Thank you for contacting me about the amendments to the Health and Social Care Bill tabled by Nadine Dorries MP, calling for compulsory independent counselling for women contemplating an abortion.
These amendments have been selected by the Speaker for debate at the Report Stage of the Bill tomorrow. I can assure you that I will vote against them.
You ask about my personal position on this issue, and I can confirm I am pro-choice. But irrespective of this, I have serious misgivings about this proposal for a number of reasons.
First, I am disappointed that these amendments waste critical parliamentary time which should be spent debating, and voting on, crucial amendments to the Health and Social Care Bill. The Bill has been hugely controversial, and various parts of it were recommitted after the Government realised the extent of the opposition. The report stage is the last opportunity in the Commons to discuss important amendments to address some of the key areas of objection and concern before it moves to the Lords.
Second, the objective of this amendment – to provide ‘independent advice and counselling’ for women seeking an abortion - appears to be something with which no one could disagree. But – I believe – these proposals have been dishonestly presented and conceal hidden dangers.
No evidence has been given to suggest there is a problem with the impartiality of the advice currently given. As the Chair of the Royal Society of GPs has said, these proposals attempt to fix a system which is not broken. Women already receive impartial information and advice about abortion; this is part of the current obligations on abortion services under a tight regulatory system. As with any medical procedure, fully informed consent is required so clinicians must inform the woman of the potential physical and psychological risks. Additionally, doctors must be registered, and comply with, the General Medical Council guidance which requires doctors "to give patients the information they want or need about… the potential benefits, risks and burdens, and the likelihood of success, for each option”. Unlike any other medical procedure, a woman seeking an abortion needs the agreement of two doctors.
I think the reason for this absence is because this amendment is politically motivated. It is not really about a woman’s emotional or physical health, but about the strongly held belief that abortions are wrong and must be stopped.
The amendment could significantly disrupt the current process which has developed in Britain over 40 years, and introduce new risks. I understand that currently many women self-refer into abortion services, avoiding delays caused by appointment waits and anxieties about confidentiality; and that this has helped to ensure that 80% of terminations are now carried out before 10 weeks gestation. While it is of course important that anyone considering an abortion should have access to counselling which is readily available, free of charge and from a variety of sources, I have considerable reservations about making it mandatory. My feeling is that this change would force a delay in the process – increasing the risk of later-stage abortions.
One of my fundamental objections is the required intervention of someone who would not recommend abortion, which could complicate the woman’s decision on what is best for her and her family with the ideological views of others, which simply should not come into it. Reports on Newsnight last week said that the largest and leading organisation claiming to offer independent advice, Care Confidential, had been using a training manual which claimed that ‘abortion is wickedness’.
I am deeply troubled that organisations which are ideologically opposed to abortion could formally become involved in counselling women on their pregnancy options – advice which could be inaccurate and misleading. I am also concerned about where this may leave the counselling given by the clinics which provide terminations, as this is necessary – legally and ethically – for a women to give informed consent to their treatment.
Thank you for taking the time to contact me about this issue. Please do not hesitate to contact me again about this or any other matter.
Yours sincerely, *local MP