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Committee

Health, Social Care and Sport Committee 28 May 2024

28 May 2024 · S6 · Health, Social Care and Sport Committee
Item of business
Abortion Services (Safe Access Zones) (Scotland) Bill: Stage 2
I will address amendments 6, 7, 15 and 16 quickly. The amendments are drafting improvements. Amendment 6 clarifies that “protected premises” may refer to a building “that is, contains or forms part of a hospital” and that the building must provide abortion services. Amendment 15 reflects that change, and amendments 7 and 16 improve the wording of those provisions. I will address the amendments to section 10—amendments 35 to 38—together. First, my amendment 36 provides flexibility in how the definition of “protected premises” may be modified. As introduced, section 10 allows the definition to be extended to cover places approved as “a class of place mentioned in section 1(3A) ... of the Abortion Act 1967”. For example, if general practices were approved as abortion providers, they could all be covered by a zone. Section 10 also allows the definition to be extended to places providing “treatments or services relating to abortion services”. For example, a zone could be established around a building where counselling related to abortion treatment is provided. Under those provisions, if a class of place were approved under the 1967 act, ministers could not extend the definition of “protected premises” in the bill to include only individual premises that were part of a class of place. To continue my example, if general practices were approved as abortion providers, but not all practices offered the service, ministers could not establish a zone solely around those practices that needed it. Instead, they would have to extend the definition to include all general practices. That would cover more providers than necessary. I am grateful to Dr Gulhane for drawing attention to the issue. My amendment 36 responds directly to points that he made at the evidence session on 19 March. The amendment provides that ministers can now extend the definition to cover individual premises within a class of place approved under the 1967 act. That provides greater flexibility and is proportionate. If required, however, the whole class of place can be added. As ministers must always act proportionately, they will be bound to use the less restrictive option, where the evidence supports the aim of protecting women and staff. I hope that members agree that that is a positive step that ensures that the bill is future-proofed, while also reflecting the Government’s obligation to always act proportionately. 09:15 I now turn to Dr Gulhane’s and Mr Balfour’s amendments. Given what I have set out, I hope that you will not be surprised to hear that I am resisting both. With amendment 38, Dr Gulhane seeks to entirely remove the potential to extend the definition of protected premises. As I set out to the committee during my evidence, by including that section we will ensure that we pass legislation that is capable of protecting women, not just this year or next, but in years and maybe even decades to come. It means that women and staff will be able to access and provide services, even if treatments or delivery models change, and it provides scope to respond if the behaviour of groups that oppose abortion and the venues that they target change. If anyone doubts that that is necessary, I would ask them to reflect on the history of abortion care since the Abortion Act 1967 was passed. When the 1967 act came into force, having an abortion meant undergoing a surgical procedure. Now, for many women, having an abortion involves visiting a clinic to collect tablets that they can take at home. We have no idea what care will look like in the future, but it would certainly be unwise to assume that it will remain as it is now. Likewise, although I hope that it does not happen, we cannot rule out that the ways in which anti-abortion groups will seek to target those who are having abortions will continue to evolve. A decade ago, we did not see the kinds of activity in Scotland that we do now, and, although I will not labour the point, we have seen how anti-abortion groups have mobilised to strike at abortion provision in the United States in ways that we would not have imagined possible. We must make sure that we are able to respond if we need to, although, of course, always ensuring that we act compatibly with the European convention on human rights. Section 10 does not threaten any broader rights to protest. It could only ever be used to protect women and staff at the point where they are accessing or providing services. Of course, I understand that the prospect of covering all GP practices or pharmacies could be significant, and committee members may have concerns about that. I do not want to dismiss that, but I will provide reassurance. First, the examples that I have given are purely illustrative. There are no plans to approve pharmacies or GP practices as classes of place under the Abortion Act 1967. As I said earlier, we have no idea what the future might bring. A class of place approval may never be granted, or it may be granted for a very small set of premises. Section 10 ensures that we can act if we need to, and the Government amendment has ensured that the protection can be extended only to those premises where it is needed. Secondly, any decision to extend the definition will be evidence based, and the Scottish ministers must always act compatibly with the European convention on human rights. Because of that, no additional protected premises can be added unless ministers are satisfied that it would be proportionate. They would have to balance protecting the article 8 rights of women and staff with any interference to articles 9, 10 and 11 rights. Again, that underlines the significance of the Government amendment. If protecting only individual premises, rather than an entire class of premises, would achieve the bill’s aims, ministers would be duty bound to do only that. Thirdly, ministers cannot act unilaterally. Any change to the definition of “protected premises” using section 10 will require affirmative regulations. The Scottish Parliament will therefore be able to scrutinise the necessity and proportionality of the designation of any new protected premises. If the Parliament is not satisfied that ministers have met their obligations, or that the evidence to modify the definition is sufficient, the regulations could be voted down. My reasons for not supporting Mr Balfour’s amendments 35 and 37 are very similar. In the event that GP practices or pharmacies are approved as a class of place, we must be able to extend protection to them if that is needed. As I have said, there are no plans to do that. Nevertheless, it is illogical to exclude them when there is a possibility that they could be approved as a class of place for the provision of abortion services and then targeted in the future. I recognise the concern that underpins those amendments and I hope that the Government’s amendment 36 will provide reassurance that we, too, have considered the matter and have taken steps to ensure that the least restrictive approach will be taken. I move amendment 6.

In the same item of business

The Convener (Clare Haughey) SNP
Good morning, and welcome to the 17th meeting in 2024 of the Health, Social Care and Sport Committee. I have received apologies from Ruth Maguire, and James ...
The Convener SNP
Amendment 42, in the name of Rachael Hamilton, is in a group on its own.
Rachael Hamilton (Ettrick, Roxburgh and Berwickshire) (Con) Con
I thank the committee for welcoming me. I note that I twice attended the First Minister’s working group on abortion service buffer zones. Amendment 42 would...
Carol Mochan (South Scotland) (Lab) Lab
Scottish Labour’s position is that amendment 42 is a reasonable amendment, but we are not sure that it is particularly necessary to include it in that part o...
Minister for Public Health and Women’s Health (Jenni Minto) SNP
Thank you, committee members, for your stage 1 consideration. This is a complex subject area and I am grateful for the sensitive and thoughtful way that you ...
Gillian Mackay (Central Scotland) (Green) Green
Good morning. Like the minister, I offer my thanks to the committee for its work so far. I know that we will not all reach the same conclusions this morning,...
The Convener SNP
I call Ms Hamilton to wind up.
Rachael Hamilton Con
From the outset, I have been concerned that women have been put off accessing healthcare, which could be a danger to their health. That has been described to...
The Convener SNP
The minister wishes to intervene.
Jenni Minto SNP
I thank Ms Hamilton for that proposal. However, as I set out in my arguments for the committee to reject the amendment, I am concerned about the dubiety that...
Rachael Hamilton Con
I thank the minister for that, but I am a bit disappointed that she will not work with me to get the words right so that they are legally competent. I will p...
The Convener SNP
The question is, that amendment 42 be agreed to. Are we agreed? Members: No.
The Convener SNP
There will be a division. For Gulhane, Sandesh (Glasgow) (Con) Against Dornan, James (Glasgow Cathcart) (SNP) Harper, Emma (South Scotland) (SNP) Haugh...
The Convener SNP
The result of the division is: For 1, Against 5, Abstentions 2. Amendment 42 disagreed to. Section 1—Meaning of “protected premises”
The Convener SNP
Amendment 6, in the name of the minister, is grouped with amendments 7, 15, 16 and 35 to 38.
Jenni Minto SNP
I will address amendments 6, 7, 15 and 16 quickly. The amendments are drafting improvements. Amendment 6 clarifies that “protected premises” may refer to a b...
Jeremy Balfour (Lothian) (Con) Con
Good morning to the convener, the committee, the minister and Gillian Mackay. Most of the amendments that I lodged are probing amendments to find out where ...
Sandesh Gulhane (Glasgow) (Con) Con
I declare an interest as a practising national health service GP. I thank the minister for her remarks. This is not a debate on abortion. I firmly believe t...
Carol Mochan Lab
I thank the minister for her time and discussion on this area. Scottish Labour has taken a great deal of time to go over it because, as both Sandesh Gulhane ...
Gillian Mackay Green
I am grateful to the minister for the amendments that she has lodged. In particular, I am fully supportive of the increased flexibility that amendment 36, if...
The Convener SNP
I invite the minister to wind up.
Jenni Minto SNP
I hope that members agree that an element of future proofing is needed, as Carol Mochan said, to allow the bill to continue to achieve its aims even if abort...
The Convener SNP
Amendment 8, in the name of the minister, is grouped with amendments 9 to 14, 44, 45, 26 to 30, 47, 32, 48, 49, 40 and 41. I call the minister to move amendm...
Jenni Minto SNP
Thank you, convener. I apologise. I will just get the right page in my file—my tome. The Scottish Government has lodged amendments 8 to 14, 26 to 30, 32, 40...
Emma Harper (South Scotland) (SNP) SNP
Good morning, everybody. The amendments in my name in the group are not controversial, so I hope that members will agree that they are useful in helping to ...
Gillian Mackay Green
I will be brief because I support the amendments and am grateful for the improvements that they will make to the bill. I encourage members to vote for the am...
The Convener SNP
I call the minister to wind up.
Jenni Minto SNP
I welcome Emma Harper’s amendments, which are clearly aimed at ensuring that this important legislation can be understood by everyone who might be subject to...
The Convener SNP
Amendment 43, in the name of Rachael Hamilton, is in a group on its own. I call Rachael Hamilton to speak to and move amendment 43.
Rachael Hamilton Con
Thank you. Amendment 43 would reduce the safe zone distance from 200m to 150m. In its stage 1 report, the committee questioned why the default distance of s...