The Supreme Court has ruled that
there is no right to assisted suicide. Those who are physically unable to end
their own lives cannot receive assistance to die from individuals and medical
professionals.
For the full background to the
case and the issues, see the first part of this article, ‘
A
Right to Die – Part 1: The Background’. This article proceeds directly to discuss the Supreme Court’s judgment.
The Judgment – Summary
The court, by a majority of seven
to two, dismissed the appeals brought by Mr Nicklinson and Mr Lamb. It
unanimously allowed the appeal brought by the DPP. Therefore there was no right
to assisted suicide and the DPP was not required to clarify his policy on
prosecutions for assisted suicide.
The Judgment
The Supreme Court was required to
determine two issues. Firstly, it had to determine whether the present law on
assisting suicide was incompatible with article 8. Secondly, it had to
determine if the DPP was required to clarify his policy on when a prosecution would
be brought for assisted suicide.
Was the Present Law on Assisting Suicide Incompatible with Article 8?
The court unanimously held that
the question of whether to impose a general ban on assisted suicide lied within
the margin of appreciation accorded to the United Kingdom. The ‘margin of appreciation’
is the area of discretion left to each country by the European Court of Human
Rights within which it will not interfere. The margin is often wider on controversial
and sensitive issues where there is no consensus across the countries that make
up the Council of Europe. Accordingly, whether the current law on assisted suicide
was incompatible with article 8 fell to be decided by the Supreme Court under
the
Human rights
Act 1998.
The court held that the ban on
assisted suicide in
section
2(1) of the Suicide Act 1961 did interfere with the right to a private life
guaranteed by article 8 because it prevented those who were physically unable
to end their own lives from determining how and when they should die. Thus the
ban could only be justified if the ban satisfied the requirements of article
8(2) – the ban had to be ‘necessary in a democratic society’ for the prevention
of disorder or crime, for the protection of health or morals, or for the
protection of the rights of others.
Five of the Justices, Lords
Neuberger, Mance, Kerr, Wilson and Lady Hale, held that the court had the
authority under our constitution to make a declaration of incompatibility in
relation to section 2 of the 1961 Act. A declaration of incompatibility is a declaration
under
section 4
of the Human Rights Act 1998 that the law is incompatible with one or more
of the rights guaranteed by the European Convention. However, Lords Neuberger,
Mance and Wilson concluded that while the sensitive and controversial nature of
the issue of assisted suicide did not prevent the court from making a
declaration, it would be inappropriate to do so until Parliament had been given
the opportunity to consider the issue, in essence because it and the courts had
steadfastly been against assisted suicide in the past and the issue needs to be
carefully considered.
Further, Lords Neuberger, Mance
and Wilson said that the main justification for the ban was the apparent risk
to the lives of vulnerable people who may feel a burden to their family or
society and who might take their lives if assisted suicide were an option, but
would otherwise not do so. The interference with Mr Nicklinson’s and Mr Lamb’s
rights was grave and the arguments in favour of the current law were by no
means overwhelming. However, even if it had been appropriate for the court to
grant a declaration of incompatibility (which it was not in their judgment),
their Lordships would not have done so because of evidential issues related to
how death would actually be brought about and what safeguards would be in
place.
On the other hand, Lady Hale and
Lord Kerr would have issued a declaration of incompatibility. They concluded
that article 8 confers a right on individuals to decide by what means and at
what point their life will end. The ban on assisted suicide made no exception
for those freely choosing to end their life and was therefore incompatible with
article 8.
Lords Sumption, Hughes, Reed and
Clarke also accepted that the court had jurisdiction to determine whether the
ban on assisted suicide violated article 8, but thought that the question turns
on issues which Parliament is in principle better qualified to decide. Therefore,
under the present circumstances, the courts should respect Parliament’s
assessment. The question required a judgment to be made about the relative
importance of the right to commit suicide and the right of the vulnerable,
especially the old and sick, to be protected from pressure to so. In reality,
it was unlikely the risk of pressure could ever be wholly eliminated and
therefore the issue was how much risk was acceptable. That involved important
issues of social policy and a moral value-judgment, which was more suited to determination
by Parliament as the part of government which represents the people.
Accordingly, while the court unanimously
held that it had the authority to determine the issue, it decided, by a majority
of seven to two, that the current ban on assisted suicide does not violate
article 8 of the European Convention.
Was the DPP’s Guidance Lawful?
As to the second part of the
appeal, the court unanimously allowed the DPP’s appeal, overturning the Court of
Appeal’s judgment. The court held that it was one thing for it to decide that
the DPP must have a policy, but it was quite another for it to dictate what
should be in that policy. That was for the DPP. The exercise of judgment by the
DPP, the variety of relevant factors, and the need to vary the weight to be
attached to them according the circumstances of each individual case, were all
proper and necessary features of the system of prosecution in the public
interest. Thus the appeal was allowed.
The full judgment can be read
here.
Comment
The Supreme Court’s judgment is unsurprising.
Whether assisted suicide should be permitted is a hugely controversial issue
and it is not something the courts will feel content to definitively rule on
until the issues are better understood. However, Parliament has been firmly
warned; the Supreme Court has indicated that if Parliament does not
satisfactorily deal with the issue in a reasonable time then there is the ‘real
prospect that a further, and successful’ challenge will be made to the current
ban.
Parliament is currently debating
the issue as Lord Falconer attempts to navigate his
Assisted
Dying Bill through Parliament. This would permit the terminally ill to be assisted to die if they are
terminally ill, have less than six months to live and have a clear and settled
intention to end their own life. Interestingly, even if this Bill becomes law
it would not assist any of the individuals in this case because they are not
terminally ill. A wider law would be necessary. Developments in this area will
be awaited with interest.
For my own part, I am in favour
of assisted suicide. What are your thoughts?