International Women’s Day

Jackie Doyle-Price Excerpts

Thursday 10th March 2022 Commons Chamber

[Dame Diana Johnson (Kingston upon Hull North) (Lab)]

This week, I attended a meeting with the brave Ukrainian women politicians at the British Inter-Parliamentary Union to discuss the humanitarian impact that war has on women and girls. News last night that the war criminal Putin now bombs maternity hospitals fills us all with disgust—this is clearly a war crime. Yesterday, I chaired an event with six brave Afghan women to discuss the regressive impact the Taliban takeover of Afghanistan has had on women’s and girls’ rights. One told me:

“Before the Taliban takeover I was someone. The day after the Taliban took over I was no one.”

It was clear from the meeting that any engagement with the Taliban must be done on the basis of strict conditionality in support of women’s and girls’ rights in public services, employment and civil society. I wish to take this opportunity to express my solidarity with those and other women in the world living in war zones or under repressive regimes.

Today, however, I wish to talk about access to reproductive healthcare, which has been crucial in the improvement of women’s rights globally. The development of the contraceptive pill in the middle of the 20th century is considered one of the most crucial developments in the women’s rights movement; reproductive rights are fundamental to the physical, psychological and social wellbeing of women. I am chair of the all-party group on sexual and reproductive health in the UK, and we know that there are still too many obstacles facing women in accessing this vital healthcare. One woman recently said:

“I find it very difficult to find a clinic that’s accessible and has appointments out of office hours.”

Figures from University College London, published last year, show that the proportion of unplanned pregnancies in the UK has almost doubled during the pandemic. There is still much work to do to ensure that women and girls have full control over their reproductive health. In 2020, the all-party group published the findings of our inquiry into access to contraception. We found that women are finding it increasingly difficult to access contraception that suits them, and this is a situation made much worse by the pandemic. Even in today’s The Guardian there is an article by Nell Frizzell entitled

“A 10-week wait for a coil? British women are facing a quiet crisis in contraceptive care”.

[Jackie Doyle-Price (Thurrock) (Con)]

I want to put on record that one reason why women are finding it increasingly difficult to access contraception easily is that we have a number of commissioning funding streams in the NHS, which is leading to under-commissioning of this vital resource. At a time when perhaps one in three pregnancies are unplanned, which is leading to more abortions, which are themselves a less safe method of dealing with reproductive health than contraception, will the right hon. Lady join me in encouraging the Government to look properly at how contraception is commissioned?

[Dame Diana Johnson]

Absolutely. I pay tribute to the hon. Lady for all the work she has done; she took a particular interest in this issue when she was a Health Minister. That brings me to my next point: despite practitioners’ best efforts, covid-19 exacerbated existing problems—including long-standing funding cuts and the fragmentation in commissioning structures to which the hon. Lady just referred—leading to further restrictions to access.

The public health grant has faced serious cuts over the past decade. Evidence presented to our inquiry suggested that sexual and reproductive health budgets were cut by £81.2 million—12%—between 2015 and 2017-18. It is estimated that during the same period contraceptive budgets were cut by £25.9 million, or 13%. In Hull, where my constituency is, spending on contraception has fallen by 38% since 2013-14, and almost half of councils have reduced the number of sites that deliver contraceptive services in at least one of the years since 2015.

Our inquiry heard that long-acting reversible contraception fittings have been most severely impacted. In 2018-19, 11% of councils reduced the number of contracts with GPs to fit LARCs, and GPs are not adequately funded to provide LARC, which disincentivises their provision. The disparity among regions is stark. In my city, the rate for GPs prescribing LARC is only 2.1 women per 100,000; whereas in other parts of the country it is 51.5 women per 100,000. Access issues have particularly hit marginalised groups, with services reporting a drop in the number of young, black, Asian and minority ethnic people requesting the services.

As we continue to emerge from the pandemic, we have a unique opportunity to reshape contraceptive services according to the needs of women. For example, we should offer contraception as part of maternity services. If we integrated care around the needs of individuals, women would be able to have all their reproductive health needs met at a single point of care. I hope that those points, and the recommendations from our report, are reflected in the Government’s upcoming sexual and reproductive health strategy.

I wish to finish by talking about telemedicine for early medical abortion. I am absolutely furious at the Government’s decision to end telemedicine for early medical abortions after 30 August, ignoring the clinical evidence and advice of many royal colleges and clinicians. I am sorry that the Under-Secretary of State for Health and Social Care, the hon. Member for Erewash (Maggie Throup), who was in her place earlier, has left the Chamber, because I wanted her in particular to hear my comments on this issue.

--- Later in debate ---

[Jackie Doyle-Price (Thurrock) (Con)]

It is a great pleasure to join in this debate. Like other Members, my thoughts this afternoon are with the women of Ukraine. I particularly thank my right hon. Friend the Member for Romsey and Southampton North (Caroline Nokes) for her speech, which frankly had me filling up, so I am glad I have had some time to deal with my emotions.

Thinking of war situations where women are leaving or seeing their sons, husbands and fathers being involved in fighting, 30 years ago last week the independent state of Bosnia was founded, having itself been subjected to significant wars. I am reminded of my regular visits to Srebrenica and the memorial at Potočari, which is lovingly maintained by bereaved women who lost their sons, fathers, brothers and uncles. We all know the story of what happened with the genocides in Bosnia. Many of those women do not have a body, or even a body part, but they are dealing with their grief by maintaining the memorials to other victims as well as their own. At this time, there will inevitably be bereaved women who have left their husbands and sons behind and do not know what their ultimate fate is going to be. For me as a Member of Parliament in this fantastic first-world country of Great Britain, I feel hopelessly inadequate watching these events unfold. We must do everything we can to support all those victims, and particularly to give safe havens to those refugees who are fleeing.

I would like to reflect on some of the other contributions made today, particularly that of the right hon. Member for Kingston upon Hull North (Dame Diana Johnson). I say to the Government that as the right hon. Lady has shown, we are making lots of noise about women’s health and breaking lots of taboos in that space, but fundamentally, the biggest source of our oppression is our biology—our reproductive biology. The ability of women to control their fertility and manage their reproductive rights in a safe way depends on adequate contraception services, and also on a safe abortion law. I will repeat what I have said many times in this place: the abortion law is more than 50 years old. It was written before we had medical abortion, when abortion was a surgical procedure and was much more dangerous for that reason. If we are really going to look at women’s reproductive rights from the perspective of safety, may I helpfully suggest that we need a review that does not rely on individual Members of Parliament tackling this as a matter of conscience? This is about how we deliver a safe environment for women to be able to manage their reproductive rights and their fertility. Until we properly bring that law up to date and into the 21st century, any semblance of a positive women’s health strategy is for the birds. I leave that as a challenge for the Government.

I also congratulate my hon. Friend the Member for Harwich and North Essex (Sir Bernard Jenkin) on bravely stepping into the debate about sex and gender, and the conflict of rights that arises from conflating the two—a conflict of rights that has not been adequately tackled by either of the Front-Bench teams in this place. Frankly, that is a disgrace; it is not fair to transgender people or to women, and it is high time that we did so. I am glad that my hon. Friend has done it, and the fact that he is a man doing it on International Women’s Day is a matter not for criticism, but for celebration. I am also pleased to see my hon. Friends the Members for Devizes (Danny Kruger) and for Boston and Skegness (Matt Warman) present, because on the last two occasions I attended this debate, there were no men. This is a way forward, because we need men to value and celebrate women too; this should not be a women-only party.

[Danny Kruger]

The Father of the House is also present.

[Jackie Doyle-Price]

My apologies—how could I forget my hon. Friend the Member for Worthing West (Sir Peter Bottomley)?

[Sir Peter Bottomley (Worthing West) (Con)]

I had planned to listen rather than speak, but can I say two things to my hon. Friend? The first is to ask whether in winding up this debate, the Minister can say what harm was done by, and what benefits there were from, early, easy and safe contraception by telephone. There is a responsibility on Government to give that information in the open so that we can challenge it if necessary, or agree with it if they say it was safe, easy and convenient—that it had benefits.

Secondly, on the issue of sex and gender, I agree with my hon. Friend that people need to speak much more openly, and that those who call people like Professor Kathleen Stock a dangerous extremist for her book “Material Girls” clearly have not read it. She, Jo Phoenix and others have written very plainly and sympathetically about trans people, but have also written determinedly that sex matters, and that women should be safe and feel protected.

[Jackie Doyle-Price]

I thank my hon. Friend for those comments. The fact remains that women are entitled to single-sex spaces for their own sake; this should not just be about risk assessment and danger. We should be able to make choices about when we want to enter spaces without men present, and that should be as important as any potential risk that any man might pose.

I will focus the substance of my comments this afternoon on the criminal justice system, though, as we are talking about breaking the bias. I do so in my capacity as chair of the all-party parliamentary group on women in the penal system. Without reiterating points made by my hon. Friends, this comes back to the point that men and women are different, and our laws and—in particular—our criminal justice system need to reflect that.

We have had a real move towards gender neutrality in how we approach public service delivery and how we produce law, but standing here in a debate to commemorate International Women’s Day, I tend to view gender neutrality as just another way of centring men, because it is making us all the same, and nowhere is that more obvious than in the criminal justice system. We have a penal system built on prisons and based on the principle that we incarcerate violent, dangerous men, and that has been the approach to women. We have seen study after study that has shown that prison is not the best place for women offenders, because more often than not, women offenders are more vulnerable than their male counterparts.

Call me a pink-hearted liberal, but I tend to view our prison population as being full of people who have been failed by the state, and that is a matter of shame for me. It is particularly the case when it comes to women. We know that there are high rates of illiteracy and innumeracy among our prisoners, so how are they going to get on in life? We know that there are a huge number of people who have been through the care system and then been left on the scrapheap. In the case of women, we know that many of them are victims of sexual abuse, and in that context, prison is not the best place for them, and study after study has shown that.

Every time we make progress in this area and we start to say, “This is an opportunity for a first intervention to support women and address that vulnerability”, we then seem to go backwards. I highlight the fact that this Government have a female offenders strategy but equally are investing in 500 more prison places for women, and we need to properly join the dots and use the opportunities to make interventions to support women and break the cycle of offending. We all know that once someone has been incarcerated, the chance that they then embark on a lifetime of reoffending and re-entering prison is very high. That is not good for them, but nor is it good for society or the taxpayer. We need to get this right.

We know also that many women do not belong in prison in the first place. One issue I have been taking up with the Ministry of Justice is the extent to which women are remanded in prison for their own protection. We have a mental health policy that has been removing police cells and prisons as places of safety—recognising that they are not good environments for people who are mentally unwell—but we are still remanding women in prison for their own safety. I thought it would be only a small number of women, probably no more than a dozen a year. Having raised the issue with the Government, I could not get any data on it. However, Her Majesty’s inspectorate of prisons visited three prisons last year and in total found 68 women who had been remanded in prison for their own protection. They were not people who had committed an offence, and it was not a punishment. It is totally inappropriate for a country such as this to be remanding women in prison for that purpose, and that was in just three prisons. Across the whole system, we know that women being remanded for their own protection are a significant proportion of the prison establishment, and frankly that is not good enough. I am ashamed of it, and I call on the Government to do better.

My criticism is not with the Ministry of Justice. One of the issues is that the Ministry of Justice is sweeping up the failings of other organisations within the public sector. It is sweeping up the ability of local authorities to offer safe spaces for women to be sent to when they are at risk. Mental health services are sweeping up that failure by the Department of Health and Social Care, and I encourage the Ministry of Justice to be rather more robust in its dealings with other Departments and say, “You know what? These are not our problems, they are yours.” We should not be dealing with vulnerable people within our estate.

The other side of the criminal justice system where women are particularly negatively impacted is as victims, and we have had a number of debates in recent weeks about the poor prosecution rates for sexual violence crimes and rape in particular. Having spoken to victims, I understand that one of the reasons for that is that they are treated as a piece of evidence in that prosecution. If someone has gone through trauma, constantly reliving that in a dehumanising way is not the best way to ensure that we bring people to punishment. We really have to look at that.

There has been a lot of investment in services, but we have still not got it right. My biggest challenge on that point is that the likelihood of a victim getting justice depends on who they are. Victim-blaming, which we heard reference to earlier in the debate, is at the heart of that. Over and over again, assumptions are made about victims that impede their ability to get justice. White working-class girls in northern towns and cities were victims of abuse for many years before public authorities would pay proper attention to it, because they were not prepared to make that challenge.

I also highlight what we loosely describe as “honour killings”. What kind of a phrase is that to describe people being murdered? They are murdered by their families, who should love them and keep them safe, and we call that an honour killing—“honour”, which is a positive word, and “killing” for murder. That very phrase is an illustration of the discrimination against those victims; I am getting emotional just thinking about it.

In the context of the list that the hon. Member for Birmingham, Yardley (Jess Phillips) read out, we do not have to do much of a study to realise the socio-economic background of most of those victims. The only ones that we ever read about in the papers—the ones who the media get excited about—are nice white middle-class people with professional backgrounds. People who engage in prostitution disappear every week and do not get a column inch, but they are victims. They are women who are victims of male violence against women and girls.

Let us not pussyfoot around it: this is a gendered crime. My hon. Friends who are present—my hon. Friends the Members for Boston and Skegness, for Devizes, for Harwich and North Essex, for Totnes (Anthony Mangnall) and for Worthing West—will not take offence when I point out that those crimes are committed by men, which is exactly what we need to face up to. We will not tackle that issue unless we tackle it as a society, which means men stepping up too.

[Anthony Mangnall (Totnes) (Con)]

My hon. Friend is making an extraordinarily impassioned speech. She is absolutely right to make the point that men are 99% of the problem, but we can be 50% of the solution.

[Jackie Doyle-Price]

I welcome that comment from my hon. Friend and I am not surprised to hear it from him. I would go further than that, however: we will not fix the problem until men become part of the solution. I am afraid that the Government need to stop pussyfooting around by talking about violence against women and girls and call it what it is—male violence against women and girls.