(4 days, 14 hours ago)
Commons ChamberIn 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 the Member for Gainsborough (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.