International Women’s Day

Debate between Diana Johnson and Jackie Doyle-Price

Thursday 9th March 2023 Commons Chamber

[Jackie Doyle-Price]

That is exactly the point that I was coming on to make. I absolutely respect why Members of this House have ideological objections to abortion and why they will always vote to restrict it. However, the fact is that abortion is an established right in this country, and it is our obligation to ensure that those laws are safe and that women can access abortion as early as possible in their pregnancies. That is actually the most important thing and the safest thing, and that is why they must be much more readily available.

Let me make a point to the Front Bench—which I fear will fall on deaf ears, just because we continue to see this as an issue of conscience, rather than of safety—that this is something that really ought to be reviewed. I would suggest to the Minister that we have, in our women’s health ambassador, Lesley Regan, someone who, as a former head of the Royal College of Obstetricians and Gynaecologists, is eminently qualified to undertake a review, perhaps not to make recommendations, but to just highlight how the current abortion law is not fit for purpose, so that we can properly review how we might improve it.

The way in which the Abortion Act is established is not encouraging a healthy debate about the issue either—on both sides, I might add. That is the starting frame of reference, so we end up in this ridiculous debate about time limits. Ultimately, we just need to get away from that and think about it as a health procedure. When that Act was passed back in 1967, it was a radical and empowering measure that advanced women’s rights, but here we are, more than 50 years later, and we need to take a good look at it.

[Dame Diana Johnson]

Will the hon. Member give way?

--- Later in debate ---

[Jackie Doyle-Price]

I will give way to the right hon. Lady, because I know that she has very passionate and informed views on this, and has done so much on this issue.

[Dame Diana Johnson]

I am grateful to the hon. Lady. I am so pleased to hear her make this speech. What is even more worrying is that, while the 1967 Act is more than 50 years old, it is of course underpinned by the Offences Against the Person Act 1861, which is a Victorian piece of legislation that says that abortion is a criminal offence. Really, until we decriminalise abortion and treat it as a healthcare matter, we really will not get rid of the stigma. That seems to be the thing that we need to do in this country—decriminalise it and treat it as a healthcare matter—which I think the hon. Lady is supportive of.

[Jackie Doyle-Price]

Absolutely. It must be treated as a healthcare matter. However, on the point that the right hon. Lady raises about the 1861 Act, I looked into that when I was a Minister, to see how many convictions there were, and, to be honest, we still need to have some kind of protection maintaining the criminality of abortion where there could be coercion involved. Again, these are issues that are still crimes against the woman.

[Dame Diana Johnson]

I am grateful to the hon. Lady for giving way again, and I will be very quick, but decriminalisation does not mean deregulation. Of course, all the healthcare laws that apply to our clinicians, nurses and everybody else would still need to apply, so things such as coercion absolutely would be regulated for and treated as an offence. However, the underlying issue of women being criminalised in that Offences Against the Person Act has to go.

[Jackie Doyle-Price]

I think the fact that the right hon. Lady and I are having a ding-dong about this, while we actually want the same outcome, illustrates just how badly that debate has taken place, because of the bookends of the 1861 Act and the 1967 Act. Again, it comes back to us all wanting better outcomes and a safe system for women. That should be our starting point, not those two pieces of legislation. We can probably strengthen the protections for women regarding coercion if we look at it in that way.

As usual, I like to use this speech to challenge ourselves about what we are not getting right for women. But I have not got until midnight on Sunday, so I will have to be a bit more limited in what I am able to tackle. However, I am pleased to have been able to say what I have about abortion today.

I also want to come back to the point, which the right hon. Member for Kingston upon Hull North made in her speech, about indecent exposure. I absolutely amplify her overall argument. To be honest, flashing is not seen as a crime. It has been totally normalised. I heard on the radio, just this week, that as many as 50% of women have been victims of that crime. I cannot emphasise enough that sexual violence is something that escalates, so the moment that some things are tolerated, that behaviour will only increase. Wayne Couzens is perhaps the best example of that.

This is where I come back to equality laws and advances that are meant to empower women. I want to talk about the whole issue of contraception. Yes, it has given women the opportunity to take control of their fertility and enjoy their sexuality, and all the rest of it, but it has also generated a culture in which men feel even more entitled, and where girls are feeling more and more forced to become sexualised beings, earlier perhaps than they are ready to. That is why I feel very strongly that we need to keep our safe spaces.

International Women’s Day

Debate between Diana Johnson and Jackie Doyle-Price

Thursday 10th March 2022 Commons Chamber

[Dame Diana Johnson (Kingston upon Hull North) (Lab)]

This week, I attended a meeting with the brave Ukrainian women politicians at the British Inter-Parliamentary Union to discuss the humanitarian impact that war has on women and girls. News last night that the war criminal Putin now bombs maternity hospitals fills us all with disgust—this is clearly a war crime. Yesterday, I chaired an event with six brave Afghan women to discuss the regressive impact the Taliban takeover of Afghanistan has had on women’s and girls’ rights. One told me:

“Before the Taliban takeover I was someone. The day after the Taliban took over I was no one.”

It was clear from the meeting that any engagement with the Taliban must be done on the basis of strict conditionality in support of women’s and girls’ rights in public services, employment and civil society. I wish to take this opportunity to express my solidarity with those and other women in the world living in war zones or under repressive regimes.

Today, however, I wish to talk about access to reproductive healthcare, which has been crucial in the improvement of women’s rights globally. The development of the contraceptive pill in the middle of the 20th century is considered one of the most crucial developments in the women’s rights movement; reproductive rights are fundamental to the physical, psychological and social wellbeing of women. I am chair of the all-party group on sexual and reproductive health in the UK, and we know that there are still too many obstacles facing women in accessing this vital healthcare. One woman recently said:

“I find it very difficult to find a clinic that’s accessible and has appointments out of office hours.”

Figures from University College London, published last year, show that the proportion of unplanned pregnancies in the UK has almost doubled during the pandemic. There is still much work to do to ensure that women and girls have full control over their reproductive health. In 2020, the all-party group published the findings of our inquiry into access to contraception. We found that women are finding it increasingly difficult to access contraception that suits them, and this is a situation made much worse by the pandemic. Even in today’s The Guardian there is an article by Nell Frizzell entitled

“A 10-week wait for a coil? British women are facing a quiet crisis in contraceptive care”.

[Jackie Doyle-Price (Thurrock) (Con)]

I want to put on record that one reason why women are finding it increasingly difficult to access contraception easily is that we have a number of commissioning funding streams in the NHS, which is leading to under-commissioning of this vital resource. At a time when perhaps one in three pregnancies are unplanned, which is leading to more abortions, which are themselves a less safe method of dealing with reproductive health than contraception, will the right hon. Lady join me in encouraging the Government to look properly at how contraception is commissioned?

[Dame Diana Johnson]

Absolutely. I pay tribute to the hon. Lady for all the work she has done; she took a particular interest in this issue when she was a Health Minister. That brings me to my next point: despite practitioners’ best efforts, covid-19 exacerbated existing problems—including long-standing funding cuts and the fragmentation in commissioning structures to which the hon. Lady just referred—leading to further restrictions to access.

The public health grant has faced serious cuts over the past decade. Evidence presented to our inquiry suggested that sexual and reproductive health budgets were cut by £81.2 million—12%—between 2015 and 2017-18. It is estimated that during the same period contraceptive budgets were cut by £25.9 million, or 13%. In Hull, where my constituency is, spending on contraception has fallen by 38% since 2013-14, and almost half of councils have reduced the number of sites that deliver contraceptive services in at least one of the years since 2015.

Our inquiry heard that long-acting reversible contraception fittings have been most severely impacted. In 2018-19, 11% of councils reduced the number of contracts with GPs to fit LARCs, and GPs are not adequately funded to provide LARC, which disincentivises their provision. The disparity among regions is stark. In my city, the rate for GPs prescribing LARC is only 2.1 women per 100,000; whereas in other parts of the country it is 51.5 women per 100,000. Access issues have particularly hit marginalised groups, with services reporting a drop in the number of young, black, Asian and minority ethnic people requesting the services.

As we continue to emerge from the pandemic, we have a unique opportunity to reshape contraceptive services according to the needs of women. For example, we should offer contraception as part of maternity services. If we integrated care around the needs of individuals, women would be able to have all their reproductive health needs met at a single point of care. I hope that those points, and the recommendations from our report, are reflected in the Government’s upcoming sexual and reproductive health strategy.

I wish to finish by talking about telemedicine for early medical abortion. I am absolutely furious at the Government’s decision to end telemedicine for early medical abortions after 30 August, ignoring the clinical evidence and advice of many royal colleges and clinicians. I am sorry that the Under-Secretary of State for Health and Social Care, the hon. Member for Erewash (Maggie Throup), who was in her place earlier, has left the Chamber, because I wanted her in particular to hear my comments on this issue.