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A leading British palliative care consultant has described the assisted dying bill as “not fit for purpose” and is urging MPs to stop the bill from progressing any further.

Rejecting assurances from supporters of assisted dying who claim the proposed British version would be based on the scheme used in the American state of Oregon – widely regarded as the model with the most safeguards – Dr Amy Proffitt said “it’s far from a safe system”.

“The majority, 80% of the people that have assisted death have government insurance with Medicaid or Medicare suggesting that the vulnerable in society are not worth it,” she said.

“Put that into our NHS and what does it say about us as a society… those with disability, those with learning disabilities, those with social deprivation?”

Dr Amy Proffitt, British palliative care consultant
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Oregon’s assisted dying method is ‘far from a safe system,’ Dr Amy Proffitt said

Dr Proffitt added: “I think it’s deeply dangerous for the bill that has been proposed and it needs to be scrapped and we go back and look again.”

She and other leading palliative care doctors have expressed concern about the erosion of end of life care if the bill passes. It is a fear expressed by Britain’s hospice sector.

Read more:
Why is assisted dying so controversial – and where is it already legal?

Dr Ted Gruber, a retired Oregon doctor who has assisted numerous assisted deaths, says those fears have not been realised and the state’s hospice sector has strengthened since the introduction of assisted dying in Oregon in 1994.

He says he has never had any doubts about his role as a physician who assists a patient’s death.

“I’ve never been conflicted,” he explains. “I’ve attended a number of them.

“Each of the ones I’ve attended has been almost sacred if you will, it’s hard to explain but with the family there, the family dog in the bed, with the music playing that they want.

“Everyone’s sad, everyone’s crying, it’s not a joyful moment but in a way it’s kind of a sacred moment.”

Dr Ted Gruber, a retired Oregon doctor who has assisted numerous assisted deaths
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Dr Ted Gruber told Sky News ‘I’ve never been conflicted’ about assisted dying

Oregon’s assisted dying laws have not seen the same number of changes to widen the cohort groups who would qualify for an assisted death in the way, for example, Canada has.

So it has managed to steer clear of the “slippery slope” criticism levelled at other programmes.

Dr Gruber also said the assisted death scheme in Oregon had enhanced the patient-physician relationship.

“The role of the doctor who is attending the dying patient is one of listening and paying attention to what the needs of the dying patient are and it’s eroded when the patient can’t trust the doctor,” he said.

“When I’ve seen a patient who has tried to talk to a doctor about aid in dying and they’re like ‘oh, I won’t do that, I’m opposed to it’… well that doesn’t enhance a doctor-patient relationship, it will be enhanced when a doctor says let’s talk about why you want to ask that.”

Read more from Sky News:
Assisted dying law ‘unworkable, unaffordable and naive’
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Oregon’s assisted death model is the closest to what is being proposed in the UK.

Both require it to apply only to adults who are terminally ill, mentally competent, and have six months to live or less, and to take the drugs themselves.

Part 1 of graphics comparing Oregon's assisted dying policy to the proposed UK system

But while Oregon cases are reviewed by two doctors, in the UK they would be reviewed by a panel including a psychiatrist, a social worker and a legal professional.

Part 2 of graphics comparing Oregon's assisted dying policy to the proposed UK system LANDSCAPE ONLY

In Oregon, the drugs are posted to the individual for them to take when ready, whereas in the UK, a healthcare professional would bring them on the day of the planned death.

Part 3 of graphics comparing Oregon's assisted dying policy to the proposed UK system LANDSCAPE ONLY

Marcy Lehman’s father Ted was “her hero, the person I looked up to’. An Oregon doctor, he chose to have an assisted death at home in Portland surrounded by his family.

Marcy was there by his side. And it was for her, her mother and ultimately her father, the right decision.

“This was my hero, the person I looked up to, and now the roles were switched and I was taking care of him, and I had to be his hero,” Marcy said.

Ted Lehman, who chose to have an assisted death at home in Portland

She explained that his stomach cancer “was starting to work up his system so he couldn’t eat.”

“My dad was a strong person and stronger even up until his death,” Marcy added.

Marcy Lehman, whose father Ted chose to have an assisted death at home
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‘He didn’t want someone to have to go to the bathroom with him,’ Marcy Lehman said

“He didn’t want someone to have to go to the bathroom with him to help with that or to feed him that wasn’t what he wanted – yeah, he was in pain, he could endure the pain, but it was really more the dignified way he wanted to leave this Earth.”

Ted’s family are grateful that they live in a state where assisted death is allowed. It’s a choice they would make again if they had to.

Now the UK must soon decide if that same choice is made available over here.

The Terminally Ill Adults (End Of Life) Bill was introduced to the House of Commons last October. Later next month, MPs will be asked to vote again in a ballot that will decide the fate of the proposed legislation.

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Budget 2025: Rachel Reeves vows to ‘take fair and necessary choices’ and ‘action on cost of living’

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Budget 2025: Rachel Reeves vows to 'take fair and necessary choices' and 'action on cost of living'

The chancellor is vowing to “take the fair and necessary choices” in today’s budget, as she seeks to grow the economy while keeping the public finances under control.

Rachel Reeves said she will not take Britain “back to austerity” – and promised to “take action to help families with the cost of living”.

She said she will “push ahead with the biggest drive for growth in a generation”, promising investment in infrastructure, housing, security, defence, education and skills.

But following a downgrade in the productivity growth forecast – combined with the U-turns on the winter fuel allowance and benefits cuts as well as “heightened global uncertainty” – the chancellor is expected to announce a series of tax rises as she tries to plug an estimated £30bn black hole in the public finances.

Conservative shadow chancellor Sir Mel Stride has said Ms Reeves is “trying to pull the wool over your eyes”, having promised last year she would not need to raise taxes again. Liberal Democrat deputy leader Daisy Cooper has accused her and the prime minister of “yet more betrayals”.

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10 times the government promised not to increase taxes

‘Smorgasbord’ of tax rises

A headline tax-raising measure tomorrow is expected to be an extension of the freeze on income tax thresholds for another two years beyond 2028, which should raise about £8bn.

This move will be seized upon by opposition parties, given that the chancellor said at last year’s budget that extending the freeze, first brought in by the Tories in April 2021 to raise revenue amid vast spending during the pandemic, “would hurt working people” and “take more money out of their payslips”.

Watch our special programme for Budget 2025 live on Sky News from 11am.
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Watch our special programme for Budget 2025 live on Sky News from 11am.

What is being described as a “smorgasbord” of tax rises is also expected to be announced, having backed away from a manifesto-breaching income tax rise.

Some of the measures already confirmed by the government include:

• Allowing local authorities to impose a levy on tourists staying in their areas

• Expanding the sugar tax levy to packaged milkshakes and lattes

• Imposing extra taxes on higher-value properties

It is being reported that the chancellor will also put a cap on the tax-free allowance for salary sacrifice schemes, raise taxes on gambling firms, and bring in a pay-per-mile scheme for electric vehicles.

What are the key timings for the budget?

11am – Sky News special programme starts.

Around 11.15am – Chancellor Rachel Reeves leaves Downing Street and holds up her red box.

12pm – Sir Keir Starmer faces PMQs.

12.30pm – The chancellor delivers the budget.

Around 1.30pm – Leader of the Opposition Kemi Badenoch delivers the budget response.

2.30pm – The independent Office for Budget Responsibility (OBR) holds a news conference on the UK economy.

4.30pm – Sky News holds a Q&A on what the budget means for you.

7pm – The Politics Hub special programme on the budget.

What could her key spending announcements be?

As well as filling the black hole in the public finances, these measures could allow the chancellor to spend money on a key demand of Labour MPs – partially or fully lifting the two-child benefits cap, which they say will have an immediate impact on reducing child poverty.

Benefits more broadly will be uprated in line with inflation, at a cost of £6bn, The Times reports.

In an attempt to help households with the cost of the living, the paper also reports that the chancellor will seek to cut energy bills by removing some green levies, which could see funding for some energy efficiency measures reduced.

Other measures The Times says she will announce include retaining the 5p cut in fuel duty, and extending the Electric Car Grant by an extra year, which gives consumers a £3,750 discount at purchase.

The government has already confirmed a number of key announcements, including:

• An above-inflation £550 a year increase in the state pension for 13 million eligible pensioners

• A freeze in prescription prices and rail fares

• £5m to refresh libraries in secondary schools

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What the budget will mean for you

Extra funding for the NHS will also be announced in a bid to slash waiting lists, including the expansion of the “Neighbourhood Health Service” across the country to bring together GP, nursing, dentistry and pharmacy services – as well as £300m of investment into upgrading technology in the health service.

And although the cost of this is borne by businesses, the chancellor will confirm a 4.1% rise to the national living wage – taking it to £12.71 an hour for eligible workers aged 21 and over.

For a full-time worker over the age of 21, that means a pay increase of £900 a year.

Read more from Sky News:
Reeves issues ‘pick ‘n’ mix’ warning ahead of budget
Are we set for another astoundingly complex budget?

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Sky News goes inside the room where the budget happens

Britons facing ‘cost of living permacrisis’

However, the Tories have hit out at the chancellor for the impending tax rises, with shadow chancellor Sir Mel Stride saying in a statement: “Having already raised taxes by £40bn, Reeves said she had wiped the slate clean, she wouldn’t be coming back for more and it was now on her. A year later and she is set to break that promise.”

He described her choices as “political weakness” = choosing “higher welfare and higher taxes”, and “hardworking families are being handed the bill”.

The Liberal Democrat deputy leader Daisy Cooper is also not impressed, and warned last night: “The economy is at a standstill. Despite years of promises from the Conservatives and now Labour to kickstart growth and clamp down on crushing household bills, the British people are facing a cost-of-living permacrisis and yet more betrayals from those in charge.”

She called on the government to negotiate a new customs union with the EU, which she argues would “grow our economy and bring in tens of billions for the Exchequer”.

Green Party leader Zack Polanski has demanded “bold policies and bold choices that make a real difference to ordinary people”.

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Tourist tax to be introduced across England

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Tourist tax to be introduced across England

Mayors will be able to introduce tourist taxes across England, the government has announced.

A day before the budget, communities secretary Steve Reed said mayors will be given the power to impose a “modest” charge on visitors staying overnight in hotels, bed and breakfasts, guest houses and holiday lets.

Politics latest: Milkshakes and lattes to be taxed in the budget

The money raised is intended to be invested in local transport, infrastructure and the visitor economy to potentially attract more tourists.

Regional Labour leaders such as London Mayor Sir Sadiq Khan and Greater Manchester’s Andy Burnham have been calling for the measure.

However, the hospitality industry condemned the move as “damaging”.

The visitor levy will bring England in line with Scotland and Wales, which are already introducing tourist taxes.

More on Budget 2025

Officials said it would bring English cities into line with other tourist destinations around the world, including New York, Paris and Milan, which already charge a tourist tax.

They said research showed “reasonable” fees had a “minimal” impact on visitor numbers.

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The budget vs your wallet: How the chancellor could raise billions

Sir Sadiq said it is “great news for London” and said the tax will “directly support London’s economy and help cement our reputation as a global tourism and business destination”.

The Greater London Authority previously estimated a £1 a day levy could raise £91m, and a 5% levy could raise £240m.

Mr Burnham said the tax will allow Greater Manchester to “invest in the infrastructure these visitors need, like keeping our streets clean and enhancing our public transport system through later running buses and trams, making sure every experience is a positive and memorable one”.

Read more:
What tax rises could Rachel Reeves announce?

Reeves issues ‘pick ‘n’ mix’ warning ahead of looming budget

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Sky News goes inside the room where the budget happens

However, Lord Houchen, the Conservative Tees Valley mayor, said he will not introduce a tourist tax, adding: “Thanks, but no thanks.”

Conservative shadow local government secretary Sir James Cleverly branded it “yet another Labour tax on British holidays, pushing up costs for hard-pressed families, and yet another kick to British hospitality”.

Kate Nicholls, chair of UKHospitality, warned the “damaging holiday tax” could cost the public up to £518 million, adding: “Make no mistake – this cost will be passed directly on to consumers, drive inflation and undermine the government’s aim to reduce the cost of living.”

The plans will be subject to a consultation running until 18 February, which will include considering whether there should be a cap on the amount.

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Man arrested in connection with massive illegal waste dump in Kidlington, Oxfordshire

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Man arrested in connection with massive illegal waste dump in Kidlington, Oxfordshire

A man has been arrested in connection with the large-scale illegal tipping of waste in Oxfordshire, police have said.

The 39-year-old, from the Guildford area, was arrested on Tuesday following co-operation between the Environment Agency (EA) and the South East Regional Organised Crime Unit.

Last week, the EA declared the 40ft-high mountain of waste near Kidlington a “critical incident”.

The illegal site is on the edge of Kidlington in Oxfordshire
Image:
The illegal site is on the edge of Kidlington in Oxfordshire

Anna Burns, the Environment Agency’s area director for the Thames, said that the “appalling illegal waste dump… has rightly provoked outrage over the potential consequences for the community and environment”.

“We have been working round the clock with the South East Regional Organised Crime Unit to bring the perpetrators to justice and make them pay for this offence,” she added.

“Our investigative efforts have secured an arrest today, which will be the first step in delivering justice for residents and punishing those responsible.”

Pic: PA
Image:
Pic: PA

Phil Davies, head of the Joint Unit for Waste Crime, added that the EA “is working closely with other law enforcement partners to identify and hold those responsible for the horrendous illegal dumping of waste”.

More on Environment

He then said: “A number of active lines of investigation are being pursued by specialist officers.”

Sky News drone footage captured the sheer scale of the rubbish pile, which is thought to weigh hundreds of tonnes and comprise multiple lorry loads of waste.

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‘Milkshake tax’ to be introduced in budget

The EA said that officers attended the site on 2 July after the first report of waste tipping, and that a cease-and-desist letter was issued to prevent illegal activity.

After continued activity, the agency added that a court order was granted on 23 October. No further tipping has taken place at the site since.

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