McDonagh's most significant recent act was voting against the Terminally Ill Adults (End of Life) Bill at its Third Reading in June 2025 — one of her four rebel votes on the same day against her party's majority position. She backed two safeguard amendments that would have barred applicants from qualifying if their wish to die was substantially driven by not wanting to be a burden, a mental disorder, a disability, or lack of access to care. Both amendments were defeated, and the Bill passed to the Lords without those restrictions. On assisted dying, her voting record sits 47 percentage points below her party's average in favour of access — the sharpest divergence in her profile.
Beyond that cluster of rebel votes, McDonagh is a 96% party-line voter with a participation rate of 59%, below the Commons average. Her strongest stances are on workers' rights and progressive taxation, where she votes with Labour in over four-fifths of divisions. She scores low on civil liberties (7%) and parliamentary scrutiny (12%), reflecting consistent support for government positions over amendment or oversight mechanisms. Her 152 contributions across 63 debates lean heavily toward health, the economy, and social care — consistent with her roles as chair of the APPG on Brain Tumours and the APPG for Tamils, where she has pressed ministers on research funding and human rights in Sri Lanka respectively.
McDonagh has represented Mitcham and Morden since 1997, and local coverage describes her as exceptionally active in her constituency. She sits on the Treasury Committee and the Panel of Chairs. News coverage over the past 90 days is insufficient to identify recent sentiment trends, but her longer-term press profile is strongly positive on constituency work and community representation.