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ss triple helix - spring 2018,  The Conscientious Objection (Medical Activities) Bill:Baroness O'Loan deserves our full support

The Conscientious Objection (Medical Activities) Bill:Baroness O'Loan deserves our full support

Baroness O'Loan's Conscientious Objection (Medical Activities) Bill (1),(2) passed its second reading (debate stage) in the House of Lords on 26 January 2018. It is now being reviewed by a Committee of the Whole House where amendments can be submitted and debated. If it then passes a third reading it will pass to the House of Commons.

The bill aims to strengthen the conscience rights of healthcare professionals who believe it would be wrong to be involved in three specific activities - abortion, activities under the Human Fertilisation and Embryology Act 1990 (like embryo research or egg donation) and withdrawal of life-preserving treatment.

Currently, the law offers general conscience protection. The Equality Act 2010 (3) includes religion and belief as two of nine 'protected characteristics' and the Human Rights Act 1998, (4) which brought the European Convention of Human Rights (ECHR) into UK law, states that 'everyone has the right to freedom of thought, conscience and religion' (article 9). But these rights are limited.

When it comes to specific protections the situation is much less clear and statute law currently only applies to abortion and activities under the HFE Act. For abortion its scope is very limited.

In 2014, the Supreme Court ruled (5) that two Glasgow midwives, who were working as labour ward coordinators, could not opt out of supervising abortions. It said that the conscience clause in the Abortion Act 1967 (6) only applied to those who were directly involved in abortion and not to those involved in delegation, planning, supervision and support. This left many health professionals vulnerable to coercion.

Overall, 25 peers spoke in the debate - 13 for and 11 against, with the government responding. Labour health spokesperson Baroness Thornton made it clear that the Labour party would oppose the bill. The government itself will allow a conscience vote.

The major arguments against the bill were that it expanded the scope of the conscience clause to cover health professionals only indirectly involved in the activity concerned and expanded the number of activities protected. This, they claimed, would hinder access to patient care. Supporters of the bill will need to address these concerns convincingly at committee stage if the bill is to proceed.Freedom of conscience is not a minor or peripheral issue and it is not only Christians who are affected. It goes to the heart of healthcare practice as a moral activity. As John Wyatt has argued, 'the right of conscience helps to preserve the moral integrity of the individual clinician, preserves the distinctive characteristics and reputation of medicine as a profession, acts as a safeguard against coercive state power, and provides protection from discrimination for those with minority ethical beliefs.' (7)

As Christian citizens we must respect those who rule over us (8) but the Bible is equally clear that our higher duty is to obey God. 'If you love me you will obey me', says Jesus. (9)

  7. Wyatt J. The doctor's conscience. CMF Files 2009;39.
  8. Romans 13:1,2
  9. John 14:15
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