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British Pregnancy Advisory Service, R (On the Application Of) v. Secretary of State for Health And Social Care

Smart Summary

Factual and Procedural Background

The legal dispute concerns the correct interpretation of the phrase "the pregnancy has not exceeded its twenty-fourth week" in section 1(1)(a) of the Abortion Act 1967 ("the 1967 Act"). The Secretary of State for Health and Social Care issued a clarification in July 2018 ("the Decision Letter") stating that the legal time limit for abortions under Grounds C and D of the 1967 Act is up to and including 23 weeks and 6 days, not 24 weeks plus 0 days as previously understood by the Claimant. This clarification effectively removed one day from the previously accepted upper time limit for lawful abortions.

The Claimant challenges this interpretation as unlawful on multiple grounds, including alleged error of law and procedural unfairness. The background includes a detailed legislative history tracing the introduction of the 24-week limit in 1991, clinical methods for dating pregnancy from the first day of the last menstrual period (LMP), and the Department's evolving understanding and administrative practices related to gestational limits. The Claimant applied for licence renewals to perform abortions up to 24 weeks plus 0 days, while other providers sought approval only up to 23 weeks plus 6 days.

The Claimant brought judicial review proceedings challenging the Secretary of State's revised interpretation and the process by which it was adopted. The court was tasked with resolving the correct legal construction of the statutory phrase and considering whether the Secretary of State’s decision was procedurally fair.

Legal Issues Presented

  1. What is the correct legal interpretation of the phrase "the pregnancy has not exceeded its twenty-fourth week" in section 1(1)(a) of the Abortion Act 1967?
  2. Was the Secretary of State’s decision to clarify the time limit procedurally fair, particularly regarding consultation with affected parties?
  3. The issue relating to the meaning of "pregnancy" concerning the stages of abortion procedure was raised but subsequently withdrawn and is no longer in issue.

Arguments of the Parties

Claimant's Arguments

  • The phrase "the pregnancy has not exceeded its twenty-fourth week" should be construed as meaning the pregnancy has not exceeded 24 weeks plus 0 days, allowing abortions up to and including 24 weeks plus 0 days.
  • The Secretary of State’s interpretation removes a day from the established upper time limit for lawful abortions, which has been long accepted.
  • The Secretary of State’s decision was procedurally unfair as it relied on clinical opinions without consulting the Claimant, who had relevant submissions and whose commercial activities and clinicians would be criminalised by the change.
  • The removal of the day constitutes the removal of an existing benefit, triggering a duty to consult under public law principles.

Secretary of State's Arguments

  • The phrase is unambiguous and should be given its natural and ordinary meaning, whereby the pregnancy exceeds its twenty-fourth week at 24 weeks plus 0 days (i.e., after midnight at the end of the 24th week).
  • The Secretary of State accepts that previous interpretations were incorrect and that the revised interpretation aligns with clinical practice and legal advice.
  • No duty to consult arises on the correct construction of a statutory phrase, as it is a pure question of law and not a policy decision.
  • Consultation would have been pointless as the clinical and legal advice clearly supported the revised interpretation, which the Claimant could not have altered.

Table of Precedents Cited

Precedent Rule or Principle Cited For Application by the Court
Hammond v Farrow [1904] 2 KB 332 Definition of the word "exceed" as "to be greater than" or "to go beyond". Used to interpret the ordinary meaning of the phrase "pregnancy has not exceeded its twenty-fourth week".
Dickenson v Fletcher [1873] LR 9 CP1 Penal statutes should be construed conservatively, resolving ambiguity in favour of the defendant. Claimant invoked this principle to argue for a narrower interpretation of the time limit; the court found no ambiguity.
Pinner v Everett [1969] 1 WLR 1266 Natural and ordinary meaning of statutory language should be adopted unless it leads to an unreasonable result. The court applied this to uphold the Secretary of State’s interpretation as consistent with ordinary meaning and legislative intent.
Isle of Anglesey County Council v Welsh Ministers [2010] QB 163 Where an Act has been interpreted without dissent over a long period, parties should be able to rely on that interpretation. The court distinguished this case, finding no settled long-standing interpretation in the present matter.
Bloomsbury International Ltd v Department for Environment, Food and Rural Affairs [2011] 1 WLR 1546 Statutory purpose and scheme are central to construction; settled practice creates a strong presumption. The court found that the settled practice claimed by the Claimant was not sufficiently established to apply this presumption.
R v Devon CC, ex p Baker [1995] 1 All ER 73 Requirement of consultation when an existing benefit is removed. Claimant relied on this to argue procedural unfairness; court found no duty to consult on a pure question of statutory construction.
R (LH) v Shropshire Council [2014] EWCA Civ 404 Consultation duty arises when removing a benefit impacting parties. Claimant cited this in support of procedural fairness argument; court rejected consultation duty in this context.
R (Bhatt Murphy) v Independent Assessor [2008] EWCA Civ 755 Requirement to provide transitional arrangements when removing a benefit. Claimant argued absence of transitional measures; court did not find this ground persuasive given the nature of the decision.

Court's Reasoning and Analysis

The court began by recognising that the interpretation of the phrase "the pregnancy has not exceeded its twenty-fourth week" is a matter of law to be given its natural and ordinary meaning. The word "exceed" means to go beyond or be greater than, which the court found unambiguous in this context.

Clinical evidence established that pregnancy dating begins at day 0, the first day of the last menstrual period (LMP), and that weeks run from day 0 to day 6. Accordingly, the twenty-fourth week runs from 23 weeks plus 0 days to 23 weeks plus 6 days inclusive. A pregnancy exceeds its twenty-fourth week once it reaches 24 weeks plus 0 days.

The court rejected the Claimant's argument that the pregnancy does not exceed its twenty-fourth week until 24 weeks plus 1 day, noting that clinical practice supports the Secretary of State’s interpretation and that the statutory language aligns with this understanding.

The court considered the Claimant’s reliance on settled practice and principles from cases such as Isle of Anglesey County Council but found no evidence of a long-standing, undisputed interpretation supporting the Claimant’s view. The court also distinguished cases emphasizing settled practice, as the present matter involved no ambiguity and no parliamentary endorsement of a particular interpretation.

Regarding procedural fairness, the court held that no duty to consult arises on the correct legal construction of statutory language. The decision was a matter of law, not policy, and therefore consultation was unnecessary. The court found no purpose in consultation, as the clinical and legal advice supporting the Secretary of State’s interpretation was conclusive and would not have been altered by submissions from the Claimant.

Holding and Implications

The claim is dismissed.

The court held that the correct interpretation of the phrase "the pregnancy has not exceeded its twenty-fourth week" in section 1(1)(a) of the Abortion Act 1967 is that a pregnancy exceeds its twenty-fourth week at 24 weeks plus 0 days. This interpretation aligns with clinical practice and the natural meaning of the statutory language.

Further, the court determined that the Secretary of State’s decision to clarify this interpretation was not procedurally unfair, as no duty to consult arises on pure questions of statutory construction. The decision has the direct effect of confirming that lawful abortions under Grounds C and D must be completed by 23 weeks and 6 days, removing the previously accepted allowance of 24 weeks plus 0 days.

The court did not set any new precedent beyond applying established principles of statutory interpretation and procedural fairness. The ruling clarifies the legal time limit for abortion under the 1967 Act but does not address broader policy or clinical considerations beyond those necessary for legal construction.

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British Pregnancy Advisory Service, R (On the Application Of) v Secretary of State for Health And Social Care

Contains public sector information licensed under the Open Justice Licence v1.0.

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British Pregnancy Advisory Service, R (On the Application Of) v Secretary of State for Health And Social Care
(Jun 5, 2019)