Contribution
My Lords, the amendments in this group all relate to reporting requirements and monitoring abortion services. It is important to say again that the Government are neutral on this. My remarks are limited to workability, operational concerns or possible unintended consequences. I am not going to speak to all the amendments, only those where there are particular issues that should be brought to the attention of the Committee.
Amendment 457, tabled by the noble Lord, Lord Jackson of Peterborough, as currently drafted means that parts of the information that would be required are broad and the exact meaning is not always clear, raising practical workability issues. Not all the information required may be readily available, and producing an annual report would require the Department of Health and Social Care to take on additional reporting responsibilities, with associated costs.
Amendment 458, also in the name of the noble Lord, Lord Jackson of Peterborough, seeks to require the Secretary of State to produce an annual report detailing complications from abortions procured contrary to the Abortion Act. Determining whether specific cases fall within the report’s remit would require investigations to determine whether they could be considered to be contrary to the Abortion Act. This could necessitate involvement from medical professionals or other public bodies to review individual circumstances.
Further, as I have just said in relation to Amendment 457, as currently drafted parts of the information required are broad and the exact meaning is unclear, raising questions about practical workability. Not all the information required may be readily available; for example, it may not exist, it may require additional collection or it may be held across different systems, including the abortion notification system held by DHSC and patient records within the NHS.
Your Lordships may also wish to note that producing this annual report would require additional responsibilities with significant associated costs to the Department of Health and Social Care and other public bodies.
Amendment 461C would require the Secretary of State to publish an annual report disclosing data collected as required under Section 2 of the Abortion Act. I can confirm what has been said by my noble friend Lady Thornton: the Department of Health and Social Care’s abortion notification system already collects data on the self-reported ethnicity of the woman, when known, and complications that occur up until the time of discharge for all abortions. This data is published in the annual abortion statistics publication for England and Wales. However, as my noble friend Lady Thornton also commented, the abortion notification system does not currently collect information on the sex of the foetus, as most abortions are performed at an early gestation when the sex of the foetus will not usually be known.
On two further matters, the noble Lord, Lord Jackson of Peterborough, is correct: there has been a delay in the publication of the abortion statistics, but not for policy reasons. These are operational issues, which include moving to a new data processing system. We will announce dates for the publication of the 2024 data in due course.
Finally, on the question of sex ratios at birth, raised by the noble Baroness, Lady Coffey, the Department of Health and Social Care remains committed to publishing these statistics, and the publication dates for sex ratios at birth in the United Kingdom from 2018-22 and 2019-23 will be announced in due course.