(5 years, 2 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
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I think I understood my right hon. Friend’s question correctly. The Court in this case was giving its judgment on a particular issue—whether or not Prorogation of this length could be the subject of judicial control and, if so, what was the correct test to apply to that judicial control. It chose to delineate a test that suggests that from now on, a Prorogation of any length must be reasonably justified. The Court included in its analysis the fact that there was before the House, and before the country now, a particularly acute constitutional controversy, which made it even more important that the House should sit. I have to say, and I think there is nothing wrong in venturing to express respectful disagreement, that what that will mean in future is that the Court will be obliged to assess whether or not a particular political controversy is sufficiently serious, excites sufficiently heated controversy, as to warrant the House sitting for any particular length of time; but be that as it may, that is the test that the Court has set, and that is the test that now must be applied.
What message does the Attorney-General have for his colleagues in government who have been smearing and undermining the Supreme Court judges? Some of this is not done in the heat of the moment: we have been hearing from one journalist that he has been sent copies of articles about Iranian judges, comparing Supreme Court judges to them. Is he going to give an unequivocal message to his colleagues that they should resign if they undermine the Supreme Court’s independence?
The judges do not exist immune from criticism. There is nothing wrong at all in any member of the public, be it a Member of Parliament or otherwise, criticising a court judgment, but what is wrong is that motives of an improper kind should be imputed to any judge in this country. We are defenders of the entire democratic constitution and we must be sure, in everything we say—I agree with the hon. Lady if this is what she means—that we do not impute improper motives. With the judgments, we can be robustly critical; with the motives, we cannot.
(5 years, 8 months ago)
Commons ChamberI entirely agree with the hon. Gentleman that this is a failed strategy. As I will come on to say, for any viable proposition to be accepted, there has to be real movement from the Government. It was on that basis that the Opposition agreed to substantive talks with the Government in the national interest.
As you will be aware, Sir, a further round of talks is taking place as we speak, and we will continue to engage with them in a constructive spirit. However, the talks will inevitably fail if the Government are not willing to countenance fundamental changes to their deal. It is futile and, frankly, patronising to right hon. and hon. Members across the House to be told that if we only understood the Government’s deal properly, we would realise that the concerns we have expressed to this day are unwarranted.
If a stable majority is to coalesce around a single unified approach, it will require genuine compromise, as the Solicitor General said. It will also require honesty from the Government about where legitimate differences exist, how they might be bridged in an overhauled political declaration, and how this House would entrench any changes that might be agreed so that they cannot simply be ripped up by whichever of the expanding field of candidates eventually succeeds the Prime Minister, as well as about the requirement for seeking public approval for any agreement that might emerge at this late hour by means of a confirmatory referendum.
I am not going to give way again.
Finally, honesty is also required about the obligations that any extension beyond 22 May might entail. That includes being honest with ourselves and the public about participation in the European Parliament elections, abiding by a duty of sincere co-operation, and any other reasonable conditions that the EU might set. There is no question but that the House should approve the motion before us, so that we can secure the necessary extension to the article 50 process. We must then use that extension not to prolong the misery of recent months, but to recalibrate and to forge a different way forward.
(6 years, 6 months ago)
Commons ChamberMy hon. Friend speaks with considerable experience from her time in the European Parliament. I agree with the approach that she urges; that is, of course, the Government’s approach, and it is understood not just here but, importantly, by those with whom we negotiate. It is vital in these debates for us never to forget that we have to put ourselves in the shoes of our negotiating partners and to understand what they will accept, before we become too carried away with positions that quite frankly—I say this with respect to Members on the Labour Front Bench, and particularly to the right hon. and learned Member for Holborn and St Pancras—just cannot be sustained.
I thank my hon. and learned Friend for giving way. Does he accept that disrupting complex supply chains in the motor industry can lead to economic disaster, but when we disrupt complex supply chains in medicines, I am afraid it means that people will turn up at their pharmacy and the drug they need might not be available on the shelves? The public will never forgive us for that. I am really sick and tired of hearing some colleagues say that those who “lost” the referendum have no right to have any say in the type of Brexit we have.
(7 years, 9 months ago)
Commons ChamberWe will be at 30% in 2017, which exceeds the manifesto commitment, because of the Government’s work on reforming sports governance, and our work with governing bodies to make sure that we have the right diversity and representation on those bodies.
Suicide is the leading cause of death of young people and the biggest killer of men under 50. The Secretary of State will know that there are clear links between certain types of media reporting and an increase in suicide rates. Will she join me in commending the work done by Samaritans through its media guidelines, and its tireless work to reduce suicide rates? Will she meet me to discuss the findings in the Health Committee’s report on preventing suicide, which is out today, given the role of the media, social media and the internet, and to discuss what we can do to reduce rates?
I commend my hon. Friend for her work on the Health Committee and look forward to reading the report. She is right that the media have an incredibly important role in helping to prevent suicides, not to cause them. I will, of course, sit down with her to discuss the matter.
(9 years, 9 months ago)
Commons ChamberI 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.
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.
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.
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.
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.
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.
(11 years, 2 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
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I speak as someone who firmly believes in the right of women to access a safe termination of pregnancy, but who does not believe that not liking the sex of a child is reasonable grounds to do so. I also speak as someone who has experience of sitting with many women over a number of years, counselling them and listening to their views, as they attempt to take the most difficult decision of their lives.
To help hon. Members, I have brought copies of certificate A, which is the form that doctors have to complete prior to an abortion—perhaps the Doorkeeper can pass some around. On certificate A, two doctors have to sign to say:
“We hereby certify that we are of the opinion, formed in good faith”—
then it lists a number of criteria that must be fulfilled. How on earth can any doctor form an opinion in good faith if they have signed a form, undated and unnamed, and it has then been photocopied? That goes to the heart of one reason why a prosecution could not be brought in the most recent cases, which was the issue of the variation in clinical practice. Where there was what seems to me like very clear-cut, straightforward malpractice, a decision was made not to prosecute. As a result, it has become more difficult to prosecute in the cases of alleged gender-selection abortion.
Will the Attorney-General, in his summing up, say whether the original decision could be revisited, or at the very least whether very clear guidance could be issued to doctors, saying that the practice is completely unacceptable and that, in future, they could expect to be prosecuted for it? The Care Quality Commission’s decision to deliver no more than a slap on the wrist was disgraceful. The CQC should be there to ensure, beyond doubt, that if clinics carry out the practice in future, they will be closed down, because it goes not only against the spirit of the law, but, in my view, the letter of the law, as set out clearly in certificate A.
In her distinguished medical career, did my hon. Friend think, at any time, that because she could be taken to the General Medical Council for a failing of practice, she was exempt from the law of the land on a matter such as this?
Absolutely not, but I think that all right-thinking medical professionals, on viewing this form, would reject pre-signing it, and would find it completely abhorrent that someone could pre-sign it and allow an unnamed, undated form to be photocopied. That point is very important. We also saw the scale of this; it was happening at 14 locations, so it was not an isolated event.
The guidance from the BMA’s handbook of ethics and law, which my hon. Friend the Member for Enfield, Southgate (Mr Burrowes) referred to, is also part of the problem. The guidance begins:
“The Association believes that it is normally unethical to terminate a pregnancy on the grounds of fetal sex alone except in cases of severe x-linked disorders.”
So far, so good. However, the guidance goes on to say:
“The pregnant woman’s views about the effect of the sex of the fetus on her situation and on her existing children should nevertheless be carefully considered. In some circumstances doctors may come to the conclusion that the effects are so severe as to provide legal and ethical justification for a termination. They should be prepared to justify the decision if challenged.”
That is wholly unacceptable. A woman may feel under huge pressure from her family to abort a fetus of the wrong sex, but doctors should not collude in the family’s point of view and assist in a termination just because the situation may be stressful for the woman. Rather, they should explore the reasons for that pressure with the woman and protect her from undue pressure from her family; they should certainly not just collude in such attitudes, which reinforce a misogynist point of view that daughters are of less value than sons. That harms not only women worldwide, but all societies where this practice is common, including the men in those societies. There is a straightforward, strong issue of equality here.
As has been said, there is no specific exclusion for gender-specific termination in certificate A. However, we have a precedent for such an exclusion in paragraph 11 of schedule 2 to the Human Fertilisation and Embryology Act 2008, which refers to sex selection when embryos are implanted. The Act makes it clear that, other than in cases where we are trying to prevent a severe inherited medical condition, gender selection is unacceptable in the implantation of embryos. I wonder whether now is the time for an amendment to the Abortion Act to make that explicit and to put the issue beyond any doubt.
Another issue with certificate A is the wording of category A, which refers to the possibility that
“the continuance of the pregnancy would involve risk to the life of the pregnant woman greater than if the pregnancy were terminated”.
The statistics for maternal mortality for 2006-08 show that 107 women died from conditions directly related to pregnancy, whereas two women died as a result of complications following sepsis after the termination of a pregnancy. Will the Attorney-General clarify whether it would be possible, on a technicality, for any doctor to carry out any abortion on demand because of that difference? Technically, it could be argued that every abortion could satisfy section A of certificate A.
It is perhaps time for us to issue greater clarification of what would constitute unacceptable grounds. It is perhaps time for us to have a wider debate about that. As I said, I speak as someone who firmly believes in a woman’s right to access safe abortion, but not to access it on grounds that, in my view and the view, I think, of the vast majority of the public, would harm women’s rights and make misogynist attitudes more acceptable.
In a number of cases, we have seen that people have a natural tendency to shy away from awkward situations. We saw that in Rochdale, in different circumstances. When we drill down and look in greater detail at the possibility that gender selection is happening in this country, we see that, although there does not appear to be a distortion in the gender statistics overall, that could be the case in certain communities. We should not, therefore, take the view that these things are not happening in the UK, because they could well be, and we need to put the issue absolutely beyond doubt in law.