Crime and Policing Bill

Debate between Lord Weir of Ballyholme and Baroness Sugg

Committee stage
Monday 2nd February 2026 Lords Chamber

[Baroness Sugg (Con)]

My Lords, we have all received briefings on this clause, telling us that, unamended, it would allow abortion up to birth. I will address that in two ways. First, Clause 191 does not fully decriminalise abortion or alter the legal time limits. The legal framework remains for medical staff, which the noble Baroness, Lady Fox, set out very clearly. It has the advantage of stopping women facing investigation after miscarriage or a stillbirth, as the noble Lord, Lord Pannick, set out, but it would also ensure that the very small number of women who have ended their own pregnancies outside the law receive healthcare, mental health support and referral to appropriate support services rather than facing year-long police investigations. That is what Clause 191 sets out to do.

Secondly, I understand that some are concerned that this change in the law may increase later-term abortions. Clearly, later-term abortions have higher rates of complications than abortions at earlier gestation, but that still remains relatively low. We can, however, look at evidence from other jurisdictions. Although the noble Lord, Lord Weir, is right to point out that there are lots of different gestation limits across Europe, bringing women into the decriminalisation zone would bring us in line with 50 other jurisdictions, including France, New Zealand, Australia and the whole of the United States, where no women can be prosecuted for having her own abortion.

Evidence from these other jurisdictions shows that abortion law does not affect the likelihood of later-term abortions, and decriminalising abortion does not cause or correlate with any increase in third-trimester abortions. That is confirmed by the WHO and robust global evidence from countries including Canada, New Zealand and Northern Ireland, as the noble Baroness, Lady Miller, pointed out.

Looking at those in a little more detail—I am aware that it is late—in Canada, abortion was completely decriminalised in 1988. It is regulated as a health service with no criminal law or gestational limits, which goes much further that Clause 191 does. Over decades, data shows a stable pattern of early abortion and no increase in later abortion, despite that complete decriminalisation. In Northern Ireland, where abortion was decriminalised in 2019, almost nine in 10 abortions happened before 10 weeks, and there have been no reported cases of women ending their pregnancy at late gestations outside of medical frameworks.

[Lord Weir of Ballyholme (DUP)]

I appreciate the point the noble Baroness is making, but would she accept that the telemedicine is illegal in Northern Ireland? Pills by post is not an option, so the only route that any woman in Northern Ireland can use is the clinical route and within the timeframe. It is pretty obvious why there have not been any prosecutions; it is because there has not been a situation arising out of that.

[Baroness Sugg (Con)]

It is not the prosecutions that I am referring to, it is the cases themselves. I absolutely acknowledge that telemedicine is not available through medical services in Northern Ireland, but the pills are available illegally online and people are purchasing them. However, because women are decriminalised, they are never prosecuted for taking them.

The proportion of abortion procedures carried out before nine weeks’ gestation has increased in most countries with more liberal abortion laws. As explained by the noble Baroness, Lady Gerada, that is why this change is so strongly supported by the Royal College of Obstetricians and Gynaecologists, the Royal College of Nursing, the Royal College of Midwives, the Royal College of General Practitioners, and the Royal College of Psychiatrists, and many other health experts. I agree with the noble Baroness, Lady Thornton, that the meeting with these experts was really helpful. Perhaps we could do another one of those before Report so that noble Lords who have further medical questions can ask them.

Amendments 455, 456, 456B, 456C and 461F would retain the criminalisation of women in relation to abortion law, and women would still face arrest, investigation and prosecution under the law. I very much appreciate the efforts to find some compromise in Amendments 456 and 456C, and it is important to discuss whether this is possible. However, the harm that Clause 191 seeks to address would remain if those amendments were to be included in the Bill, as investigations would still be ongoing and we would still see women being pulled into the criminal justice system, as the noble Lord, Lord Pannick, set out.

I will briefly touch on vulnerable women. It is important to consider how this clause and the amendments would impact those women, who could be in a situation of abuse or coercion. Noble Lords have rightly raised concerns around this. Importantly, non-consensual abortion would remain a crime under Clause 191, including in the terrible case that the noble Baroness, Lady Falkner, referred to.

Experts in this area have been really clear that the clause will be beneficial to women in this situation. The threat of criminal sanctioning can dissuade women from seeking help or even telling anybody what has happened to them. That is why it is supported by so many violence against women and girls groups, including the End Violence Against Women Coalition, Refuge, Rape Crisis, Karma Nirvana and many more. These groups came and did a very helpful briefing to noble Lords; perhaps we could replicate that again before Report. I understand noble Lords’ concern around coercion, but we should listen carefully to the experts in this area.

I will address telemedicine and Amendment 460, which would repeal its provision. Like other noble Lords, I was here for the legislation on its introduction, and I will present what has happened since. A large national cohort study undertaken in England and Wales published in the International Journal of Gynaecology & Obstetrics found that telemedical abortion is

“safe, effective and improves care”,

and is preferred by women. Full telemedicine is now essential for abortion provision and is being used by over 100,000 women every year in England and Wales. It has meant that once a woman decides she wants an abortion, she is able to access it more quickly and, therefore, more safely. Since the introduction of telemedicine, as the noble Baroness said, we have seen the average gestation at treatment for abortion falling substantially, with more than half of all abortions now taking place before seven weeks’ gestation. As we know, it is much safer to have an abortion as early as possible.

Telemedicine also provides a safe and confidential way for women in abusive and controlling relationships to receive abortion care. Safeguarding is an essential part of abortion care provision. Any patient that causes professional concern is provided with a full safeguarding assessment, and pre- and post-abortion support and counselling is available to all patients. Abortion providers are regulated by the Care Quality Commission, NHS England commissioners and the Department of Health and Social Care, which all have regulatory oversight.

I will address the medical complications point, which a number of noble Lords have raised. There have been 54,000 complications to medical abortion over the past five years, but that covers all gestations for all forms of medical abortion—in clinic, at home, telemedical or in person, scan or no scan, and at any gestation. Those complications are not reflective of pre 10-week medical abortion and are not exclusive to telemedical abortion care. No information has been included before 2021, when telemedicine was launched, so there is no analysis to see what has happened since then.

This also looks at the basic numbers of complications rather than rate, so it is an incomplete picture. As noble Lords have mentioned, over 1 million abortions have taken place in that five-year period. The number of abortions has gone up, which means the number of medical abortions has gone up. Therefore, sadly, the number of complications has gone up. But rather than looking just at the total figures, when you look at the rates shown by the latest abortion statistics and the hospital episode statistics, the rate of complications for medical abortion has fallen by 25% since telemedicine was introduced. That is why telemedicine is supported so strongly by medical professionals. Put simply, it is better care for women.

Telemedicine is a choice for clinically eligible women, not a requirement. A woman can always choose—