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Chamber

Meeting of the Parliament 10 March 2026 [Draft]

10 Mar 2026 · S6 · Meeting of the Parliament
Item of business
Assisted Dying for Terminally Ill Adults (Scotland) Bill: Stage 3

I am grateful to the members who have lodged amendments in this group on coercion, which is one of the key risks that are associated with the bill. During the stage 1 debate, when we were debating coercion, it was asserted—as we have heard tonight—that there is no evidence that coercion takes place in other international jurisdictions in which legislation of this nature has been introduced. I respect members who hold that view, but I simply do not believe that to be the case. Coercion is a wider societal issue and it has been for a long time.

Given that coercion is one of the most significant risks that are associated with the bill, it is wrong and dangerous to give the impression that, because there is no evidence from other international jurisdictions, coercion does not take place in areas such as assisted suicide. I know from the discussion that I had with Dr Anni Donaldson, who is an expert in this field, that anyone who asserts that coercion does not take place must be subject to some level of scrutiny with regard to the quality of the evidence base that has been evaluated in order to make that assertion.

I want to give some reasons as to why I am not convinced that that impression is the case. When we were framing the Domestic Abuse (Scotland) Bill and making provision to address coercive and controlling behaviour in legislation for the first time, one of the challenges was to be able to define that type of offence. In the end, we decided to define it as a course of behaviour that occurs over a period of time.

Critical to making that offence work effectively is having the right skill set and professional group to undertake the assessment that is needed to identify such a course of behaviour over a period of time. The evidence shows that the key to identifying coercive and controlling behaviour in domestic abuse is often a relationship that is built up over a period of time with specialised police officers and social workers, who work with the individual to identify the coercion that is taking place.

I am saying that because there is strong evidence that individuals who are being coerced are often not even aware at the time that they are being coerced and controlled. That is why the point that Paul O’Kane made about the importance of skill sets is critical. That is also why, when we implemented the Domestic Abuse (Scotland) Act 2018, there was an extensive training programme across a range of agencies to develop the specialist skills that were necessary to help to underpin the legislation and the new offence that we had created.

With all due respect to Christine Grahame, and with no disrespect to medical colleagues, I say that it is evident that general practitioners, who hold a range of skill sets, would not be experts in identifying coercive and controlling behaviour in the short period involved in dealing with a declaration. That requires specialist skills and needs to be undertaken over a period of time.

Further, coercive and controlling behaviour takes place against vulnerable members of our society in our communities on a day-in, day-out basis. It materialises through adult protection cases that social work colleagues deal with on a day-in, day-out basis. In some cases, it involves physical abuse, sometimes it is coercive and controlling behaviour for financial purposes and there can be a range of other factors.

The reality is that that type of behaviour will also impact on assisted dying, should the bill be enacted. There is no way that we could suggest that that type of coercive and controlling behaviour will not happen in some way for assisted dying, in the same way as it happens now under adult protection legislation on a day-in, day-out basis for some of the most vulnerable members of our society.

In the same item of business

14:27
The Presiding Officer (Alison Johnstone) NPA
The next item of business is stage 3 of the Assisted Dying for Terminally Ill Adults (Scotland) Bill.In dealing with the amendments, members should have the ...
The Presiding Officer NPA
Group 1 is on the meaning of “terminal illness”. Amendment 136, in the name of Daniel Johnson, is grouped with amendment 1. I call Daniel Johnson to speak to...
Daniel Johnson (Edinburgh Southern) (Lab) Lab
Thank you, Presiding Officer. It is with a great deal of trepidation that I rise to speak to and move the first amendment.I begin by paying tribute to Liam M...
Martin Whitfield (South Scotland) (Lab) Lab
I have great interest in Daniel Johnson’s amendment, for the reasons that he has already set out, but does he share my concern that we would end up with a su...
Daniel Johnson Lab
I am happy to deal with that point. I actually disagree with it, because I believe that we must be frank about the fact that all the decisions and judgments ...
Patrick Harvie (Glasgow) (Green) Green
I wonder whether Daniel Johnson can tell us a little bit more about his reasoning for choosing the following form of words in amendment 1:“that treatment tha...
Daniel Johnson Lab
The member makes a fair point, but I would also argue that, without that, if there is the possibility of a treatment that would improve the person’s conditio...
Jamie Hepburn (Cumbernauld and Kilsyth) (SNP) SNP
I think that we would all be drawn to the notion of making intolerable suffering part of the criteria—certainly, I am drawn to that—but we are doing more tha...
Daniel Johnson Lab
I would simply draw on the legislation in the two jurisdictions that I mentioned for comparison, both of which have similar or comparable forms of wording. I...
Jeremy Balfour (Lothian) (Ind) Ind
I thank Daniel Johnson for lodging the two amendments in this group.I rise to speak with serious concern about the bill, in particular with regard to its imp...
Liam McArthur (Orkney Islands) (LD) LD
I am grateful to Jeremy Balfour for taking my intervention. We had some of these exchanges at stage 2, but I wonder whether he would reflect on the evidence ...
Jeremy Balfour Ind
I have to say that that is not the evidence that the disability community has presented to me, and it is not the evidence that is coming loud and clear from ...
Pam Duncan-Glancy (Glasgow) (Ind) Ind
I thank the member in charge of the bill for the way in which he has taken it through Parliament, and I thank other members for the way in which they have en...
Martin Whitfield Lab
From a personal point of view, these amendments are swings and roundabouts. Having listened to Pam Duncan-Glancy’s powerful speech, my question to her is thi...
Pam Duncan-Glancy Ind
Martin Whitfield gets to the heart of why I am concerned about these amendments. I fundamentally believe that they have been drafted with good intentions and...
Jackie Baillie (Dumbarton) (Lab) Lab
I listened carefully to Daniel Johnson when he spoke to his amendments. There is concern that they expand rather than restrict the definition of those who wo...
The Cabinet Secretary for Health and Social Care (Neil Gray) SNP
I would like to set out to Parliament the Scottish Government’s position on stage 3 of Liam McArthur’s Assisted Dying for Terminally Ill Adults (Scotland) Bi...
Ross Greer (West Scotland) (Green) Green
In the letter from UK ministers to the Westminster Scottish Affairs Committee, the phrases “training, qualifications and experience” and “qualifications and ...
Neil Gray SNP
I appreciate the intervention from Ross Greer. At this stage, I can say only that provisions in the bill may, or could, be outwith the competence of this Par...
Jamie Hepburn SNP
On the issue of the section 104 order, we have had sight of the letter that went to the Scottish Affairs Committee, which I note was not sent to MSPs directl...
The Presiding Officer NPA
Before the cabinet secretary responds, I remind members that we will come on to these issues, and it is very important that we continue to focus on the issue...
Neil Gray SNP
Of course, Presiding Officer. The issue that Mr Hepburn raises is important, because I know that MSPs are concerned about the elements that are to go through...
Stephen Kerr (Central Scotland) (Con) Con
Can the cabinet secretary confirm that the use of a section 104 order means that part of the bill will be subject to secondary legislation?
Neil Gray SNP
How the section 104 process is to be delivered depends on the vehicle that is decided on. That could potentially be through secondary legislation, but it cou...
Liam McArthur LD
I start by echoing Pam Duncan-Glancy’s comments about the way in which colleagues across the board, irrespective of their position on the bill, have engaged ...
Michael Marra (North East Scotland) (Lab) Lab
I ask the member to reflect on the evidence from the Royal College of Physicians and Surgeons of Glasgow, which has talked about the subjectivity of diagnosi...
Liam McArthur LD
The assumption that the fact that somebody is going through the process after having made a request means that they would then inevitably and automatically s...
Daniel Johnson Lab
I thank everyone who has contributed to the debate. We all face a fundamental conundrum. We are being asked to ponder legislation in which the key definition...
Liam McArthur LD
Will the member give way?