Lord Porter of Spalding

Defra has committed to work with the internal drainage board (IDB) sector and the Ministry of Housing, Communities and Local Government (MHCLG) to review IDBs’ current funding and costs. This will include examination of whether any changes are needed to their funding model.

Once the review is complete, Defra and MHCLG will consider the findings and decide on next steps, if any are required.

In accordance with the Abortion Act 1967, registered medical practitioners must notify the Chief Medical Officer of abortions within 14 days. The HSA4 abortion notification form is provided to collect the required information, including details of any known complications, up until the time of the patient’s discharge from the abortion service. The HSA4 form is a statutory instrument, the content of which cannot be changed without legislation.

The Department continues to work with abortion providers to ensure that abortion complications known up until the time of discharge from the abortion service are recorded on the HSA4 form. There are no plans to require the notification of complications that occur after discharge from the abortion service.

Abortion continues to be a very safe procedure, for which major complications are rare at all gestations. Home use of early medical abortion pills is recognised to be a safe procedure by the Royal College of Obstetricians and Gynaecologists, and the World Health Organisation.

In March 2022, Parliament voted to amend the Abortion Act to allow women in England and Wales to take one or both pills for early medical abortion at home at up to 10 weeks’ gestation. The legislation came into force on 30 August 2022.

Women should be given the choice to either have an in-person consultation with a clinician or to have a virtual consultation and, if eligible, will be able to take both pills for early medical abortion at home. If there is any uncertainty about the gestation of the pregnancy, or if the doctor has any concerns, the woman will be asked to attend a clinic. If she does not attend the clinic, the doctor would not be able to form an opinion in good faith that the pregnancy is below ten weeks, and would therefore not be able to proceed with prescribing abortion pills for home use.

It is a legal requirement in England and Wales that all terminations must be notified to the Chief Medical Officer within 14 days of the procedure. The Department provides the HSA4 form for this purpose. Information is collected on the abortion and the woman that had the abortion, including the method of the abortion, whether any abortion pills were taken at home, the gestation, or number of weeks, and details of any known complications.

The Department publishes data from these notifications in annual abortion statistics reports, which include data on complications up until the time of discharge from the abortion service.

In November 2023, the Department published a one-time analysis comparing data from the Department’s Abortion Notification System and the Hospital Episode Statistics, which are produced and controlled by NHS England.

Abortion continues to be a very safe procedure for which major complications are rare at all gestations. The complication rates for the Abortion Notification System and the Hospital Episodes Statistics data remains similar to both before and after the introduction of the home use of early medical abortion pills.

Currently, councillors in England are not eligible for membership of the Local Government Pension Scheme, after access was removed in 2014. As the Responsible Authority for the LGPS, MHCLG keeps access to the scheme under regular review.

The Department does not hold this data.

Data on SDS40 releases forms a subset of data intended for future publication.

Offenders released under SDS40 will be subject to the same set of strict licence conditions that would apply had they been released at a 50% automatic release point and will be liable to recall to prison if they do not comply with these conditions or are judged to be a risk to public safety.

Prison release planning has been reviewed and adapted to account for recent changes. Prison, probation staff and support providers are working hard to ensure those being released early have all necessary available support. This includes temporary accommodation for those at risk of homelessness, access to employment and benefits, and continuity of mental health and substance misuse provision.