Baroness Jenkin of Kennington

This is an independent review, and Professor Sullivan is fully responsible for the report’s contents and for engaging with relevant stakeholders. Where stakeholders have been engaged since the general election, the decision was made by Professor Sullivan.

As per the Terms of Reference, a draft version of the report was submitted to the Department for Science, Innovation and Technology and to the Cabinet Office ahead of the final version of the report. Ministers have not been involved in the drafting of the report. As per usual practice, officials have provided light-touch, optional feedback on matters of drafting.

I refer the noble Baroness to the answer I gave to question HL1037 on 18 September.

The DWP’s standards of behaviour statement requires employees to dress in a professional and business-like way. Professional and business-like has a normal, everyday meaning.

The DWP’s standards of behaviour statement requires employees to dress in a professional and business-like way. Professional and business-like has a normal, everyday meaning.

We are committed to ensuring that the public receives the best possible contraceptive services. Contraception advice is delivered in sexual health services, general practice, some pharmacies, abortion and maternity services, and online. NHS England strives to ensure that this is integrated into a range of different health encounters that women are likely to have.

For example, sexual and reproductive health services in England provide a range of services, including contraception provision and advice, particularly for vulnerable groups and teenagers. These services are free, open-access, and confidential, to support people to make informed choices.

Contraception advice is provided during both antenatal consultations and at the time of postnatal discharge. Many maternity services also provide both user-based and longer acting methods of contraception at this opportunity.

The Three year delivery plan for maternity and neonatal services made a commitment to offer all women a personalised care and support plan by 2026, taking into account physical health, mental health, and social complexities, with a risk assessment updated at every contact.

NHS England has published guidance to support general practitioners to provide women with comprehensive mental and physical postnatal check-ups six to eight weeks after they give birth.

The postnatal consultation provides an important opportunity for contraceptive health needs to be assessed and for general practitioners to listen to women in a discrete, supportive environment. As per the guidance, women should be asked about contraception and supported to make planned choices about future pregnancies.

Women’s health hubs pilots are being rolled out across the National Health Service, together with sexual health services. These can provide a wider choice of options for women, including longer acting methods of contraception.

We are committed to ensuring that the public has equal access to the best possible contraceptive services. The women’s health area on the National Health Service website brings together over 100 different women’s health topics, including contraception, as a first port of call for women seeking health information. Education surrounding contraceptives should be delivered to all pupils via the Relationships, Sex, and Health Education (RSHE) curriculum. RSHE became compulsory in all schools in September 2020. The statutory guidance is clear that as part of the topic ‘intimate and sexual relationships’, pupils in secondary schools should know the facts about the full range of contraceptive choices, efficacy, and options available. These subjects should be taught to all pupils in schools, and teachers have the flexibility to deliver the curriculum in a way that meets the needs of their individual pupils.

Contraception is a core service for women’s health hub pilots. Women’s health hubs bring together healthcare professionals and existing services to provide integrated women’s health services in the community, centred on meeting women’s needs across the life course and reducing health inequalities. The Department has invested £25 million over 2023/24 and 2024/25 to support the establishment of at least one pilot women’s health hub in every integrated care system.

To offer greater choice in how women can access contraception services across the country, the NHS Pharmacy Contraception Service was launched in April 2023, enabling pharmacists to issue ongoing supplies of contraception, initiated in general practice surgeries and sexual health services. The service relaunched in December 2023 to enable community pharmacies to also initiate oral contraception.

Survey outputs from the 2023 Women’s Reproductive Health Survey will be used to inform future policy development and support strategy work by improving our ability to monitor changes and inequalities in women and girls’ access to contraceptives.

We are committed to ensuring that the public receives equitable access to the best possible contraceptive services. Contraception advice is delivered in sexual health services, general practice, some pharmacies, abortion and maternity services, and online. NHS England strives to ensure that this is integrated into a range of different health encounters that women are likely to have. For example, contraception advice is provided during both antenatal consultations and at the time of postnatal discharge. Many maternity services also provide both user-based and longer acting methods of contraception at this opportunity.

NHS England has published guidance to support general practitioners to provide all women with comprehensive mental and physical postnatal check-ups six to eight weeks after they give birth. The guidance, which was written in collaboration with the Royal College of General Practitioners, provides clear advice to address unwarranted variation for the delivery of safer, more equitable, more personalised care. This includes flexible appointment times tailored to a women’s needs.

The postnatal consultation provides an important opportunity for contraceptive health needs to be assessed. During this, women should be asked about contraception and supported to make planned choices about future pregnancies.

Contraception is commonly offered and provided by abortion services, in line with National Institute for Care and Excellence guidelines on abortion care, that were published in September 2019. The guidelines set out that commissioners and providers should ensure that a full range of contraceptive options is available for women on the same day as their surgical or medical abortion. Providers should also ensure that healthcare professionals have the knowledge and skills to provide all contraceptive options, including the contraceptive implant, injections, and intrauterine methods of contraception.

Following the death of a child, it may not always be a healthcare professional making the notification and therefore these questions may be answered by a range of different professionals, for instance those in healthcare, police, or social care. The questions will be answered based on what the professional knows at the time when they are making the notification of death. Therefore, if they do not hold any information on the gender identity of the child, this question will not be answered.

Parents would not be completing these forms. The purpose of the notification form is to give the basic information on what is known about the child by the professional at the time of death.

The current process for updating the child death review data collection forms does not require ministerial approval.

The UK is proud to defend and promote universal and comprehensive sexual and reproductive health and rights, including access to modern methods of contraception. The UK has a broad range of programming focused on reaching the most vulnerable and marginalised people with education and contraceptive access including through the UNFPA Supplies Partnership; core funding to UNFPA; via our Women's Integrated Sexual Health Programme (WISH) in Africa; and through our support to Global Financing Facility (GFF) for Women Children and Adolescents to strengthen government systems to deliver on reproductive health.

The FCDO actively supports women's and girls' right to be able to make their own, informed decisions about modern methods of contraception. We have significantly increased access to voluntary family planning globally. In 2023, the UNFPA Supplies Partnership, which includes the UK, reached 23 million women and girls in the lowest income countries.

Midwives are crucial to ensuring guidance and access to contraception is integrated into maternal health services. The FCDO recently signed an agreement with the International Confederation of Midwives, aiming to strengthen midwifery associations in three countries. Funding will support midwives to implement the midwifery models of care framework.

The UK has taken action to advance sexual and reproductive health and rights (SRHR) through FCDO-supported programmes to ensure equitable postpartum and post abortion contraception provisions. The UK delivers on this through several programmes including the Reproductive Health Supplies programme and WISH Dividend programme, and through partners including the Safe Abortion Action Fund to deliver on providing access to key sexual and reproductive health services including post-partum and post-abortion contraception options and to support governments to prioritise equitable access to comprehensive SRHR.

The Foreign, Commonwealth and Development Office annually reports on Official Development Assistance (ODA) expenditure via the Statistics on International Development publication. Details of UK ODA by sector code and recipient countries from 2017 to 2023 is available here: Statistics on International Development: final UK ODA spend 2023.

In line with the OECD Development Assistance Committee ODA reporting rules, ODA data is categorised using sector (or purpose) codes, which classify ODA activities by the sectors they benefit. Although some codes directly relate to Sexual and Reproductive Health and Rights (SRHR) - such as Family Planning or Reproductive Health - many others are not sufficiently granular to enable tracking of all ODA for SRHR.

While there is no agreed methodology across donors to capture SRHR expenditure, some partners such as the think tank Deutsche Stiftung Weltbevölkerung (DSW) have developed their own methodology for donor SRHR spend (published in their annual report: All Editions - Donors Delivering for SRHR. This methodology was designed to capture donor ODA flow for SRHR, however it does not include an analysis of SRHR ODA flow to specific recipient countries.

The Foreign, Commonwealth and Development Office annually reports on Official Development Assistance (ODA) expenditure via the Statistics on International Development publication. Details of UK ODA by sector code and recipient countries from 2017 to 2023 is available here: Statistics on International Development: final UK ODA spend 2023.

In line with the OECD Development Assistance Committee ODA reporting rules, ODA data is categorised using sector (or purpose) codes, which classify ODA activities by the sectors they benefit. Although some codes directly relate to Sexual and Reproductive Health and Rights (SRHR) - such as Family Planning or Reproductive Health - many others are not sufficiently granular to enable tracking of all ODA for SRHR.

While there is no agreed methodology across donors to capture SRHR expenditure, some partners such as the think tank Deutsche Stiftung Weltbevölkerung (DSW) have developed their own methodology for donor SRHR spend (published in their annual report: All Editions - Donors Delivering for SRHR. This methodology was designed to capture donor ODA flow for SRHR, however it does not include an analysis of SRHR ODA flow to specific recipient countries.

Female genital mutilation (FGM) is an abhorrent crime, and tackling FGM is an important part of this Government’s mission to halve violence against women and girls in a decade. We are focused on preventing these crimes from happening, supporting and protecting survivors and those at risk, and bringing perpetrators to justice.

A range of criminal offences and preventative tools are available in this space.

To support the police in investigating this crime, the College of Policing has published Authorised Professional Practice. This sets out the action the police should take, including: working with local organisations to raise awareness of FGM, taking immediate steps to safeguard individuals at risk, (including through FGM Protection Orders), and securing evidence.

We know that the familial and hidden nature of FGM, and the fact victims are often relatively young, can present challenges in bringing a prosecution. That is why the police and Crown Prosecution Service (CPS) have put in place a Joint Protocol on the Investigation and Prosecution of FGM. That encourages the police to refer every FGM case to the CPS at the earliest stage and sets out that the CPS will provide early investigative advice in all cases. In addition, every CPS area has a dedicated FGM Lead, and they have introduced guidance for prosecutors, which addresses common areas of challenge, including the need for expert evidence.

More broadly, the Government’s statutory guidance on FGM sets out the responsibilities of police and other statutory agencies in supporting and safeguarding women and girls affected by FGM, and the Home Office has made available free e-learning on FGM for frontline professionals which was completed by over 54,300 professionals in 2023.

Of course, we will look at the success of this case and ensure what worked is reflected in any review of the guidance.

This Government has no such plans.