Crime and Policing Bill

Baroness Blackstone Excerpts

Wednesday 18th March 2026 Lords Chamber

[Baroness Monckton of Dallington Forest (Con)]

The British Medical Association is a trade union, not a royal college.

[Baroness Blackstone (Lab)]

My Lords—

[Baroness Monckton of Dallington Forest (Con)]

I am very sorry—I have to carry on or I am going to run out of time. This is Report and I am going to continue.

--- Later in debate ---

[Baroness Stroud (Con)]

I am sorry; I am going to keep going.

This amendment would ensure that women are offered the best possible care at in-person appointments, where medical history can be discussed with a woman.

Amendment 425 is not about whether we are pro-life or pro-choice; it is about safeguarding women. Polling last summer found that two-thirds of women support the return of in-person appointments; a mere 4% support the status quo. Abortion providers provided abortion services before the pandemic, with no major problems for access. I urge colleagues to support Amendment 425, which is a far more proportionate response to the handful of court cases that have occurred in recent years than that offered by Clause 208, which makes matters worse and removes legal protections for unborn babies up to birth. Amendment 425 would not reduce access to abortion for women, but it would ensure that their health needs are properly catered for.

[Baroness Blackstone (Lab)]

My Lords, I declare an interest: I am the chair of the Royal College of Obstetricians and Gynaecologists. I hope that the noble Baroness who has just spoken will accept that sometimes the expertise of people who are directly involved on a daily basis with the treatment of women seeking an abortion is really rather important. I found it distressing when the noble Baroness, Lady Monckton, refused to acknowledge that, in fact, many representatives of the medical profession strongly adhere to what lies behind Clause 208. I strongly support that clause because it seeks to ensure that women in England and Wales will no longer be subject to long investigations and criminal charges, which are very often exceedingly distressing.

I also support Amendment 423A to stop ongoing investigations and Amendment 426B to grant historical pardons to women. However, I will focus my comments today on the safety of the telemedicine service for early medical abortion and, in particular, my opposition to Amendment 425, which the noble Baroness, Lady Stroud, just spoke to.

There have been extraordinary suggestions that the creation of the telemedicine service is the reason for the increase in criminal investigations. This is not true. There were cases of women being sent to prison before the telemedicine pathway was even created. Since the vote in the House of Commons last year, several women have been investigated, including a woman who experienced a miscarriage when she was 17 weeks pregnant. Surely that is something we should seek to avoid.

I turn to a landmark study of more than 50,000 abortions in England and Wales, which concluded that telemedical abortion is effective, safe and improves access to care. Waiting times fell, the mean gestational age of treatment declined and effectiveness increased, with 98.8% of abortions successfully completed after medication. The scare stories we have just heard are exceedingly rare and we should not take them as a reason for rejecting the telemedical service that exists.

Safety is not only about clinical outcomes; it is also about safeguarding. Women accessing early medical abortion through a licensed provider will speak to a doctor, a nurse or a midwife who follows established safeguarding protocols, asking an agreed list of questions to verify what the woman seeking an abortion has said. In fact, abortion providers operate within one of the most tightly regulated areas of medicine. Where concerns arise, patients are always brought face to face to receive care by that method. Indeed, about 50% have a face-to-face appointment when they seek a telemedical abortion and the drugs that are concerned.

It is important to note that telemedicine has not removed face-to-face care. If a woman chooses to attend a clinic or hospital, she is able to do so. Telemedicine has simply broadened choice for women, and that is something we should also take very seriously as a huge benefit. We must consider what would happen if the option for telemedicine—

[Baroness Watkins of Tavistock (CB)]

Could I further clarify and ask a question? Is it not true that if any doctor or nurse is doubtful when telemedicine is happening, they will ask that person to come in to be seen?

[Baroness Blackstone (Lab)]

That is absolutely the case. I was trying to make that point earlier, but I did not do it as clearly as the noble Baroness has just done. Of course that should happen, and it does happen.

If we remove the option, we will find that women, regardless of circumstance, are forced to attend the clinic. I do not think that is sensible. We should allow women the choice to decide what the best route for them is. Some women—for example, those in abusive relationships, those living in rural areas, those with great caring responsibilities and those who cannot travel safely for some reason—may no longer be able to access safe, essential abortion care.

There is widespread support from the medical establishment for the telemedicine service remaining an option for women, including from all the relevant royal colleges, not just the RCOG. It goes across the Royal College of Nursing, the Royal College of Midwives, the Royal College of General Practitioners and the Royal College of Psychiatrists—indeed, all those royal colleges that have a clear and obvious responsibility for providing good services for those women seeking an abortion.

I hope that, in further discussion today, that will be recognised and we will not hear comments—as were made by the noble Baroness, Lady Monckton—that many doctors are opposed to this. That is simply not the case; they are in favour of Clause 208 and of the telemedicine service.

The evidence is clear—

[Baroness Watkins of Tavistock (CB)]

Could I further clarify and ask a question—

[Baroness Blackstone (Lab)]

Let me just finish, I am just about to complete what I was going to say. I am happy to take the question.

The evidence is clear that telemedicine has reduced waiting times; enabled earlier treatment, which is a huge advantage; maintained high safety and effectiveness rates; improved privacy, which is something that most women in these circumstances really appreciate; and increased safeguarding disclosures. It expands choice and keeps women within a regulated clinical framework. That in itself is exceedingly important too.

To weaken or remove telemedical abortion would not improve safety; it would instead reduce access, delay care and create barriers for the most vulnerable women. The system works. It is safe, effective and must be maintained.

[Captain of the Honourable Corps of Gentlemen-at-Arms and Chief Whip (Lord Kennedy of Southwark) (Lab Co-op)]

My Lords, views on both sides of the debate are sincerely held. We should all respect each other for that. We had a long debate in Committee. This is Report. Members should make their points. Repeated interventions do not help us at this stage. We need to take the temperature down. The House can make its decision known in the Division Lobbies later on.