The Isle of Man’s Assisted Dying Bill received Royal Assent on 16 October and the announcement was made in Tynwald on 20 October. The Act, once commenced, will allow adults who have lived on the island for at least five years and who have a terminal illness with a life expectancy of 12 months or less to request an assisted death.

The Manx Government said that, while Royal Assent had been granted, no date had yet been agreed for the law to be implemented. In a statement, it said:

“Assisted dying will allow a person who is terminally ill to choose, in specific circumstances and with strict safeguards in place, to end their life with medical assistance. The Act will not come into force until all practical, clinical and safeguarding arrangements have been agreed.

This is a significant and sensitive moment for the Island, but it marks the start of a careful process, not the end of one. There is still a great deal of detailed work to do before the law can come into force, and this will take time to get right.

The Department of Health and Social Care will now begin that work, setting up a formal policy and implementation programme with clear governance and accountability. This includes working out the practical details, from the training and support needed for healthcare professionals, to how medicines will be safely managed, to the safeguards and independent oversight that will keep people protected. It also includes understanding how these new arrangements will fit alongside existing health and care services, and what they mean for the Island financially and practically.

Some of this work depends on other safeguarding laws being in place first. Assisted dying cannot begin until specific parts of the Capacity Act are in force, which is currently expected by April 2028. The service will not begin until government is confident it is genuinely ready. This will require listening carefully to those affected, drawing on clinical, legal and safeguarding expertise, and remaining open with Tynwald about the decisions still to be made.”