Jane Ellison
Main Page: Jane Ellison (Conservative - Battersea)Department Debates - View all Jane Ellison's debates with the Attorney General
(9 years, 9 months ago)
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Ann Coffey
I think that the hon. and learned Gentleman has made his point.
I agree that the connection between cultural preferences for one sex and the factors that might then lead to a state of inconsolable distress for the pregnant woman needs to be better understood to enable us to protect women from coercion and to support them in their pregnancies. We should certainly look at the facts before agreeing to any change in the wording of the 1967 Act, because we must be careful not to worsen the situation for already vulnerable women.
New clause 1 assumes that restating that sex-selective abortion is illegal will offer women protection from pressure to terminate their pregnancies, but women subject to intolerable pressure to abort will continue to be subject to coercion. My concern is about how women would interpret the inclusion of the new clause. They might feel that Parliament has legislated that if the sex of the child is at all an issue, irrespective of their mental distress, they will not have access to a termination. Sometimes it is not what legislation says that has a powerful effect on behaviour, but what people believe it says. That might lead them to pursue alternative routes as a first resort, rather than a last one. We do not want to go back to the days of the botched backstreet abortions that took place prior to the 1967 Act, which throughout the ages have been the resort of desperate women. I remember the lengths to which women would go to terminate their pregnancies prior to that Act, in spite of the risks to their own health.
If the assessment that we propose uncovers substantiated concerns that there is pressure to seek terminations on the grounds of gender, we need to put in place a plan to deal with what is giving rise to those pressures and how we can better support women who might be being coerced. That is the proposal in the second part of new clause 25. I hope that in bringing forward those proposals there would be extensive consultation with women from all cultural backgrounds.
Finally, I would like to share a story with Members. On a recent train journey I started talking with an Asian woman who was originally from Bangladesh. In the course of the conversation she showed me a photo of her three daughters, who are now grown up. I said that they were beautiful and how lucky she was to have three daughters, at which point she looked very distressed. She then told me that she had never enjoyed any of her pregnancies because she knew that she was carrying a girl and that her then husband saw girls as being of no value and, in turn, viewed her as having no value as a wife because she had not produced a son. He eventually abandoned her. However, I am happy to report that my travelling companion went on to have her own career and that her girls are confident young women who are finding their own ways in life.
When I asked her what she thought could be done about those attitudes to girls, she said that the answer was education, education, education. She of course is right. We understand that from our own history of fighting for women’s equality—a fight that many of us still feel is a work in progress. I hope that this cross-party amendment will be supported by the House and that it will mean that when the Secretary of State reports back in six months’ time on her assessment, with accompanying proposals, we will be better informed about a way forward in addressing concerns that I agree we should not ignore. No woman should feel pressured into seeking a termination for any reason, including gender.
The Parliamentary Under-Secretary of State for Health (Jane Ellison)
I welcome the opportunity to speak in this debate, and I will try to do so relatively briefly in order to allow more Back-Bench contributions. New clause 1, which stands in the name of my hon. Friend the Member for Congleton (Fiona Bruce), and new clause 25, which stands in the name of the hon. Member for Stockport (Ann Coffey), both relate to the very important matter of addressing the abhorrent practice of sex-selective abortion.
The Government have been consistently clear that abortion on the grounds of gender alone is already illegal. The Department of Health repeated that in guidance issued in May 2014, and it is important to stress that all independent sector providers have agreed to comply with, and operate on the basis of, the Department’s guidance and that they must do so as part of their licensing conditions. The Care Quality Commission monitors compliance with that, including through its inspection visits.
Mr Burrowes
On the welcome guidance that was published, I understand from freedom of information requests, and from an e-mail sent on 21 January, that there was a request for joint badging of that guidance to ensure that all the stakeholders signed up to it. Why did that not happen? Why was it left only to the Department to publish it?
Jane Ellison
It was the Department’s own guidance, which is why the Department published it. In the course of forming the guidance, we spoke with all the people we would be expected to speak to.
The chief medical officer for England has written twice to all doctors—in February 2012 and November 2013—reminding them of their responsibilities under the 1967 Act and reiterating the Government’s position on gender-selective abortion, and that was reiterated by professional bodies.
The Department has also undertaken detailed analysis to investigate whether the gender birth ratio in the UK varies by the mother’s country of birth beyond the range that might be expected to occur naturally. The analysis, first published in May 2013 and updated in 2014, concluded that, when broken down by the mother’s country of birth, no group was statistically different from the range we would expect to see naturally occurring. The Department has quite rightly committed to repeat that analysis annually when new birth data become available. However, I stress that the Government will remain vigilant, will continue to monitor data and will be fully open to any other evidence that comes to light.
My hon. Friend the Member for Congleton cited poignant anecdotal reports of sex-selective abortion, as she did on her ten-minute rule Bill. As I said to her at the end of that debate, I urge her and anyone with evidence of individual cases to report this to the police to investigate. I invite her once again to come to the Department with such evidence.
Mr Grieve
I am very grateful to hear from my hon. Friend that ground E would not be jeopardised. The Government have access to good legal advice—[Interruption.] I trust that they have access to good legal advice, and it must be the case that the Government have a position on the matter. I am grateful to hear from my hon. Friend that that particular anxiety is completely misplaced.
Jane Ellison
I am concerned about the fears that some people have about the practical implications of the new clause, and I think others share that concern. I hope to come on to that
The Royal College of Obstetricians and Gynaecologists highlighted the potential impact on abortions for foetal abnormality—I hear the point that was made on that in two interventions—where an inherited gender-related condition may be indicated, and the possibility that the new clause, if passed, may result in further concerns. The RCOG says:
“Parents with a family history of such a condition may not have the option of Ground E.”
The RCOG also says, in relation to how doctors might feel about the practical implications, that
“doctors deciding not to provide this aspect of gynaecological care”
might do so
“because it is deemed to be too ‘risky’ to them professionally.”
The House will want to be aware of these and other concerns regarding the practical implications of the new clause from the body that represents the doctors who provide these services and whom we entrust with the training, support and education of our future work force.
Dr Sarah Wollaston (Totnes) (Con)
Does the Minister agree that one of the issues is that there are some types of X-linked genetic disorders affecting only one sex that cannot be detected by genetic testing for the specific condition in question, and that that is where the uncertainty arises? In other words, it would be entirely on the basis of the sex of the child. That is why the concern and uncertainty would be increased by the new clause.
Jane Ellison
My hon. Friend exactly describes the concerns as they have been expressed to me by the RCOG.
It may be helpful for me to give the House some figures on abortions in our country. The House is aware that the vast majority of abortions—91%—are carried out at under 13 weeks’ gestation. This is before the gestational age at which the sex of the foetus is routinely identified at the second scan, at around 18 to 21 weeks’ gestation. Disclosing the sex of the foetus is a local decision and is based on clinical judgment about the certainty of the assessment and the individual circumstances of each case. Some 98% of all abortions were carried out at under 18 weeks’ gestation in England and Wales in 2013. It is also the case that 98% of abortions performed in the independent sector in 2013 were carried out at under 18 weeks. By contrast, in 2013, 94% of reported abortions for foetal abnormality were performed in NHS hospitals. In the light of this, the House would want to consider that the new clause could be thought likely to have greatest potential impact on those health professionals working in our NHS, rather than on independent sector providers.
As the hon. Member for Stockport explained, new clause 25 would require a further assessment of the evidence that terminations are taking place on the ground of the sex of the foetus alone. I have already outlined the analysis that the Department of Health is undertaking on an annual basis in this area. We will also take into consideration any other evidence that comes to light. I stress to the House that we take the issue of coercion and abuse very seriously. Women who present for an abortion will always have the opportunity to speak to a health professional on their own at some point during the consultation. From my perspective as public health Minister, this is the sort of issue that would sensibly be considered as part of any further review, and the Department of Health is already considering what further sources of evidence can contribute to our knowledge on this important issue.
Fiona Mactaggart (Slough) (Lab)
Does the Minister accept that clauses 73 and 74 of this Bill precisely help to protect women from family coercion to have an abortion?
Jane Ellison
That is a useful point to draw out about other parts of this important Bill.
It is for the House to decide whether it wants to place the commitment to a further review on a statutory footing by supporting new clause 25.
As is the convention with such issues of conscience, as a Government we do not take a position either for or against new clauses 1 and 25. If the matter is pressed to a Division, Government Members will have a free vote. However, I hope that it has been helpful to hon. Members in forming their own opinion on these two new clauses for me to set out the Government’s actions to date in this area, the facts in relation to the gestations at which most abortions are performed, and the concerns raised by professional bodies. As I have said, it is for the House to decide whether it wants to support either of the new clauses, or indeed both or neither of them, but I reiterate that abortion of a foetus on the grounds of gender alone is already illegal.
Luciana Berger (Liverpool, Wavertree) (Lab/Co-op)
The impassioned speeches that we have heard in this debate are testament to what a sensitive and complex matter this is. New clause 1 would amend the Abortion Act 1967 and proposes that a pregnancy could not
“be terminated on the grounds of the sex of the unborn child.”
New clause 25 would require a review of the evidence relating to abortion on the grounds of gender alone and for this to be followed by a strategic Government plan that addresses concerns about the prevalence of termination on the grounds of the sex of the foetus in England, Scotland and Wales.
I am in favour of new clause 25 as the best way to address concerns about sex-selective abortions. Outwardly, the intentions behind new clause 1 might seem reasonable. However, a wide range of well-respected organisations and experts have raised concerns, pointing out a number of unintended and troubling consequences. The organisations include the Royal College of Midwives, the Royal College of Obstetricians and Gynaecologists, the British Medical Association, the TUC, the End Violence Against Women Coalition, Genetic Alliance UK, Imkaan and the Southall Black Sisters, among many others.