Serious Crime Bill [Lords]

Sarah Wollaston Excerpts

Monday 23rd February 2015 Commons Chamber

[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.

--- Later in debate ---

[Jim Shannon]

I thank my right hon. Friend for making that clear and salient point.

If abortion laws are unclear on whether sex-selective abortion is legal, let us tighten them up using new clause 1, so that it is clear beyond reasonable doubt that the practice is unacceptable. The new clause would inevitably clarify the law by stating explicitly that the termination of pregnancy on the grounds of the sex of the unborn child is illegal. It would add clarity and certainty for women and medical professionals, so that neither party would be left wondering what their rights and obligations were.

New clause 25 would not provide adequate means for holding doctors to account, because a prosecution would still hinge on the ambiguity of section 1 of the Abortion Act 1967. It is clear that it would do nothing to move forward the debate on the clarity of the law. New clause 1 would make it certain, without a doubt, that sex-selective abortion is illegal. There would be no conflicting interpretations, just the black letter of the law. It would force the Government not only to clarify the law, but to create initiatives to address the issue of son preference.

I will conclude, because I am conscious that others want to speak and I want to allow time for that. New clause 1 is vital for at least two reasons. First, at the moment it is possible to ask whether sex-selective abortion is illegal and to get three different answers that appear to be contradictory, but that are all correct. That will not do. If there are varying interpretations of the law and the legality of a practice is unclear, the law must be amended to thwart any confusion, particularly for women, who should be in no doubt as to their rights in this area. It is therefore important that we support new clause 1.

Secondly, campaigners such as Jeena International and Karma Nirvana suggest that a prejudicial attitude towards girls is a phenomenon that is occurring in the United Kingdom. Therefore, the time to act against sex-selective abortion is now, not when our sex ratios become distorted to the same levels as those of India and China. New clause 1 sends a clear, unequivocal message to doctors and medical practitioners that sex-selective abortion is illegal and cannot be tolerated in our society. I urge right hon. and hon. Members to vote for it tonight.

[Dr Wollaston]

We all agree that it is abhorrent to terminate a pregnancy on the grounds of a belief that daughters are less valuable than sons. However, I will vote against new clause 1 for three reasons: it is unnecessary, there would be unintended consequences and we have insufficient time to debate what would be a fundamental change to an underlying principle of the Abortion Act 1967.

We have heard clearly that it is already illegal to terminate a pregnancy on the grounds of gender alone, and rightly so. That has been clarified since many of us agreed that there was an issue. I agree that there was an issue. It was not possible to bring prosecutions until the clarification was issued by the Department of Health and the chief medical officer.

The updated data on this issue, which examines not only ethnicity but birth order, shows that there is no evidence of a systematic practice of gender-based abortion in this country. It happens in other parts of the world, where it is having a serious distorting effect on societies and on the status of women, but there is no systematic practice here, although I have no doubt that there are individual cases.

New clause 1 would have unintended consequences. At present, women may have the confidence to disclose to a doctor in the confidence of a consulting room that they feel under pressure. If we brought in the new clause, women might feel that they may be criminalised. That would do more harm than good and bring about the exact reverse of the intended consequence of the new clause. We also risk stigmatising communities through the implication that this is a widespread practice, which it is not in the UK. We have to be clear about that.

New clause 1 uses the very emotive term, “the unborn child”. That would change the meaning within the Abortion Act. We have to be very careful about that. My hon. Friend the Member for Enfield, Southgate (Mr Burrowes) mentioned that the word “child” appears in the Abortion Act. I accept that, but we must look at the context in which the word is mentioned. It is mentioned in the grounds for terminating a pregnancy when there is a grave risk that a child may suffer a serious abnormality. In other words, it does not confer personhood on the foetus in the way that this change would. It may be the view of the House that that needs to change, but let us come back and debate this incredibly serious ethical point with the time it deserves, not shoehorn it on to the tail end of a new clause with which it is difficult to disagree—as I said earlier, we are all agreed that termination on the grounds that a daughter is somehow of less value than a son is totally abhorrent.

I urge hon. Members please to come back to this issue and give it the time it deserves. Let us debate it on its ethical merits, not try to pretend that we are talking about something else. We are all agreed on the fundamental premise, so let us give it the time it deserves and reject new clause 1 tonight.

[Fiona Mactaggart]

I speak as one of the 13 MPs who co-sponsored the original ten-minute rule Bill of the hon. Member for Congleton (Fiona Bruce). I did that because I think she was right to make people aware that sex selective abortion is illegal, and I thought her Bill was a powerful and good tactic to do that. However, I feel a bit as though I have been pulled along by a Trojan horse because, as the hon. Member for Totnes (Dr Wollaston) said, the new clause confers the status of an unborn child on the foetus, and that radically changes our abortion laws in a way I believe is dangerous.

As I said in an earlier intervention, clauses 73 and 74, which deal with coercive behaviour, contain a powerful tool that we should use to prevent the kind of coercion to which the hon. Member for Congleton referred. In those references she quoted extensively from an organisation based in my constituency, but personal experience of how that organisation has failed to help individual constituents has led me to the conclusion that it is not possible to depend on the accuracy of what it says. I am therefore concerned that we are using anecdote from an unreliable source to make legislation on the hoof.

Having supported the hon. Lady’s original ten-minute rule Bill, I have since read something from an organisation in America that is closely linked to the all-party pro-life group that she chairs. The head of that group stated:

“I propose that we—the pro-life movement—adopt as our next goal the banning of sex…selective abortion. By formally protecting all female fetuses from abortion on the ground of their sex, we would plant in the law the proposition that the developing child is a being whose claims on us should not depend on their sex…This sense of contradiction will be further heightened among radical feminists—”

I think he means people like me—

“the shock troops of the abortion movement. They may believe that the right to abortion is fundamental to women’s emancipation, but many will recoil at the thought of aborting their unborn sisters.”

My final reason for arguing that we should reject the new clause is the concern of the British Medical Association that it will make doctors more fearful of providing abortion services and training to carry out abortions. One of the biggest risks for young women seeking help to terminate a pregnancy is not getting that help in time, as a result of which we end up with late abortions and women who cannot have abortions when they are entitled to them. One reason for that is the growing number of doctors who are reluctant to perform abortions because they practise defensive medicine. I have no doubt that the new clause is unnecessary and likely to increase that and make it more difficult for women to access their right to termination—a right that I am afraid the hon. Member for Congleton, although I agree when she says that we all agree that abortion should not be available on the basis of gender, does not support at all.