Sam Coates, Chief Political Correspondent
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Family doctors will be allowed to carry out abortions in their surgeries under plans currently being trialled at secret locations by the Government.
The Department of Health has agreed to the trials at two unnamed hospitals that are now performing abortions using drugs in “non-traditional settings” — similar to GP practices.
An evaluation will be completed early next year. If successful, the scheme will be expanded to other locations, including doctors’ surgeries. Later it could extend to surgical abortions as well.
The location of the primary care trusts carrying out the trials has been kept secret to avoid disruption by anti-abortion campaigners. Yesterday groups opposed to the scheme said that it risked jeopardising women’s health and might encourage an even greater number of women to opt for the procedure.
A record 193,737 abortions were carried out in England and Wales last year, a rise of nearly 4 per cent on 2005. The abortion rate was highest for women aged 19, with 11,776 having terminations. Under the Abortion Act 1967, an abortion (surgical or medical) can only be performed in a hospital in an NHS trust, primary care trust or foundation trust or in an approved independent sector place, such as a private clinic.
Section 1(3A) of the act also gives the Health Secretary powers to approve another type of place to perform medical abortions, which which could enable them to be available in a wider range of settings. To date, this has not been used in England.
About 30 per cent of terminations are medical — carried out using an “abortion pill” to induce abortion without the need for surgery — up from 24 per cent in 2005. Two thirds were carried out in the first ten weeks of pregnancy and 89 per cent at under 13 weeks.
Nine out of ten terminations are carried out by the NHS.
The latest proposals, detailed in the medical magazine Pulse, prompted scepticism from some doctors who fear that they may not have adequate access to emergency care if something goes wrong during the procedure.
It comes as the Commons prepares to debate the issue, after an inquiry by MPs on the Science and Technology Committee called for a loosening of the rules.
The committee had called for an end to the need for two doctors to sign off all abortions. It also suggested that nurses should be able to prescribe abortion pills for early terminations and women should be allowed to take the second dose of drugs at home. The Government said that these were matters for Parliament to debate and decide on a free vote.
Yesterday a Department of Health spokeswoman confirmed that the trials were under way but emphasisied that a final decision to allow abortions in GPs’ surgeries had not been made.
She said: “Two hospitals are currently piloting early medical abortion services in non-traditional settings to evaluate effectiveness and safety. These pilots have been running in hospital-based settings, not GP surgeries.
“We are formally evaluating the safety and effectiveness of providing early medical abortion services in non-traditional settings, which in future could be a community medical setting such as a surgery which has the appropriate medical expertise. The evaluation will be complete in the new year and we will consider the results carefully before reaching a decision.”
Phil Willis, chairman of the Science and Technology Committee, said: “The principle must be right — you give women the choice. Once abortion is legal within the law, women ought to have the choice about where they access the service. You want every medical procedure to be in the safest, most conducive environment possible.”
But the move has prompted fury among opponents of abortion, who accused the department of pre-empting Parliament.
Bob Spink, a Conservative MP on the committee who opposed a relaxation of the abortion law, said: “This is an appalling development. To make this decision before Parliament has the opportunity to debate the Abortion Act shows the new level of arrogance. It is unsafe to carry out abortions outside hospital, and makes a mockery of the term family doctor.”
Doctors have reacted cautiously to the move. A BMA spokesperson said: “The BMA supports safe and improved access to abortion services. However, we would need to look at the proposals in detail before commenting on whether GP surgeries could provide the level of care needed for abortion services. A number of issues would need to be looked at — counselling facilities, privacy, aftercare and access to emergency services in the event of complications.”
Fiona Cornish, a GP in Cambridge and vice-president of the Medical Women’s Federation, said even liberal, “pro-choice” GPs would not want to take on medical abortions, because of time constraints. “We’re already doing minor surgery, a lot of hospital follow-ups, coils, family planning clinics.”
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actually i have to correct peter42y from Lisbon - the Abortion Act 1967 stipluates that the current upper limit for an abortion is 24 weeks, not 26 weeks.
I think women have the right to choose whether or not to have an abortion - the rights of the woman should come first. In some countries, even if a woman is pregnant through rape or even incestuous rape, she is not legally entitled to have an abortion...that is outrageous! Even in America with those anti-abortion campaigners camped outside abortion clinics trying to 'persuade' women not to go through with it is absolutely disgusting - it was a painful enough decision to go to an abortion clinic without some do-gooders trying to 'make them do the right thing'.
A womans right to choose is fundamental and it is a personal decision - religious groups should keep out of it. The laws are in place for safe abortions to be carried out, and they are serving their purpose - who would want to revert back to the old backstreet abortions?!
Natalie, Sheffield,
Pregnancy/abortion is not a black and white issue. A few years ago a great article was printed in The Times with the headline 'Pregnancy is a male problem'. Accidents happen and are devastating for the woman who doesn't know what's best. I am pro choice but had there been a pill a few years ago I'd have gone home, run a hot bath, downed it with a bottle of vodka and suffered the consequences. Instead with the laws currently in place I had access to a few opinions and the right decision was born 9 months later. The ex left me so keeping the child hasn't been easy. It was as much his responsibility that fateful morning. Today he is mighty pleased he has such a beautiful child and my mental health isn't in a dark pit wondering what I lost. I remain pro choice. Things should remain as they are, not made easier. It's heartbreaking enough as it is. The children born are not unwanted.
Nathalie, London,
How could such a judgment or action ever be left to one person - GP, or nurse? We are talking about terminating human life, not merely 'a termination', but what a shame that our government treats life so lightly. An abortion may take place quietly and easily, but the moral consequences are now, and will be, deep and disturbing. I think it is shameful and that we are accepting more and more moral compromise, which can only lead our nation further into problems in the eyes of God and the world.
Laura-Jane Meas, Banbridge, Co Down
This is one of the greatest crimes of our times.
50 years ago I was born with 26 weeks.., but nowadays foetus with 26 weeks are killed.
This is beyond belief.
I am against abortion and I always.
Human beings should not have the right to take the life of other humans.
peter42y, lisbon, portugal
This is a major step forward, because the pill is the quickest, safest and most cost-effective method under nine weeks.
Dave, Southampton, UK
Brien, that's not really the issue in this article. The fact is that doctors are not convinced that this will actually be a safe option in case emergency treatment is necessary, and for a bunch of bureaucrats to come up with these suggestions without the advice of doctors is, quite frankly, absurd.
Emily, Cambridge,
At last. Abortions available to those who need them, with the minimum of fuss. About time. Now perhaps some equality can be brought to this matter, and all the drama taken out of it. This is not a complicated issue. It is not a moral issue. It is not a religious issue. It is an issue about women who do not want to have a baby for whatever reason, having the means to do something about it safely, and legally.
Zarich, London, UK
Julie if you don't have anything worth saying don't say it, it just makes you look stupid. Infact ask the state to sort it out for you eh???
Mark, Newcastle, Tyne and Wear
Abortion - legal or not - is ultimately murder. We need to help young people at a much earlier stage, to convince them that they have dignity and worth conferred by a loving God, so they don't feel compelled to follow their urges and surrender their bodies, unmarried, and at such young ages. We don't need more sex education: we need a revolution of love, not sex.
We literally threw the baby out with the bathwater when we decided to ditch God and Jesus Christ from our lives - often because they were misrepresented as judgmental spoilsports! God forgive us for failing to transmit the reality of His love to young people today.
And here's good news for any of you reading this that may have fallen into premarital sex or abortion: there is forgiveness and cleansing available to all who are truly sorry and want to live differently. Just ask Jesus (it's called prayer).
Mary Ann King, Taunton,
Great news. Anything that helps to reduce this ridiculously over-congested, resource-drained, environmentally devastated world has to be a good thing and can't come soon enough.
A very welcome development. Let's all hope that the trials are a complete success and the proposals are rolled out to all GP surgeries.
I know this is not the sort of thing that the pro-life brigade would want to hear but what is the alternative exactly? At the end of the day no one wants 200,000 unwanted children being born each year. Especially if the parents are being as feckless and irresponsible as the moralist claim. Forcing these parents to have unwanted children against their will won't help anybody or society as was pointed by the book Freakonomics.
Who would actually pay for them? Which political party is going to increase the tax burden for the state-sponsored orphanages that would be necessary to accommodate this many consumers? The Tories?
Abortion is here to stay.
Deal with it.
Jason Mead, Bristol, England
Absolutely horrifying can be the only reaction. It now makes the promotion of death as routine as going to the doctor if you have a cold or flu. Whether you agree or disagree with abortion in principle, most people agree that abortion is a very last step and should not be a form of contraception. This is another slip down the road of trivialising human life. Hopefully doctors, nurses and practices will have the power to opt out freely and without pressure from turning their Hippocratic Oath on its head.
JJ, Epsom, Surrey
Mark - go and have a lie down somewhere before you hurt yourself love...
Julie, Bradford, England
WHAT IS WRONG WITH WOMAN. Why does the state have to intervene in this way with their lives. Do they not know what contraception is? I was under the impression that they where more educated than men. What a crock this whole Feminism things have been. I for one thought it would have made our lives better not worse. Women have lowered their standards not brought mens up to theirs. What a missed opportunity. What next will they have to be breath tested before a man can talk to them just in case?? I am sure the state would love that send them out with a warning sticker.
Mark, Newcastle, Tyne and Wear
It was obvious that the anti-abortion lobby would have something to say about allowing abortions to be performed in a hospital, but to claim it might ' jeapodise womens health', is ridiculous.
What do they want - a return to the back street abortionists who mutilated girls on a kitchen table?
GJB, Slough, BERKSHIRE
Brien - I am an animal loving vegetarian too but what does that have to do with being 'morally compelled' to oppose abortions?!
Freya M, London,
As an animal loving vegetarian I am morally compelled to oppose abortion. However, a woman should not be deemed a criminal is she has one. This is an extremely complex and sensitive issue.
Brien Comerford, Glenview, United States