My Lords, in opening this debate I first acknowledge and express my respect for the deeply held views that many noble Lords hold and will continue to hold on this subject. For my part, since becoming a Member of your Lordships’ House in 2016, I have never taken a position on the moral rights or wrongs of abortion; indeed, I have not previously voted on the issue. Therefore, rather than reopening the ethical debate about abortion, which has been discussed on previous occasions including during the passage of the 2020 framework regulations, I wish to focus on the legal obligations on the Secretary of State for Northern Ireland and the Government and how these regulations will address them.
The origins of these regulations were the decision taken by both Houses of Parliament in 2019 to support an amendment to the Northern Ireland (Executive Formation) Bill brought forward by the honourable Member for Walthamstow, Stella Creasy, in the other place, in respect of access to abortion services in Northern Ireland. Noble Lords will recall that this took place during the period of nearly three years from 2017 to 2020 when Northern Ireland was without a functioning Executive or Assembly. The effect of her amendment, which subsequently became Section 9 of the Northern Ireland (Executive Formation etc) Act, was to place a clear statutory duty on the Government to ensure access to services that are compliant with the report in 2018 of the UN Committee on the Elimination of Discrimination Against Women—or CEDAW for short.
I remind noble Lords that the amendment was passed by a majority of 332 to 99 in the other place, and a vote to amend that amendment in this House was rejected by 138 votes to 39. The size of these majorities indicated the clear will of Parliament to address these issues and ensure access to services in Northern Ireland in line with those available in the rest of the United Kingdom. As a result, since April 2020, access to a limited range of abortion services has been available in Northern Ireland; the latest figures I have show that between 31 March 2020 and 31 January 2022, 2,794 such abortions took place.
I take this opportunity to put on record my thanks to the medical professionals who have ensured that women and girls have had some local access to abortion services in Northern Ireland up to this point, and the organisations that have supported this work. I do not underestimate the huge efforts that have been made,
and I have deeply been impressed when meeting, as I have on a number of occasions, clinicians and organisations who have helped to sustain the limited services currently in place.
Despite their best efforts, however, these services still fall far short of what is required by law, with women and girls still unable to access high-quality abortion and post-abortion care locally in Northern Ireland in the same way as women in the rest of the UK. The reasons for this are very clear. Following New Decade, New Approach and the restoration of devolved government in Northern Ireland in January 2020, it was always the Government’s expectation and preference that the Executive, with the relevant legal powers, policy and operational expertise, would take forward the commissioning of abortion services and ensure that they were embedded in the health and social care system in Northern Ireland. Yet, despite having had every opportunity to do so, and extensive engagement by the UK Government to see how best we could support delivery, the Executive have failed to act.
As a result, women and girls in Northern Ireland continue to be placed in vulnerable situations, which we cannot allow to continue. Many of them are still forced to travel to Great Britain to access services, with 371 making the journey in 2020 despite the difficulties attached to travelling during that period. Figures released just today show that 161 made the journey in 2021. I know from my discussions with clinicians in Northern Ireland that the limited services on offer are stretched to breaking point. This is clearly an unacceptable state of affairs. Despite being given the time, space and encouragement by the Government to do so, the Executive have not ensured the provision of services required by Parliament in 2019.
In the spring of 2020, the Government introduced, and Parliament approved, a framework for the Department of Health in Northern Ireland to deliver services, yet services were not commissioned. In March 2021, the Government introduced, and Parliament approved, the Abortion (Northern Ireland) Regulations. These provided the Northern Ireland Secretary with a power to direct that action be taken where it is required to implement the recommendations in paragraphs 85 and 86 of the CEDAW report. In July 2021, the Northern Ireland Secretary did indeed direct the Department of Health to commission and ensure the full provision of abortion services by no later than 31 March 2022, yet services were still not commissioned.
It is approaching nearly three years since the executive formation Act was passed. Section 9 continues to place the Government under a duty to implement the CEDAW recommendations and ensure that women and girls have access to services. We now have no alternative but to take all necessary actions to ensure that this happens.
In his Statement, therefore, on 24 March this year, my right honourable friend the Secretary of State for Northern Ireland committed to return to Parliament and make regulations after the Northern Ireland Assembly election which took place on 5 May, if no progress was made towards the delivery of services. He has now made the regulations that are before your Lordships
today and they were agreed in the other place last week, in order to make sure that the will of Parliament is respected and his legal duties upheld.
In response to arguments made that these regulations ignore the devolution settlement and make constitutional changes via secondary legislation, I would remind noble Lords that the devolution settlement does not absolve us of our statutory duty to uphold the rights of women and girls in this context. I therefore hope that noble Lords will support these regulations without amendment to the approval Motion.
The Government have not taken these decisions lightly. We remain fully committed to protecting the Belfast agreement in all its dimensions and to the institutions it establishes, including devolved government. In this instance, however, as I have just said, the devolution settlement does not absolve the Government of the clear statutory duties placed upon them by Parliament. This Government’s actions up to this point reinforce that position and our desire to work with the devolved institutions. Indeed, it was only once it became clear that this deadline would not be met that on 24 March, my right honourable friend made a commitment to return to Parliament and make regulations on abortion should they be necessary. As a result, these regulations were laid before this House on 19 May.
Turning briefly to what they contain, they remove the need for the Northern Ireland Executive Committee to approve services before they can be commissioned and funded by the Department of Health in Northern Ireland. The regulations do this by providing that directions under the Abortion (Northern Ireland) Regulations 2021, which require action to be taken to implement the recommendations of the CEDAW report, must be complied with irrespective of whether the matter has been discussed or agreed by the Northern Ireland Executive Committee. Further, they confer on the Secretary of State the power to do anything that a Northern Ireland Minister or department could do for the purpose of ensuring CEDAW compliance. For the purpose of determining what a Northern Ireland Minister or department could do, any need for Executive Committee approval will be disregarded.
The effect of this is to ensure that the Department of Health will have no further barriers to commission and fund services. Even at this stage, it is our clear preference that the Department of Health should drive forward the commissioning of abortion services without further delay and that, as a devolved matter, funding remains the responsibility of the Northern Ireland Executive. To that end, we continue to engage with the Minister of Health and his department, but this requires an absolute commitment by the department to provide services, or the Northern Ireland Secretary will use his powers in these regulations to commission services himself. To ensure that we have all the information required in those circumstances, a small team has been established in the Northern Ireland Office to work alongside the Department of Health to take this forward.
I recognise that this is a sensitive and personal issue for many people, and we have heard many differing views in this House on previous occasions, as well as from Members of the Northern Ireland Assembly, in relation to abortion services. Yet this sovereign United Kingdom Parliament has also made its views crystal
clear and placed a binding statutory duty on the Secretary of State to ensure access to properly commissioned services. In their absence, caused by a refusal on the part of the Executive to take this forward, women are currently forced to choose to travel or to resort to unsafe and unregulated measures.
A number of the clinicians I have met over recent months, who are struggling to provide these services without proper support, tell me of the very difficult situations into which women are being forced by a lack of safe, local, high-quality healthcare services. This is despite the fact that the law is in place to ensure that safe, properly regulated services are provided. We have a statutory duty in Section 9 of the executive formation Act to change this situation and ensure that CEDAW-compliant services are available. That is what these regulations will finally provide in Northern Ireland, and I commend them to the House.
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Amendment to the Motion