claimed he ordered “some of that delicious guacamole” in a fish and chip shop, mistaking mushy peas for avocado dip.

It was a perfect Lord Mandelson story, ridiculing his metropolitan tastes and ignorance of working-class life. But he claims the mistake was made by a young American woman student who was helping Labour’s campaign.

Tony Blair and Lord Mandelson in 2000. Pic: Paul Faith/PA
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Tony Blair and Lord Mandelson in 2000. Pic: Paul Faith/PA

His first cabinet job, trade and industry secretary in 1998, lasted only five months after he was forced to quit after failing to declare a home loan from Labour millionaire Geoffrey Robinson to his building society.

His resignation was similar in one respect to the demise of former deputy prime minister Angela Rayner last week, in that it was over irregularities in buying a property: in Hove in her case, in fashionable Notting Hill in his.

He bounced back as Northern Ireland secretary in 1999 and was said to enjoy the luxury of Hillsborough Castle, which went with the job. But he was forced to resign a second time over claims he helped businessman Srichand Hinduja with an application for UK citizenship.

When he held his seat in Hartlepool in the 2001 general election, Mandelson made a passionate and defiant victory speech at his count in which he declared: “I’m a fighter, not a quitter.”

Yet three years later he did quit as an MP, when he became a trade commissioner in Brussels, serving a four-year term during which he had a spectacular row with French president Nicolas Sarkozy, who accused him of selling out French farmers in trade talks.

There were more controversies arising from his time in Brussels. In 2006, it was reported that he received a free cruise on a yacht from an Italian mogul who was said to have benefited from tariffs on Chinese shoes when Mandelson was EU trade commissioner.

Former Labour leader Neil Kinnock (L) with Peter Mandelson. Pic: PA
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Former Labour leader Neil Kinnock (L) with Peter Mandelson. Pic: PA

Reports also claimed he had been lent a private jet by banking and business tycoon Nat Rothschild. And it was later reported that he had a holiday in August 2008 on the yacht of Russian oligarch Oleg Deripaska off the Greek island of Corfu.

Mr Deripaska was said to have benefited from a cut in EU aluminium tariffs introduced by Mandelson. But prime minister Brown said Mandelson’s dealings with Mr Deripaska had been “found to be above board”.

After Brussels came perhaps his most spectacular and unexpected political comeback, when in 2008 his old foe Gordon Brown, by now prime minister but facing challenges to his leadership, brought him back as business secretary with a peerage.

A year later, Mr Brown awarded him the grand title, previously held by Michael Heseltine under John Major, of first secretary of state, a position he held until Labour’s election defeat in 2010.

To this day, Lord Mandelson remains a devoted Blairite rather than a soulmate of Mr Brown. And in the run-up to Sir Keir’s election victory last year he was back in the fold, offering advice on campaigning and policy.

He got his reward with the plum job of ambassador in Washington. But his links to a very American scandal, involving the disgraced financier and sex offender Epstein, have pushed him out of political life. Again.

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Why didn’t Keir Starmer fire Peter Mandelson yesterday?

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Why didn't Keir Starmer fire Peter Mandelson yesterday?

Peter Mandelson’s position was completely unsustainable, but it took Sir Keir Starmer 24 hours after everybody else to realise the inevitable.

In the chaotic interim, this generated the extraordinary spectacle of No10 saying that they had full confidence in their man in Washington because – and it feels incredible to type this – No10 had been fully aware that the peer had an extended relationship with a convicted paedophile after the point he had been to jail in the US, and was content with this situation.

An incredible state of affairs.

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This is why the issue has become a matter of Starmer‘s judgement almost as much as Peter Mandelson‘s.

Indeed, there were echoes here of the Chris Pincher affair that led to Boris Johnson’s downfall – a leader stubbornly defending acts which revolted the bulk of the party, in a tone deaf act of self-harm.

And revolted, they were.

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Almost the entire Labour Party was reacting with horror at the revelation, and even more so at the defence.

Less than 24 hours before his departure, Starmer was saying: “The ambassador has repeatedly expressed his deep regret for association with him, he’s right to do so. I have confidence in him and he’s playing an important role in the UK-US relationship.”

Words of certainty – but done once again without access to full facts.

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Mandelson sacked as US ambassador

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Starmer sacks Mandelson as US ambassador
Analysis: Mandelson is never far from a scandal

Dangerously, the PM was also defending a vetting process which would by implication put him in possession of facts that should have ruled Mandelson out of that job.

“Full due process has gone through when the appointment was made,” he said.

Now the line from a junior foreign office minister is that Mandelson hadn’t told him. So either the vetting failed or this isn’t quite accurate.

My understanding is that no one in government knows the last time Mandelson did see Epstein – the absence of certainty on that key fact must have set off alarm bells.

Right now, No10 will be thinking and hoping that, with just six days to go until the state visit by Donald Trump, which was meant to be organised by Mandelson, people will not focus too much on this question.

However, given the current rate of one big beast in government being sacked every week, this will ultimately land at Starmer’s feet.

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