Abortion (Northern Ireland) (No. 2) Regulations 2020 — House of Lords, 2020-06-15
Topic: Civil Rights
James Younger (Conservative, Centre-right): My Lords, noble Lords may be aware that these represent the second version of the regulations. Given the unprecedented changes created by Covid-19, we had no choice but to remake them and give Parliament an additional 28 days to consider them. I am pleased that we can now debate the regulations today. In particular, I look forward to the remarks of the noble Baroness, Lady O’Loan, and my noble friend Lord Shinkwin, who will speak to their amendments. The regulations provide the new legal framework for access to abortion services in Northern Ireland and ensure ongoing legal certainty from service provision starting with effect from 31 March 2020. As many noble Lords will be aware, prior to these changes, starting with decriminalisation in October 2019, abortion in Northern Ireland was accessible only where a woman’s life was at risk, or the pregnancy would adversely affect her physical or mental health in a manner that was "real and serious" and "permanent or long term". This meant that women and girls were forced to travel to England to access services—1,014 in 2019 alone—or look to unsafe alternatives outside the healthcare system, thus potentially putting themselves at risk, and feeling scared to receive proper aftercare health treatment given the criminality. I can only start to imagine the distress that this has caused I recognise that this is an emotive issue and that views on all sides of the debate are strongly held. I am sure that this afternoon will be no exception. These are extremely difficult and often distressing decisions for women and girls and, where involved, partners and families. However, the essence of these regulations is to provide women and girls with the opportunity to be able to make individual informed decisions based on their own health and wider circumstances. As a result of the absence of the Assembly and a functioning Executive, Parliament placed this duty on the Government to act to protect the human rights of women and girls The Government have to provide lawful access to abortion services in Northern Ireland in a way that implements the recommendations of the CEDAW report on Northern Ireland, the underlying important premise of which is to ensure that abortions are delivered as part of safe sexual and reproductive healthcare services. Parliament voted through Section 9 of the NIEF Act with a two-thirds majority in support of decriminalisation of access to abortions, except for late-term abortions where the offence of destroying a child capable of being born alive would still apply The regulations set out the specific parameters within which abortions could legally take place. They first properly protect and promote the health and safety of women and girls and, secondly, provide clarity and certainty for the medical profession. We consulted on this: there was a six-week period, including briefings with the Northern Ireland parties and engagement with a range of representative groups and individuals with lived experience, followed by careful analysis of the submissions received. I acknowledge that there was a vote in the Northern Ireland Assembly on 2 June, but it was on one issue—severe foetal impairment—and was not a motion to vote down these regulations. As abortion remains a devolved issue, the Assembly is now able to legislate, or indeed amend the regulations, should it so wish, but only if it can agree a way forward that remains CEDAW and convention-compliant I will now give a brief overview of the key elements of the regulations. They provide for access to abortions without conditionality up to 12 weeks’ gestation. This ensures a system that avoids any further trauma or a barrier to access for victims of sexual crime, as required by CEDAW. This provision is necessarily different from the law in the rest of the UK, given the decision by Parliament to decriminalise abortion in Northern Ireland, which creates a different starting point for the statutory framework. These different parameters do not result in unintended consequences, such as allowing sex-selective abortions, as some have suggested. The regulations also set out a further three circumstances in which an abortion is possible The first is: up to 24 weeks’ gestation in cases where continuance of the pregnancy would involve risk of injury to the physical or mental health of the pregnant woman or girl, greater than the risk of terminating the pregnancy. The second is in cases of severe foetal impairment and fatal foetal abnormalities, with no gestational time limit. This is where there is a substantial risk that the condition of the foetus is such that the death of the foetus is likely before, during or shortly after birth; or, if the child were born, it would suffer from such physical or mental impairment as to be seriously disabled. We recognise these are very distressing circumstances, usually arising in cases of wanted pregnancies, and appropriate support and provision of information are key so that women can make informed decisions, based on what is right for their health and wider circumstances, including if they want to carry the pregnancy to term and have proper support going forward. The third is in cases where there is a risk to the life of the woman or girl, greater than if the pregnancy were terminated, or where necessary to prevent grave permanent injury to the physical or mental health of the pregnant woman or girl, with no gestational time limit. In such cases, the regulations require that two medical professionals certify in good faith that the ground for the abortion has been met. While CEDAW’s report is silent on the question of gestational limit in such circumstances, we consider the aforementioned grounds an appropriate way of delivering on our statutory duty and implementing the recommendations of the CEDAW report in a way that will work effectively in practice The regulations allow for abortions to be provided by a doctor, nurse or midwife. They may be carried out in general practitioners’ premises, clinics provided by a health and social care trust, and health and social care trust hospitals, operating under the overall Northern Ireland health and social care framework. The Department of Health in Northern Ireland has a power to approve other places. Medical professionals are required to notify the Northern Ireland CMO of the abortion, alongside other relevant data specified in the regulations, with subsequent annual publication of data Finally, the regulations impose a criminal sanction on anyone who intentionally terminates or procures the termination of the pregnancy of a woman otherwise than in accordance with the clear requirements and conditions set out in the regulations, including the certification and notification requirements. This is about where someone is acting dishonestly or negligently—not where a medical professional forms an opinion as to risk in good faith and certifies that an abortion can take place but makes a factual error—and requires the consent of the DPP before proceedings can be brought under the regulations. Other criminal laws also continue to apply, including Section 25 of the Criminal Justice Act 1945, which prohibits the destruction of a child otherwise capable of being born alive, but abortions provided in accordance with the grounds of the regulations are exempt from this and no woman or girl can be prosecuted with respect to ending her own pregnancy I know that many noble Lords have expressed concerns that this has resulted in a more liberal regime than Great Britain’s, but this is not the case. The regulations deliver equivalent outcomes in practice and access to services to those in the rest of the UK while still implementing what CEDAW requires. The Government stand ready to provide whatever support and guidance we can to the Northern Ireland Minister for Health and his department to assist with setting up abortion services in line with these regulations I look forward to the debate and will seek to address as many questions as I can in closing. I hope that the regulations will be supported. I beg to move.