Baroness O'Loan
Main Page: Baroness O'Loan (Crossbench - Life peer)Department Debates - View all Baroness O'Loan's debates with the Northern Ireland Office
(1 day, 10 hours ago)
Lords ChamberI have the greatest respect for the noble Lord. I wonder whether he will give way; I thank him. The situations which he describes are all provided for in the Abortion Act.
Lord Winston (Lab)
I thank the noble Baroness very much for her point, because I appreciate that she is giving me a brief rest during a very emotional speech in my case. I apologise for it being an emotional speech, but when you have dealt with such patients frequently for many years, you forget exactly how serious this can be.
I have seen many women requesting terminations at all stages of their pregnancies, even very early and sometimes after in vitro fertilisation to get them pregnant. That is an extraordinary issue and you would not expect it to happen, but actually it happens throughout pregnancy. The women have such serious problems which may not show up as the kind of psychological problem that has been described.
I do not believe that any woman goes through a termination of pregnancy lightly. She certainly does not want to damage herself and do her own abortion. That is an extremely rare situation. The risk here is that we are trying to make law which is just impractical, in the real sense of the word, when we have such a range of syndromes and a population in which we cannot in fact diagnose pregnancy all the time, and never will be able to in people, for example, who are very poor or otherwise live in very serious circumstances and are damaged.
Lord Bailey of Paddington (Con)
I thank the noble Baroness, but, of course, the wrong question was asked. Let us be very clear, I personally do not want to see anybody criminalised, and I doubt that people want to see women who have gone through a very distressing situation be criminalised. But they would probably want to see a law, as identified by the noble Lord, Lord Pannick, across the way, that dealt with the balance much better. Currently, that was the wrong question to answer.
I tabled the amendment because I am very worried about the real-world consequences for young women in vulnerable situations where, when they are being coerced, their abusers would know that no investigation is even possible. No matter where you stand on the question of abortion, surely noble Lords can see that the most vulnerable young women should be protected by us in law.
The noble Baroness, Lady Hazarika, talked about women who had suffered from rape gangs. They are exactly the kind of women I think would have benefited from some kind of investigation. As it stands, Clause 191 will prevent that happening.
My Lords, I will speak to my Amendment 461 and in support of the Clause 191 stand part notice from the noble Baroness, Lady Monckton. I have put my name to that stand part notice, too.
As other noble Lords have observed, Clause 191 was passed in the other place following a very brief and truncated debate, entirely incommensurate with the gravity of its impact. In moving the amendment, the Member for Gower noted that it was about ensuring only that
“vulnerable women … have the right help and support”.—[Official Report, Commons, 17/6/25; col. 306.]
I am sure that we all support the provision of appropriate and timely support for a woman considering an abortion. However, it drastically understates the effect of Clause 191, regardless of the intent of its mover.
We must confront the radical legal reality that this clause removes all deterrence against a woman performing her own abortion up to the very moment of birth. How does that ensure that women have the right help and support? The clause will decriminalise actions by a woman at any stage of her pregnancy, including actions which are criminal at present under the Offences against the Person Act and the Infant Life (Preservation) Act.
In 1929, they knew that a child who has been in the womb for 28 weeks was capable of being born alive. Now, we know of children who are born alive at 22 weeks and live. In 2020 and 2021, 261 babies were born alive at 22 and 23 weeks, before the abortion limit, who survived to be discharged from hospital. Why is abortion so distressing? As the noble Baroness, Lady Hazarika, said, it is because, by 23 weeks, the unborn baby has all its organs, muscles, limbs, bones and sex organs, it may hear, and it makes facial expressions, responds to loud noises, is getting into a pattern of sleeping and waking, practices breathing and it definitely feels pain. After that, they just keep growing.
Proponents of Clause 191 have been at pain to say that the Abortion Act is not changed and that the time limits remain the same, but that is not the reality of the clause. Clause 191 may not repeal the Abortion Act but it renders its protections largely symbolic in practice. At present, the Act operates as a tightly drawn exception to criminal offences that otherwise prohibit ending a pregnancy. Its force comes from the fact that abortion outside its conditions is unlawful. Once associated consequences are removed, the framework ceases to be a deterrent or a boundary for conduct and becomes, in effect, merely a regulatory code for providers, albeit with criminal consequences for clinicians who are left untouched for now. It is a profound shift. Time limits, certification requirements and clinical safeguards would no longer operate as meaningful legal limits on a woman’s actions.
Clause 191 is not an outworking of modernised enforcement; it is a hollowing out of the underlying settlement, which nullifies the protective structure built into the 1967 Act, particularly its recognition that abortion law is not a matter of personal autonomy but one of safety, safeguarding and the status of the viable unborn child. Both lives matter. The issue is not whether the Abortion Act still exists on the statute book; it is whether it still performs the function that Parliament intended. Clause 191 leaves the text intact while removing the mechanism that makes its limits real. I strongly urge noble Lords to support the removal of Clause 191 from the Bill.
I wish to finish my sentence.
The woman may be unable to deliver it. It may get stuck in the birth canal. If it survives the attempt to terminate its life, it may be born alive, as babies still are. What then? What of the mother? When one gives birth, one is monitored by doctors to ensure no crises occur, if possible. Those crises can include haemorrhage, damage to the womb and bladder, and, in the worst cases, death.
If the Bill is passed and a mother chooses to terminate her baby other than as provided for in the Abortion Act, she will not be prosecuted. She may have been coerced into it, as we have heard at length, for a variety of reasons, but, despite being decriminalised, she may die or face life-changing injuries.
Baroness Hazarika (Lab)
The noble Baroness paints a very vivid picture of how traumatic it is for a woman to go through this once late-term. I am sure all of us would agree that nobody would do this lightly. Does that not reinforce why it is so important that the woman should not be in a position where she thought she could be investigated by the police at this point and why she should go and seek medical advice, safe in the knowledge that she was not potentially going to end up in prison?
There are situations in which the woman in that case, under the Abortion Act, can seek help. I would expect that she would, but there are situations in which she may not. I simply ask the Government how they expect it to happen. Doctors administer these drugs. Doctors look after us in childbirth. We do not do it ourselves.
I move to Amendment 461. A considerable danger associated with Clause 191 is the activities of abusers and exploiters. The shield, which would be reimposed if telemedicine were stopped, is a requirement for all women considering abortion. It is not possible on the telephone to ensure a woman’s privacy and that she is not being coerced, or to verify that the person seeking the medication is the person who will actually take it, particularly in cases involving domestic abuse, child abuse and trafficking. It is important that the medication is not taken by a woman whose pregnancy exceeds 10 weeks. The NHS reported in July 2025 that, since 2020, 54,000 women have been admitted to hospital in England for complications from birth pills. Last year alone, there were 12,000.
In removing the criminal status of abortion, as the noble and learned Baroness, Lady Butler-Sloss, says, we perversely incentivise abusers to pressure vulnerable women into dangerous, isolated and self-administered late-term abortions. My Amendment 461 is a safeguard against that, which I hope noble Lords will be minded to support. It would create a provision analogous to that found in Section 2 of the Suicide Act 1961—a special offence of encouraging or assisting an abortion which is unlawful under the terms of the Abortion Act.
The amendment would not chill medical advice or online information. It requires intent, which is a distinct threshold. Ordinary clinical counselling or neutral provision of information would not meet the test. The amendment does not engage with or change what is lawful under the Abortion Act. It concerns only unlawful terminations and intentional encouragement or assistance. If an abortion is lawful, the offence does not arise. Perhaps most importantly, its desired effect is safeguarding vulnerable women.
Under the current wording of Clause 191, there is a risk, if self-administering an abortion is no longer a crime, that the woman can be pressurised. By legislating expressly where safeguarding is paramount and creating a clear specific offence, we would send a strong protective signal for women. My amendment would require the Secretary of State to consult and to talk to clinicians, et cetera. It is a measured, reasonable and necessary response. I urge noble Lords to support it.
My Lords, I rise with a certain level of trepidation and fear to convey a contribution during this debate, as I am not a mother. I have never enjoyed motherhood; therefore, I do not have the experiences of many women right across this Chamber. But I rise to support Amendment 460, to which I am pleased to be a signatory and to which the noble Baroness, Lady Foster, has already spoken, and the clause stand part notice on Clause 191 from the noble Baroness, Lady Monckton.
I support Amendment 460 because the health risks of obtaining abortion pills without adequate prior in-person checks are now well documented. I feel that if they are to be available—if that is the way you support—you need an ultrasound and a full investigation.
I simply add one further example to those which have already been cited. The Irish Medical Journal published an article in March 2024 explaining how a woman in Ireland nearly died from an ectopic pregnancy after taking abortion pills. The article reported that the case
“could have been prevented by an ultrasound”.
If women once again had mandatory in-person scans, it would protect them, allowing ectopic pregnancies and other possible health risks to be picked up more reliably.
However, as has been noted, the woman is not our only consideration. I agree that there is a need to protect the woman but also the unborn child. By allowing Clause 191 to stand, we would remove the legal safeguards that exist to protect an unborn baby after the point of viability, when a baby could survive outside the womb. I contend that this is a radical and unpopular proposal. Indeed, this is an issue that should unite those of us who are pro-life and those of us who are pro-choice. In an article for the Times entitled “I’ve always been pro-choice but this is too far”, the well-known pro-choice commentator Janice Turner wrote
“I find it discomforting that a woman could abort a full-term baby and face no sanctions”.
She is not alone. Polling in 2024 found that only 1% of women support abortion up to birth, while just 16% of the public support removing a legal deterrent after the 24-week limit. In fact, 70% of women would like to see a reduction in our abortion time limits, not permitting women to induce their own abortions up to birth, as would de facto become the case under Clause 191.
As a Northern Irish Peer, I echo the earlier comments from the noble Baroness, Lady Foster, regarding Northern Ireland. I was concerned to hear suggestions in the other place, during the truncated Report debate on this clause, that there are considerations about whether to introduce pills by post in Northern Ireland. I am deeply worried about this possibility. If supporters of Clause 191 really wish to bring England and Wales into line with Northern Ireland, as they claim, I make a simple suggestion that they ought to support Amendment 460 and reintroduce the in-person appointments that we rightly continue to have in Northern Ireland.
I finish by quoting the Times leading article, published two days after Clause 191 passed in the other place:
“Even the most ardent advocate of a woman’s right to choose must see that this change risks a host of unintended consequences. While women considering ultra-late termination must”—
I support them in this—“be regarded” and supported
“with the greatest understanding and sympathy”,
as well as with compassion and humanity,
“the possibility of a viable child being killed shortly before its birth is not a prospect to be treated lightly”.
I know there are different views on that issue right across the Chamber, but I hold my view, and I respect the views of others who take a different viewpoint. There has been no great public clamour, I believe, for this change. I very much hope that Clause 191 will not remain part of the Bill, and I also support Amendment 460 to which I am a signatory.