Crime and Policing Bill

Baroness Sugg Excerpts

Committee stage
Monday 2nd February 2026 Lords Chamber

Finally, there are important points to be discussed about the data collection, analysis and publication that should go ahead of bringing this into force and as a monitoring scheme to flag up where abuses are in fact arising. These, I think, fall to be addressed in later groups.

[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—

[Baroness O’Loan (CB)]

The noble Baroness talks about the number of complications being reduced in telemedical abortions, but the NHS statistics have shown a rise in the number of complications following the use of telemedical abortions, such that 12,000 people presented to hospital last year. Is the noble Baroness also aware that there is no collection of any statistics in Northern Ireland other than statistics delivered in accordance with the law? There are statistics on medical abortions and on surgical abortions, and that is it. There are no other statistics. I do not see where she is getting the evidence to support what she is saying in reference to abortion being decriminalised in Northern Ireland.

[Baroness Sugg (Con)]

On the noble Baroness’s first point, as I said, I acknowledge that the number of complications has gone up, but we have actually seen that the rate has gone down, because the number of abortions has increased. Even though that number has gone up, the actual rate has dropped by 25%. I am very happy to share the figures.

On the Northern Ireland statistics, that comes from the Northern Ireland medical association that provides the abortions. I completely agree that the more statistics and information we can have on this the better, so we are able to make fully informed decisions. Again, I am very happy to share that with the noble Baroness.

[Baroness O’Loan (CB)]

The statistics in Northern Ireland are collected from the health trusts that deliver the abortions; they are not collected from anyone else.

[Baroness Sugg (Con)]

Yes, from the people who provide the abortions. As I say, I am very happy to share that information with the noble Baroness.

Telemedicine is a choice—

[Baroness Berridge (Con)]

I am aware of the time, but can the noble Baroness, in the information she provides, please comment on the November 2023 government review, which says that the complication rate is higher when you are over 20 weeks’ gestation?

[Baroness Sugg (Con)]

I am specifically referring to telemedicine here, which is provided under 10 weeks. That is what I am talking about when I refer to complication rates. I have absolutely already acknowledged that later medical abortions have a higher rate of complications. That is why telemedicine is a good thing, because it brings the abortions earlier. As we heard, over half now are under seven weeks’ gestation.

I am running out of time, so I will stop there on telemedicine, but maintaining the option of telemedicine up to 10 weeks’ gestation for women who want it is safe, effective and helps ensure that women who have made the decision to have an abortion can access it as early as possible.

[Baroness Falkner of Margravine (CB)]

The noble Baroness has invoked foreign jurisdictions a lot, but is she aware that a lot of them, as the noble Lord, Lord Weir, explained, have lower term limits whereby an abortion might be legal? She mentioned the United States, where she said there was no prosecution for abortion at all. Is she aware of how many states in the United States simply do not allow abortion? It is hardly surprising that there are no prosecutions if you do not allow abortion at all.

[Baroness Sugg (Con)]

I hear what the noble Baroness is saying. I was talking about the decriminalisation of women. Those are the jurisdictions which never prosecute a woman for ending her own pregnancy. I acknowledge, as I did previously, that gestational limits differ and whether medical professionals are included in decriminalisation varies, but in over 50 states, including all the United States, even those with the strictest abortion law, no woman is ever prosecuted for ending her pregnancy. That is important to acknowledge when people say that this is a huge change which is going to impact behaviour. Our law dates from 1967 and lots of people who made abortion legal after that never criminalise women.

[Baroness Barker (LD)]

My Lords, I start by thanking the noble Baroness, Lady Bennett of Manor Castle, for setting out the context behind this debate, which takes place against a backdrop in this country of large-scale funding by anti-abortion groups across the piece and almost daily articles in our newspapers about anti-abortion. That is one of the reasons why we have seen an increase in women being arrested. Noble Lords were very careful in the statistics they selected. Some chose to talk about 2018-22. It is undeniable that in the last three or four years there has been a huge increase in the number of women being investigated.

There are three groups of people in your Lordships’ House. There are those who are fundamentally opposed to abortion, and we have heard from many of them today speaking to many of the amendments. There are those who, like me in speaking to my Amendment 459C, support a woman’s right to make informed choices and who, for the last 10 years, have followed this debate about decriminalisation. To those who say that this was brought in as a measure by the back door, suddenly sprung on the House of Commons, that is wrong. For 10 years we have been discussing decriminalisation. Dame Diana Johnson brought Bills before another place. We have had a great deal of discussion about it at different stages. Then there is a third group: the people who have doubts. The speeches of the noble and learned Baroness, Lady Butler-Sloss, and the noble Lord, Lord Hogan-Howe, typified some of them. They are the people who I want to talk to today, because they have some concern that this is not right.

In my preparation for today’s debate, which I have been thinking about for several weeks, I thought about a parallel and I went to the point that the noble Lord, Lord Pannick, went to, so I am sorry he is not in his place. I went to the fact that in 1961—a very good year in my opinion—this House debated the decriminalisation of suicide. I went, with the assistance of the Library, to look through the Hansard reports of that debate and the parallels are striking. At the point when it came into Parliament, what was the first criticism? That this had been sprung on us and was too big an issue to be brought in in this way. Yet there had been 10 years of debate prior to that by people who thought this was not the right way to deal with this issue. People in the Church had great debates about it. I suggest noble Lords read those Hansard reports, because the debates both here and in the House of Commons are profound. They are succinct, which is perhaps something we should relearn, because it is quite clear that there is no correlation between length of debate and quality of debate. These were people who were profoundly concerned about a moral issue and about what signal Parliament would be giving out were it to take this very grave step.

I will quote just one speech that took place not in the House of Lords but in the House of Commons. At Third Reading, the Conservative Minister Charles Fletcher-Cooke said:

“Because we have taken the view, as Parliament and the Government have taken, that the treatment of people who attempt to commit suicide should no longer be through the criminal courts, it in no way lessens, nor should it lessen, the respect for the sanctity of human life which we all share. It must not be thought that because we are changing the method of treatment for those unfortunate people we seek to depreciate the gravity of the action of anyone who tries to commit suicide”.


I suggest that there is a very strong and clear parallel with our debate. As the noble Lord, Lord Pannick, said, there are two evils here, and we have to decide between them.

Charles Fletcher-Cooke went on:

“One of the consequences of removing from the ambit of the criminal law this hitherto crime of attempted suicide is that it may be feared that some people may not be reached through the Mental Health Act; that there will be some who will not submit themselves to voluntary treatment, and cannot be persuaded by then medical advisers or members of their family to receive treatment. It may be apprehended that some gap in the welfare of the country may follow from that”.


He then said:

“We would all agree that it would be quite wrong either to keep the present criminal structure or to impose a new one purely for what we believe to be a very small minority. But we shall watch the situation and the Government will keep an open mind. We will see whether that small number increases and if a proposal not involving the odour of criminality is put forward to meet the situation, we shall certainly look at it again”.—[Official Report, Commons, 28/7/61; cols. 822-23.]


Two noble Lords talked about deterrence. Behind our deliberations today has been a fear that, if we cease to treat these women under the criminal justice system, we are somehow saying that what they do is less grave. I do not agree with that. I hope that, if I had taken part in that debate in 1961, I would have understood the point that they were making then, which is the same as the one we are making now: if somebody is so desperate that they would do this, they will not be in the right place if they end up in the criminal justice system. This is a medical issue.

In all the speeches we have heard today from noble Lords trying to chip away at telemedicine, the one thing that they have not dealt with is the point made to us by the people who see these desperate women: if we do anything to stop them being in contact with the medical profession, we put them in danger, and we will never get them out. In listening to the noble Lord, Lord Hogan-Howe, I wondered whether police officers find themselves in other situations where someone has done something illegal that might have had a profound effect on their health. Is the first thing that comes into the police officer’s mind that the person should go to the criminal justice system, rather than making sure that they are medically safe? That is what we are doing throughout this debate: we are treating these women as being exceptional.

We should do what we have been doing for the past 10 years. The noble Baroness, Lady Fox, is right that Clause 191 could be far more radical than it is. It is not radical; it is a very small adjustment to say that, if women are that desperate, they deserve medical treatment. All the amendments that have been debated today are just barriers in the way of that happening. I hope that people in this House, just as has been done at the other end, will realise that we are back to the same dilemma we had in 1961 and that we should do the right thing by desperate people.