(1 day, 23 hours ago)
Lords ChamberMy Lords, I support the amendments in the name of the noble Lord, Lord Jackson. We live in what a lot of us would describe as a post-truth world, in which facts are often passed off as opinions or, worse, that terrible phrase “fake news”. Sometimes opinions are passed off as being completely truthful facts, and sometimes we have misinformation going around the globe that comes not simply from conspiracy theorists on the internet but, sadly, sometimes from world leaders.
Given that context, it is important that when this House resolves on any legislation, looking into the future, that it should be on the basis of evidence, truth and facts. That is particularly true when it comes to abortion. It is an issue, irrespective of your views on it, which is deeply sensitive, and on which raw emotions are often provoked. To some extent we saw that earlier when, at times, the atmosphere of the Committee got a little bit tense. People have genuinely conflicting views on this, so the more we can try to base this on evidence, the better.
That is particularly true for the proposed changes that are being made in Clause 191, for two main reasons. First, although there has been some mention that this has been in the ether for a number of years, the specifics of this legislation came about by way of a Back-Bench amendment to a different piece of legislation, with a limited amount of debate on it. It was not part of a government programme or manifesto commitment. Any Back-Bench Member is perfectly entitled to bring forward an amendment; that is the normal procedure. The downside of that is that there has not been a direct level of consultation on this specific proposal.
Secondly, despite what has been said, there are some concerns about the quality of the data that we have on a range of issues. I listened carefully to what the noble Baroness said, and it seemed that she was putting forward two somewhat contradictory positions. You can either make the argument that all this data is already there and already gathered, and therefore these amendments are unnecessary, or, alternatively, you can make the argument that this would involve so much gathering of data that it would be a bureaucratic nightmare. You can argue either of those propositions, but the two are somewhat mutually exclusive in that regard. It strikes me that when we take decisions on this, it is important to get the data.
It has been highlighted—I think it was mentioned in a Private Member’s Bill that the noble Lord, Lord Moylan, proposed—that there are sometimes concerns over the quality of the data. Perhaps not unsurprisingly—it is not unique to this particular debate—we have heard different people on different sides of this argument quote sometimes contradictory data as to where we are.
It strikes me that there are one or two solutions to these problems, neither of which is mutually exclusive. The noble Lord, Lord Jackson, in the next group of amendments, proposes, apart from anything else, that we pause things until there is a proper consultation period. These amendments then look towards the idea of producing data and a report, and gathering evidence so that there can be a review of the procedures and how things work out. They highlight the range of issues that formed a number of the concerns in the previous debate. These are issues around the level of coercion, the medical complications that arise as a result of changes, whether it leads to a driver on sex selection, and, as mentioned, the incidence of late abortion, which then leads to a live birth. This range of issues highlights a lot of the concerns that were raised in the last group.
I appreciate that we have had this debate today, and that the proponents of Clause 191 will say that the concerns that have been raised—although I am sure they will accept they are genuine—are, in their view, misplaced or perhaps exaggerated, and that we have nothing to fear from Clause 191. Various incidents of what has happened in other parts of the world have been quoted. It is important, therefore, that we test that out. These amendments would gather that data and allow us to assess that. If we are dealing with false fears then, for the proponents of Clause 191, this will strengthen their argument in a year or two years’ time, whenever these things are reviewed. If the fears are genuine and are realised, however, then it is important, as the noble Lord, Lord Jackson, says, that if we gather evidence, it is not some sort of desktop exercise where we simply look at figures. If we gather evidence then it should be on the basis of having the opportunity, if it shows that there are increased dangers, for instance, to women or concerns over any other categories, to take a level of corrective action. That seems a very sensible course of action. I do not think there is anything that anybody should have to fear in these amendments, so I commend them to the Committee.
My Lords, I listened to the noble Lord, Lord Weir of Ballyholme, and what he said sounds eminently sensible, but the problem is this: the noble Baroness, Lady Thornton, has set out the level of detail that is already gathered. The noble Lord, among other Members of your Lordships’ House, have gone on all day about telemedicine and coercion, yet when the royal colleges set up the evaluation of telemedicine, when it came in during Covid, they took particular care to examine issues such as that. They came up with data that showed that telemedicine was safe. Actually, it not only discovered women who were being coerced; it discovered women who were being trafficked. Yet Members of your Lordships’ House still trot out the same argument time and again. I listened to the noble Lord, Lord Weir of Ballyholme, and the arguments of the noble Lord, Lord Jackson, and I am afraid I rather think that it does not matter what data we collect: they will make the same arguments over and again.
My noble friend Lady Brinton cannot be here this evening, but she particularly wanted to say this: the detail of these amendments is designed to confuse and delay the safe and effective legal rules of abortion. They would also take abortion out of the clinical sphere, trying to exceptionalise it and create an environment so hostile that it would deter women and, equally important, clinicians and medical staff, as the rules become more and more complex; and it would also be at the whim of the Secretary of State to amend details or to report at various times. It is a worrying idea to use secondary legislation to make everything more complex, because it gives Ministers the powers to change things and causes confusion and distress.
I have listened to what has been said. Initially, I was not quite clear whether it was an intervention or not, but I appreciate that it is actually a speech. I think comparisons with America are somewhat facile, because if we were gathering data, it would be on an NHS-wide basis in that regard. The idea of anybody, as you would have in the United States—where an individual county will take a particular view—imposing different decisions or requiring different things is not something that could happen in this country. By all means, criticise the amendments and try to take them apart, but let us not make false comparisons based upon the very different federal system they have in the United States compared with what happens here.
I do not think that it is a false comparison. What we are saying is that, instead of having a system that is democratically decided openly and in Parliament, we will leave it to regulation and officials. I think that is wrong.
The other thing that my noble friend Lady Brinton wanted to say relates to proposed new subsection (3) in Amendment 457. Imagine a woman who is, in the words of the amendment,
“acting in relation to their own pregnancy”,
having to identify and report medical complications. What does that mean? I do not think that that is intended to make it any easier for a woman in need to access the care she needs. I think it is intended to frustrate and, therefore, I hope that these amendments will not be passed.