Karen Bradley MP: speeches

Speeches

• 11 Sept 2026 · Terminally Ill Adults (End of Life) Bill · Hansard source

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  This is a very difficult day. No one could fail to be moved by the grief of campaigners and by the deeply personal stories, whether born of their own experience or of those they have lost. Those voices deserve to be heard, and it is important in this place that we respect all views, whether we agree or disagree; but as we deliberate today, I go back to the words of the hon. Member for Bradford West (Naz Shah) in a past debate, asking us to remember “the quiet ones, those who may be less organised or not as powerful but who are none the less equally, if not more, important—the voiceless”. —[ Official Report , 13 May 2026; Vol. 786, c. 11.] Those words resonated particularly strongly with me, because I had the privilege of serving 10 years ago as the Minister for Preventing Abuse, Exploitation and Crime—the first time that safeguarding brief had been brought under one Minister. It was so often the quiet voices that needed to be heard. It was the time I spent with victims that persuaded me that modern slavery was something we needed to legislate for. It was the time I spent with the victims of domestic violence, some of whom did not even want to admit that they were victims, that persuaded me we needed to do more and that we needed to legislate in this area. When I took the coercive control offence through Parliament, it was incredibly important. That is a very difficult offence; coercive control is not easy to prove or to find the evidence for, but it was so important that we did that. I remember speaking at an event not long after the legislation had gone through, where I explained that coercive control offence and what we were trying to do in Parliament. Afterwards, a woman came up to me privately, in tears, and told me that what I described had been her life some 30 years earlier. She had recognised eventually that she was a victim; so often victims do not recognise that they are victims, but she did recognise it. She had gone to the police, but because the offences were not violent or physical, they said that there was nothing they could do. They even said, “Lock the door and hope that he beats the door down, because then we could arrest him on criminal violence.” That was all they had. There was nothing they could do to help this woman. That encounter stayed with me, and it reminds me time and again that abuse is not always a single act. It can be the gradual erosion of somebody’s confidence, independence and sense of what choices are really theirs. Coercion to end one’s life may not come as an explicit threat. It may be the repeated suggestion that someone is becoming a burden.

• 11 Sept 2026 · Terminally Ill Adults (End of Life) Bill · Hansard source

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  The hon. Lady makes the case so powerfully. I am going to disappoint Members now, because I will not take any further interventions for some time. Like the hon. Lady, my fear is not principally for those who are confident, articulate and able to insist on what they want; it is for the person who does not want to make a fuss—the person accustomed to putting everybody else’s needs before their own, who internalises that coercion and feels guilty about the care they require, or has simply been deprived of it. Recognising abuse is really difficult. Those who have the misfortune of watching daytime TV may notice that there are currently adverts for “no frills” cremation services. I am particularly struck by one, which features a woman of late middle age, who is slightly small and says in a quivering voice that she does not want to be a burden or cause any fuss and does not want her family to have an awful time at the point of her death. Therefore, she is investing in a “no frills” cremation to make things better for her family. That person exists. The advertising agency would not bother making that advertisement if that person did not exist. We have to think about the most vulnerable. These are the people who Parliament—this House—has a particular duty to remember when we legislate and, today, when we decide whether this Bill, without further changes, is safe to become law. The question before us is, what decision will this House make. I recognise that the sponsor, the hon. Member for Rochester and Strood (Lauren Edwards), is keen to focus on the other place. There is an appealing simplicity in saying, “Send it back there and let them do their work”, but this is not really about the other place anymore. That House has made itself irrelevant. It is about this House and this House alone. If we seek to engage the Parliament Act, we are, in effect, taking a unicameral decision, and we should understand what that means. We would be declaring that the Bill before us is in a fit state to become law whether or not the other place completes its work. There is no separate process by which this House later authorises the Parliament Act. Our approval of the Bill is the decision.

• 11 Sept 2026 · Terminally Ill Adults (End of Life) Bill · Hansard source

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  I feel sorry for my hon. Friend from the Home Affairs Committee, but I really must make progress, because Madam Deputy Speaker has been clear to me that I must. I say to colleagues who supported the Bill before and have wrestled sincerely with the issue since: you do not have to repudiate the vote you cast last time to vote differently today. You do not have to decide that assisted dying can never be right. You do not have to abandon the compassion that led you to support the principle. You need only ask whether this Bill, in this form, on the evidence before us today, is safe enough for Parliament to force it into law. That is today’s test. There is no shame whatsoever in concluding that the answer to a different question is different. Indeed, there would be something profoundly wrong with a Parliament in which Members felt bound by an earlier vote, regardless of everything they had learned since. Success is rare for private Members’ Bills. It is an amazing route when legislation is simple and consensus is easily achieved, and the whole House came together last Friday to do something quite remarkable for babies, but it is a terrible route when the risks of getting it wrong are great and there is great complexity and such emotion. Before a Government Bill is introduced, Departments will normally spend months or years developing the policy—sometimes that is too slow, but that is what they do. They consult experts and those affected, test the legal and practical implications, produce impact assessments, secure cross-Government agreement and have the legislation professionally drafted and scrutinised by parliamentary counsel. Finally, the legislation goes through the Parliamentary Business and Legislation Committee, where Ministers have to prove to the rest of Government that the Bill is fit for purpose. That is what we needed here, when dealing with one of the most profound changes that Parliament could make to the relationship between the citizen, medicine and the state. Some say they want to amend the Bill. Have there been any reassurances that those amendments will be supported? The promoter controls the make-up of the Public Bill Committee and will have a majority. On Report, if we are fortunate Members may have the opportunity to vote on only a handful of issues, and those who support the Bill will be asked to reject each one. We are being asked to support the Bill as it stands, alongside a commitment to force it into law regardless of what safeguards are forgone or what gaps, through which vulnerable people may fall, remain. There is no one else to whom we can pass responsibility. We cannot say that the other place will sort it out, or that we will fix it later. If the Bill becomes law, Parliament may not get another opportunity to reopen it and put right what we discover we got wrong. The consequences will instead be worked out in practice—in hospitals, homes and, ultimately, the courts, where judges will make decisions based on the law before us today. For the people affected by a mistake, “We will sort it out later,” is no safeguard at all. My appeal today, particularly to those who voted for the Bill before, is this. Look at what we know now. Look at the people who will depend on our having got every safeguard right. Remember the quiet ones. Are you prepared today to say that this Bill, in this form, is safe to be forced into law?

• 11 Sept 2026 · Terminally Ill Adults (End of Life) Bill · Hansard source

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  I really cannot; I am so sorry to my hon. Friend. We could have dealt with this over the summer; we had time to work on it. We could have included, for example, a clause that would have given an equal right to palliative care or a simple assessment of unmet need—something, anything, to allow there to be a genuine choice. But that opportunity is now gone. Let me be absolutely clear about what today’s vote is and what it is not. It is not another vote on the principle of assisted dying as on an ordinary Second Reading debate, and the hon. Member for Rochester and Strood said that herself. It is not a vote to allow this House to improve the Bill. It is not even a vote to allow the other place to improve it, because that is not in this House’s hands. If this Bill is sent to the other place and falls for whatever reason—even if that is because Parliament prorogues early and it receives not a single further hour of debate—it could be forced into law as it is. The Hansard Society put it plainly in saying “bills proceeding under the Parliament Act have been subject to only minimal amendment.” The House needs to understand that the proposed approach requires “preserving an unchanged bill with…defects”. That is a very different decision. I know that there will be Members in the House saying to themselves, “Nothing has changed since I voted for this before—why should I change my vote now?” My answer is simple. A great deal has changed, though not, unfortunately, in the Bill itself. We know more now than we did then, and changing one’s conclusion when the evidence changes is what Parliament is supposed to do. We now have revised estimates from the Government showing that many more people may seek an assisted death than Members previously understood: up to 4,610 may apply in the first year, and up to 10,428 in year 10. That is more than 1,000 times the number going to Dignitas each year. That is not a slow run-up during which we can watch the system develop, identify mistakes and quietly correct them.