Crime and Policing Bill Debate

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Department: Home Office
Baroness O'Loan Portrait Baroness O'Loan (CB)
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My Lords, it is almost absurdly challenging to try to speak on a Bill of 427 pages, 203 clauses and 21 schedules in four minutes. The Bill is extremely wide. It ranges across multiple offences, creating multiple new criminal offences, and we will need to determine inter alia whether they have sufficient clarity, whether they disproportionately limit our fundamental freedoms and whether they may lead to unintended consequences. Clause 185(3) is a case in point. And we will need to consider the very real resource implications of what we propose.

I want to concentrate on Clause 191, though there are many others I would want to talk to. This clause was passed after only 46 minutes of Back-Bench debate in the other place. It was not a manifesto commitment. It constitutes a very significant change to our law on abortion. It carries with it enormous risks to women who might consequently think that aborting a baby up to birth will be safe in these circumstances, doing so without medical help.

Dr Caroline Johnson MP explained in the other place that she works as an NHS consultant paediatrician and has cared for and held babies in her hands from 21 weeks and six days gestation right through to term. She said:

“I am very aware that babies from, say, 30 weeks upwards have a more than 98% chance of survival”.


She went on to explain how an abortion is achieved in the later stages of pregnancy, saying that taking abortion pills intended for early pregnancy is not a suitable or safe medical intervention in later pregnancy. She said:

“If one has a termination later in pregnancy, it is done by foeticide. Essentially, an injection of potassium chloride is administered to kill the baby, and then the baby is born in the usual way, but deceased. That is why it is important to know what the gestation is—because the termination offered under the law is done by a different route, to make sure that it is done safely. We know that the later in pregnancy a termination happens, the more a woman is at risk of medical complications”.—[Official Report, Commons, 17/6/25; col. 309.]


That is the essence of the challenge we face here. We must scrutinise a clause that, under current law, would enable a woman who has secured medication to end a pregnancy under the pills by post scheme—which is supposed to be used only up to 10 weeks—to take this medication right up to birth in a non-clinical setting where she would have no professional medical support, despite the fact that, as Johnson said, she is at greater risk of complications. The clause does not give her any protection other than that against prosecution—but prosecution is the least important issue. What is profoundly important is the woman’s safety.

Even at earlier stages of gestation, there may be need for surgical intervention to remove a dead baby. How might a woman achieve an abortion in the later stages of pregnancy? Essentially, as I understand it, it will be by taking abortifacient medication which is neither suitable nor safe, or by acquiring potassium chloride by some means. But how could the potassium chloride be administered? It has to be injected into the baby’s heart, using ultrasound guidance, to cause cardiac arrest and death to the baby. That is not the end of the process; the baby must be delivered. During childbirth, specific drugs are administered and offered for pain management and the prevention of things such as haemorrhage and other complications. None of these would be available to this mother.

Most women who have experienced miscarriage or childbirth will probably agree that, if proper medical help is not available, it is terrifying. Things can go so terribly wrong: for example, babies can get stuck in the birth canal, which will eventually lead to the need for an intervention, whether by caesarean section, forceps or vacuum extraction. There is a serious risk that a mother whose baby gets stuck may die if the baby is not removed. At the very least, she may suffer terrible pain or multiple serious consequences to her own health and her future childbearing capacity.

We are left, then, with a situation in which your Lordships are being asked to legislate for abortion to birth without medical help, because any medical practitioner who helped would be subject to prosecution. If this provision is passed, women will think that aborting their own babies will be a safe thing to do, simply because it is lawful. This clause is redolent with danger to women. Can the Minister tell us exactly how the Government think women might seek to end a full-term pregnancy, and how they might be protected against the potentially catastrophic consequences of aborting and delivering a baby without medical help? This clause is too dangerous to women to remain in the Bill.