Question to the Department of Health and Social Care:

To ask His Majesty's Government what methodology they are using to measure the efficacy and impact on women’s health of the 2022 changes to the Abortion Act 1967 permitting early medical termination of pregnancy taking place in the patient's home.

Abortion continues to be a very safe procedure for which major complications are rare at all gestations. The Department works closely with NHS England, the Care Quality Commission, and abortion providers to ensure that abortions are provided safely, in accordance with the legal framework set by the Abortion Act 1967.

It is a legal requirement under the 1967 Abortion Act that the Chief Medical Officer must be notified of all abortions within 14 days of the procedure. The Department provides the HSA4 abortion notification form for this purpose. HSA4 forms collect information on the practitioner terminating the pregnancy, details of the patient and their treatment, including abortion method, gestation of the pregnancy, and the certified grounds for terminating the pregnancy. It also records known complications, up until the time of the patient’s discharge from the abortion service. The Department routinely monitors and publishes data reported via abortion notifications.

To consider the completeness of abortion complications data submitted via abortion notifications, the Department committed to publishing a one-time analysis comparing data from the Department’s Abortion Notification System and the Hospital Episode Statistics. This was published in November 2023.