Question to the Department of Health and Social Care:

To ask His Majesty's Government further to the Written Answer by Baroness Merron on 30 June (HL8647), whether they plan to include in their statistics abortions undertaken through abortion pills by post, and if so, how.

It is a legal requirement that all abortions performed in England and Wales, including early medical abortions (EMA) at home, are notified to the Chief Medical Officers for England and Wales respectively, within 14 days of the procedure via the HSA4 abortion notification form. The HSA4 form captures information on where the EMA pills were taken, but not whether they were delivered by post or collected from the clinic.

Statistics on home use of EMA pills for residents of England and Wales are already published by the Department in the annual Abortion Statistics for England and Wales publication. These statistics are published in the main commentary and the additional data tables of the publication. From 2019 to 2022, the statistics on home use of EMA pills were derived using the place of termination information on the HSA4.

In 2022, Parliament voted to permanently approve use of one or both pills for EMA up to 10 weeks at home, following a telephone or e-consultation with a clinician for residents in England and Wales. Following this, in April 2023, new questions were added to the HSA4 form, to capture information on where the abortion medications were taken. Statistics on home use of EMA pills in future publications, from 2023 onwards, will be based on these new questions.