John Hayes
Main Page: John Hayes (Conservative - South Holland and The Deepings)Department Debates - View all John Hayes's debates with the Home Office
(1 day, 15 hours ago)
Commons ChamberEvery jurisdiction has a democratic right to do as it chooses and I respect that, but it is a tragedy when we hear of cases where late-term abortions have not been supported by medical care or the law, and women and infants have suffered significant harm as a result.
I want to raise the case of Stuart Worby. Some people say that this issue is about protecting vulnerable women, but in this case, which was prosecuted in December 2024, a man who did not want his partner to be pregnant, when she did want to be pregnant, decided to take matters into his own hands. He asked a woman who was not pregnant to get the pills for him. He put them in a drink and gave them to his partner, inducing a miscarriage. He has rightly been put in jail for that, but the case demonstrates that there are men out there who will obtain tablets with the help of a woman. That could not have happened if women had to have an in-person appointment, because the woman arriving at the clinic to get the abortion pills on the man’s behalf would be clearly seen not to be pregnant, so would not be able to obtain the medication. My amendment seeks to protect women—women who are wrong about their gestation or who are mistaken in thinking they have had a bleed or whatever—to make sure that they have a safe termination using the right mechanisms.
I am delighted to tell my hon. Friend that I, too, will be supporting her amendment. There has been a lot of talk in this place in recent weeks about coercion—in a different Bill and in a different context. The kind of coercion that she describes is a reality. It is all fine and well to have a fanciful middle-class view of the world, but as I said in respect of a different Bill, there are many wicked people doing many wicked things. The kind of coercion that she describes is the truth; it is the reality.
I agree with my right hon. Friend, and I shall come to coercion a little later. First, let me go back to new clause 1, which decriminalises the woman having an abortion in relation to her own pregnancy. It seems to me that what many wish to do is decriminalise abortion up until term. That is a legitimate position that some people take.
I think we all agree that there are concerns about vulnerable people and abortion law in this country, but we disagree about how to address them. I propose new clause 20 as a way to address those concerns and recognise that the issue of abortion access is increasingly under attack, not just in our country but around the world. If we think that we face these challenges because we have outdated laws in this country, why would we retain them in any shape or form rather than learning from best practice around the world for all our constituents?
To start, let me put on the record that I take seriously all the concerns raised across the House about abortion. I recognise that this is a complex issue, I hear strongly the stories about investigations and prosecutions, and I want to see change, but I also recognise that change does not come without consequences. New clause 20, therefore, is based on what is good abortion law—what many of us have worked on. It is based on what the sector itself used to say mattered, which was that abortion law in England and Wales should recognise developments in modern abortion law in Northern Ireland, delivering on the promise we made in this place in 2019 that abortion was a human right, that safe care was a human right for women, and that we should see a progression of minimum human rights standards on abortion, including through the proposals of the Committee on the Elimination of Discrimination against Women.
I want to start with how the new clause would do that. I want to be clear that only this new clause would provide for decriminalisation. Decriminalisation, as defined by Marie Stopes, means removing abortion from the criminal law so that it is no longer governed by both the Offences Against the Person Act 1861 and the Infant Life Preservation Act 1929, because that would protect both clinicians and those who are at threat of criminal prosecution. Decriminalisation would not impact the regulations on safe medical use, medical conduct, safeguarding—I recognise that is a serious concern—or the distribution of medicines, and neither would it stop tackling those people who seek to use abortion as a form of abuse or coercion. I want to explain how,
In decriminalising and removing the laws that have caused those problems, the new clause would keep the 1967 Act not as a list of reasons why someone would be exempted from prosecution but as a guide to how abortion should be provided. Many of us in the House would recognise the shock for our constituents that abortion is illegal in theory and that the guidelines in the 1967 Act are the settled will of this place. To resolve any regulatory challenges, the new clause would require the Secretary of State to comply only with sections 85 and 86 of CEDAW—the convention on the elimination of all forms of discrimination against women. Those sections are about minimum, not maximum, standards of care, and that is only if the Secretary of State believes there appears to be an incongruence that needs to be addressed.
I am trying to reconcile the two things that the hon. Lady has said. She talked about the significance of the 1967 Act. When Lord Steel—David Steel as he was then—spoke on its Second Reading, he said that it was not his aim
“to leave a wide open door for abortion on request”,—[Official Report, 22 July 1966; Vol. 732, c. 1075.]
yet she has said that it is a human right and so people should have the right to an abortion. How does she reconcile her advocacy of what she described as the “settled will” of the 1967 Act—not having abortion on request—with the right to have an abortion on request?
In recent weeks and months in this House, we have become familiar with votes of conscience. The amendments that I shall speak to—new clauses 1, 20 and 106—are also matters of conscience. Although I am responding for his Majesty’s official Opposition, Conservative Members will have free votes, so the views that I express will be my own, and I fully recognise that there may be Conservative colleagues who disagree with me.
I recognise that the hon. Members for Gower (Tonia Antoniazzi) and for Walthamstow (Ms Creasy) tabled new clauses 1 and 20 with the very best of intent. I have no doubt that all Members who signed them did so with the objective of supporting and safeguarding the rights of women, and I can unequivocally say that I share those aims, as do my hon. Friends the Members for Hornchurch and Upminster (Julia Lopez), for Reigate (Rebecca Paul), for South West Devon (Rebecca Smith), and for Sleaford and North Hykeham (Dr Johnson), and my right hon. Friend the Member for Gainsborough (Sir Edward Leigh), who have also spoken. However, I do not believe that new clauses 1 or 20 achieve the safeguarding of women that Members seek.
Views on abortion do not have to be absolutist. Being pro-choice is not incompatible with being pro-life when the foetus is at a stage at which it is inherently viable. Believing that women should have autonomy over their bodies does not negate the need for a system that safeguards women from physical and emotional harm. As we have heard, new clause 1 would ensure that pregnant women were not criminalised for accessing an abortion during their pregnancy. It would, however, retain the law relating to the provision of abortion in healthcare settings as it stands. Effectively, a woman in England and Wales would legally be able to abort an unborn child by her own means up to the moment prior to a natural birth, but a healthcare professional would be breaking the law if they tried to help her do so outside the 24-week limit.
There is a calumny at the heart of this, which is that these new clauses are compatible with the ’67 Act. When breaching an Act of this Parliament ceases to be unlawful, it loses its force and therefore its purpose, and that calumny cannot be allowed to stand on the record.
I thank my right hon. Friend for his intervention.
On the one hand, abortion would be decriminalised for women; on the other, restrictions on her ability to access that same procedure in a safe, controlled and supportive setting would remain. We must be careful not to create a law that has unintended and potentially harmful consequences, especially for those it is designed to help, and especially when those who are likely to rely on it are likely to be in a state of stress or distress.
New clause 1 raises many questions. Is it tenable to legalise all but full-term abortions in England and Wales, but not in other parts of the UK? What would be the legal implications if a woman in Gretna travelled 10 miles across the border to Carlisle to have an abortion after the 24-week limit that is in place in Scotland? Under new clause 1, how do we monitor such abortions that occur outside a healthcare setting? How do we ensure that mothers’ physical and mental health is protected and supported? And what happens to the once-delivered foetus, if the abortion is outside a healthcare setting?
As we have heard, new clause 20 goes further than new clause 1 in many respects, so many of the same concerns apply. New clause 106 in the name of my hon. Friend the Member for Sleaford and North Hykeham would mandate an in-person consultation before a pregnant woman was prescribed medication to terminate a pregnancy. This new clause is not about making abortions harder to access. An abortion should, of course, be readily available to those who need and want it, and of course abortion medication should be easily accessible during the appropriate stages of pregnancy, but this new clause is about the safety of the mother and the unborn child.
Face-to-face appointments are commonplace for patients with a wide range of medications and conditions, particularly when new medications are being prescribed. A private, in-person consultation allows a doctor to be as sure as they can be that the woman is acting of her own informed free will, and ensures that her mental state is assessed and understood. It also reduces as much as possible the likelihood of medication being misused or abused.
Telemedicine, while it has its place, can never be a replacement for the patient-doctor relationship developed during face-to-face appointments. It has serious shortcomings. There have been many cases where abortion medicine has been misused following telemedicine, and there have been many more hospitalisations of women following the use of telemedicine. However, I stress that not all of these cases will be down to misuse; we should all be aware of that. New clause 106 does not attempt to restrict access to abortions, and I would not support it if it did. Instead, it would act as an important safeguard to protect women from emotional trauma and physical harm.