Crime and Policing Bill

Debate between Baroness Foster of Aghadrumsee and Lord Carter of Haslemere

Committee stage
Monday 2nd February 2026 Lords Chamber

[Lord Carter of Haslemere (CB)]

I cannot speak to that sort of case, and I entirely agree that it sounds terrible. But the police are there to investigate; that is their job. They have to do it according to rules and codes of practice and, if the system works properly, that sort of case should not arise. At least in this amendment there would be a filter before any criminal prosecution could be instituted.

[Baroness Foster of Aghadrumsee (Non-Afl)]

My Lords, I will speak to Amendment 460, tabled by the noble Baroness, Lady Stroud—who very much regrets that she is unable to be here today—to which I am pleased to be a signatory. I acknowledge the support of the noble Lord, Lord Frost, who unfortunately cannot be here this afternoon, and of course the noble Baroness, Lady Ritchie of Downpatrick, who will speak later.

Amendment 460 would reintroduce mandatory in-person consultations with a medical professional before abortion pills can be prescribed. It is a common-sense amendment that would protect women and ensure good practice. Amendment 460 would also offer a more satisfactory solution to the supposed problem that we are told lies behind Clause 191—the small number of prosecutions in recent years of women who have induced their own abortions beyond the statutory time limit. These prosecutions have taken place because abortion providers have been able to send abortion pills to women by post without reliably assessing their gestational age. This includes those who claimed to be under the legal limit of 24 weeks but who, in reality, were not.

Indeed, the two most high-profile cases highlighted by supporters of Clause 191 would not have been able to take place if gestational age had been properly assessed in a face-to-face consultation. Carla Foster was found guilty of an illegal abortion at 32 to 34 weeks’ gestation after admitting to deliberately misleading the UK’s largest abortion provider, BPAS, about her gestational age, telling it she was seven weeks pregnant.

Nicola Packer was charged with an illegal abortion after the UK’s second-largest abortion provider, Marie Stopes, sent her pills even though she was over the legal limit. She was acquitted after telling the court that she was unaware of how far through her pregnancy she was. It is remarkable that one of our leading abortion providers should respond to its own mistakes—sending pills to women beyond the legal limit through a scheme for which it lobbied and from which it benefits—by trying to push for even more radical laws that minimise accountability.

The solution to such cases is not to decriminalise self-administered abortions up to birth, as Clause 191 proposes, which endangers women and renders the 24-week time limit largely toothless. Such a course would be irresponsible and widely out of step with public opinion. Polling has found that only 16% of the public support the removal of offences that make it illegal for women to induce their own abortions after the legal time limit, with a clear majority supporting the current legal deterrent. For that reason, I support the stand part notice opposing Clause 191 from the noble Baroness, Lady Monckton.

The obvious better solution to all this is to restore in-person appointments before women can obtain abortion pills. Such appointments were the norm before the Covid pandemic but, in response to campaigning from the same groups behind Clause 191, the pills by post scheme was introduced when the pandemic began. Although many had significant misgivings—based on concerns that later proved prescient—about how this was rushed through without due process, and suspected that it was a thinly disguised ruse to bring in such a scheme permanently, one could perhaps at least understand the logic during a pandemic.

However, it was never the intention that pills by post abortions would be permanent, and in February 2022 the Government announced that the scheme would end after 70% of respondents to a public consultation called for its immediate end. However, amid late-night machinations in this House—not too dissimilar from the way in which Clause 191 was added to the Bill in the other place—an amendment was tacked on to the Health and Care Bill at the 11th hour, making the scheme permanent for England and Wales.

Shortly afterwards, stories started emerging of exactly the kind of incidents that many of us were so concerned about, demonstrating how pills by post endangers women and weakens the safeguards in our abortion laws. Amendment 460 offers the Committee a chance to undo a critical aspect of this law change. Under the amendment, women would still be able to take pills at home, should they wish, but not without the safeguard of a prior face-to-face consultation with a medical professional.

There are three principal reasons why restoring this safeguard—or, should I say, returning to former best practice—is essential. First, it would enable reliable gestational age checks before at-home abortions can take place. This is the primary reason why recent court cases have happened. An accurate gestational age check ought to be the bare minimum that we expect of abortion providers, which receive, on average, a reported £580 of taxpayers’ money per abortion—an increase of 42% in the five years since the pills by post scheme came in—even though their costs have been slashed by the removal of in-person appointments. In-person gestational age checks would not only prevent women wilfully misleading providers about their gestation but protect women who may mistakenly believe that they are in the early stages of pregnancy but who are actually further along.

Secondly, reinstating the in-person appointments would protect women from the significant health risks that accompany taking abortion pills beyond the legal limit. Reliable gestational age checks protect women, since at-home abortions are permitted only up to 10 weeks’ gestation because of the increased dangers to women of taking pills beyond the early weeks of pregnancy.

Indeed, the introduction of pills by post has led to a significant spike in medical complications. The Express newspaper reported a study based on FOI requests to NHS trusts that suggests that more than 10,000 women—that is one in 17 women who took pills—had to receive hospital treatment following the use of abortion pills in England between April 2020 and September 2021, which was after the pills by post scheme was introduced.