My Lords, the Committee may be pleased to know that I plan to be comparatively brief.
Before the dinner break, the noble Baroness, Lady Maclean, asked how many people in your Lordships’ House have had abortions. Of course I cannot answer that question, but it is worth putting on the record the fact that one in three British women will have an abortion during their reproductive life. That is the reality for very many women in the UK today. They will need this reproductive healthcare.
I will not go over what has been said before, but I want to respond to some of the things that have already been said that need a response, and I will raise a point that has not been raised but which is important for contextualising our debate. It relates to a comment made by the noble and learned Baroness, Lady Butler-Sloss, about why we have seen an increase in investigations into what are often entirely natural miscarriages and late-term apparent or possible abortions. We have not discussed how the global political context has changed. There is an extremely well-funded global campaign around the world that is seeking to reduce women’s reproductive rights. For context on that, I went to the website of the Organization of American Historians and read an article by the historian Jennifer L Holland. She notes that,
“the antiabortion movement, in its many iterations, has radically transformed Americans’ ideas about women’s bodies, reproduction, feminist politics, and of course, fetal life. In the two centuries the movement has existed, its constituencies, tactics, and tools have all changed. But what has remained is the effect this movement has had on women’s lives”.
She adds that the movement
“transformed ideas as it also restricted the … ability of American women to access reproductive healthcare”.
The article goes on to note that, until around the 1840s, having an abortion in America was an unexceptional and “largely stigma-free” practice. That was because it had inherited the law from the UK that regarded anything before quickening as not being an issue; that is usually regarded as four to six months of gestation.
There is a reason why the law that we keep referring back to is from the 1860s. That was when we started to see a global movement, particularly an American-driven movement, which is now here in the UK, through very well-funded organisations and with millions of pounds coming from the US, through the huge power of social media, having an impact on whether people will think about these issues—whether they are a medical practitioner, police officer, et cetera. When we look at why we have seen an increase, we really have to consider the framework in which this debate is being conducted.
A long time ago now, the noble Viscount, Lord Hailsham, who is not in his place, said that
“all investigations in this matter should be conducted with great sensitivity”.
What has become clear from our debate is just how invasive and damaging investigations are. I will not go through the cases that have been rehearsed here today. There have been GCSE students who have had their phones taken away and their lives totally disrupted—it is absolute chaos. That is the reality. I do not think it is possible to do this sensitively.
I will briefly address the amendments that seek to attack—and we have heard a concerted attack on it today—telemedicine. I link the remarks of the noble Baronesses, Lady Gerada and Lady Fox, who both, in very different tones, perhaps, made it very clear that this has been an extremely successful delivery of healthcare. This is a safe and convenient way that has seen the average gestation at treatment for abortion fall substantially, with more than half of all abortions now taking place before seven weeks’ gestation.
If we were to stop telemedicine, as quite a number of noble Lords have called for, there would be a drastic increase in waiting times, women would have to travel long distances for care—even at the earliest gestations—and many women would be driven to buying pills online through legal, quasi-legal or simply illegal sources because of the lack of availability of that provision.
This brings me to respond to the noble Lord, Lord Jackson, who spoke about the number of abortions occurring in the UK. I hope the noble Lord and, indeed, the entire Committee would agree that that figure is a reflection of the inadequacy of contraceptive provision in the UK. I hope we can all agree that we want better contraceptive provision and therefore that would be a way to reduce the number of abortions.
I note that a study from BPAS found that nearly half of women found it difficult to access contraception because of long wait times, difficulty in securing appointments, and financial hurdles when they went to secure their preferred method of abortion.
I have two more brief points—