Crime and Policing Bill – in the House of Commons at 4:00 pm on 17 June 2025.
“For the purposes of the law related to abortion, including sections 58 and 59 of the Offences Against the Person Act 1861 and the Infant Life (Preservation) Act 1929, no offence is committed by a woman acting in relation to her own pregnancy.”—(Tonia Antoniazzi.)
This new clause would disapply existing criminal law related to abortion from women acting in relation to her own pregnancy at any gestation, removing the threat of investigation, arrest, prosecution, or imprisonment. It would not change any law regarding the provision of abortion services within a healthcare setting, including but not limited to the time limit, telemedicine, the grounds for abortion, or the requirement for two doctors’ approval.
Brought up, and read the First time.
I beg to move, That the clause be read a Second time.
With this it will be convenient to discuss the following:
New clause 20—Application of criminal law of England and Wales to abortion (No. 2)—
“(1) The Secretary of State must ensure that the recommendations in paragraphs 85 and 86 of the CEDAW report are implemented in respect of England and Wales.
(2) Sections 58, 59 and 60 of the Offences Against the Person Act 1861 are repealed under the law of England and Wales.
(3) The Infant Life Preservation Act 1929 is repealed.
(4) No investigation may be carried out, and no criminal proceedings may be brought or continued, in respect of an offence under those sections of the Offences Against the Person Act 1861 or under the Infant Life Preservation Act 1929 under the law of England and Wales (whenever committed).
(5) The Abortion Act 1967 is amended as follows.
(6) In section 6 remove, ‘sections 58 and 59 of the Offences Against The Person Act 1861, and’.
(7) Notwithstanding the repeal of the criminal law relating to abortion, the provisions of sections 1 to 4 of the Abortion Act 1967 remain in place except that that section 1 is amended so as to remove the words ‘a person shall not be guilty of an offence under the law relating to abortion when’ and replaced with ‘a pregnancy can only be terminated when’.
(8) The Secretary of State must (subject to subsection (9)) by regulations make whatever other changes to the criminal law of England and Wales appear to the Secretary of State to be necessary or appropriate for the purpose of complying with subsection (1).
(9) But the duty under subsection (8) must not be carried out so as to—
(a) amend this section,
(b) reduce access to abortion services for women in England and Wales in comparison with access when this section came into force, or
(c) amend section 1 of the Abortion Act 1967 (medical termination of pregnancy).
(10) The Secretary of State must carry out the duties imposed by this section expeditiously, recognising the importance of doing so for protecting the human rights of women in England and Wales.
(11) In carrying out the duties imposed by this section the Secretary of State must have regard in particular to the United Nations Convention on the Elimination of All Forms of Discrimination against Women and the International Covenant on Economic, Social and Cultural Rights in considering what constitute the rights of women to sexual and reproductive health and to gender equality.
(12) The Secretary of State may (subject to subsection (9)) by regulations make any provision that appears to the Secretary of State to be appropriate in view of subsection (2) or (3).
(13) For the purpose of this section—
(a) ‘the United Nations Convention on the Elimination of All Forms of Discrimination against Women’ or ‘the Convention on the Elimination of All Forms of Discrimination against Women’ means the United Nations Convention on the Elimination of All Forms of Discrimination against Women, adopted by United Nations General Assembly resolution 34/180,
(b) ‘the International Covenant on Economic, Social and Cultural Rights’ means the International Covenant on Economic, Social and Cultural Rights 1966, adopted by United Nations General Assembly resolution 2200A (XXI),
(c) ‘the CEDAW report’ means the Report of the Inquiry concerning the United Kingdom of Great Britain and Northern Ireland under article 8 of the Optional Protocol to the Convention on the Elimination of All Forms of Discrimination against Women (CEDAW/C/OP.8/GBR/1) published on
New clause 106—Abortion: requirement for in-person consultation—
“In section 1(3D) of the Abortion Act 1967, omit ‘, by telephone or by electronic means’.”
This new clause would mean that a pregnant woman would need to have an in-person consultation before lawfully being prescribed medicine for the termination of a pregnancy.
Amendment 17, in clause 167, page 186, line 36, leave out “or 112” and insert—
“112 or [Application of criminal law of England and Wales to abortion Amendment 2]”.
Amendment 1, in clause 170, page 189, line 22, after subsection (2)(c) insert—
“(ca) section [Removal of women from the criminal law related to abortion].”
This amendment is conditional on the introduction of NC1. It would bring the new law into force on the day the Act is passed.
Amendment 18, page 189, line 22, at end insert—
“(ca) [Application of criminal law of England and Wales to abortion No. 2];”.
Nearly five years ago, having suffered a rare complication in her abortion treatment, Nicola Packer lay down in shock, having just delivered a foetus at home. Later arriving at hospital, bleeding and utterly traumatised, she had no idea that her ordeal was about to get profoundly worse and that her life would be torn apart. Recovering from surgery, Nicola was taken from her hospital bed by uniformed police officers in a police van and arrested for illegal abortion offences. In custody, her computers and phone were seized, and she was denied timely access to vital anti-clotting medication.
What followed was a four-and-a-half year pursuit by the police and the Crown Prosecution Service that completely overshadowed Nicola’s life, culminating in her being forced to endure the indignity and turmoil of a trial. She spent every penny she had funding her defence. The most private details of her life were publicly aired, and she had to relive the trauma in front of a jury—all that ultimately to be cleared and found not guilty.
Nicola’s story is deplorable, but there are many others. Laura, a young mother and university student, was criminalised for an abortion forced on her by an abusive partner. He coerced her into taking abortion pills bought illegally online, rather than going to a doctor. Laura describes his violent reaction to her pregnancy:
“he grabbed hold of me, pushed me against the wall, was just screaming in my face…pulling my hair and banging my head off the wall”.
Laura nearly died from blood loss as a result of the illicit medication he had coerced her into taking. When she was arrested, her partner threatened to kill her if she told anyone of his involvement. Laura was jailed for two years; the partner was never investigated by the police.
Another woman called an ambulance moments after giving birth prematurely, but instead of help, seven police officers arrived and searched her bins. Meanwhile, she tried to resuscitate her baby unassisted, who was still attached to her by the umbilical cord. While the baby was in intensive care, she was denied contact; she had to express breast milk and pass it through a door. She tested negative for abortion medication—she had never taken it. Rather, she had gone into spontaneous labour, as she had previously with her other children. She remained under investigation for a year.
One of my constituents discovered that she was pregnant at seven months—she had no symptoms. She was told that she was too late for an abortion. She had seen reports of women being investigated after miscarriages or stillbirths based on their having previously been to an abortion clinic. She spent the rest of her pregnancy terrified that she would lose the baby and be accused of breaking the law. When labour began, she even delayed seeking medical help out of fear.
Each one of these cases is a travesty enabled by our outdated abortion law. Although abortion is available in England and Wales under conditions set by the Abortion Act 1967, the law underpinning it, which dates back to 1861—the Offences Against the Person Act—means that outside those conditions, abortion remains a criminal offence carrying a maximum life sentence. Originally passed by an all-male Parliament elected by men alone, this Victorian law is increasingly used against vulnerable women and girls. Since 2020, more than 100 women have been criminally investigated, six have faced court, and one has been sent to prison. The women affected are often acutely vulnerable. Victims of domestic abuse and violence, human trafficking and sexual exploitation; girls under the age of 18; and women who have suffered miscarriage or stillbirth, or have given birth prematurely, have faced invasive and prolonged criminal investigations that cause long-term harm.
Can the hon. Lady advise us whether there is any other area of law governing the taking of life in which the guardrails of the criminal law have been removed? That is what new clause 1 proposes when it comes to the voiceless child. Is there no thought of protection for them?
The hon. and learned Member will know that the Abortion Act is not going to be amended. New clause 1 will only take women out of the criminal justice system because they are vulnerable and they need our help. I have said it before, and I will say it again: just what public interest is being served in the cases I have described? This is not justice; it is cruelty, and it has to end. Backed by 180 cross-party MPs and 50 organisations, and building on years of work by Dame Diana Johnson, my right hon. Friend the Member for Kingston upon Hull North and Cottingham—
Order. I remind the hon. Member that she should not have referred to the Minister by name.
I do apologise, Madam Deputy Speaker. Every day is a school day.
My amendment, new clause 1, would disapply the criminal law related to abortion for women acting in relation to their own pregnancies. NC1 is a narrow, targeted measure that does not change how abortion services are provided, nor the rules set by the 1967 Abortion Act. The 24-week limit remains; abortions will still require the approval and signatures of two doctors; and women will still have to meet the grounds laid out in the Act.
Will the hon. Lady give way?
Not at the moment, but I will later. Healthcare professionals acting outside the law and abusive partners using violence or poisoning to end a pregnancy would still be criminalised, as they are now.
There has been a cacophony of misinformation regarding new clause 1, so let us be clear: if it passes, it would still be illegal for medical professionals to provide abortions after 24 weeks, but women would no longer face prosecution. Nearly 99% of abortions happen prior to 20 weeks, and those needing later care often face extreme circumstances such as abuse, trafficking or serious foetal anomalies. The reality is that no woman wakes up 24 or more weeks pregnant and suddenly decides to end her own pregnancy outside a hospital or clinic, with no medical support, but some women in desperate circumstances make choices that many of us would struggle to understand. New clause 1 is about recognising that such women need care and support, not criminalisation.
As Members will know, much of the work that I do is driven by the plight of highly vulnerable women and by sex-based rights, which is why I tabled new clause 1. I have profound concerns about new clause 106, tabled by Dr Johnson, which would remove the ability of women to have a consultation either on the phone or via electronic means, rowing back on the progress made in 2022 and again requiring women to attend a face-to-face appointment before accessing care. Introduced in 2020, telemedical abortion care represented a revolution for women and access to abortion care in this country. We led the world: evidence gathered in the UK helped women in some of the most restrictive jurisdictions, including the United States, to access abortion remotely. Here, the largest study on abortion care in the world found that telemedicine was safe and effective, and reduced waiting times.
The fact is that half the women accessing abortion in England and Wales now use telemedical care. Given the increases in demand for care since the pandemic, there simply is not the capacity in the NHS or clinics to force these women to attend face-to-face consultations. New clause 106 would have a devastating effect on abortion access in this country, delaying or denying care for women with no clinical evidence to support it.
What concerns me most about the new clause, however, is the claim that making abortion harder to access will help women in abusive relationships. Let me quote from a briefing provided by anti-violence against women and girls groups including End Violence Against Women, Rape Crisis, Women’s Aid, Solace Women’s Aid and Karma Nirvana, which contacted Members before the vote in 2022. They said:
“the argument that telemedicine facilitates reproductive coercion originates with anti-abortion groups, not anti-VAWG groups. The priority for such groups is restricting abortion access, not addressing coercion and abuse. Forcing women to carry an unwanted pregnancy to term does not solve domestic abuse.”
I could not agree more.
My hon. Friend Ms Creasy, who tabled new clause 20, had a terrible experience today: she was unable to walk into Parliament because of the abuse that she was receiving outside and the pictures that were being shown. That was unforgivable, and I want to extend the hand of friendship to her and make it clear that we are not in this place to take such abuse.
While my hon. Friend and I share an interest in removing women from the criminal law relating to abortion, new clause 20 is much broader in terms of the scope of its proposed change to the well-established legal framework that underpins the provision of abortion services. While I entirely agree with her that abortion law needs wider reform, the sector has emphasised its concern about new clause 20 and the ramifications that it poses for the ongoing provision of abortion services in England and Wales. The current settlement, while complex, ensures that abortion is accessible to the vast majority of women and girls, and I think that those in the sector should be listened to, as experts who function within it to provide more than 250,000 abortions every year. More comprehensive reform of abortion law is needed, but the right way to do that is through a future Bill, with considerable collaboration between providers, medical bodies and parliamentarians working together to secure the changes that are needed. That is what a change of this magnitude would require.
My friend the hon. Lady—I hope she does not mind if I refer to her as a friend—is making a clear point. She has drawn attention to a great deal of confusion and misrepresentation in respect of what she is trying to achieve in her new clause, and she has shared some heartrending examples. However, she has just said something with which I think the whole House would agree. In recent years, we have seen our legislative approach to abortion effectively as placing ornaments on a legislative Christmas tree, tacking measures on to Bills in a very ad hoc way. I think she is actually right: this is a serious issue—I say this as a husband and as a father of three daughters—that requires serious consideration in a Public Bill Committee, with evidence from all sides and so on. Does she agree with me that, notwithstanding her laudable aims and heartfelt sincerity, it would be much better if these complex issues were dealt with in a free-standing Bill, rather than by amendment to a Crime and Policing Bill?
I thank my friend the hon. Member for his intervention, and I heard him make that point in an earlier intervention on the Minister. The fact is that new clause 1 would take women out of the criminal justice system, and that is what has to happen and has to change now. There is no way that these women should be facing what they are facing. Whether or not we agree on this issue, and this is why I have not supported new clause 20, a longer debate on this issue is needed. However, all that this new clause seeks to do is take women out of the criminal justice system now, and give them the support and help they need.
The hon. Lady and I have been friends for all the time we have been here. We had time last night to chat about these things, and we both know each other’s point of view. May I ask her to cast her mind back to telemedicine, if she does not mind? It is said that telemedicine is needed to protect vulnerable women who are unable to attend a clinical setting, but the risks are surely greater. Women may be coerced into abortions against their will with an abuser lurking in the background of a phone call, and pills can fall into the wrong hands, as we all know. Does she accept that, with all the protections she is putting forward to safeguard women, the one thing that does not seem to be part of this process is the unborn baby, and that concerns me greatly?
I thank the hon. Member for that contribution, and for the recognition that, while our voices and opinions differ across the House, we have respect for each other. I do not see this as a discussion about the Abortion Act or raising any issue relating to it, because this is the Crime and Policing Bill, and the new clause is only about ensuring that vulnerable women in those situations have the right help and support. That is the whole purpose of it; it is not about the issues that he would like to discuss now.
I absolutely recognise that my hon. Friend is coming from the right place on her amendment. I totally agree with her that a reform is needed, and she has raised some very powerful cases. She describes this as a very narrow change, but in actual fact she is asking us to ensure not just that in such cases the police should act differently, but that in every case ever no woman can ever be prosecuted. It is a hell of a leap for us to take, when this remains against the law, for her to say that these women, whatever the circumstances, must never be prosecuted. That is why I do not think I will be supporting the amendment, despite recognising that she is right that such a reform is needed. Can she say anything to explain why there must never be any prosecution ever?
Yes. I thank my hon. Friend for his intervention, because the truth is that we have to flip this around. No woman, or anybody, is deterred. This is not a deterrent. The criminal law does not work as a deterrent. These women are desperate and they need help. They may be coerced, or it could be just a stillbirth—it could be—but prosecution is not going to help the woman at any point.
I agree with my hon. Friend that these women need help, but I cannot imagine a more lonely and difficult experience than being a woman who has an abortion under the circumstances she is outlining, and I think that is a problem with new clause 1. Would it not actually make abortion much more dangerous and much more lonely by simply decriminalising the woman, but not those who may be there to give support? I cannot think of any other time when someone might be more in need of support.
I do not know of any woman who has had an abortion, at any stage, and taken it lightly. Any abortion at any stage of your pregnancy is a life-changing experience. That is why I do not take this lightly. That is why, whether it is six weeks, 10 weeks, 15 weeks or whatever, and whether it is in term or out of term, that experience of child loss, whether it is planned or not, stays with a woman for the rest of her life. I do not take this easily, standing up here with the abuse we have had outside this Chamber. This is a serious issue and these are the women who need the help. They need that help and they need it now. We cannot continue in this way. This very simple amendment to the Crime and Policing Bill would take the women out of that situation, and that is what I am seeking to achieve.
If a woman goes all the way through to full term and then decides it is an inconvenience, does the hon. Lady still think that she should be covered by this legal protection?
Wow. I would like to know if the hon. Member actually knows of any woman who would put themselves in that situation if there was not coercion or control of some kind. Obviously, a lot of research and conversations have been going on for years on this issue. I understand that people across the House have deeply held religious views—indeed, I was brought up a Catholic. My issue, from what I have been told, is this: how would that woman go about it? If it was by taking abortion pills, she would have a baby. Painting a picture of killing an unborn child in that way does not help to serve what we are doing in this place. We need to protect the women. [Interruption.] I need to make progress.
In the meantime, doctors, nurses, midwives, medical bodies, abortion providers and parliamentarians have come together to try to end the criminal prosecution of women on suspicion of illegal abortion offences. This is a specific and urgent problem, and one that is simple to fix. New clause 1 is the only amendment that would protect women currently at risk of prosecution and protect abortion services. That is why it has the explicit backing of every abortion provider and every organisation that represents abortion providers in England and Wales. The Royal College of Obstetricians and Gynaecologists, the Royal College of Midwives, the Royal College of General Practitioners, the Royal College of Psychiatrists and the Royal College of Nursing also endorse it. Numerous violence against women and girls groups, including the End Violence Against Women and Girls Coalition, Refuge, Southall Black Sisters, Rape Crisis England and Wales, Imkaan, and the Centre for Women’s Justice, are also behind new clause 1.
The public overwhelmingly support this change too. I implore colleagues not to lose sight of the moral imperative here: namely, vulnerable women being dragged from hospital bed to police cell on suspicion of ending their own pregnancies. This is urgent. We know that multiple women are still in the system awaiting a decision, accused of breaking this law. They cannot afford to wait.
We have a once-in-a-generation opportunity to put an end to this in a simple and secure manner. This is the right change at the right time, so I implore colleagues who want to protect women and abortion services to vote for new clause 1. Let us ensure that not a single desperate woman is ever again subject to traumatic criminal investigation at the worst moments of their lives. There must be no more Lauras. There must be no more Nicola Packers.
I rise to speak in support of new clause 106, which stands in my name, but first I will speak briefly to new clause 1, which we have been discussing so far. Tonia Antoniazzi spoke about some pretty harrowing cases, and said how the first lady was utterly traumatised by having had her abortion at home, which she received via telemedicine. My new clause seeks to make women safer by ensuring that they are seen and given the opportunity for proper medical consultation before they get to the stage where they are given inappropriate medication because of a misunderstanding, and then end up traumatised, delivering a relatively mature foetus unexpectedly at home.
The hon. Lady did not say during her speech whether she believes that a baby should be terminated right up to term, but I want to put on the record that I do not. I work as an NHS consultant paediatrician, and I have cared for and personally held babies in my hands from 21 weeks and six days’ gestation right through to term. I am very aware that babies from, say, 30 weeks upwards have a more than 98% chance of survival, so although I am supportive of women’s right to choose early in pregnancy, I am not supportive of similar rights in relation to healthy babies right up to term.
Until the pandemic, women had to attend abortion clinics, where they would see a professional and talk through their desire for an abortion and the reasons for it. At the clinic, it would be checked that the woman was pregnant and how far pregnant she was. The hon. Lady raised cases of women who believed they were so far pregnant, but who turned out to be much further pregnant, which are well known; sometimes it goes the other way. One of the key reasons for this confusion is that women often bleed in early pregnancy, and they may believe that those bleeding episodes represent a period; when a woman thinks that she is 10 weeks pregnant, therefore, she may actually be 14 weeks pregnant.
That consideration is important in the context of accessing an abortion because at-home abortions via telemedicine are allowed only up until 10 weeks. The reason for that is not to be difficult or awkward, or to make it more difficult for women to access abortions; instead, it is a safety issue, because we know that complications are greater later in pregnancy. What happens in the early stages is that the procedure essentially causes the foetus to be born. If that happens to a baby much later in pregnancy, the procedure will cause it to be born when it has a chance of survival, which can lead to a traumatic experience for the mother as they deliver a much larger foetus than expected. It can lead to bleeding and, in one case I am aware of, has led to the death of a mother who was given pills to take at home when she was much further along in her pregnant than she had expected.
If this is about safety, then we also have to think about the safety of the baby. In my constituency, a baby had a live birth at 30 weeks’ gestation. Tragically, that baby went on to live for just four days, struggling over that period, and then died. Must we not consider the baby’s safety as much as the woman’s safety?
I thank the hon. Lady for that intervention. I think we need to consider both.
I remember a case involving a lady, Carla Foster, in June 2023. From my reading of the case, she admitted to lying about where she was in her gestation, saying that she was further back in pregnancy, at seven weeks, when she was actually much further along; she turned out to be around 33 weeks pregnant when her baby—her little girl, whom she called Lily—was born. In the papers I have read about the case, she described being traumatised by the face of that baby, which could have been prevented if she had been to a proper clinic and seen a health professional, as that health professional would have clearly seen that she was not seven weeks pregnant, and that taking abortion pills intended for early pregnancy was not a suitable or safe medical intervention.
If one has a termination later in pregnancy, it is done by foeticide. Essentially, an injection of potassium chloride is administered to kill the baby, and then the baby is born in the usual way, but deceased. That is why it is important to know what the gestation is—because the termination offered under the law is done by a different route, to make sure that it is done safely. We know that the later in pregnancy a termination happens, the more a woman is at risk of medical complications.
My hon. Friend is making an expert and well-informed speech, and I shall be supporting her amendment. On the point about the risks involved with abortion to birth, what does she think about jurisdictions such as New Zealand and the State of Victoria in Australia that have decriminalised abortion and seen a significant increase in failed late-term abortions—where a baby is born and there has been a lot of physical harm and risk as a result?
Every jurisdiction has a democratic right to do as it chooses and I respect that, but it is a tragedy when we hear of cases where late-term abortions have not been supported by medical care or the law, and women and infants have suffered significant harm as a result.
I want to raise the case of Stuart Worby. Some people say that this issue is about protecting vulnerable women, but in this case, which was prosecuted in December 2024, a man who did not want his partner to be pregnant, when she did want to be pregnant, decided to take matters into his own hands. He asked a woman who was not pregnant to get the pills for him. He put them in a drink and gave them to his partner, inducing a miscarriage. He has rightly been put in jail for that, but the case demonstrates that there are men out there who will obtain tablets with the help of a woman. That could not have happened if women had to have an in-person appointment, because the woman arriving at the clinic to get the abortion pills on the man’s behalf would be clearly seen not to be pregnant, so would not be able to obtain the medication. My amendment seeks to protect women—women who are wrong about their gestation or who are mistaken in thinking they have had a bleed or whatever—to make sure that they have a safe termination using the right mechanisms.
I am delighted to tell my hon. Friend that I, too, will be supporting her amendment. There has been a lot of talk in this place in recent weeks about coercion—in a different Bill and in a different context. The kind of coercion that she describes is a reality. It is all fine and well to have a fanciful middle-class view of the world, but as I said in respect of a different Bill, there are many wicked people doing many wicked things. The kind of coercion that she describes is the truth; it is the reality.
I agree with my right hon. Friend, and I shall come to coercion a little later. First, let me go back to new clause 1, which decriminalises the woman having an abortion in relation to her own pregnancy. It seems to me that what many wish to do is decriminalise abortion up until term. That is a legitimate position that some people take.
I urge the hon. Lady to rethink what she is saying. There is nothing in new clause 1 that refers to abortion up until term. There would be no change to the abortion law—absolutely no change at all. We are not saying aborted to term, and it is extremely harmful for her to say that.
I thank the hon. Lady for her intervention. Currently, it is illegal for a woman to procure her own abortion between 24 weeks and term if the baby is healthy. If there is a problem, she has to have it done by doctors in hospital. Under the proposed new rules, we will have is a situation where a woman can legally have an abortion up until term if she wants to do so— [Interruption.] Yes, at any gestation. That is a completely legitimate argument. It is not one that I support or agree with, but it is a legitimate argument that people can make. If that is the case, they should have the courage of their convictions and make it.
If criminal law does not work as a deterrent, why did late-term abortions increase in the State of Victoria and in New Zealand after decriminalisation? If we look at New Zealand in 2020, there was a 43% increase in late-term abortions between 20 weeks’ gestation and birth compared with 2019. Therefore, criminal law does act as a deterrent, and when it is removed we see an increase. We need to learn from different jurisdictions in that regard.
The hon. Lady is right to say that we have seen an increase in incidences of people taking abortion pills late. Previously it was very difficult, if not impossible, to obtain the pills—it was certainly impossible to obtain them through NHS clinics—but now it is possible, because people can use a telemedicine clinic. They say that they are seven weeks pregnant and ask for pills, and we have seen examples where people have asked for the pills much further on in their pregnancy—into the 30 weeks—obtained the medicine and made themselves very unwell in doing so.
Turning to coercion, when a doctor sees a patient, they take at face value everything the patient tells them. When a lady uses telemedicine to have an abortion, it is not possible for a doctor or clinician to know whether somebody else is in the room with them, or sat the other side of the camera forcing them to say what they are saying. It is not possible for the doctor to know whether the lady is pregnant or not or whether the person asking for the medicine will be the person who takes it. That is very unsafe.
I take the hon. Lady’s point, although the same would apply if someone were face to face with a doctor; for example, I could get abortion pills and then give them to someone else after my appointment. I represent a semi-rural constituency, where we struggle with lack of bus routes and medical facilities. I understand her concerns about coercion, but there will be lots of women in my constituency who are victims of domestic violence and coercion for whom it will be significantly harder to access telemedicine were her amendment to be passed. A point was made about middle-class people, but it would be poorer people who struggle to access the service as a result of her amendment.
The hon. Lady is correct that if a woman got the tablets at a clinic, she could give them to somebody else, but in order to get them in the first place she would need to be 10 weeks pregnant, and the clinician would check that she was pregnant. When the medication appears not to have worked, questions would perhaps be asked about where the tablets had gone, so I think there is an inherent safety feature there.
The hon. Lady brings up the issue of bus routes. That is important, but the question is whether we should improve the bus routes or make medical services less safe. Most clinical services are accessed by individuals attending hospitals or clinics, and in some respects this instance is no different, because it is important that proper medical checks are done. I am not trying to limit people’s access to what is clinically legally available. I am trying to make sure that people are safe when they do so.
I want to turn to women who have been trafficked or are being forced into sex work. We talked yesterday in the House about young girls who had been groomed and raped in the grooming gangs scandal. Would we put it past those evil, nasty men to have got drugs and given them to these young girls to hide the evidence of their crimes? I would not.
What about those who want to preserve the honour of their family by preventing their daughter from being pregnant? What about those who think that the baby being carried by their partner is of the wrong gender—they would like a boy but are having a girl? What about those who are trying to cover up sexual abuse, particularly of teenagers and young girls, by causing a termination to hide the evidence of their crimes? What if a partner does not want a baby? Stuart Worby got caught, was prosecuted and is rightly in jail, but how many others have done that and not got caught? We simply will never know.
No one knows who is taking these medications. If we have proper clinics, gestation can be checked, a clinician can ascertain more effectively if a woman is being coerced, and they can make the abortion medically as safe as possible. My amendment is not pro-life or pro-choice. It is pro-safety.
I think we all agree that there are concerns about vulnerable people and abortion law in this country, but we disagree about how to address them. I propose new clause 20 as a way to address those concerns and recognise that the issue of abortion access is increasingly under attack, not just in our country but around the world. If we think that we face these challenges because we have outdated laws in this country, why would we retain them in any shape or form rather than learning from best practice around the world for all our constituents?
To start, let me put on the record that I take seriously all the concerns raised across the House about abortion. I recognise that this is a complex issue, I hear strongly the stories about investigations and prosecutions, and I want to see change, but I also recognise that change does not come without consequences. New clause 20, therefore, is based on what is good abortion law—what many of us have worked on. It is based on what the sector itself used to say mattered, which was that abortion law in England and Wales should recognise developments in modern abortion law in Northern Ireland, delivering on the promise we made in this place in 2019 that abortion was a human right, that safe care was a human right for women, and that we should see a progression of minimum human rights standards on abortion, including through the proposals of the Committee on the Elimination of Discrimination against Women.
I want to start with how the new clause would do that. I want to be clear that only this new clause would provide for decriminalisation. Decriminalisation, as defined by Marie Stopes, means removing abortion from the criminal law so that it is no longer governed by both the Offences Against the Person Act 1861 and the Infant Life Preservation Act 1929, because that would protect both clinicians and those who are at threat of criminal prosecution. Decriminalisation would not impact the regulations on safe medical use, medical conduct, safeguarding—I recognise that is a serious concern—or the distribution of medicines, and neither would it stop tackling those people who seek to use abortion as a form of abuse or coercion. I want to explain how,
In decriminalising and removing the laws that have caused those problems, the new clause would keep the 1967 Act not as a list of reasons why someone would be exempted from prosecution but as a guide to how abortion should be provided. Many of us in the House would recognise the shock for our constituents that abortion is illegal in theory and that the guidelines in the 1967 Act are the settled will of this place. To resolve any regulatory challenges, the new clause would require the Secretary of State to comply only with sections 85 and 86 of CEDAW—the convention on the elimination of all forms of discrimination against women. Those sections are about minimum, not maximum, standards of care, and that is only if the Secretary of State believes there appears to be an incongruence that needs to be addressed.
I am trying to reconcile the two things that the hon. Lady has said. She talked about the significance of the 1967 Act. When Lord Steel—David Steel as he was then—spoke on its Second Reading, he said that it was not his aim
“to leave a wide open door for abortion on request”,—[Official Report,
Vol. 732, c. 1075.]
yet she has said that it is a human right and so people should have the right to an abortion. How does she reconcile her advocacy of what she described as the “settled will” of the 1967 Act—not having abortion on request—with the right to have an abortion on request?
I hope that the right hon. Member has read the human rights requirements, because they are about the treatment and dignity of the woman in question and the safety of the service provided. I do not believe that Lord Steel would want women to be put at risk; indeed, I think that is why he fought for that original legislation. We have supported these human rights treaties in this place for other reasons. The new clause, as in the provisions in Northern Ireland, would use the human rights requirements as a guide—a template or a test—as to whether the safety and wellbeing of women is at the heart of what many of us believe is a healthcare rather than a criminal matter.
The new clause sets out additional tests for how we would interpret those human rights provisions. It brings in the international covenant on economic, social and cultural rights to constitute the rights of women to sexual and reproductive health and gender equality. Fundamentally, those human rights are about equal treatment of each other’s bodies. At the moment, the lack of a human right creates an inequality for women in my constituency and his—an inequality that women in Northern Ireland do not face. We should shape services around their wellbeing; it is an established principle.
Some have argued that we should not make this change through amendments to legislation. This issue has always rightly been non-governmental, and there are people who disagree with the right to abortion, and people who support it, in every single party. That means that proposals for reform of abortion will always come from Back Benchers, or from somebody who has won the golden buzzer of a private Member’s Bill, which happens very rarely.
For those who have called for consultation, the good news is that it is exactly what we got by voting for abortion to be a human right in Northern Ireland. If hon. Members’ concern about this amendment is the lack of consultation, they should know that voting for it will trigger a consultation on how to apply the human rights test to abortion provision in England and Wales, so that we can test whether our services meet the objectives that we set for women in Northern Ireland.
There is a difference of principle on the question of human rights, because there are two lives involved in these decisions. That is the fundamental problem.
I respect the right hon. Gentleman’s belief, and I will always defend his right to it. I tell him this, however: the human rights of the woman carrying the baby are intricately related to the ability of the baby to survive. If we do not look after women and protect their wellbeing, there will be no babies.
The human rights test allows us to ask whether it matters to us that we treat women equally when it comes to the regulation of this healthcare procedure. Practically, it also means that there is somebody to champion those regulations. In Northern Ireland, the human rights commissioner has taken the Government to court when access to the procedure has been denied. She has established buffer zones and safe access to abortion clinics as a human right. Indeed, she is now looking at telemedicine as a human right, and at how to provide it for women in a safe way.
Will the hon. Lady give way?
I will, one more time, and then I want to make some progress.
The hon. Lady refers to Northern Ireland. It was courtesy of her intervention back in 2019 that we had foisted upon Northern Ireland the most extreme abortion laws of any place in this United Kingdom—laws that totally disregard the rights of the unborn and treat them as a commodity to be disposed of at will and at whim. In consequence, we have seen a huge, unregulated increase in the destruction of human life through the destruction of the unborn in Northern Ireland. I do not think that that is an example that anyone should want to follow in any part of this United Kingdom.
I respect the fact that the hon. and learned Gentleman does not agree with abortion, but as I have said throughout my life when campaigning on this issue, stopping access to abortion does not stop abortion; it stops safe abortion. We are talking about how to provide abortion safely. He disagrees with abortion, and I will always defend his right to do so, but I will also point out the thousand women who have now had abortions in Northern Ireland safely, which means that their lives are protected. Surely if somebody is pro-life, they are pro-women’s lives as well. New clause 20 is on that fundamental question.
Will the hon. Lady give way?
I am sorry, but I cannot. I will tell him afterwards why I cannot, but I promise that it is not out of a lack of respect for his position.
Some say that Northern Ireland is different, but why would we think that women in Northern Ireland are different from women in England and Wales when it comes to human rights? We are seeking not to remove our regulations, but to apply the same test to them. We simply want the Secretary of State to ask whether they are human-rights compliant. Those who celebrated bringing abortion to Northern Ireland, and who continue to promote it, did not just celebrate the provision of a service; they celebrated the liberation of women from this inequality, which we risk perpetuating for our constituents.
Will the hon. Lady give way?
I am sorry, but I cannot take any interventions.
New clause 20 is primarily about whether we think that abortion is a human right, and how we apply that principle to our laws here. It is also about the very present and real threat to access in our communities. Members will have seen outside this place the modern anti-abortion movement that we now have in the UK, and will have received the scaremongering emails. Of course those in that movement are reacting more strongly than ever to the idea of women having this human right protected in law, because their opposition is not about children. If it was, they would not shout at mine when they see them in the street. It is about controlling women. They do not openly advocate for an end to abortion access, but they make lurid claims, including the claim that there would be abortion at birth, so let me put that one to bed. Because new clause 20 retains the 1967 framework, it retains not just the time limit—crucially, it is different from new clause 1 in that regard—but all the provisions in the 1967 Act relating to everyone involved in an abortion.
We know that the majority of abortions happen at less than 10 weeks in this country, but we should protect the time limit. We should also protect the medics involved, because the person who gets a fatal foetal abnormality diagnosis after 20 weeks is the person we should protect most of all. If we reduce that time limit, and if we start to target medics—it could happen in this country, as in America—those people who are asked to carry to term a baby who they know will die will not get our protection. Yes, we must stop the investigations and prosecutions under outdated laws that make no sense, but we must also protect people at that most heartbreaking moment when they are told that a baby that they really want will not live. That is what keeping the 1967 Act does.
Will the hon. Lady give way?
I am sorry; I cannot take interventions because of time.
Those who worry that new clause 20 removes outdated laws should look at the limited number of prosecutions that have taken place under existing laws, and compare it to the number of investigations that have taken place. Let us deal with the claims that are being put about. First, there is a claim that repeal would mean that there would no longer be the crime that MSI has called reproductive coercion. That is what it called the offence of coercion in the Serious Crime Act 2015, which it hailed. That offence would remain, and it explicitly covers forcing someone to have an abortion, giving the same penalty as section 59 of the Offences Against the Person Act 1861. Those who claim that coercing someone to have an abortion would be legal under new clause 20 have not paid attention to that legislation, or to the calls from the abortion providers to ensure that more healthcare providers—and, it seems, more Government lawyers—are aware of that 2015 law, and of reproductive coercion.
Those who claim that the loss of the “concealment of the body” law in section 60 of the Offences Against the Person Act would facilitate live abortions should look at the existing laws on grievous bodily harm and actual bodily harm, which are used in such cases because of the difficulty of proving an offence under section 60, and indeed because of the requirements of the Infant Life Preservation Act 1929. Having given birth to a baby at 37 weeks, I want to be very clear why time limits and medical decisions matter when it comes to abortion, not just to the application of substance misuse laws. Let us be very clear that there would be criminal offences to cover the cases that Dr Johnson described, but we are also talking about removing laws that have criminalised people who have had stillbirths. These are people who need our compassion, and who need us to be able to differentiate between an outdated law that criminalises abortion and the malicious intent in the substance misuse legislation.
People should recognise how seldom these offences can be proved because they make no sense. Also, in retaining the 1967 Act, we retain the good faith principle for all parties to an abortion. That would deal with the trope of sex selection; nobody can prove that abortion for sex selection reasons has happened, but that is covered in the good faith arrangements that are retained with the 1967 legislation.
I return to the subject of Northern Ireland, because it was not the absence of regulation that made a difference; it was Parliament voting to make abortion a human right, and then the Government working with us to make it happen. Voting for new clause 20 would kick-start a similar process. We know that Government lawyers never really like to deal with change—who does?—but this is the proper and appropriate way to proceed, and in our Parliament, this is the only way for Back-Benchers to make changes on matters of conscience.
Those of us who recognise that reproductive rights are the foundation of social justice know that now is the time to act. If we are not free to control what happens to our bodies, we cannot be free in the rest of our lives. Those who are playing politics with abortion play politics with equality. The Vice-President of the US has attacked our buffer zones. We should not tolerate his interference in any matter of human rights. Only new clause 20 would give buffer zones that human rights footing. We would not ask a woman to carry to term a baby that would die at birth, but again, there are people in this place who call our abortion laws ludicrous, and who advocate for a reduction in the time limit, putting a woman’s health second. That would not happen with a human rights framework.
Those of us who care about these rights need to act tonight. Less than half of all men under 40 in this country believe that abortion should be legal in most cases, so those who feel that abortion is a settled matter that cannot be weaponised in our politics need to listen to the drumbeat already banging loudly in this country. We face a choice today. We know that these laws are outdated. Do we retain but limit them, or do we remove them and get ahead of what is to come? I urge colleagues who care about these matters to listen to our American counterparts, who bitterly regret not having acted under Biden and Obama to protect abortion access, and who now find medics being prosecuted and dragged across state lines. Do we learn from how Parliament has acted before?
Procedurally, Members know that if new clause 1 is passed, new clause 20 cannot go to a vote, so they will not have the chance to say whether they believe that a safe and legal abortion is a fundamental human right. I want to be clear that I will support new clause 1, but with great hesitation. That is not because I dismiss those proposing it. I hope we can all agree that there are genuine and decent terms for disagreement. It is because new clause 20 brings in a lock on ministerial powers. It explicitly restricts what Ministers and the Government—not Parliament—can do on this subject in a delegated legislation Committee.
It has been surprising to learn, in these debates, how few people have had the joyous experience of sitting in a delegated legislation Committee, stacked by the Whips with Government MPs, that makes major changes to the law, but in 15 years, that has happened to me a number of times. We have seen it on tuition fee rates and welfare cuts, and the previous Government tried to do it with the Retained EU Law (Revocation and Reform) Act 2023. Only new clause 20 would stop Ministers using regulatory powers to overturn abortion rights. They could use them only to bring in human rights-compliant regulations. Conversely, if new clause 1 is passed, there are no constraints on how Ministers could use the powers. The Minister might say that the new clause brings in no requirement to make regulations. That is true. New clause 1 does not require regulation, but it can and will facilitate it. As the Hansard Society points out, Ministers sometimes seek powers in a Bill to enable them to take actions that they consider appropriate. That leaves Ministers with huge powers.
New clause 1 would bring abortion within the province of this legislation and give the Secretary of State enabling powers to make laws relating to abortion, as long as they would not reverse the disapplication of abortion law to a person acting in relation to their own pregnancy. The powers could be used to target medics, or the family of a person seeking an abortion. I therefore ask the Minister to explicitly give a commitment that if new clause 1 is passed, there will be no further regulation on abortion under the Bill, and no application to make new clause 1 workable or to clarify the impact of a prosecution on the anti-abortion laws that remain. If the Minister cannot do that, by definition she proves that that power will exist. By contrast, new clause 20 would restrict that. It would give power back to this place. Nobody can bind a future Parliament, but we can demand that it is not small Committees of hand-picked, select MPs making decisions on the Government’s behalf, and that each of us should be able to act on behalf of our constituents.
Criminalisation does not reduce or deter abortion; it just makes it harder to carry out safely. We should be clear that criminalisation will remain if only new clause 1 is passed. If we want the decriminalisation that the sector has always advocated for—for good reason—it is only through new clause 20 that we can achieve that. I hope that colleagues in the Lords will have heard this debate, and will not let these matters rest.
Regret has no place in politics. It certainly has no place in the politics that I came here to represent. When there are those who would seek to attack women in this way, I pledge to continue fighting for women’s rights. I pledge to continue fighting to make abortion a human right in this country, and I ask colleagues to consider the case for doing so in this way. But I ask people who care about this to think about this moment and whether we will ever have another one when this Parliament could act in such a positive, constructive and established way. We can get one thing over the line. Why not make it the thing that would make the biggest difference to our constituents?
Order. I am imposing an immediate four-minute time limit. Members will see that many colleagues wish to get in this evening.
I rise to speak for new clause 106 and against new clauses 1 and 20.
I am grateful for this opportunity to place on the record my grave concerns about this hurried attempt to significantly alter our nation’s abortion laws. It is my view that by doing so we risk creating a series of unintended consequences that could endanger women, rather than protect and empower them. We need more time.
This is not a pro-choice versus pro-life debate. We already have the most inclusive abortion laws in Europe: medical abortion is available up to 24 weeks, which is double the European average, and we have the option of full-term abortion on medical grounds. Instead, today’s debate is about ensuring that legislation as significant as this—seeking to introduce a wholesale change to abortion laws affecting England, Scotland and Wales—is not rushed through without the chance for significant scrutiny. Indeed, 90 minutes of Back-Bench debate does not cut it, in my opinion.
We should, of course, treat women seeking an abortion with compassion and dignity—that goes without saying. As a councillor on Plymouth city council, I chaired the commission on violence against women and girls. Defending the voiceless is my guiding principle in politics, and it is with those women and unborn babies in mind that I make this speech.
As over 1000 medical professionals said in an open letter cited in The Telegraph today,
“If offences that make it illegal for a woman to administer her own abortion at any gestation were repealed, such abortions would, de facto, become possible up to birth for any reason including abortions for sex-selective purposes, as women could, mistakenly, knowingly or under coercion, mislead abortion providers about their gestational age. If either of these amendments were to become law, it would also likely lead to serious risks to women’s health because of the dangers involved with self-administered late abortions.”
They continue,
“Quite aside from the increased number of viable babies’ lives being ended beyond the 24-week time limit, there would likely be a significant increase in such complications if” new clause 1 or 20
“were to pass, as they would remove any legal deterrent against women administering their own abortions late in pregnancy. The current law permits flexibility and compassion where necessary but, for these reasons, we believe a legal deterrent remains important.”
Many supporters of new clauses 1 and 20 claim that the 24-week time limit for abortions would not change, but that is misleading. Any time limit is meaningless if abortions are legalised all the way up to birth, for any reason, without a legal deterrent. My concern is that, once decriminalisation has taken place, further steps will be taken to expand abortion time limits. Indeed, many of the campaigners mentioned this afternoon are on record saying as much. It is important that we are realistic about that.
We are not here to amend the Abortion Act. This is not a Backbench Business debate. We are here to debate an amendment to the Crime and Policing Bill. I hope that the hon. Lady stands corrected.
I do not think it is a case of being corrected. I have significant concerns that, should the new clauses be passed, those are the next steps—it is a bit of a slippery slope. We may just have to disagree on that.
Public opinion and professional advice are clear. Polling undertaken by ComRes reveals that only 1% of the public support the introduction of abortion up to birth, 70% of women would like to see a reduction in the time limit from 24 weeks to 20 weeks or less—still well above that of many of our European neighbours—and 89% of the population oppose the sex-selective abortions that new clauses 1 and 20 would allow.
Will the hon. Lady give way?
No, I will make some progress.
Those who champion new clause 1 claim that it is needed to stop arrests, long investigations and the prosecution of women, but it is important to highlight that prosecutions under sections 58 and 59 of the Offences Against the Person Act almost always relate to males inducing or coercing women into abortions. By decriminalising women, we would, by implication, also stop the opportunity to prosecute abusive or coercive males. To be prosecuted for aiding and abetting abortion, there needs to have been a case to answer in the first place.
Instead, I stand here to suggest a better route forward: new clause 106, tabled by my hon. Friend Dr Johnson. She has rehearsed the arguments for that new clause excellently, but I will add that freedom of information requests have revealed that one in 17 women who took pills by post required hospital treatment—equivalent to more than 10,000 women between April 2020 and September 2021. Further investigation found that the number of ambulance service call-outs relating to abortion increased in London. They also increased in the south-west, where my constituency is, from 33 in 2019 to 74 in 2020—a 124% increase. That correlates directly with the removal of the need for a doctor’s appointment. At-home abortions were made permanent by just 27 votes in March 2022. Polling in June 2025 found that two thirds of women support a return to in-person appointments. I call on the House to support new clause 106.
I rise to speak in support of new clause 1, tabled by my hon. Friend Tonia Antoniazzi, which would remove women from the criminal law on abortion. Before my election last year, I served as the director of the Women’s Equality Network Wales, and this issue has long been close to my heart.
Until very recently, violent men ending their partners’ pregnancies made up the bulk of prosecutions under this 1861 law, but recently we have seen a big rise in women being targeted, many erroneously. This is not a law that exists in Northern Ireland, Scotland, France, Canada, Australia, New Zealand or even, Members may be surprised to know, the most anti-abortion states of America, but it is increasingly used against women in this country.
I want to take some time today to speak about one of these women. I will call her Becca, which I stress is not her real name. I know about what happened to Becca because her mum and dad were horrified at what happened, and they want us to hear about the injustice this law causes and to think of Becca when we cast our votes later.
Becca was 19 years old when she gave birth to her baby in hospital. She had accessed legal abortion care through a licensed clinic, thinking she was in the first 10 weeks of pregnancy. She had suffered a very rare complication, and her pregnancy was later on than she and her doctors expected. Her parents reported that she had gained no weight, had had regular periods and had been working night shifts for the NHS only hours before.
Will the hon. Lady give way?
Due to time, I will not; I apologise.
When Becca gave birth, her baby was small and premature. She says the first hospital she stayed in was amazing, providing support for her, her partner and their baby. The second, however, made the decision—against professional guidance and rules on patient confidentiality —to report her and her partner to the police on suspicion of attempted abortion. One month after her child was born, Becca returned home to register the birth. The police swooped. Both she and her partner were arrested, her from her parents’ house and him from their baby’s cot side. They were held in police cells and interviewed under caution, without understanding what was happening or why.
When they were bailed, social services visited their house and told them they were not allowed to care for their baby without supervision, meaning that Becca could not breastfeed or hold her baby until her parents were approved as supervisors. During that visit, the social worker made a difficult situation even worse, telling the family their baby was deaf and blind as a result of the alleged abortion attempt. The baby was not. This casual cruelty by a social worker caused immense distress. Fortunately, Becca, her partner and her baby are now doing well. Social services agree that they are good parents and are no longer monitoring them.
I imagine that many Members across the Chamber today had never thought this kind of cruelty existed under abortion law in this country. I know that I had never considered it. The truth is that the current legal framework harms women and girls when they are at their most desperate, and the only people who can stop it are us here in Parliament today. While changing the law by voting through new clause 1 today cannot erase what happened to Becca and her family, it can stop it happening to any more women. I urge Members to keep women like Becca in the forefront of their minds when they vote. Think of Becca and vote for new clause 1.
My concerns about these amendments were such that I and others commissioned a leading King’s Counsel to draft a legal opinion regarding their effects. Let me inform Members of his conclusions. I begin with new clause 1. The KC confirms that, under new clause 1, in practice,
“it would no longer be illegal for a woman to carry out her own abortion at home, for any reason, at any gestation, up to birth.”
I note that Tonia Antoniazzi acknowledges in her explanatory statement to new clause 1 that her amendment applies “at any gestation”—that is, up to full term.
Let us be clear what this means. Under new clause 1, women would be able to perform their own abortions—for example, with abortion pills, which can now be obtained without an in-person gestational age check—up to birth, with no legal deterrent.
Due to medical advancements, we can save the life of a foetus at 21 weeks, yet we can legally terminate a foetus at 24 weeks. I shall be voting against all the amendments relating to the decriminalisation of abortion. Does the right hon. Gentleman agree that we should actually be reducing the window in which it is possible to have an abortion, so that the law reflects the realities of modern medicine?
I agree. Let me move to new clause 20. I am dealing with very narrow legal points, and it might be of interest to the House that the KC concludes that the new clause
“would render the 24-week time limit obsolete in respect of the prosecution of women who undertake termination of pregnancy in typical circumstances.”
He explains that
“the NC20 amendment would repeal the abortion law offences”,
including those relating to a “late abortion”. In other words, new clause 20 would fully repeal all existing laws that prohibit abortion in any circumstances, at any gestation, both in relation to a woman undergoing an abortion, and abortion providers or clinicians performing abortions.
In the second iteration of her new clause, Ms Creasy has added a measure that seeks to amend the Abortion Act 1967, to create the impression that a time limit would remain. However, the Abortion Act only provides exemptions against prosecution under the laws that new clause 20 would repeal, so those offences would no longer remain under new clause 20. Since the Abortion Act itself contains no penalties or offences, and neither would the proposed new clause introduce any, adding a mere mention of an ongoing time limit in the Act would be toothless and utterly meaningless under the law. New clause 20 would de facto have the effect of fully decriminalising abortion up to full term for both women and abortion providers.
Hon. Members do not need to take my word for it. It is not often that they will hear me agree with the British Pregnancy Advisory Service, the UK’s leading abortion provider, but its assessment of new clause 20 concludes that it would
“largely render the Abortion Act 1967 obsolete” and
“create a regulatory lacuna around abortion provision and access.”
There is one additional angle that Members need to be aware of. On new clause 20, the legal opinion finds that
“the effect of the amendment is that a woman who terminated her pregnancy solely on the basis that she believed the child to be female would face no criminal sanction in connection with that reason, or at all.”
Similarly, on new clause 1 the opinion confirms that
“it would not be illegal for a woman to carry out her own abortion at home, solely on the basis that the foetus is female.”
These amendments are not pro-woman; they would introduce sex-selective abortion.
Sex-selective abortion is already happening in this country. Back in 2012, a Telegraph investigation found that doctors at UK clinics were agreeing to terminate foetuses because they were either male or female. A BBC investigation in 2018 found that non-invasive prenatal tests were being widely used to determine a baby’s sex early in pregnancy, leading to pressure imposed on some women to have sex-selective abortions. That evidence led the Labour party to urge a ban on such tests being used to determine the sex of babies in the womb. A report by the Nuffield Council on Bioethics similarly found that several websites were privately offering tests to determine the sex of a baby, and the council warned that the increasing prevalence of private testing may be encouraging sex-selective abortions. Passing new clause 1 or new clause 20 would likely make the situation worse. In conclusion, what we are faced with is an extreme set of amendments going way beyond what public dominion demands, and way beyond what is happening in any other country in the world.
I rise in support of new clause 1 and new clause 20. I am someone who chooses the spend the majority of my time in this place focusing on women, who make up 51% of the population —on mothers, parents, women’s health and maternity—and I would like specifically to address comments that have been made in the Chamber today which pit the life of a foetus against that of a mother. Despite the fact that 40% of MPs are now women, and that every single one of us represents a constituency that will be 50% women, I rarely hear women’s issues being discussed here. On every issue in this House there is an angle that affects women differently, and that especially affects those caring for children differently, yet we do not speak about it.
When people speak against abortion in any form, I am stupefied by the bubble from within which they speak. Will they also speak out about the risk of giving birth when two-thirds of maternity wards are deemed unsafe by the Care Quality Commission? I doubt it. Will they speak out about the fact that more than 1.6 million women are kept out of the labour market because of their caring responsibilities, which are seven times those of men? I doubt it. Will they speak out about children in temporary accommodation, the extortionate cost of childcare, medical negligence and the decimation of Sure Start? I doubt it.
Until hon. Members have done their time making this world one thousand times better for mothers and parents, as it needs to be, I suggest that they reflect on the audacity of making a judgment in isolation today that cries, “Life.” Every decision we make in this place comes relative to its context. A woman who ends up in the truly agonising position of having an abortion is protecting a life—she is protecting her own life. Hers is the life that hon. Members choose to vote against if they vote against these amendments; hers is the life hon. Members would be choosing to discard.
As others have said, in reality, the amendments before us today will affect very few people, but will critically mean that while a woman is the carrier of a child, she will not be criminalised for anything to do with or within her body. Given how little the world tends to care about women and their bodies, I personally trust those individual women far more than I trust any state or judicial system that has yet to prove it can properly support the rights of women. That is why I will be voting for this and any amendments that further the rights of women over their own bodies.
I believe that both lives matter in every pregnancy—both the mum’s life and the child’s life. Abortion is often framed as a choice between the rights of the mother and of the child. I reject that framing, but today we are considering two amendments, new clause 1 and new clause 20, that would be bad for both women and unborn children; and one amendment, new clause 106, that would protect both women and unborn babies who are old enough to survive outside the womb.
In the last Parliament, I, along with a number of colleagues, warned that the pills-by-post scheme for at-home abortions would cause an increase in medical complications, dangerous late abortions and coerced abortions. Sadly, those warnings have become reality. A study based on a freedom of information request to NHS trusts found that more than 10,000 women who took at least one abortion pill at home, provided by the NHS, in 2020, needed hospital treatment for complications; that is the equivalent of more than one in 17 women or 20 per day.
Last December, Stuart Worby was jailed after using abortion pills, obtained by a third party through the pills-by-post scheme, to induce an abortion in a pregnant woman against her knowledge or will. Such cases could have been prevented if abortion providers had not pushed, in the face of warnings about precisely such incidents, for the removal of in-person appointments where a woman’s identity and gestational age could be accurately verified, and any health risks assessed.
The issue of inaccurate gestational age has led indirectly to the amendments before us today. Abortion providers have themselves conceded, and I quote Jonathan Lord, former medical director for Marie Stopes, that, until recently,
“only three women have ever been on trial over the past 160 years” for illegal abortions. Since then, there has been an increase in investigations and prosecutions, albeit a small number compared to the quarter of a million abortions we now have every year in the United Kingdom. This small rise in prosecutions has been caused by the pills-by-post scheme, which has enabled women, either because they miscalculate their own gestational age or through dishonesty, to obtain abortion pills beyond the 10-week limit, when at-home abortions are legal and considered safe for women, and even beyond our 24-week time limit for abortions. Tragically, this has led to viable babies’ lives being ended.
What is the answer? I suggest it cannot be to make things worse by decriminalising abortion. That would be bad for women and unborn lives, removing the legal deterrent against dangerous late-term, unsupervised abortions that would put women at risk as well as babies, even long after they are viable in the womb. This would render our already very late time limit redundant in a context where pills can be obtained without any reliable in-person gestational age check.
The alternative solution is to end the pills-by-post scheme and reinstate in-person consultation. That is why I support new clause 106, and the public support it too. New polling has found that just 4% of women support the current pills-by-post arrangement and two thirds want a return to in-person appointments. Decriminalisation may allow the problems with the pills-by-post scheme to be covered up, but it will not stop the problems happening. In fact, it will incentivise more dangerous late-term abortions of viable babies.
Let me close by turning to Northern Ireland. When Ms Creasy hijacked the Northern Ireland (Executive Formation etc.) Act to impose abortion on Northern Ireland, she argued that women in Northern Ireland faced discrimination because they did not have access to the same abortion provision as women in Great Britain. Let me very clear: Northern Ireland is very different. Northern Ireland does not have the pills-by-post scheme, so a direct correlation with GB cannot be made. I ask hon. Members to support new clause 106.
It is worth being absolutely clear about what new clause 1 would and would not do. It would simply remove the threat of prosecution for women who end their own pregnancy: it would not change the abortion time limit, which remains. The rules around telemedicine remain. The requirement for two doctors to sign off remains.
In recent years there has been what I consider to be a worrying rise in the number of people being investigated, prosecuted and even imprisoned under the law. These prosecutions are deeply distressing and, in most cases, entirely disproportionate. It is far more common for a woman to miscarry or to miscalculate the stage of her pregnancy than to wilfully break the law.
To fully address the question from my hon. Friend Mr Perkins, I do not think it is right, in the context of what is actually happening in investigations and prosecutions, that any woman should be prosecuted. The harm caused by the number of investigations and prosecutions where it is absolutely not justified outweighs that.
A constituent came to see me yesterday and explained that when she was 16 she was coerced into a forced marriage by her family. She had not been allowed to have any sex education, so when she became pregnant she did not even realise. It was only when her mum noticed that she managed to access a legal abortion, but she told me that she could have been in a situation in which she would have had to get out of that marriage in order to have a late abortion. Does my hon. Friend think it would be in the public interest to go after women such as my constituent who were in forced marriages? Is that helpful?
I absolutely think it is not helpful to go against those women. New clause 1 would retain the criminal prosecution of men who force women to have an abortion, or indeed anyone who coerces a woman into having an abortion. One in eight known pregnancies end in miscarriage, yet we have seen women subjected to invasive investigations, delayed medical care and lengthy legal processes because they have had an abortion or a stillbirth.
Many colleagues have already spoken about the intense distress that legal proceedings inflict, whatever the circumstances. In the case of Nicola Packer, it took four years to clear her name. During that time, the scrutiny she faced was entirely dehumanising, with completely irrelevant matters treated as evidence of wrongdoing. For every woman who ends up in court, many more endure police investigations, often including phone seizures, home searches and even, in some cases, having children removed from their care. All that not only is distressing and disproportionate for those women, but makes abortion less safe. If women are scared of being criminalised, they will not be honest with their midwives, GPs or partner. Abortion is healthcare, and healthcare relies on honest conversations between care providers and patients.
I will rebut a bit of the misinformation that says that new clause 1 would allow abusive partners or others to avoid prosecution. That is simply not true. NC1 applies only to the woman who ends her own pregnancy. Healthcare professionals who act outside the law, and partners and other family members who use violence or coercion would still be criminalised, just as they are now, and quite rightly so.
The amount of misinformation about abortion is distressing—I have seen it within and without this Chamber. What are the facts? Some 88% of abortions happen before nine weeks. As a woman who has lost two very-much wanted pregnancies at about that stage, I am very aware of what that actually means physically, and of what stage the foetus is at then. Abortions after 20 weeks make up just 0.1% of all cases, and those are due to serious medical reasons. Women are not ending their pregnancies because of convenience.
NC1 would not change what is happening with abortion care, but it would protect women from being dragged through these brutal investigations, which are completely inappropriate in the majority of cases anyway. Women are extremely unlikely to try to provoke their own abortion outside the time limits. A criminal sanction for that, or a distressing and intrusive investigation, is entirely disproportionate. It is not in the public interest to subject these women to these investigations.
I will finish with this: women who have abortions, women who have miscarriages and women who have children are not distinct sets of women. Many of us will experience at least two of those things, if not all three. Let us stop making false distinctions and trying to pit groups of women against each other, and let us stop brutally criminalising women—many of them very vulnerable women—in the way that the current law does, because it serves no purpose. Today, we can end that.
I rise to speak against new clauses 1 and 20, and in support of new clause 106, tabled by my hon. Friend Dr Johnson. First, it is important for me to say that I fully support women’s reproductive rights. I think that we generally get the balance right here in the UK, and protecting that is a hill I would die on. However, I am disturbed by new clauses 1 and 20, which would decriminalise abortion up to birth. If they become law, fully developed babies up to term could be aborted by a woman with no consequences.
The reason we criminalise late-term abortion is not about punishment; it is about protection. By providing a deterrent to such actions, we protect women. We protect them from trying to perform an abortion at home that is unsafe for them, and from coercive partners and family members who may push them to end late-term pregnancies. I have great respect for Tonia Antoniazzi, who has tabled new clause 1. We share many of the same objectives on other topics, but in this case I think she is trying to solve a very real issue—the increased number of prosecutions—with the wrong solution.
These amendments are driven by the case of Carla Foster, among others. Carla Foster is a mum who was prosecuted under UK law for carrying out an illegal abortion in May 2020, during the covid pandemic. She carried out the abortion at 32 to 34 weeks of pregnancy after receiving the relevant drugs through the pills-by-post scheme introduced during lockdown. This is a terrible case that harshly demonstrates the flaws with the current process, but the issue here is not the criminalisation of abortion after 24 weeks; it is the fact that Carla Foster was given the pills without checking how far along she was in the first place. She was failed by people here in Parliament who voted to allow those pills to be sent out by mail during lockdown without an in-person consultation. That was an irresponsible decision; and one that might have been forgiven in the light of a global pandemic if it had remained temporary. However, in March 2022 the scheme was made permanent.
If we want to protect women from knowingly or unknowingly acquiring abortion pills after 24 weeks of pregnancy and inducing an abortion at home, we must put an end to the situation in which those pills can be acquired without a face-to-face consultation at which gestational age verification by medical professionals can take place. These drugs are dangerous if not used in the right way, as we saw when Stuart Worby spiked a pregnant woman’s drink with them, resulting in the miscarriage of her 15-week-old baby. Make no mistake: the pills-by-post scheme enabled that evil man and his female accomplice to commit that crime.
It is also important to note that prior to the pills-by-post scheme, only three women had been convicted for an illegal abortion over the past 160 years, demonstrating the effectiveness of the safeguard. However, since that scheme was introduced—according to Jonathan Lord, who was medical director of Marie Stopes at the time—four women have appeared in court on similar charges within an eight-month period. Criminalisation of abortion after 24 weeks is not the problem; the pills-by-post scheme is.
If new clause 1 passes while the pills-by-post scheme remains in place, here is what will happen. More women will attempt late-term abortions at home using abortion pills acquired over the phone, and some of those women will be harmed. Many of them will not have realised that they are actually going to deliver something that looks like a baby, not just some blood clots—that is going to cause huge trauma for them. Many of those women genuinely will not have realised how far along they are, due to implantation bleeding being mistaken for their last period, and on top of all of this, some of the babies will be alive on delivery.
We in this place need to get away from this terrible habit of only considering issues through a middle-class lens. What about women who are being sexually exploited and trafficked? What about teenage girls who do not want their parents to find out that they are pregnant?
I rise to oppose new clauses 1 and 20 and to support new clause 106. All the new clauses concern the issue of abortion.
Through the process of decriminalisation, new clauses 1 and 20 will introduce the possibility of de facto abortion up to birth for any reason in this country, for the first time in history. Let me be clear: this means that it will no longer be illegal for a woman to abort a full-term, healthy baby. That would be a profound change in the settled position on abortion in this country for the past 58 years—an extreme move that polling has shown that the vast majority of the country does not want. Indeed, recent polling shows that only 3% of the public support the idea of abortion up to birth. New clause 106 would diminish the risk of women being criminalised for abortions beyond the current legal limit through the reinstitution of in-person appointments. That is popular; recent polling shows that two thirds of women back a return to in-person appointments for abortions.
I do not want to be standing here talking about abortion. It is not something that I came into Parliament to do. I am also very conscious that, as a man, I should be very careful about commenting on the experience of women. However, I feel that new clauses 1 and 20 give me no choice but to speak against them, despite my huge respect for the mover of new clause 1 in particular.
What are we trying to achieve here? If the aim is to decriminalise women in difficult situations, I have huge sympathy for that. For eight years I was the chief executive of a homelessness charity that housed and supported women in desperate situations, many of whom were traumatised, dependent on substances, with fluctuating mental ill health conditions and extensive experience of the criminal justice system. A common theme among them was that they had been abused and harmed from a very early age, consistently into their adulthood. The women we served and supported still had agency. They still had free will. If their circumstances were desperate at times, they nevertheless often confounded those circumstances to rise above them. However, they also made decisions that they regretted. They made decisions, at times, that those around them—and even they themselves, later—were appalled by.
I recall, a few years ago, supporting a woman in a hostel who was traumatised by her own decision to abort a child. Does my hon. Friend agree, in the context of this language about protecting people, that we also need to protect people from these decisions when they are not made with the proper safeguards and protections in place?
I do agree. If something is absolute—in terms of the new clauses, as I understand them—it must cover all eventualities, and what we are trying to say is that we simply do not believe that it can.
I have heard it said that no woman would induce an abortion after 24 weeks, but we cannot introduce such a profound change in abortion law on the basis of a simple hope that no woman would take such a drastic step. If we remove the possibility of criminal prosecution for abortion post 24 weeks’ gestation, it is a certainty that some women will take that drastic step if there are no sanctions and no wider consequences.
Will my hon. Friend give way?
I am afraid I am going to make some progress.
In 2024, according to Government statistics, there were a quarter of a million abortions. If only 1% of them took place as late-term abortions, that would mean 2,500 late-term abortions a year. We also risk the rise, once more, of backstreet abortions. Imagine a scenario in which a woman knows that she cannot now be prosecuted under the law for a late-term abortion, but for some reason wishes to go ahead with one, or is pressured into it. Surely at this stage she is more likely to get hold of pills by post—which are not considered safe to take outside a clinical context after 10 weeks—by pretending to be under the legal limit, to undertake a dangerous procedure on herself, or to seek to procure an off-the-books abortion.
Will the hon. Gentleman give way?
I will make progress.
The new clauses seek to address a perceived problem of police actions that were over-zealous in a handful of cases by making a fundamental change to abortion law that would put more women at risk while also risking the lives of infant children.
My hon. Friend is giving a speech that I think many Members will find difficult to hear from such a wonderful friend and colleague. Does he agree that many women are already facing incredibly difficult situations, and many could already have a late-term abortion for which they could order pills online? We do not want to criminalise those who are not doing that. It is entirely wrong to criminalise people for taking action. Does my hon. Friend agree that the majority of women are doing the right thing?
I absolutely do agree that the vast majority of women are doing the right thing, but I do not believe that we can cover all eventualities through such a fundamental black-and-white change in the law.
The real problem is that the temporary pills-by-post abortion scheme brought in during covid, which does not require in-person appointments, has been made permanent. That is why I added my name to new clause 106. In-person appointments would remove any doubt about the gestational age of a foetus within a narrow range, and massively reduce the likelihood of successful coercion, which is something I have seen throughout my work, as I have mentioned. This would consequentially remove the possibility of egregious police overreach, which I know my hon. Friends are so concerned about.
Will my hon. Friend give way?
I am just coming to my conclusion.
The choice for Members is very clear—indeed, stark. It is to approve the biggest change to abortion law in 58 years while, I believe, making things worse for women and their unborn children, or to solve the problem of criminal justice overreach by reinstating in-person appointments for abortion. This is clearly a very difficult subject, and I just feel that amending this Bill is not the right way to go about such a divisive and emotive change, but I will leave it there.
Order. The speaking limit is further reduced to three minutes.
I rise to speak against new clauses 1 and 20, which represent rushed changes to our abortion laws of profound consequence not only for the unborn child, but for women themselves. My fear is that, if passed, these new clauses would undermine the ability to prosecute abusive partners who force women into ending a pregnancy, inadvertently lead to more dangerous and highly distressing at-home abortions, and risk reducing the status of an unborn child to a legal non-entity.
I also wish to put on record my deep unease about the continued attempts to lasso unrelated legislation with amendments on abortion. Whether or not one supports liberalisation, we should all be able to agree that these amendments represent substantial change to the existing law.
I am afraid the hon. Member is not stating what my new clause would actually do. It takes women out of the criminal justice system, and this is the Crime and Policing Bill.
I was also expressing my concerns about other amendments that have been tabled, but I believe the hon. Member is none the less proposing a substantial change that deserves more than a two-hour debate among Back Benchers.
As MPs, we are not here simply to express our opinions of an ideal world or even to focus only on highly distressing cases; we are legislators, and no greater legislative duty exists than to make sure that what we do in this House does not lead to unintended consequences in the real world for the most vulnerable. In two hours of debate on a Tuesday afternoon, we are being asked to rewrite a profound boundary in British law that protects the unborn child. That is not responsible lawmaking; it is a procedural ambush. It is telling that not even the promoters of decriminalisation in this House can agree on the form it should take. That ought to make each one of us pause, because it speaks to the challenge of moving beyond principle to real-world application.
It is worth our recalling previous efforts to amend Bills in this way and their consequences. The temporary pills-by-post scheme brought in during the crisis of the pandemic was made permanent by an amendment hooked, with little notice, on to an unrelated Bill, and what have we seen since? We have seen women accessing pills under false names and gestational dates, and taking them far beyond the recommended 10-week limit, and viable babies have been lost after late-term abortions. That is not women’s healthcare; it is legal and medical failure.
Will the hon. Lady give way?
Will the hon. Lady give way?
I am afraid there is simply not enough time.
That failure is now being used to justify the loosening of abortion laws still further due to a recent uptick in cases of women being investigated. I have looked carefully at the arguments being pushed for decriminalisation, and with those from Ms Creasy, I see that the bogeyman of the US right is back. Apparently, unless we agree to these amendments, evangelical religious groups paid for by US cash are going to start rolling back women’s reproductive rights in this country. This is utter nonsense. We are in the UK, and we have a very different and a more balanced national conversation. This is not pro or anti life. It is not extremist to want protections for viable babies, and it is not anti-women to say that coercion or dangerous self-medication should not be outside the reach of the law.
We also see the argument made that this is solely a woman’s health issue and nobody but she should have a say over what happens to her body, but that is to ignore a very inconvenient truth that has always stalked the abortion debate: this is not about one body; there are two bodies involved. Like it or not, this House has a duty to consider the rights of a woman against the safety and morality of aborting the unborn viable child without consequence. It is not extreme or anti-women to say that a baby matters too. I accept that new clause 1 does not decriminalise a doctor or third party carrying out an abortion outside existing time limits, but let us step back and ask why we have criminal law at all. It is not simply to punish, but to deter.
The former Justice Minister Laura Farris has expressed concerns that the challenge of prosecution for infanticide will become greater. She has also raised similar concerns about prosecuting coercive partners if the termination is no longer a criminal offence.
I want to start by aligning myself with, and commending the speeches of, my hon. Friends the Members for Morecambe and Lunesdale (Lizzi Collinge), for Ribble Valley (Maya Ellis), for Monmouthshire (Catherine Fookes), for Gower (Tonia Antoniazzi) and for Walthamstow (Ms Creasy). I am proud to stand alongside my colleagues and was proud to listen to what they had to say today. And because of what they had to say today, I have less to say, which will allow more people to speak.
I have been sent here by my constituents to defend and further their right to safe and legal abortion. My inbox has been inundated with messages from constituents who are concerned, and who want to be able to have safe and legal abortions. They want to be removed from the criminal justice system, as my hon. Friend the Member for Gower said, because we have situations where clinically vulnerable women, who have gone through some of the worst experiences that anybody can go through, will in some cases be arrested straight from the hospital ward, hurried to cells and made to feel unmitigated levels of shame and guilt, on top of the physical and mental traumas they have already experienced.
My hon. Friend is articulating exactly the point, which is that very few women, if any at all, take the decision to have an abortion lightly. It is an incredibly difficult, painful and hard decision, which is physically and mentally very tough to deal with. Does he agree that that is the crux of what we are doing here: alleviating some of the pain that those women are having to go through?
I thank my hon. Friend for that really powerful intervention. I completely agree. If in this place we can do one important thing today, which is to send a signal that we wish to alleviate that pain, then we should do it.
Is my hon. Friend aware of the fact that it is impossible medically to determine whether somebody has had a miscarriage or has used abortion pills, so the cases these women do not have a scientific or medical basis, only suspicion? If we really wanted to protect the woman, we would make sure that she had the right advice and the right medical support throughout her pregnancy.
I thank my hon. Friend for that intervention. I do agree, and it takes me to the points made by my hon. Friend the Member for Ribble Valley. She talked about how, over many years, women have been denied access to the healthcare, advice, guidance, childcare and other infrastructure that is so critical to a woman’s quality of life. We need to end that, full stop.
That takes me to another point, which relates to new clause 106. I listened to the mover of new clause 106, Dr Johnson, and to those on the Opposition Benches making cases in support of it. I am afraid I do not agree. There is nothing in the clinical evidence available to support the new clause. As somebody who ran a domestic abuse and mental health charity for five years before I was elected, I am very painfully aware of the trauma and difficulties that women who have been domestically abused will go through, and I do not want them to feel, on top of that, shame and trauma about trying to access abortion services. It is important that we think about those people.
I forget who it was on the Liberal Democrat Benches, but they made a really important point about poorer people who are unable to access transport links to access clinics. There was a really important point about our infrastructures being broken down, such as bus connectivity. That is the legacy of the past 14 years, but it is a legacy we must none the less contend with or women will be impeded in their access to abortion services as a consequence.
Does the hon. Gentleman agree with the advice from the Royal College of Obstetricians and Gynaecologists, the Royal College of General Practitioners, the Royal College of Midwives, the Royal Pharmaceutical Society, the Faculty of Sexual and Reproductive Healthcare and the British Medical Association, who all know much more than we do about the issue, to vote firmly against new clause 106, because it makes women more vulnerable?
I thank the hon. Gentleman for that intervention. I agree with those bodies and I agree with him.
Finally, Julia Lopez made an argument about a bogeyman of American politics somehow being conjured up by my hon. Friend the Member for Walthamstow. I represent Bournemouth East. In my constituency, we have BPAS Bournemouth, which was targeted by US Vice-President J.D. Vance when he made his point about buffer zones and abortion access. I have spoken with the people who work at that clinic since that speech was given, and they are scared. They want to support women’s reproductive rights and women’s health and safety, but staff members’ vehicles are being tampered with, and women seeking the clinic’s support are finding their access impeded. They want us to be sensitive in what we say and how we say it, because there are people across our constituencies who are deeply concerned for the welfare of women, and who look to us to send the right signal through how we conduct our politics.
I was a signatory to new clause 1 and new clause 20. I recognise that there will be a vote on new clause 1 first. I will vote in favour of it, and I call on all Members across this House to do the same.
We have run out of time, so I will call the Front-Bench speakers. I call the Liberal Democrat spokesperson.
As is usual on matters of conscience, these votes will not be whipped by my party today, as I believe is the case across the House. That said, my party passed relevant policy at our party conference, and I will lay out that policy before talking a little about my predecessor’s work on the 1967 Act. Then I will explain, in a personal capacity, why I will support some, but not all, of the amendments before us.
The Liberal Democrats believe that women have the right to make independent decisions about their reproductive health without interference from the state, and that access to reproductive healthcare is a human right. The current law impacts the most vulnerable women. Under that legislation, some can be dragged from hospital beds to prison cells and endure needlessly long periods of investigation and prosecution. The provisions that allow for this were introduced before women were even allowed to vote, so it is not surprising that many see the need for them to be updated.
In the past five years, there have been both debates about whether the police have the resources that they need to keep our community safe, and a surge of police investigations into women suspected of obtaining medication or instruments to end their pregnancy outside the law. That surely cannot be the best use of police time. Lib Dem policy is to ensure proper funding for impartial advice services, so that people can receive comprehensive, unbiased information without being pressured. Access to abortion should never be made more stressful, so we would maintain safe zones around clinics to protect those seeking care.
My predecessor as Liberal MP for Hazel Grove, the late Dr Michael Winstanley, later Lord Winstanley, was key in shaping the Abortion Act 1967. He was on a cross-party group of around a dozen MPs who sought to refine the language and the strategy of that vital legislation. Dr Winstanley continues to be mentioned on the doorstep in my constituency, and he is known, among other things, for bringing calm, professional insight to the debate. He drew on his background as a general practitioner and on his medical knowledge and experience to ground the discussion in medical evidence, and was especially vocal in highlighting the dangerous and often desperate conditions faced by women when abortion was severely restricted. He made the case that legal, regulated abortion was not only safer but more humane.
At the end of this debate, I will join the World Health Organisation, the Royal College of Obstetricians and Gynaecologists, midwives, nurses, psychiatrists, general practitioners and the End Violence Against Women Coalition in supporting new clause 1. To be clear, this new clause would not change how abortion is provided or the legal time limit on it, and it would apply only to women acting in relation to their own pregnancy. Healthcare professionals acting outside the law, and abusive partners using violence or poisoning to end a pregnancy, would still be criminalised, as they are now.
Will the hon. Lady give way?
I am under strict encouragement from Madam Deputy Speaker to be speedy, so I will not give way.
I very much support the spirit of new clause 20, but I cannot support new clause 106. I acknowledge that those who tabled it want women to be able to access the best healthcare available, but it would be a step backwards to make it harder for women to access the treatment that they need, whether that is women in a coercive relationship, or those who live in a rural area with limited transport options, and who find it hard to access in-person medical appointments. Telemedicine enables timely, accessible abortion care. We rightly speak repeatedly in this House of the strain on our NHS’s space, staff and capacity, so it feels entirely retrograde to roll this service back and insert clinically unnecessary barriers, and I cannot support doing so.
The amendments and new clauses before us are subject to free votes, so Members can rightly choose for themselves. I very much hope that we choose to move forwards, not back.
In recent weeks and months in this House, we have become familiar with votes of conscience. The amendments that I shall speak to—new clauses 1, 20 and 106—are also matters of conscience. Although I am responding for his Majesty’s official Opposition, Conservative Members will have free votes, so the views that I express will be my own, and I fully recognise that there may be Conservative colleagues who disagree with me.
I recognise that the hon. Members for Gower (Tonia Antoniazzi) and for Walthamstow (Ms Creasy) tabled new clauses 1 and 20 with the very best of intent. I have no doubt that all Members who signed them did so with the objective of supporting and safeguarding the rights of women, and I can unequivocally say that I share those aims, as do my hon. Friends the Members for Hornchurch and Upminster (Julia Lopez), for Reigate (Rebecca Paul), for South West Devon (Rebecca Smith), and for Sleaford and North Hykeham (Dr Johnson), and my right hon. Friend Sir Edward Leigh, who have also spoken. However, I do not believe that new clauses 1 or 20 achieve the safeguarding of women that Members seek.
Views on abortion do not have to be absolutist. Being pro-choice is not incompatible with being pro-life when the foetus is at a stage at which it is inherently viable. Believing that women should have autonomy over their bodies does not negate the need for a system that safeguards women from physical and emotional harm. As we have heard, new clause 1 would ensure that pregnant women were not criminalised for accessing an abortion during their pregnancy. It would, however, retain the law relating to the provision of abortion in healthcare settings as it stands. Effectively, a woman in England and Wales would legally be able to abort an unborn child by her own means up to the moment prior to a natural birth, but a healthcare professional would be breaking the law if they tried to help her do so outside the 24-week limit.
There is a calumny at the heart of this, which is that these new clauses are compatible with the ’67 Act. When breaching an Act of this Parliament ceases to be unlawful, it loses its force and therefore its purpose, and that calumny cannot be allowed to stand on the record.
I thank my right hon. Friend for his intervention.
On the one hand, abortion would be decriminalised for women; on the other, restrictions on her ability to access that same procedure in a safe, controlled and supportive setting would remain. We must be careful not to create a law that has unintended and potentially harmful consequences, especially for those it is designed to help, and especially when those who are likely to rely on it are likely to be in a state of stress or distress.
New clause 1 raises many questions. Is it tenable to legalise all but full-term abortions in England and Wales, but not in other parts of the UK? What would be the legal implications if a woman in Gretna travelled 10 miles across the border to Carlisle to have an abortion after the 24-week limit that is in place in Scotland? Under new clause 1, how do we monitor such abortions that occur outside a healthcare setting? How do we ensure that mothers’ physical and mental health is protected and supported? And what happens to the once-delivered foetus, if the abortion is outside a healthcare setting?
As we have heard, new clause 20 goes further than new clause 1 in many respects, so many of the same concerns apply. New clause 106 in the name of my hon. Friend the Member for Sleaford and North Hykeham would mandate an in-person consultation before a pregnant woman was prescribed medication to terminate a pregnancy. This new clause is not about making abortions harder to access. An abortion should, of course, be readily available to those who need and want it, and of course abortion medication should be easily accessible during the appropriate stages of pregnancy, but this new clause is about the safety of the mother and the unborn child.
Face-to-face appointments are commonplace for patients with a wide range of medications and conditions, particularly when new medications are being prescribed. A private, in-person consultation allows a doctor to be as sure as they can be that the woman is acting of her own informed free will, and ensures that her mental state is assessed and understood. It also reduces as much as possible the likelihood of medication being misused or abused.
Telemedicine, while it has its place, can never be a replacement for the patient-doctor relationship developed during face-to-face appointments. It has serious shortcomings. There have been many cases where abortion medicine has been misused following telemedicine, and there have been many more hospitalisations of women following the use of telemedicine. However, I stress that not all of these cases will be down to misuse; we should all be aware of that. New clause 106 does not attempt to restrict access to abortions, and I would not support it if it did. Instead, it would act as an important safeguard to protect women from emotional trauma and physical harm.
Let me begin by emphasising that all women in England and Wales can access safe, regulated abortions on the NHS under our current laws. I also recognise and respect that there are strongly held views across the House on this highly sensitive issue, and I welcome the considered and informed debate we have had today.
The Government maintain a neutral stance on changing the criminal law on abortion in England and Wales. We maintain that it is for Parliament to decide the circumstances under which abortion should take place, and will allow Members to vote according to their moral, ethical or religious beliefs. If it is the will of the House that the criminal law on abortion should change, whether by our exempting pregnant women from the offences or otherwise, the Government would not stand in the way of such change. However, we must ensure coherence between the statute book and any legislation proposed.
It will be helpful if I first set out the relevant law. As hon. Members will know, in England and Wales, the criminal offences relating to abortion must be read in conjunction with the provisions of the Abortion Act 1967, which provide exemptions to the criminal offences. The Act defines the circumstances in which abortions or terminations can legally take place. Section 58 of the Offences Against the Person Act 1861 is the offence of administering drugs or using instruments to procure an abortion. It is an offence for a pregnant woman to unlawfully take a drug or use instruments with the intent of procuring her own miscarriage. It is also an offence for another person who has the intent of procuring the miscarriage of a woman, whether or not she is pregnant, to unlawfully administer drugs or use instruments with that intent. It is also an offence under section 59 of the 1861 Act for a person to supply or procure drugs, poison or an instrument that was intended to be used to procure a miscarriage.
The Infant Life (Preservation) Act 1929 deals with acts in the later stages of pregnancies, including late-term abortions in England and Wales. Under section 1 of the 1929 Act, it is an offence for any person to intentionally destroy the life of a child before it is born, if it is capable of being born alive, unless it can be proved that the act was done in good faith and only to preserve the life of the woman.
Turning to the amendments, the purpose of new clause 1, tabled by my hon. Friend Tonia Antoniazzi, is to disapply criminal offences relating to abortion from a woman acting in relation to her own pregnancy at any gestation. This means that it would never be a criminal offence for a pregnant woman to terminate her pregnancy, regardless of the number of weeks of gestation, including beyond the 24 weeks.
I apologise, but I will not. We are really short on time.
It would also not be a criminal offence for a woman to intentionally deceive a registered medical practitioner about the gestation of her pregnancy in order to procure abortion pills by post beyond the 10-week time limit. It would remain an offence for another person, such as a doctor, to do the relevant acts, and for a pregnant woman to do the relevant acts for another woman, unless the provisions of the Abortion Act are applied.
New clause 1 seeks to ensure that a woman cannot commit an offence in relation to her own pregnancy under the law related to abortion, including under sections 58 and 59 of the Offences Against the Person Act 1861, and the Infant Life (Preservation) Act 1929. The phrase “related to abortion” is not defined in the clause but in practice will be limited to these provisions, as there are no other offences that relate to abortion in England and Wales.
It was suggested during the recent Westminster Hall debate on decriminalising abortion, and again today, that the risk with new clause 1 is that it creates a general power for the Secretary of State to amend the Abortion Act 1967 or the relevant criminal legislation relating to abortion. I would like to clarify that new clause 1 does not create such a power, nor do any other provisions of the Crime and Policing Bill. New clause 1 does not grant the Secretary of State additional secondary legislation powers, while clause 166 of the Bill does grant the Secretary of State a regulation-making power in relation to the provisions of the Bill. That can only be exercised to make provisions that are appropriate in consequence of the Bill’s provisions. It would not, for example, give the Secretary of State general powers to make substantive amendments to the Abortion Act 1967 in order to change the rules about abortion, or to amend the Offences Against the Person Act to reintroduce criminal offences, as that would not be consequential to new clause 1.
I turn to new clause 20, tabled by my hon. Friend Ms Creasy, which would repeal existing criminal offences relating to abortion and concealment of a birth, place a duty on the Secretary of State to implement certain recommendations relating to abortion services, and create regulation-making powers regarding criminal offences relating to abortion.
I will not give way.
This is a complex new clause, and I will not address all of its provisions or the policy intentions behind them. However, I will highlight areas where the House may want to consider whether the duties or delegated powers may be unclear or give rise to unintended consequences.
I acknowledge that my hon. Friend’s approach seeks to mirror the model used to decriminalise abortion in Northern Ireland. However, it is important to recognise that the circumstances in Northern Ireland at the time were markedly different from those in England and Wales. There was no functioning Executive, no provision of abortion services except in the most exceptional circumstances and no equivalent to the Abortion Act 1967, so provision had to be made to create a regime for abortion services. As such, the approach to decriminalising abortion in England and Wales, where the provision and regulation of lawful abortions already exists, needs to reflect the distinct legal context.
New clause 20 would impose a duty on the Secretary of State to implement paragraphs 85 and 86 of the convention on the elimination of all forms of discrimination against women in England and Wales by using the regulation-making powers in subsection (8). The CEDAW report contains recommendations relating to the criminal law on abortion, which would, in so far as they relate to England and Wales, already be addressed by the repealing of the offences through subsections (2) and (4) of the new clause.
The report includes recommendations that go beyond the provision of abortion services, such as on the provision of sexual and reproductive health and education. As I have mentioned, the CEDAW report and its recommendations were developed in the specific context of Northern Ireland and therefore reflected the position there at the time. The position in England and Wales is different, with existing guidance, services and legislation that already address many of the report’s recommendations.
I turn to the criminal law aspect of the new clause. Subsections (2) and (3) would repeal sections 58 to 60 of the Offences Against the Person Act 1861, as well as the Infant Life Preservation Act 1929. Repealing those offences would remove criminal liability for a woman acting in relation to her own pregnancy and would also decriminalise any other person doing the relevant acts to a pregnant woman, or in relation to the body of a child. For example, there would no longer be a specific offence to cover cases of forced abortion. That would mean that situations in which an individual subjected a pregnant woman to violence with the intention of causing a miscarriage would be dealt with under different offences relating to assaults and bodily harm rather than section 58 of the Infant Life Preservation Act. The moratorium on investigations and prosecutions contained in subsection (4) would discontinue such cases. Therefore, those suspected of forcing a woman to have an abortion before the offences were repealed could not be investigated for those offences.
Subsection (2) seeks to repeal section 60 of the Offences Against the Person Act 1861, which criminalises concealing a birth by disposing of a child’s body after its birth. Unlike sections 58 and 59 of the 1861 Act, that offence is not limited to abortion-related acts. Repealing it entirely could therefore create a gap in the law regarding non-abortion-related concealment of birth following a child’s death. While I understand the concern of my hon. Friend the Member for Walthamstow about investigations under section 60 relating to alleged illegal abortions, a full repeal may have unintended consequences.
I will briefly address a point that my hon. Friend made about existing offences that cover this matter. The offence of perverting the course of justice requires a positive act coupled with an ulterior intent that the course of justice will be perverted. Therefore, it is not necessarily the same and we do not want to provide unintended consequences. It is important to note that subsection (12) grants the Secretary of State regulation-making powers in the light of the repeal of these offences, subject to certain restrictions. The power could be used, for example, to create offences specifically targeted at forced abortions or concealing a birth by disposing of a child’s body. While I do not comment on the policy intent, the House typically exercises its full powers of scrutiny over the introduction of new and serious offences, rather than conferring a power on the Secretary of State to do so through secondary legislation.
New clause 106, which was tabled by Dr Johnson, deals directly with the Abortion Act 1967. The intended purpose of the new clause is to require women to attend an in-person consultation. Section 1(3D) of the Abortion Act 1967 does not apply to consultations that take place before the medicine is prescribed. Women would therefore continue to have remote consultations for prescription of the medicine, but would then be required to travel to a hospital or clinic for an in-person consultation before being able to self-administer the medicine at home. Alternatively, women could have an in-person consultation to be prescribed the medicine and then the medication could be posted to the women at home. The overall effect of this new clause would mean that no woman could legally have an at-home early medical abortion without an in-person consultation.
In conclusion, if it is the will of Parliament that the law should change, the Government, in fulfilling our duty to ensure that the legislation is legally robust and workable, will work closely with my hon. Friends the Members for Gower and for Walthamstow to ensure that their new clauses accurately reflect their intentions and the will of Parliament, and are coherent with the statute book. As I have already stated, the Government take no position. I hope these observations are helpful to the House when considering the new clauses.
Question put, That the clause be read a Second time.
The House divided: Ayes 379, Noes 137.
Question accordingly agreed to.
New clause 1 read a Second time, and added to the Bill.
Proceedings interrupted (Programme Order, this day).
The Chair put forthwith the Questions necessary for the disposal of the business to be concluded at that time (