The abortion debate, as we’ve seen this weekend, is an emotional and difficult one. However, to me it has always come down to a simple question. Who should be in the lead in making choices about a woman’s body and health? Whenever a woman has an unwanted pregnancy a decision will need to be made – whether to continue with the pregnancy or not. There are a whole range of players who could claim to have an interest in this decision – the woman, her partner, health services, the state, the church. But it is the woman herself who will have to take the physical and emotional burden of giving birth to and caring for a baby. She has the responsibility; she should have the choice.

In the UK, the time limit for abortion, except in the case of severe disability in the foetus, has been determined in line with clinical evidence about potential viability. In 1990, the time limit was reduced from 28 weeks to 24 weeks as methods to ensure the survival of very premature babies had improved. However, medical experts agree that there is no new evidence of further improvements. There has certainly been no major breakthrough since 2008 when MPs voted to keep the current time limit. All the major medical bodies support the status quo. So the latest flurry of ministers calling for restrictions on abortion are simply based on long-held beliefs or prejudice, not on evidence.

Ninety-one per cent of abortions are already carried out at less than 13 weeks. Women seeking abortion over 20 weeks are the most vulnerable and in the most difficult situations – for example, having found out at the 20 week scan that the foetus has a serious disability or having failed to even realise they were pregnant earlier. Any limit will force women to have to make a difficult decision with less opportunity to seek advice and to talk to partners and friends. This is why former GP and Tory MP, Sarah Wollaston tweeted on Saturday, ‘profoundly disagree with Hunt on lowering abortion limit, would restrict access to safe abortion for most vulnerable who present late’.

‘But he was asked and was just being honest about his personal view’ is the most disingenuous defence that has been made of health secretary Jeremy Hunt. Hunt isn’t just any bloke. He’s the person with responsibility for determining the government’s health programme. The fact that his first major pronouncement since taking on the health job is about restricting women’s choices says something important about his priorities.

The next time he talks on this issue, perhaps he’d like to address the ways in which unwanted pregnancies and later abortions could be avoided through better access to contraceptive services, abortion and information. Perhaps he’d like to stand up for patients by deprecating those who protest outside abortion clinics harassing the women who are going in to make one of the most difficult decisions of their lives. In fact, of course, his words have given added impetus to this sort of protest.

And it would be good if the principles of healthcare could be applied equally to men and women. When it comes to health services, I believe in patient choice and clinical evidence – unlike Hunt though, I think this should apply to women making the difficult decision about abortion too.

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Jacqui Smith is former home secretary, writes the Monday Politics column for Progress, and tweets @smithjj62

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Photo: The Department for Culture, Media and Sport