Northern Ireland (Executive Formation etc) Act 2019

Stella Creasy Excerpts

Monday 28th October 2019 Commons Chamber

[Jim Shannon]

I thank my hon. Friend and colleague for raising that. He is absolutely right. The request was made and the Under-Secretary of State said that he would respond, but unfortunately that has not yet happened. That would have been immensely helpful for this debate tonight.

Even in England prior to 1967, back-street abortions were always illegal. Rather than acknowledging the point, however, the Northern Ireland Office has sought rather disingenuously to point to the Northern Ireland guidance as if it offered protection to pregnant women comparable to that of the law. The guidance, however, has no legal weight unless it is referring directly to statute, and for the most part it is merely saying what the NHS, which is under Government control, will do and making suggestions about what everyone else should do.

The suggestion that there is an appropriate substitute for the law is clearly not true and completely inappropriate, given the important matter at hand: women’s safety. While the Northern Ireland Office can encourage people to act in a particular way through guidance, it cannot require people to act.

[Stella Creasy (Walthamstow) (Lab/Co-op)]

I thank the hon. Gentleman for giving way because he has raised this issue before. Let me try to be helpful to the Secretary of State by referring to the guidance that he has issued about this very point. It is simply not the case that there are no regulations. In particular, abortion pills are a prescription-only medicine, the sale and supply of which are unlawful without a prescription, and that is not affected by any of the changes that came into law last week.

The suggestion that somehow there is no regulation of access to abortion medication is misplaced. I understand that the hon. Gentleman has that concern, but if he reads the regulations and looks at the existing medical regulations about abortifacients, he will find that regulation is in place. I hope that the Secretary of State, who probably has not got round to writing the letter to the hon. Gentleman, will find that a helpful intervention.

[Jim Shannon]

I am very capable of reading the information. The information that I have is contrary to what the hon. Lady has just said.

--- Later in debate ---

[Stella Creasy (Walthamstow) (Lab/Co-op)]

I rise, as the Secretary of State might expect, to ask him another series of questions about the changes in the law regarding abortion in Northern Ireland, which he knows I feel very strongly about. This Act compelled the Secretary of State to act—from start to finish. A week ago, 50% of what the Act asked the Secretary of State to do came into law, which was to repeal sections 58 and 59 of the Offences Against the Person Act 1861. It has been mentioned already that there was a court case outstanding, and it is worth starting there and talking about the difference made by that 50% of the Act coming into law.

The case involved the mother of a then 15-year-old girl, who was in an abusive relationship. The mother bought her daughter abortion pills online to help her, but when she took her to the doctor was reported to the police under the legal duty to report. It is about removing that legal duty to report; it is not that people who continue to supply abortion pills and are not medically qualified will evade prosecution. It is worth reading into the record the words of that mother, who went into court the day after the legislation came into effect and saw the case against her, which had been hanging over her for so long, abandoned. She said:

“For the first time in six years I can go back to being the mother I was, without the weight of this hanging over me…every day…I am so thankful that the change in the law will allow other women and girls to deal with matters like this privately in their own family circle.”

She said that she could finally move on with her life.

We can debate all the technicalities of these issues, but fundamentally last week something of a magnitude beyond any of our individual comprehensions changed for so many people in Northern Ireland when that Bill became law—in that 50% repeal of the Offences Against the Person Act. And, yes, I think this place should welcome that, not least because the case of the mother I just spoke about shows the human impact of that piece of legislation from the 1800s hanging over the lives of women in Northern Ireland.

I am here this evening to ask the Secretary of State about his duty to finish the other 50% of this legislation, and to ask him what happens now. I share the concern that we need to clarify the regulations. I understand that there is scepticism from some about the existing regulations, and I pay tribute to the shadow Minister, who did a fantastic job of setting out all the existing regulations—and therefore the confidence that many people should have that this is not some free-for-all in Northern Ireland that has happened in the last week—but there is a case for clarifying what the regulations are. That case is being made not least by the doctors who have been writing to the Secretary of State asking for that clarification because, as of last Tuesday, they can prescribe abortion pills.

I think we would all recognise that had this place passed the 1967 legislation for abortion access in England and Wales by saying, “Well, we’re going to say that you can continue to have a back-street abortion, but you won’t be prosecuted if you go to A&E”, none of us would have accepted that as a reasonable position. And yet, at this point in time—because it is not clear how doctors in Northern Ireland can prescribe abortion pills to women in Northern Ireland who wish to use them—we are risking saying to women, “Continue buying them online and not being clear about which providers are safe, but at least now you won’t be prosecuted”, as the mother I described had to deal with for many years.

I would really welcome clarification from the Secretary of State about what he is doing with regard to the doctors who are writing to him asking him where they get the prescriptions from and how they make sure they can give safe advice. To be honest, asking women to travel is not a solution. In the past week, the only message we have been able to give to women in Northern Ireland who now wish to access their right to a safe, legal and local abortion is that they have to travel. If they have family commitments, if they are in abusive relationships or if they do not have the relevant travel documentation, that is not a solution for them.

[Emma Little Pengelly]

The hon. Lady said that the only advice to some would be to order these pills online. It is very important to outline that the medical advice is absolutely clear that it can be dangerous to take these types of pills without medical supervision. The case that she referred to was a case of abortion pills being procured by a mother for her child where there were complications resulting in her having to present. So, yes, I absolutely agree with the hon. Lady: there needs to be guidance in relation to this but we must also be responsible and say very clearly that we should not recommend the route of buying these types of pills online because people do not know what they are going to get.

[Stella Creasy]

I completely agree. What I am saying, therefore, is that the Secretary of State now has a responsibility to the women and girls in Northern Ireland who wish to be able to access this right to make sure that there is clarity about where they can get abortion pills prescribed by a medical professional. These changes were never about removing the medical component of abortion, but simply about recognising that it should be a medical rather than a criminal matter.

The Secretary of State will know from the letters that I have been writing to his Department that I am concerned that there has not been clarity for women and girls in Northern Ireland about their rights and how to access those rights in the past week. There needs to be more public information about how to access an abortion, alongside the work to make sure that they can access a safe abortion. He will know of the long-standing concerns that many of us have about the concept of public consultation. While he talks about both sides of the debate, he himself has been clear that what is up for debate is not whether abortion is available in Northern Ireland but how it happens. Many of us consider that to be a purely medical question. Indeed, the legislation required the Secretary of State to do this in line with the CEDAW––convention on the elimination of all forms of discrimination against women—principles.

A week ago, the Secretary of State’s junior Minister—I am sorry, but I am not quite sure of his role—said that the consultation would be published on the following day. We are now a week on. We do not have any of the details of that consultation—what the Government believe they should consult on that meant that any consultation would be in line with the CEDAW principles and would not undermine what this House decided, which is that women in Northern Ireland should be able to access an abortion equally. The Secretary of State talks about consulting the widest range of stakeholders, but he will understand the concern that many of us have about bringing non-medical professionals into the provision of medical services, and, indeed, as the hon. Member for Belfast South (Emma Little Pengelly) has highlighted, the importance of having proper medical engagement.

Let us be honest about this: there is no way a member of a Church community would have the same medical standing as, say, doctors or the royal colleges with regard to the specifics of how a medical procedure is provided. It is absolutely imperative that we have the details of what the Secretary of State thinks he is going to consult on and how he squares that with the CEDAW requirements, so that we can be confident that he is not opening a hornets’ nest when it comes to providing the other 50% of this legislation.

It is very important that we put to bed any suggestion that anything has changed in the time limits through what happened last week. The 1945 Act, which the shadow Minister mentioned, is still in place. That is very clear about not changing the viability provisions. People talk about abortions at five months, but that is not what is being talked about in Northern Ireland at all. If anything, modern medicine changes the concept of what viability is to perhaps something that people would consider to be even lower. But there is an issue when it comes to fatal foetal abnormalities and the Bourne judgment. Again, the CEDAW judgment called our attention to how that is interpreted in Northern Ireland, with the concern about how the concepts of the preservation of the life of the mother and of long-term damage were being interpreted. It is vital that the Government address this so that we can be sure that women in Northern Ireland are not being treated differently with regard to preservation of life from women in England and Wales.

We know that the National Institute for Health and Care Excellence clinical guidelines apply, but can the Secretary of State confirm that those will be used to deal with these sorts of issues? While the vast majority of abortions happen before 10 weeks, there are some very sad cases that involve late-term abortions, often for very good medical and health reasons. It is vital, in separating out these two issues and ensuring that people in Northern Ireland have confidence about what this legislation has done and the regulations that the Government will bring in, that those issues are addressed. We know that whether people can access a safe, legal abortion has no impact on the rate of abortion, but we also know that keeping people safe starts with ensuring that they are not criminalised for wanting to make a basic human right choice—to have control over their own body.

I urge the Secretary of State to address those issues. In this interim period, many women in Northern Ireland will need our help and support; I have been contacted by women who are not clear about how to access these services. They have seen that their human rights are finally being upheld, and now they need the Secretary of State to finish the job—which he alone can do, because the legislation was clear that it ultimately rests with him to protect their human rights—that the House asked him to do in July and that came to fruition last Monday.