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Activist groups are making it harder to access abortions in the UK

Doctors in the UK say that attempts to restrict access to abortion services are an unacceptable barrier to healthcare
Protester holding sign saying "pray to end abortion"
Ant-abortion protesters in London in September 2021
Matthew Chattle/Future Publishing via Getty Images

Anti-abortion groups in the UK are becoming increasingly vocal and making it more difficult for people to access healthcare, doctors and health bodies say.

Besides the notable exception of Northern Ireland, where abortion was only permitted in very restricted circumstances until 2019, the issue is relatively uncontroversial in the UK. believe that women should be able to access abortion services, according to a YouGov poll in 2020.

say abortion should be legal in all or most cases, according to a poll conducted shortly before the US Supreme Court repealed Roe v Wade, the 1973 ruling that protected the right to abortion. The repeal has been throughout the US.

Despite low levels of support, anti-abortion groups do exist in the UK. Several continue to make their presence known outside abortion clinics throughout the country and to lobby policy-makers.

In 2019, more than 100,000 people sought abortions at clinics that were targeted by protesters, according to .

“The overall numbers [of anti-abortion activists] are not increasing, but what pro-life groups have been able to do is increase mobilisation of the very small number of people who are against abortion,” says at Aston University in Birmingham, UK, who has studied many of these groups. “There’s certainly been an increase of activities outside clinics over the last decade or so.”

Audrey Brown, a gynaecologist in Glasgow, UK, says there was one day in late March where about 100 people stood right outside her hospital and held up placards with pictures of fetuses on them.

“It’s the same building that people go to have babies, or who have a miscarriage, or have a stillborn baby,” she says. “And for people who want an abortion, it visibly affects some of my patients.”

“We’ve certainly had people very shaken and tearful because of what they’ve had to pass by,” she says. “They’ve got a right to healthcare if they need it.” Brown says her team has started telling patients to take different entrances into the hospital when they know protesters are going to be outside.

“The ongoing harassment and intimidation of both women and staff outside of clinics is unacceptable, and would not be tolerated for any other healthcare service,” says at the Royal College of Obstetricians and Gynaecologists. “We have seen anti-abortion movements [in the UK] emboldened by the overturning of Roe v Wade, and there has been a rise of anti-choice sentiment across social media.”

It is too early to say if this has translated to an increase in activity outside UK abortion clinics, says Lord. But Brown says this year has been the worst she has ever experienced for anti-abortion activity. “I’m aware of colleagues in other health board areas, such as Aberdeen, that are seeing protests that traditionally did not see activity like it.”

Robert Colquhoun, founder of the UK chapter of anti-abortion group 40 Days For Life, is one reason for this increase in activity outside clinics. Colquhoun says he first encountered a prayer vigil organised by 40 Days For Life outside an abortion clinic more than a decade ago in Canada, which led him to set up a UK wing.

“We encourage Christians to pray and fast for an end to abortion,” he says. The group conducts 40-day campaigns outside abortion clinics, usually to coincide with Lent or Christmas, during which people stand outside abortion clinics and pray.

They also hand out leaflets and hold up pictures of aborted fetuses, and they have been accused of harassing people who enter the clinics. “I understand it’s a very emotional issue… but we’re not there to harass people,” says Colquhoun. “We are there to offer help.”

Beyond protesting, anti-abortion activists also lobby policy-makers and organise events. Alithea Williams at the Society for the Protection of Unborn Children (SPUC) says the group organises a youth conference each year for about 200 people, and that SPUC sometimes goes into schools to give talks.

The group also encouraged its members to write to their members of parliament to prevent covid-19 laws allowing people to access abortion pills without visiting a clinic being made permanent, though .

While the increase in anti-abortion activity comes at the same time as the overturning of Roe v Wade, the influence of the US anti-abortion movement on activists in the UK is unclear. Williams says the US plays little role in SPUC’s thinking about abortion. “We have quite a different cultural context,” she says.

But Lowe says there are parts of the movement currently that are clearly imported from the US. Campaigns organised by 40 Days For Life outside abortion clinics must first go through the US team, which charges a $197 fee to help with organisation and provide campaign resources. The group even offers “early-bird” rates.

This infrastructure for connecting activists helps encourage them to take action, says Lowe. “For example, a group in Glasgow will find out very quickly that a group in Birmingham has ‘saved a baby’… it kind of motivates them.”

Legal challenge

The use of litigation in the UK is also partly inspired by anti-abortion activists in the US, says Lowe. Last year, SPUC made a , arguing that they were unconstitutional. It was  in February.

Legal challenges have also made it costly to maintain or set up buffer zones around abortion clinics. There is no national regulation that prevents protesters from setting up camp close to an abortion clinic, meaning local authorities have to handle them on a case-by-case basis.

Ealing Council used a public space and protection order (PSPO) in 2018 that close to its abortion clinic. Local authorities in Richmond and Manchester have followed suit. But PSPOs aren’t a perfect solution: they need to be renewed every few years and are also subject to legal challenges, which can be costly for councils. “It makes policy-makers wary,” says at MSI Reproductive Choices, a charity in the UK.

The Royal College of GPs has backed a bill put forward by Gillian Mackay, a member of the Scottish parliament, calling for a that provide abortion services in Scotland. The bill, which is currently in its consultation phase, by the country’s first minister, Nicola Sturgeon.

It is unclear whether a similar law for other UK nations will be passed in the near future. A review by the UK’s Home Office in 2018 found that a national buffer zone

, Labour MP for Ealing Central and Acton, who has campaigned for national buffer zones, says something needs to change. “Women should not effectively be in an uneven, patchy postcode lottery in order to be able to access harassment-free reproductive healthcare,” she says. “This is a national problem that requires a national solution.”

Topics: Abortion