Northern Ireland (Executive Formation etc) Bill

Stella Creasy Excerpts

2nd reading
Tuesday 29th November 2022 Commons Chamber

[Chris Heaton-Harris]

I can give a brief update. Indeed the hon. Member for Walthamstow (Stella Creasy) tabled amendments on that matter earlier, so I believe she might want to come in at this point, and then I should be able to answer.

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

It is now 1,134 days since this House passed the Northern Ireland (Executive Formation etc) Act 2019 and 973 days since the Abortion (Northern Ireland) Regulations 2020 were laid to give effect to it. Women in Northern Ireland have been waiting patiently for safe, legal and local abortion services. Can the Secretary of State tell us how many more days he thinks it is acceptable to ask them to wait, now that he has the powers and the money to deliver those services? Would 90 days be enough, for example?

[Chris Heaton-Harris]

I thank both the hon. Lady and my right hon. Friend the Member for Basingstoke (Dame Maria Miller) for their questions. I can give some clarity on this now, and later the Minister of State will be able to give a bit more detail. My officials have been working closely with the Northern Ireland Department of Health and I have instructed the permanent secretary to commission abortion services in Northern Ireland. I am also ensuring that the required funding is allocated for those services, and funding will be ring-fenced in the Northern Ireland budget, as set out by my written ministerial statement of last week.

That will mean that, in line with my statutory duty, health and social care trusts will have both the assurance of commissioned service and the guarantee of funding for that service, allowing them to recruit and plan for the full roll-out of services that this House decided women should have access to. The hon. Member for Walthamstow asked about dates. This is a service that is sometimes controversial, but also unbelievably important, and appropriate recruitment and training of staff needs to take place. Her amendment, which I know is a probing amendment, mentions 28 days, but I hope I can demonstrate to her that recruitment is already starting and training is going to start.

The hon. Lady also mentioned the period of 90 days. I would like to think that most services will be at least en route to being delivered by that point in time, but, if I may, I intend to write to those hon. Members who might be interested, maybe on a monthly basis, to give continual updates so that the hon. Lady and my right hon. Friend the Member for Basingstoke can see what is happening and when.

--- Later in debate ---

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

I rise to make what I hope is, in comparison, a relatively brief speech, but I have some questions about how this Bill will work. I hope that will meet your requirements, Mr Deputy Speaker, because I think it is important that we ask these questions and that we centre in this debate the people of Northern Ireland. We have already talked a lot about the institutions, the challenges with the protocol and, indeed, Brexit, as well as about who needs to be flexible—this Government, the European Union—but I think it is absolutely key to talk about the public in Northern Ireland and how they are affected by this legislation. I say that as somebody who has now lobbied five separate Secretaries of State about Executive formation legislation.

Members who were here before 2019 will remember the last incarnation of this legislation, which led to the situation in which we finally had legal abortion in Northern Ireland. It is with the provisions of the Northern Ireland (Executive Formation etc) Act 2019 and how this Bill will affect that in mind that I want to ask these questions. As I said earlier, it has now been 1,134 days since we passed that legislation, and this House took a decision that we wanted to support access at local level that is safe and legal for women in Northern Ireland. We agreed subsequently, in the abortion regulations in 2020—it is 973 days since they were passed—that there should be a service on request up to 12 weeks and that beyond that, up to 24 weeks, two medical professionals could certify that a woman should have an abortion if there was a greater risk of mental harm or physical harm if she did not, which is very similar to England and Wales.

I raised that because one thing to remember in all of these debates is that decriminalisation and legalisation do not mean deregulation. Indeed, the legislation that we have seen flowing from the 2019 Act absolutely sets out how access to abortion should be provided. The challenge for many of us, though, is that during all that time, that has not happened. Time and again, we have seen the 2 million women in Northern Ireland denied that right. Abortion might be legal, but it is not accessible. Indeed, in July this year we heard that a woman in Belfast who had suffered from pre-term premature rupture of membranes was told that she had to travel to Liverpool. We have seen many more not able to access pills.

The reason we have been given for that through the last three years is basically a stand-off between the Northern Ireland Health Department and the UK Government, with the Government upholding the human rights of women in Northern Ireland set out in the 2019 Act. In the last three years, women in Northern Ireland have directly suffered because the previous incarnation of the Bill had not been delivered. All of us in the House recognise that it is one thing to win an argument—it might be another thing to win an amendment—but delivery and implementation are where change happens.

[Mr Steve Baker]

The hon. Member has won the argument, and I can tell her that we are making enormous progress towards delivering abortion. The Government can confirm that services will be commissioned in Northern Ireland before the Bill passes through the other place.

[Stella Creasy]

I thank the Minister for that confirmation. I hope he will join me in paying tribute to all those women in Northern Ireland who have continued to work on the issue, championing their sisters and neighbours—those who need these services—through the political dysfunction and patriarchal discrimination that has led to a situation where we might have decided that something was legal through a previous incarnation of the Bill, but it was not accessible.

[Mr Robin Walker (Worcester) (Con)]

rose—

[Stella Creasy]

I happily give way to one of the many former Ministers, in addition to Secretaries of State, who has worked with us on this issue.

[Mr Walker]

I join the hon. Member in paying tribute to those people who have campaigned on this issue. They have been right to raise the disparity of rights. If we believe in the United Kingdom, there ought to be that equality of rights. I am pleased to hear what my hon. Friend the Minister said, because it is frustrating that the House can pass laws that do not get enacted in such a way. It will be an important step for Parliament to take to ensure that that law is respected across the whole of the United Kingdom.

[Stella Creasy]

I thank the hon. Gentleman for his intervention. I know that he was frustrated by it. That is why I am speaking today. We have seen the frustration, and for three years women in Northern Ireland have seen multiple letters traded between Departments but little change. It is worth reflecting that even during the pandemic, women from Northern Ireland were still travelling to England and Wales, with 161 doing so in 2021 compared with 371 in 2020.

It is welcome to hear what Ministers have to say. We helped to give those women a voice in 2019, and through the Bill we want to see those women given delivery in 2022. I have some specific questions that I hope the Minister will be able to address. The Government have powers in the Bill to direct commissioning. We recognise that public services need to continue. Those services include healthcare and—let us be clear—abortion is healthcare. Those who have sought to threaten that have not protected devolution; they have simply harmed women, and in particular women from refugee and minority community backgrounds who have been the least able to take advantage of an ability to travel in the United Kingdom.

Previous Ministers have told me that, even under those powers, one of the operational actions is for women to continue to travel. I hope the Minister will recognise that that is not a satisfactory response, particularly when dealing with incredibly tragic cases in which, frankly, travelling creates a health risk. Will he set out how that will be dealt with? I recognise that there is a challenge with staffing and that we are asking Ministers to move quickly, although some of us might reflect that, in three years, it is not unrealistic to have asked for priority to be given to training and recruitment, because the direction of travel that I was told was coming by previous Secretaries of State should have been translated across. Will he set out how the Government will ensure that the service will be properly staffed not just in one or two locations but across Northern Ireland? We know that there are travel difficulties within Northern Ireland, so it is not enough to say to women, “The service that you might need does exist, but it is in a particular location.” We absolutely want to see those services start, but ultimately, when we talk about a safe, legal and local service, it really does need to be local, just as we seek similar provision for our constituents here in England, Wales and Scotland.

Another issue we have seen, which I hope this funding can help address, is that there are very clear reports that some are using the online nature of seeking guidance about where services are to cause harm. What I mean is that some people are using advertising, particularly on things like Google, to encourage women to go to services that are not about abortion, but are trying to deter women from having an abortion. One of the critical issues is how women will know how to access these services. Ministers have said that they hope that services will be available on the ground within the next 90 days, particularly services for between 10 weeks and 12 weeks. We know that access to pills is patchy, but access to medical procedures is non-existent. If women are seeking information about those services and how to access them, under this legislation, what powers will the Government have and what action will they take to make sure that those women are getting information about the right services—the actual abortion services—if they make that choice?

Finally, I want to make a plea to the Minister: there is still a stigma, as I know he understands. Contrary to what might have been said in this place, there is very clear evidence that the mood of people in Northern Ireland has shifted on this issue, as the mood of the people in Ireland shifted following the “repeal the eighth” campaign. There is widespread support for the provision of these new services and frustration at the delay that has taken place, but if those services are to survive, we need to address the stigma about working to support women who wish to have an abortion, and also having an abortion. I hope Ministers will talk about what they will do while we wait to see whether the Executive can be reformed, but also about what they will do to tackle that stigma, so that we can get the staffing and ensure that when a woman in Northern Ireland exercises her human right to choose to have an abortion, she does not face any further barriers.

As we have said, making laws—whether in this place or in devolved Administrations—requires more than just passing a Bill. It requires implementation and delivery, and the past three years have been a story of not delivering—of not meeting the promise that we made to those women in Northern Ireland. In passing this legislation today, and delivering on the work that has been done and the promise of that previous legislation, we have to show our homework, and that homework is both logistical and cultural. I hope Ministers recognise where these questions are coming from. They will have my support in working this through, and I welcome the words of the Secretary of State when he talks about this being an important provision. However, it is necessary to seek detail now, because we have had five different Secretaries of State, so many different letters and so little progress. The women in Northern Ireland who need this service deserve to be heard.

[Mr Deputy Speaker (Mr Nigel Evans)]

Following the next speaker, we will move on to the wind-ups. I call Jim Shannon.