Liz Twist's most notable recent votes all fall on one issue: assisted dying. On 20 June 2025, she voted against the Terminally Ill Adults (End of Life) Bill at Third Reading and backed two amendments that would have disqualified applications where a wish to die was substantially driven by feeling a burden, financial pressures, or lack of care access. She also broke with her party on two further procedural votes on the bill. These five rebel votes mark her out as one of Labour's more consistent opponents of the legislation as it passed to the Lords. Beyond Westminster, she secured a Westminster Hall debate on "Maya's Law" — a child safeguarding campaign prompted by the murder of a toddler in her constituency — and has used her role as chair of the All-Party Parliamentary Group on Suicide and Self-Harm Prevention to host parliamentary events on mental health.
At 92% voting participation — above the Commons average — and 97.9% party-line alignment, Twist is an engaged and largely loyal backbencher. Assisted dying is the clearest point of deviation: her voting pattern sits 45 percentage points below her party on assisted dying access and 30 points above it on assisted dying restrictions. Her 181 contributions span local government, jobs, health, and social care, consistent with the priorities of a North East constituency. She has been Prime Minister Starmer's Parliamentary Private Secretary since July 2024, a government-adjacent role that makes her rebel votes on assisted dying more conspicuous.
That PPS appointment provides useful context: MPs in such roles conventionally avoid voting against the government, so her willingness to do so on assisted dying signals the depth of her objection. She holds no select committee seat. Recent local news coverage — covering the Maya's Law campaign and her suicide prevention work — has been broadly positive, though sentiment scores for the most recent 90-day window are neutral, drawn from a small sample of seven articles.