Abortion in Northern Ireland

Carla Lockhart Excerpts

Thursday 25th March 2021 Commons Chamber

[Carla Lockhart (Upper Bann) (DUP) (Urgent Question)]

To ask the Secretary of State for Northern Ireland if he will make a statement on the provision of abortion in Northern Ireland.

[The Secretary of State for Northern Ireland (Brandon Lewis)]

On Monday we made the Abortion (Northern Ireland) Regulations 2021, and we laid them before Parliament on Tuesday. We have taken that important step because women and girls are still unable to access high-quality abortion and post-abortion care in Northern Ireland, in all the circumstances that they are entitled to under the law made by Parliament in the absence of the Northern Ireland Executive, and reconfirmed in the regulations laid last March.

This is about ensuring compliance with the legal duties that Parliament imposed on me in mid-2019. The legal duties on me as Secretary of State are clear: I must ensure that the recommendations in a specific report by the Committee on the Elimination of Discrimination against Women are implemented in Northern Ireland. We are not seeking to open the Abortion (Northern Ireland) Regulations 2020, which were approved by a significant majority in Parliament last year. Those regulations delivered a CEDAW-compliant legal framework, ensuring that the health and safety of women and girls, and clarity and certainty for the healthcare profession, remains paramount, while also remaining sensitive to the circumstances in Northern Ireland.

This is not about new laws; this is about ensuring that the existing law is acted on and delivered. As I am sure many right hon. and hon. Members will agree, at the heart of this matter are women and girls who have been, and continue to be, denied the same rights as women in the rest of the UK. Women and girls are entitled to safe, local healthcare. Indeed, during the pandemic, that has been even more crucial. The law changed more than a year ago, and abortion services should now be available as a healthcare service in Northern Ireland, so that women and girls can safely access local services. This is not a new issue or a surprise for the Executive.

Following the Northern Ireland (Executive Formation etc) Act 2019 receiving Royal Assent and section 9 duties coming into effect, we engaged with all Northern Ireland parties on this matter, and we continue to engage. We have always sought to deliver in a way that respects the devolution settlement, by putting in place a legal framework, and recognising that healthcare is devolved and therefore service provision should be delivered and overseen locally by the Department of Health, as well as by health bodies with the relevant legal powers, policy and operational expertise to do so.

We are disappointed by the continuing failure of the Department of Health and the Executive to commission abortion services that are consistent with the regulations, despite having extensively engaged on this issue for more than a year. I recognise that local interim service provision has been established from April last year, resulting in more than 1,100 procedures being accessed locally. I put on record my thanks to those medical professionals who have done what they can to ensure that women and girls have had some local access to services in Northern Ireland to date, and to those organisations that have supported that work. Looking ahead, I want to be clear: our strong preference is, and remains, for the Minister of Health and his Department to take responsibility for upholding these rights, commissioning services, and delivering on what the law now clearly allows.

[Carla Lockhart]

Thank you for granting this urgent question, Mr Speaker. Will the Secretary of State confirm to the House that paragraphs 85 and 86 of the CEDAW report are not legally binding on the United Kingdom, and do not constitute international obligations, as confirmed in the explanatory notes to the 2021 regulations, therefore undermining the whole premise for forcing a change in Northern Ireland’s abortion law in 2019? Can the Secretary of State also confirm that according to the devolution settlement established by the Belfast agreement, access to abortion services is a devolved issue and this action represents a breach of the Belfast agreement? Furthermore, can he confirm that his sole legal basis for intervention in this area is section 9 of the Northern Ireland (Executive Formation etc) Act 2019, and that during the passage of that Bill, which was opposed by every Northern Ireland MP who took their seat, it was made clear that the only reason Parliament was interfering in this issue was that there was no sitting Assembly at that time?

Will the Secretary of State explain why he has chosen to take action to use his powers in relation to abortion under section 9 but has failed to act in his duties in relation to the Executive’s failure to introduce payments for victims, under section 10 of the same Act? I know that the Secretary of State shares my support for the Union, but does he not understand that at the heart of the devolution settlement must be a respect for areas that have been determined to be for the devolved authorities? There is still time for him to think again before he takes action that will undermine and further destabilise the devolved institutions. It is time for the Government to recognise the error of their ways, repeal section 9 and restore Northern Ireland’s life-affirming laws.

[Brandon Lewis]

I recognise the hon. Lady’s consistent position on this, the strength of feeling on this issue and the contributions she has made in previous debates and conversations in this House, and indeed in the conversations she has had with me and with the Minister of State, my hon. Friend the Member for Worcester (Mr Walker).

It is important to be clear that Parliament stepped in. Parliament placed me under this legal obligation during a period of no functioning devolved Government in Northern Ireland. Even though the Executive and the Assembly have now been in place for more than a year, those legal duties do not fall, and have not fallen, away.

I appreciate the points the hon. Lady made about comparisons with payments to victims, but I should point out that that matter is being progressed by the Executive; it is being delivered on, that scheme will open shortly and victims will be paid. I share the frustration of a number of Members in this House that the Department of Finance and the Executive have not yet allocated the moneys that the Department of Justice needs to move forward with that, and I hope that they will move on with that. However, that scheme is actually being progressed by the Executive, and the victims will be able to apply shortly.

We have been clear, and we have conveyed the message to the Health Minister and his Department throughout, that it is crucial that abortion, as a fundamental healthcare service, is delivered and overseen locally by the Department of Health. That ensures that it is delivered in a sustainable way and becomes embedded in the health and social care system in Northern Ireland in the long term.

I fully appreciate that abortion is an extremely emotive subject, but we must not lose sight of the women and girls in Northern Ireland who are absolutely at the heart of this matter. It is unacceptable that there are women and girls in part of the UK who cannot access these fundamental rights, as they can elsewhere in the UK. Even though the law was changed some 12 months ago, services have not been commissioned yet, and that leaves many women and girls in vulnerable positions.

I have spoken to many women and healthcare professionals in Northern Ireland, and some of their experiences are truly harrowing. Too many women and girls are still having to travel to other parts of the UK—to mainland Great Britain—to access this care. One story was of a much-wanted pregnancy where, sadly, doctors informed the mother that the baby would not survive outside the womb. This woman had to travel to London, without her network of family support, to access healthcare. She described to me a harrowing ordeal, where she was unable to travel back on a flight to her home because of complications and bleeding. She was stranded in London, alone, grieving and in pain. I have been informed of two other women who have attempted suicide in the past year after their flights were cancelled and so they were unable to travel to England for proper care.

The distress and unacceptable circumstances that women and girls continue to face at a time when local access should be readily available, given that the law changed more than a year ago, is unacceptable. It is only right that women and girls in Northern Ireland are able to make individual informed decisions with proper patient care, the provision of information and support from medical professionals, based on their own health and wider circumstances—similar to women and girls living elsewhere in the United Kingdom. We have used every opportunity and avenue to encourage progress and offer our support over the past year. That is why I am so disappointed that we have reached this impasse.

We take this step now to further demonstrate our commitment to ensuring that women and girls can safely access services in Northern Ireland. Our priority is to ensure that the Department of Health takes responsibility for commissioning full services, consistent with the conditions set out in the Abortion (Northern Ireland) Regulations 2020. That is why we are moving forward in this way. While Parliament considers the regulations, we will continue to engage with the Minister of Health and the Executive to try to find a way forward over the coming weeks before any direction is given.