Jersey politicians have voted to approve plans to allow assisted dying for those with a terminal illness “causing unbearable suffering”.

The States Assembly has been debating two routes through which people who have lived in Jersey for longer than a year, are 18 or over and have decision-making capacity could apply for assisted dying.

A total of 32 voted in favour while 14 voted against route one.

The second route, for those who are not terminally ill but who have an incurable medical condition causing unbearable suffering, was rejected 19 for and 27 against.

Plans for legalising assisted dying were voted on in principle by the assembly in 2021, but the aim of the vote was to decide how it could work in practice.

With a decision now made, the process for drafting a law could take about 18 months, with a debate then taking place by the end of 2025.

If a law is approved, it is expected a further 18-month implementation period would then begin, meaning the earliest for it to come into effect would be summer 2027.

Jennifer Bridge, a former States member and leader of Jersey Assisted Dying Action Group, said it was a “historic date” for the island.

“I hope States members will continue to give their support to this reform because the vast majority of us agree that an assisted dying law would be safer and kinder than the status quo,” she said.

Sarah Wootton, chief executive of Dignity in Dying, said the vote was “a victory for compassion and common sense”.

“We congratulate States members for listening to the wishes of Jersey citizens and rejecting the assisted dying ban,” she said.

Speaking in the assembly, Health Minister Tom Binet said the vote was a “very important decision for our island”.

Deputy Binet described the assisted dying proposals as the “most comprehensive in the British Isles to date” and emphasised they had “excellent safeguards”.

However, Deputy Barbara Ward, who worked as a nurse for 45 years, was against the proposals and said it should be called “an assisted suicide bill”.

Deputy Sir Philip Bailhache shared concern for the impact the plans could have on disabled people.

He said if assisted dying was approved, Jersey risked becoming a society that told disabled people their lives are not as valued as those of able-bodied people.

Most members voted in favour of an opt-out for health professionals, giving them a right to refuse to participate in assisted dying.

A majority of the assembly also voted for a minimum timeframe, proposed to be 14 days, between the point at which a person makes a first formal request for assisted death and the administration of the substance that leads to death.