The rejection of the assisted dying Bill has been branded “a travesty and desperately disappointing” by supporters while others have urged the focus to shift to improving end-of-life care.
Dame Esther Rantzen, who is terminally ill and has been a prominent voice in the call to change the law described it as a “tragic day”.
The Bill was voted down in the Commons on Friday by a majority of 16, after 286 MPs voted against and 270 voted in favour.
Passionate speeches both in favour and against the Terminally Ill Adults (End of Life) Bill were heard during a more than four-hour debate.
A small group of MPs cheered and pumped their fists while others could be seen hugging as the vote result was read aloud.
The draft legislation had proposed allowing adults in England and Wales, with fewer than six months to live, to apply for an assisted death subject to the approval of two doctors and an expert panel.
Another MP could try to bring a similar Bill on the issue next year but they would have to start the whole process again from scratch as they would not be able to use rarely employed provisions in the Parliament Acts to prevent the House of Lords from blocking it.
That option could have been available to Bill supporters if this piece of legislation had cleared the Commons.
While former Bill sponsor Kim Leadbeater told the Press Association she is sure the “issue will come back” to the Commons, it is “impossible to say” when that might happen.
Speaking after the vote, she urged supporters not to give up, adding: “They are nothing if not resilient and the time will come again.”
Labour MP Lauren Edwards, who re-introduced the Bill after it ran out of time earlier this year, had previously warned it could be another decade before the issue came before Parliament again if this legislation did not pass.
Ms Edwards said the result was “hugely disappointing” and “heartbreaking” for those terminally ill people and their loved ones who she said had been “given hope when the Commons voted for this Bill last year”.
She added: “Assisted dying will come in this country, as it is already doing all across the world, but not soon enough.
“Parliament has dropped the ball today. It will be picked up again as it must be, because the law as it stands is simply too cruel and too unjust to be allowed to stand.”
Prime Minister Andy Burnham did not vote, having already confirmed he would abstain so as not to “unduly influence the debate”.
The Government was neutral on the Bill and MPs voted according to their consciences rather than along party lines.
Press Association analysis showed there was a rise in the number of Labour MPs who did not vote, from 15 to 56.
Dame Esther had issued a statement urging MPs to vote for the Bill, as she shared her anguish at loved ones seeing her “suffering pain or indignity” while she receives end-of-life care, having confirmed it is too late for her to “buzz off” to Dignitas as planned.
The vocal proponent of a law change, speaking to the BBC on Friday on her daughter’s phone outside Parliament, said: “I’m so sad that people in this country won’t have the choice so many terminally ill adults in other countries have of shortening their own deaths by asking for help.
“I am sure a change in the law will come. I am deeply sad that it won’t come soon enough for many of the people who need it.”
Dave Sowry, chairman of My Death, My Decision, said: “This result is a travesty and desperately disappointing, first and foremost for terminally ill adults who were living in hope of having the choice to die peacefully and on their own terms.
“It also leaves the current unsafe and unequal status quo exactly as it is.”
Campaigners against the Bill argued it contained inadequate safeguards and that it could result in some of society’s most vulnerable being at risk of coercion and choosing an assisted death because they feel like a burden.
Opposition to the Bill had been voiced by the leader of Catholics in England and Wales, Archbishop Richard Moth, who called it “wrong in principle” and “deeply flawed”, as well as the Church of England’s Archbishop of Canterbury, Dame Sarah Mullally.
Medical colleges, including the Royal College of Psychiatrists (RCPsych), had also raised “serious concerns” about the Bill, saying there were “too many unanswered questions about the safeguarding of people with mental illness”.
Terminally ill MP Ashley Dalton, who voted against the Bill, warned this is “not a moment for celebration”, and called on the Government to “sort out social and palliative care”.
Mr Burnham previously said he believes the funding of palliative care needs to be fixed before consideration can be given to legalising assisted dying but Bill sponsor Lauren Edwards had insisted both were possible alongside each other.
Marie Curie, Hospice UK and St Christopher’s Hospice charity are all neutral on the principle of assisted dying but have repeatedly warned access to and quality of end-of-life care is too patchy across the country and that the sector is severely lacking in funding and said “the need for more urgent and ambitious action to fix end-of-life care could not be clearer”.
Following the vote, Hospice UK’s Toby Porter said now is the time for Bill opponents and supporters to “channel their energy and passion into fixing” what he described as a “hospice funding crisis”.
He said: “The Prime Minister has recently stated the need to fix palliative care funding. His support is welcome, but his words must now be accompanied by meaningful action.”
Demonstrators in opposition and in favour gathered outside Parliament on Friday to make their voices heard on the debate.
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