Crime and Policing Bill Debate

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Department: Home Office
Harriet Cross Portrait Harriet Cross
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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.

Alex Davies-Jones Portrait The Parliamentary Under-Secretary of State for Justice (Alex Davies-Jones)
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Let me begin by emphasising that all women in England and Wales can access safe, regulated abortions on the NHS under our current laws. I also recognise and respect that there are strongly held views across the House on this highly sensitive issue, and I welcome the considered and informed debate we have had today.

The Government maintain a neutral stance on changing the criminal law on abortion in England and Wales. We maintain that it is for Parliament to decide the circumstances under which abortion should take place, and will allow Members to vote according to their moral, ethical or religious beliefs. If it is the will of the House that the criminal law on abortion should change, whether by our exempting pregnant women from the offences or otherwise, the Government would not stand in the way of such change. However, we must ensure coherence between the statute book and any legislation proposed.

It will be helpful if I first set out the relevant law. As hon. Members will know, in England and Wales, the criminal offences relating to abortion must be read in conjunction with the provisions of the Abortion Act 1967, which provide exemptions to the criminal offences. The Act defines the circumstances in which abortions or terminations can legally take place. Section 58 of the Offences Against the Person Act 1861 is the offence of administering drugs or using instruments to procure an abortion. It is an offence for a pregnant woman to unlawfully take a drug or use instruments with the intent of procuring her own miscarriage. It is also an offence for another person who has the intent of procuring the miscarriage of a woman, whether or not she is pregnant, to unlawfully administer drugs or use instruments with that intent. It is also an offence under section 59 of the 1861 Act for a person to supply or procure drugs, poison or an instrument that was intended to be used to procure a miscarriage.

The Infant Life (Preservation) Act 1929 deals with acts in the later stages of pregnancies, including late-term abortions in England and Wales. Under section 1 of the 1929 Act, it is an offence for any person to intentionally destroy the life of a child before it is born, if it is capable of being born alive, unless it can be proved that the act was done in good faith and only to preserve the life of the woman.

Turning to the amendments, the purpose of new clause 1, tabled by my hon. Friend the Member for Gower (Tonia Antoniazzi), is to disapply criminal offences relating to abortion from a woman acting in relation to her own pregnancy at any gestation. This means that it would never be a criminal offence for a pregnant woman to terminate her pregnancy, regardless of the number of weeks of gestation, including beyond the 24 weeks.

Jerome Mayhew Portrait Jerome Mayhew
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Will the Minister give way?

Alex Davies-Jones Portrait Alex Davies-Jones
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I apologise, but I will not. We are really short on time.

It would also not be a criminal offence for a woman to intentionally deceive a registered medical practitioner about the gestation of her pregnancy in order to procure abortion pills by post beyond the 10-week time limit. It would remain an offence for another person, such as a doctor, to do the relevant acts, and for a pregnant woman to do the relevant acts for another woman, unless the provisions of the Abortion Act are applied.

New clause 1 seeks to ensure that a woman cannot commit an offence in relation to her own pregnancy under the law related to abortion, including under sections 58 and 59 of the Offences Against the Person Act 1861, and the Infant Life (Preservation) Act 1929. The phrase “related to abortion” is not defined in the clause but in practice will be limited to these provisions, as there are no other offences that relate to abortion in England and Wales.

It was suggested during the recent Westminster Hall debate on decriminalising abortion, and again today, that the risk with new clause 1 is that it creates a general power for the Secretary of State to amend the Abortion Act 1967 or the relevant criminal legislation relating to abortion. I would like to clarify that new clause 1 does not create such a power, nor do any other provisions of the Crime and Policing Bill. New clause 1 does not grant the Secretary of State additional secondary legislation powers, while clause 166 of the Bill does grant the Secretary of State a regulation-making power in relation to the provisions of the Bill. That can only be exercised to make provisions that are appropriate in consequence of the Bill’s provisions. It would not, for example, give the Secretary of State general powers to make substantive amendments to the Abortion Act 1967 in order to change the rules about abortion, or to amend the Offences Against the Person Act to reintroduce criminal offences, as that would not be consequential to new clause 1.

I turn to new clause 20, tabled by my hon. Friend the Member for Walthamstow (Ms Creasy), which would repeal existing criminal offences relating to abortion and concealment of a birth, place a duty on the Secretary of State to implement certain recommendations relating to abortion services, and create regulation-making powers regarding criminal offences relating to abortion.

Jerome Mayhew Portrait Jerome Mayhew
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Will the Minister give way?

Alex Davies-Jones Portrait Alex Davies-Jones
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I will not give way.

This is a complex new clause, and I will not address all of its provisions or the policy intentions behind them. However, I will highlight areas where the House may want to consider whether the duties or delegated powers may be unclear or give rise to unintended consequences.

I acknowledge that my hon. Friend’s approach seeks to mirror the model used to decriminalise abortion in Northern Ireland. However, it is important to recognise that the circumstances in Northern Ireland at the time were markedly different from those in England and Wales. There was no functioning Executive, no provision of abortion services except in the most exceptional circumstances and no equivalent to the Abortion Act 1967, so provision had to be made to create a regime for abortion services. As such, the approach to decriminalising abortion in England and Wales, where the provision and regulation of lawful abortions already exists, needs to reflect the distinct legal context.

New clause 20 would impose a duty on the Secretary of State to implement paragraphs 85 and 86 of the convention on the elimination of all forms of discrimination against women in England and Wales by using the regulation-making powers in subsection (8). The CEDAW report contains recommendations relating to the criminal law on abortion, which would, in so far as they relate to England and Wales, already be addressed by the repealing of the offences through subsections (2) and (4) of the new clause.

The report includes recommendations that go beyond the provision of abortion services, such as on the provision of sexual and reproductive health and education. As I have mentioned, the CEDAW report and its recommendations were developed in the specific context of Northern Ireland and therefore reflected the position there at the time. The position in England and Wales is different, with existing guidance, services and legislation that already address many of the report’s recommendations.

I turn to the criminal law aspect of the new clause. Subsections (2) and (3) would repeal sections 58 to 60 of the Offences Against the Person Act 1861, as well as the Infant Life Preservation Act 1929. Repealing those offences would remove criminal liability for a woman acting in relation to her own pregnancy and would also decriminalise any other person doing the relevant acts to a pregnant woman, or in relation to the body of a child. For example, there would no longer be a specific offence to cover cases of forced abortion. That would mean that situations in which an individual subjected a pregnant woman to violence with the intention of causing a miscarriage would be dealt with under different offences relating to assaults and bodily harm rather than section 58 of the Infant Life Preservation Act. The moratorium on investigations and prosecutions contained in subsection (4) would discontinue such cases. Therefore, those suspected of forcing a woman to have an abortion before the offences were repealed could not be investigated for those offences.

Subsection (2) seeks to repeal section 60 of the Offences Against the Person Act 1861, which criminalises concealing a birth by disposing of a child’s body after its birth. Unlike sections 58 and 59 of the 1861 Act, that offence is not limited to abortion-related acts. Repealing it entirely could therefore create a gap in the law regarding non-abortion-related concealment of birth following a child’s death. While I understand the concern of my hon. Friend the Member for Walthamstow about investigations under section 60 relating to alleged illegal abortions, a full repeal may have unintended consequences.

I will briefly address a point that my hon. Friend made about existing offences that cover this matter. The offence of perverting the course of justice requires a positive act coupled with an ulterior intent that the course of justice will be perverted. Therefore, it is not necessarily the same and we do not want to provide unintended consequences. It is important to note that subsection (12) grants the Secretary of State regulation-making powers in the light of the repeal of these offences, subject to certain restrictions. The power could be used, for example, to create offences specifically targeted at forced abortions or concealing a birth by disposing of a child’s body. While I do not comment on the policy intent, the House typically exercises its full powers of scrutiny over the introduction of new and serious offences, rather than conferring a power on the Secretary of State to do so through secondary legislation.

New clause 106, which was tabled by the hon. Member for Sleaford and North Hykeham (Dr Johnson), deals directly with the Abortion Act 1967. The intended purpose of the new clause is to require women to attend an in-person consultation. Section 1(3D) of the Abortion Act 1967 does not apply to consultations that take place before the medicine is prescribed. Women would therefore continue to have remote consultations for prescription of the medicine, but would then be required to travel to a hospital or clinic for an in-person consultation before being able to self-administer the medicine at home. Alternatively, women could have an in-person consultation to be prescribed the medicine and then the medication could be posted to the women at home. The overall effect of this new clause would mean that no woman could legally have an at-home early medical abortion without an in-person consultation.

In conclusion, if it is the will of Parliament that the law should change, the Government, in fulfilling our duty to ensure that the legislation is legally robust and workable, will work closely with my hon. Friends the Members for Gower and for Walthamstow to ensure that their new clauses accurately reflect their intentions and the will of Parliament, and are coherent with the statute book. As I have already stated, the Government take no position. I hope these observations are helpful to the House when considering the new clauses.

Question put, That the clause be read a Second time.