This week, we reflect on a landmark moment in UK parliamentary history: the Terminally Ill Adults (End of Life) Bill has passed its Third Reading in the House of Commons, moving one step closer to legalising assisted dying in England and Wales. We are joined once again by former House of Commons Clerk Paul Evans to examine how this Private Member’s Bill navigated the political and procedural obstacles in its path and to explore what lies ahead in the House of Lords.

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We start with the numbers: 605 MPs took part in the Third Reading vote, an exceptionally high turnout for a Private Member’s Bill, signalling the seriousness of the issue. With a majority of 23, the Bill now advances to the House of Lords, but not without questions over the opposition’s next moves and whether the unelected chamber will respect the will of the Commons, or obstruct the Bill’s path?

This historic moment wasn’t achieved by debate alone. It was the product of a quiet but coordinated effort to protect parliamentary time and avoid the procedural ambushes that often beset Private Members’ Bills. Other backbench sponsors of Private Members Bills temporarily stood aside to give the assisted dying bill a clear route through, critics refrained from procedural sabotage, and the Speaker and his deputies helped shape a timetable, ensuring MPs knew when decisions would be made.

Now the focus turns to the Lords, where the Bill may face its toughest challenges yet. Will Peers accept that the principle of assisted dying has been established by the elected House, and limit themselves to scrutiny and amendment of the details? Or could opponents attempt to delay or even derail the Bill entirely? We explore the possible scenarios and the constitutional, political, and procedural stakes in each case.

We also look at how the extensive scrutiny of the assisted dying Bill contrasts sharply with the swift and limited debate on abortion decriminalisation earlier this week – an issue settled via a backbench amendment to the Police and Crime Bill that was debated for just 45 minutes.

Finally, we consider what this might mean for the bigger picture. If this Bill is indeed the most far-reaching social reform since the 1967 Abortion Act, might it be the harbinger of a new wave of legislation promoting further social change?

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Parliament Matters is a Hansard Society production supported by the Joseph Rowntree Charitable Trust.

Presenters: Mark D’Arcy and Ruth Fox

Producer: Gareth Jones

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Episode #019: Technology For People Who Are Aging