Abortion Statistics, England and Wales: 2012 Summary information from the abortion notification forms returned to the Chief Medical Officers of England and Wales.

July 2013

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Abortion Statistics, England and Wales: 2012 Summary information from the abortion notification forms returned to the Chief Medical Officers of England and Wales.

Prepared by Abortion Statistics, DH

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Contents

Executive Summary ...... 5 Introduction ...... 6 Commentary ...... 9 Index to tables ...... 17 Detailed tables ...... 18 Annex A: Data quality and methods ...... i Annex B: Further information …………………………………………………………………vi

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Executive summary

This report presents statistics on abortions carried out in England and Wales in 2012.

In 2012, for women resident in England and Wales: The total number of abortions was 185,122, 2.5% less than in 2011 (189,931) and 5.2% more than in 2002 (175,932). The age-standardised abortion rate was 16.5 per 1,000 resident women aged 15-44, 5.4% lower than in 2011, and 2.7% lower than in 2002 (17.0); the lowest rate for 16 years. The abortion rate was highest at 31 per 1,000 for women aged 21, compared to 33 per 1,000 for women aged 20 in 2011 The under-16 abortion rate was 3.0 per 1,000 women and the under-18 rate was 12.8 per 1,000 women, both lower than in 2011 (3.4 and 15.0 per 1,000 women respectively) and in the year 2002 (3.7 and 17.8 per 1,000 women respectively). 97% of abortions were funded by the NHS. Over half (62%) took place in the independent sector under NHS contract, up slightly from 61% in 2011 91% of abortions were carried out at under 13 weeks gestation, 77% were at under 10 weeks compared to 78% in 2011 and 57% in 2002. Medical abortions accounted for 48% of the total, the same as in 2012, and 14% in 2002. 2,692 abortions (1%) were carried out under ground E (risk that the child would be born handicapped).

Non-residents: In 2012, there were 5,850 abortions for non-residents carried out in hospitals and clinics in England and Wales (6,151 in 2011). The 2012 total is the lowest in any year since 1969.

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1. Introduction

1.1 This report presents statistics on abortions carried out in England and Wales in 2012. It is the eleventh in an annual series published by the Department of Health (DH), the first of which was for abortions in 2002. These are available on the GOV.UK website1. Statistics for years from 1974 to 2001 were published by the Office for National Statistics (ONS) in their Abortion Statistics Series AB, Nos 1 to 28. The reports for 1991 to 2001 are available electronically on request to [email protected]. Statistics for years from 1968 to 1973 were published in the Registrar General’s Statistical Review of England and Wales, Supplement on Abortion.

The legislative context

1.2 The Abortion Act 1967, as amended by the Human Fertilisation and Embryology Act 1990, permits termination of a pregnancy by a registered medical practitioner subject to certain conditions. Legal requirements apply to the certification and notification of abortion procedures. Within the terms of the Abortion Act, only a registered practitioner can terminate a pregnancy. The doctor taking responsibility for the procedure is legally required to notify the Chief Medical Officer (CMO) of the abortion within 14 days of the termination, whether carried out in the NHS or an approved independent sector place and whether or not the woman is a UK resident. The Department of Health provides form HSA4 for this purpose. Further details are available on the GOV.UK:

https://www.gov.uk/government/organisations/department-of-health/series/abortion- statistics-for-england-and-wales#statistical-data-sets

1.3 Except in an emergency, any treatment for the termination of pregnancy can only be carried out in an NHS hospital or in a place approved for the purpose by the Secretary of State, and after 24 weeks, only in an NHS hospital. Through contractual arrangements with Clinical Commissioning Groups (CCGs), some approved independent sector places perform NHS-funded abortions.

1.4 A legally induced abortion must be certified by two registered medical practitioners as justified under one or more of the following grounds:

A the continuance of the pregnancy would involve risk to the life of the pregnant woman greater than if the pregnancy were terminated (Abortion Act, 1967 as amended, section 1(1)(c))

1 http://transparency.dh.gov.uk/category/statistics/abortion

6 Abortion Statistics, England and Wales: 2012

B the termination is necessary to prevent grave permanent injury to the physical or mental health of the pregnant woman (section 1(1)(b))

C the pregnancy has not exceeded its twenty-fourth week and that the continuance of the pregnancy would involve risk, greater than if the pregnancy were terminated, of injury to the physical or mental health of the pregnant woman (section 1(1)(a))

D the pregnancy has not exceeded its twenty-fourth week and that the continuance of the pregnancy would involve risk, greater than if the pregnancy were terminated, of injury to the physical or mental health of any existing children of the family of the pregnant woman (section 1(1)(a))

E there is a substantial risk that if the child were born it would suffer from such physical or mental abnormalities as to be seriously handicapped (section 1(1)(d))

or, in an emergency, certified by the operating practitioner as immediately necessary:

F to save the life of the pregnant woman (section 1(4))

G to prevent grave permanent injury to the physical or mental health of the pregnant woman (section 1(4))

How the statistics are produced

1.5 The doctor taking responsibility for an abortion is legally required to notify the Chief Medical Officer (CMO) within 14 days of the termination. Abortion notification forms (HSA4s) can be submitted online or on paper.

1.6 The Department of Health use a thorough process for inspecting and recording the information received on the forms in order to monitor compliance with the legislation and the extent to which best practice guidance from the Department of Health is followed. The methods used ensure good quality, accurate statistics can be derived from the data. Annex A contains further information about data quality.

1.7 The format of the tables have been revised in the light of the judgment handed down by the High Court in the case relating to the release of information on principal medical condition for abortions performed under ground E. A more limited degree of suppression has been applied, where necessary, to avoid the disclosure of personal data.

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1.8 This publication is a National Statistic. It is a statutory requirement that National Statistics should be produced in accordance with the standards set out in the Code of Practice for Official Statistics. The UK Statistics Authority assesses all National Statistics for compliance with the Code of Practice. The results of the assessment of abortion statistics were published in February 2012 and are available at http://www.statisticsauthority.gov.uk/assessment/assessment/assessment- reports/index.html. The Statistics Authority confirmed that the statistics could continue to be designated as National Statistics.

Abortion Statistics consultation

1.9 The Department of Health consulted users of abortion statistics between 15 April 2013 and 10 June 2013. The aim of the consultation was to ensure the abortion statistics reports remain as relevant and as useful to users as possible within resource constraints.

1.10 This report includes some additional tables and information from previous years based on suggestions from users. Additionally, with new arrangements in place, the vast majority of users felt that the local level tables would be more useful if data were presented by Clinical Commissioning Group (CCG) as PCTs no longer exist.

1.11 Users requested the following additional information which is presented in this publication.

- Method of abortion by gestation for abortions performed under ground E (Table 7c) - Grounds by region of residence (Table 8b) - All mentions of medical conditions for abortions performed under ground E (Table 9a) - Totals and rates by age and Local Authority (Table 10a and 10b) - Local data for method of abortion (Table 11b) - Local data for repeat abortions for all ages (Table 11b) - Information about ground C medical conditions (Commentary 2.10) - Further information about abortions performed under ground F and ground G (Commentary 2.12) - Information about deaths following abortion (Commentary 2.27)

8 Abortion Statistics, England and Wales: 2012 2 . Commentary

Unless specified, the following commentary, charts and tables relate to abortions carried out in England and Wales for residents of England and Wales only, rather than all abortions carried out in England and Wales. Figures in all but Table 13 exclude abortions for residents of England and Wales that are carried out in other parts of the United Kingdom or outside the UK.

Overall number and rate of abortions

2.1 In total, there were 190,972 abortions notified as taking place in England and Wales in 2012. There were 185,122 abortions to residents of England and Wales in 2012. This represents an age-standardised abortion rate of 16.5 per 1,000 resident women aged 15- 44 2. This is the lowest rate since 1997: 6% lower than in 2011, 3% lower than in 2002 but more than double the rate of 8.0 recorded in 1970 (See Table 1 and Figure 1).

Figure 1: Age-standardised abortion rate per 1,000 women aged 15-44, England and Wales, 1969 to 2012

20

18

16

14

12

10

8

6

4

2

0 1969 1974 1979 1984 1989 1994 1999 2004 2009

Age

2.2 The abortion rate in 2012 was highest, at 31 per 1,000, for women aged 21. There were 841 abortions to women aged under 15 (less than one per cent of the total) and 689 to women aged 45 or over (less than a half of one per cent) (See Table 4a and Figure 2).

2 See Annex A for details about how the rate is derived.

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Figure 2: Abortion rate per 1,000 population by single year of age, England and Wales, 2002, 2011 and 2012 35 2002 30 2011

25 2012

20

Rate 15

10

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0 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60 Age

2.3 The under-16 abortion rate was 3.0 in 2012 compared with 3.4 in 2011 and 3.7 in 2002 and the under-18 rate was 12.8 in 2012, compared with 15.0 in 2011 and 17.8 in 2002. Rates for women up to age 33 were all lower than in 2011, and rates for women over age 33 were about the same as in 2011 (Table 3b).

Marital status

2.4 About four-fifths (81%) of abortions in 2012 were carried out for single women, a proportion that has risen slowly from 75% since 2002 (See Table 3a.v).

Ethnicity

2.5 The revised HSA4 forms introduced in 2002 allowed for the recording of ethnicity, as self- reported by the women involved. This information was not previously recorded. Ethnicity was recorded on 96% of the forms received for 2012 compared with 80% in 2003, the first full year of collection. Of women whose ethnicity was recorded in 2012, 76% were reported as White, 10% as Asian or Asian British and 9% as Black or Black British (See Table 3a.vi).

2.6 The percentage of women having an abortion in 2012 who had one or more previous abortions varies by ethnic group. 33% of Asian women having abortions in 2012 had previously had an abortion, compared with 49% of Black women (See Table A below).

10 Abortion Statistics, England and Wales: 2012

Table A: Percentage of women who had one or more previous abortions, by ethnicity,

England and Wales, 2012

Ethnicity % of women who had one or more previous abortions

Asian or Asian British 33%

Black or Black British 49%

Chinese or other ethnic group 34%

Mixed 46%

White 36%

All women 37%

Location and funding of abortions

2.7 Table 3a.i and Figure 3 show that in 2012, 35% of abortions were performed in NHS hospitals and 62% in approved independent sector places under NHS contract (previously named NHS Agency), making a total of 97% of abortions funded by the NHS. The remaining 3% were privately funded. The proportion performed under NHS contract has been rising steadily since this information was collected in 1981, while the proportions of NHS hospital and private abortions have been falling since 1995 and 1988 respectively.

Figure 3: Abortions by purchaser / provider, England and Wales, 1981 to 2012

100%

80%

60%

40%

20%

0% 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011

NHS Funded: NHS Hospital NHS Funded: Independent Sector Privately Funded

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Statutory grounds for abortion

2.8 In 2012, the vast majority (97%; 180,117) of abortions were undertaken under ground C and a further 1% (2,122) under ground D. A similar proportion was carried out under ground E (1%; 2,692). Grounds A and B together accounted for about a tenth of one per cent of abortions (190). The proportion of ground C abortions has risen steadily with a corresponding reduction in ground D cases (See Table 3a.ii).

2.9 The vast majority (99.94%) of ground C only terminations were reported as being performed because of a risk to the woman’s mental health. No further breakdown for F99 (mental disorder, not otherwise specified) is included in the International Classification of Diseases and therefore no further breakdown is possible within the report.

2.10 Main medical diagnoses for abortions performed under ground C which were not due to mental health (108 cases) were those performed because of; complications of pregnancy (51 cases) including hypertension, excessive vomiting, diabetes, amniotic fluid disorders and premature rupture of membranes; diseases of the circulatory system (8 cases); diseases of the blood and blood forming organs (7 cases); diseases of the genitourinary system (4 cases), and other maternal conditions unrelated to pregnancy such as cancer and epilepsy. At the time of publication, 17 cases did not have enough information to allocate a diagnosis code and are being followed up.

2.11 Grounds for abortion vary between regions. The proportion of abortions performed under ground D ranged between 6% in Wales and less than 1% in the South of England. (Table 8b)

2.12 The methods used for abortions performed under ground E are of interest to those working in fetal anomaly screening and medicine. In 2012, 75% of ground E abortions were performed medically compared to 48% of all abortions (Tables 9c and 7a).

2.13 Abortions are rarely performed under grounds F or G. In the past 10 years, 3 such abortions have been performed, 1 in each of years 2006, 2011 and 2012.

2.14 Congenital malformations were reported as the principal medical condition in nearly half (44%; 1,197) of the 2,692 cases undertaken under ground E. The most commonly reported malformations were of the nervous system (23% of all ground E cases; 607) and the cardiovascular system (7%; 191). Chromosomal abnormalities were reported as the principal medical condition for just over a third (38%; 1012) of ground E cases. Down’s syndrome was the most commonly reported chromosomal abnormality (20%; 544) (See Table 9a).

2.15 The Abortion Notification form HSA4 allows the recording of all medical conditions and other details associated with the ground. In previous years, only the principal medical condition was published. In 2012, Table 9a shows totals for all mentions of any medical condition recorded. For example, there were 1,676 mentions of a congenital malformation within the 2,692 Ground E cases.

2.16 No abortions in 2012 were associated with rubella under ground E. In the past 10 years, there have been 7 abortions associated with rubella: 2 in 2003, 3 in 2005, 1 in 2006 and 1 in 2007.

12 Abortion Statistics, England and Wales: 2012

Gestation period

2.17 The vast majority of abortions are performed at under 13 weeks (91% in 2012). There has been a continuing increase in the proportion of abortions that are performed under 10 weeks since 2002. In 2012, 77% of abortions were performed at under 10 weeks, compared to 78% in 2011 and 57% in 2002. In 2012 and 2011, there were similarities in the proportion performed later: in 2012, 14% were performed at 10-12 weeks (compared to 13% in 2011 and 30% in 2002) and 9% at 13 weeks or more (compared to 9% in 2011 and 13% in 2002) (See Table 3a.iii and Figure 4).

Figure 4: Abortions by gestation, England and Wales, 2001 to 2012

100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Under 10 weeks 10-12 weeks 13 or more weeks

2.18 Over three quarters (77%) of NHS funded abortions took place at under 10 weeks, ranging from 50% in NHS Barnsley to 88% in NHS Swindon (See Table 11). Department of Health policy is that women who are legally entitled to an abortion should have access to the procedure as soon as possible. Evidence shows that the risk of complications increases the later the gestation.

2.19 Abortions where gestation has exceeded its twenty-fourth week account for less than 0.1% of the total. There were 160 such abortions in 2012 (See Table 5 and Table 9a).

Previous abortions

2.20 In 2012, 37% of women undergoing abortions had one or more previous abortions. The proportion has risen from 31% since 2002 (See Table 3a.ix and Table 4b). 27% of abortions to women aged under 25 were to women who had one or more abortions (See Table 11b). Repeat unintended pregnancy and subsequent abortion is a complex issue associated with increased age as it allows longer for exposure to pregnancy risks (See Table B).

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Table B: Percentage of women who had one or more previous abortions, by age,

England and Wales, 2012

Age % of women who had one or more previous abortions

Under 18 8%

18-19 19%

20-24 34%

25-29 44%

30-34 47%

35 or over 46%

All women 37%

Previous obstetric history

2.21 In 2012, 52% of women undergoing abortions had one or more previous pregnancies that resulted in a live or stillbirth, up from 47% in 2002 (See Table 3a.vii). 17% of women had a previous pregnancy resulting in a miscarriage or ectopic pregnancy, up from 13% in 2002, when the information was first collected (See Table 3a.viii).

Method of abortion

2.22 Different methods may be used to terminate a pregnancy, depending on the duration of gestation, and other circumstances relating to the individual woman. There is one principal medical method, involving the use of the abortifacient drug Mifegyne (mifepristone, also known as RU486). The main surgical methods are vacuum aspiration, recommended at up to 15 weeks gestation, and dilatation and evacuation (D&E) recommended where gestation is greater than 15 weeks. D&E may be used in combination with vacuum aspiration; such cases are recorded in the statistics as D&E.

2.23 Medical abortions accounted for 48% of the total in 2012. The proportion of medical abortions has more than trebled in the last ten years, from 14% in 2002. There has been a continuing upward trend in medical abortions since 1991 when Mifegyne was licensed for use in the UK, when only 4% of abortions were undertaken using a medical procedure (See Table 3a.iv and Table 5). In 2012, 61% of abortions under 9 weeks were medical abortions compared with 18% in 2002. The choice of early medical abortion as a method of abortion is likely to have contributed to the increase in the overall percentage of

14 Abortion Statistics, England and Wales: 2012

abortions performed at under 10 weeks gestation (57% in 2002 compared with 77% in 2012). Early medical abortion is less invasive than a surgical procedure and does not involve use of anaesthetics.

2.24 The surgical procedure vacuum aspiration was used for 47% of all abortions in 2012; and Dilatation and Evacuation (D&E) alone in about 5% (See Table 3a.iv).

2.25 For abortions at 22 weeks or beyond, feticide is recommended prior to the evacuation of the uterus to stop the fetal heart. In 2012, of the 1,312 abortions performed at 22 weeks and over, 71% were reported as preceded by a feticide and a further 26% were performed by a method whereby the fetal heart is stopped as part of the procedure. 3% of abortions at 22 weeks or beyond were confirmed as having no feticide. For the remaining 8 cases, at the time of publication, we had not been able to confirm whether feticide had been performed.

Length of stay

2.26 In 2012, 320 women (0.2%) were reported as having a duration of stay of one or more nights. More than half of these stays were for abortions performed at later gestations of 20 weeks and over (See Table C).

Table C: Abortions requiring a length of stay of one or more nights, percentage breakdown by gestation, England and Wales, 2012

Gestation (weeks) % of those requiring a length % of all abortions of stay of one or more nights (Total = 100%) (Total = 100%)

Under 10 11% 77%

10-12 8% 14%

13-19 28% 7%

20 or over 54% 2%

Complications

2.27 Complications were reported in 278 cases in 2012, a rate of about one in every 700 abortions, the same as in 2011 and 41 per cent lower than in 2002 (See Table 8).

2.28 There were no deaths following abortion reported on form HSA4 in 2012. Deaths related to pregnancy and abortion are published in the ‘Confidential Enquiry into Maternal Deaths in the UK’ published by The Centre for Maternal and Child Enquiries (CMACE).

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Selective terminations

2.29 In 2012, there were 82 abortions which involved selective terminations. In 38 cases, two fetuses were reduced to one fetus. In 28 cases, three fetuses were reduced to two fetuses and in 11 cases three fetuses were reduced to one fetus. Over three quarters (76%) of the selective terminations were performed under ground E.

Chlamydia screening

2.30 The revised HSA4 forms introduced in 2002 allowed for the recording of whether chlamydia screening was offered. The Royal College of Obstetricians and Gynaecologists recommend that all women undergoing an abortion should be screened for C. trachomatis and undergo a risk assessment for other STIs. Chlamydia is the most commonly diagnosed STI in England. Infection of varying degrees of severity may occur after medical or surgical abortion and is usually caused by pre-existing infection. Prophylactic antibiotic use and bacterial screening for lower genital tract infection reduces this risk. Analysis of returned data for 2012 shows that 87% of women having abortions in 2012 were offered chlamydia screening, up from 65% in 2002 The figure for women aged under 25 is slightly higher (90%) (See Table 3a.x).

Place of residence within England and Wales

2.31 The place of residence details provided on the HSA4 form, are used to allocate each record to a Clinical Commissioning Group (CCG) for analysis. For Wales, records are allocated to their equivalents, Local Health Boards. Tables 10a, 10b and 11 show information for these areas.

Women resident outside England and Wales

2.32 In 2012, there were 5,850 abortions to women resident outside England and Wales, compared with 6,151 in 2011. Principally, these non-residents were from the Irish Republic (68%) and Northern Ireland (15%). See Tables 12a, c, and d. The number of abortions to non-residents has fallen each year since 2002, when the figure was 9,453. The 2012 total is the lowest in any year since 1969 (See Table 1 and Table 12a).

Abortions carried out in Great Britain

2.33 There were 203,419 abortions carried out in Great Britain in 2012, of which 94% took place in England and Wales and 6% took place in Scotland (See Table 13). Scotland perform the majority of abortions medically 86% compared to those performed in England and Wales where the proportions were surgical 53% and medical 47%. The proportion of women undergoing abortions who had one or more previous abortions was higher for women having abortions in England and Wales (36%) than those having abortions in Scotland (31%).

16 Index to Tables

Table Description

Table 1 Legal abortions: resident status and purchaser, 1968 to 2012

Table 2 Legal abortions: age by (i) purchaser, (ii) statutory grounds, (iii) gestation weeks, (iv) procedure, (v) marital status, (vi) ethnicity, (vii) parity, (viii) previous miscarriages, (ix) previous abortions, (x) chlamydia screening, residents of England and Wales, 2012

Table 3a Legal abortions: by (i) purchaser, (ii) statutory grounds, (iii) gestation weeks, (iv) procedure, (v) marital status, (vi) ethnicity, (vii) parity, (viii) previous miscarriages, (ix) previous abortions, (x) chlamydia screening, residents of England and Wales, 2002 to 2012

Table 3b Legal abortions: totals, rates and percentages by age group, residents of England and Wales, 2002 to 2012

Table 4a Legal abortions: by age, residents of England and Wales, 2012

Table 4b Legal abortions: number of previous abortions by age, residents of England and Wales, 2012

Table 5 Legal abortions: gestation weeks by purchaser and method of abortion, residents of England and Wales, 2012

Table 6 Legal abortions: gestation weeks by age and purchaser, residents of England and Wales, 2012

Table 7a Legal abortions: procedure by gestation weeks, residents of England and Wales, 2012

Table 7b Legal abortions: grounds by gestation weeks, residents of England and Wales, 2012

Table 8a Legal abortions: complication rates by procedure and gestation weeks, residents of England and Wales, 2012

Table 8b Legal abortions: grounds by region, residents of England and Wales, 2012

Table 9a Legal abortions: principal medical condition and all mentions of medical conditions, for abortions performed under ground E, residents of England and Wales, 2012 Table 9b Legal abortions performed under ground E by gestation weeks, residents of England and Wales, numbers, 2012 Table 9c Legal abortions performed under ground E by gestation weeks, residents of England and Wales, percentages, 2012 Table 10a Legal abortions: numbers by Clinical Commissioning Groups (England) and Locality Office (Wales) of residence, by age, 2012 Table 10b Legal abortions: rates by Clinical Commissioning Groups (England) and Locality Office (Wales) of residence, by age, 2012 Table 10c Legal abortions: numbers by age and Local Authority, England residents, 2012 Table 10d Legal abortions: rates by age and Local Authority, England residents, 2012 Table 11a Legal abortions: purchaser, gestation weeks and Sexual Health Indicator by Clinical Commissioning Group (England) and Locality Office (Wales) of residence, 2012 Table 11b Legal abortions: method of abortion and repeat abortions, all ages, aged under 25 and 25 and over, by Clinical Commissioning Group (England) and Locality Office (Wales) of residence, 2012 Table 12a Legal abortions: non residents of England & Wales by country of residence, 2012 Table 12b Legal abortions: non residents of England & Wales by (i) age, (ii) statutory grounds and (iii) gestation weeks, 2012 Table 12c Legal abortions: country of residence by age and gestation weeks, 2012 Table 12d Legal abortions: residents of Irish Republic by county, 2012 Table 13 Legal abortions: countries of Great Britain by (i) age, (ii) gestation, (iii) procedure, (iv) parity, (v) previous abortions, (vi) grounds and (vii) principal medical condition for abortions performed under ground E, 2012

17 Table 1: Legal abortions: resident status and purchaser, 1968 to 2012

England and Wales, residents and non-residents

Year Total Residents Non-residents

Privately Rate per 1,000 women NHS Funded Funded residents aged 15-44

Total NHS Independent Total Hospital Sector2 ASR 3 Crude

1968 1 23,641 22,332 14,492 . 7,840 . . 1,309 1969 54,819 49,829 33,562 . 16,267 5.2 5.3 4,990 1970 86,565 75,962 47,370 . 28,592 8.0 8.1 10,603

1971 126,777 94,570 53,455 . 41,115 9.9 10.1 32,207 1972 159,884 108,565 56,861 . 51,704 11.3 11.5 51,319 1973 167,149 110,568 55,456 . 55,112 11.4 11.7 56,581 1974 162,940 109,445 56,076 . 53,369 11.2 11.5 53,495 1975 139,702 106,224 50,941 . 55,283 10.8 11.1 33,478

1976 129,673 101,912 50,569 . 51,343 10.2 10.5 27,761 1977 133,004 102,677 52,530 . 50,147 10.1 10.5 30,327 1978 141,558 111,851 55,040 . 56,811 10.9 11.3 29,707 1979 149,746 120,611 55,558 . 65,053 11.5 12.0 29,135 1980 160,903 128,927 60,594 . 68,333 12.1 12.6 31,976

1981 162,480 128,581 61,103 2,343 65,135 11.9 12.4 33,899 1982 163,045 128,553 62,409 4,425 61,719 11.8 12.3 34,492 1983 162,161 127,375 62,609 4,614 60,152 11.5 12.1 34,786 1984 169,993 136,388 64,823 4,912 66,653 12.2 12.8 33,605 1985 171,873 141,101 65,176 5,929 69,996 12.5 13.1 30,772

1986 172,286 147,619 67,451 6,819 73,349 13.0 13.5 24,667 1987 174,276 156,191 69,442 8,041 78,708 13.7 14.2 18,085 1988 183,798 168,298 69,103 9,357 89,838 14.8 15.3 15,500 1989 183,974 170,463 70,722 9,200 90,541 15.1 15.5 13,511 1990 186,912 173,900 73,517 9,582 90,801 15.5 15.8 13,012

1991 179,522 167,376 75,172 9,197 83,007 15.0 15.2 12,146 1992 172,069 160,501 79,543 11,982 68,976 14.6 14.8 11,568 1993 168,714 157,846 84,071 14,835 58,940 14.5 14.7 10,868 1994 166,876 156,539 85,243 19,551 51,745 14.6 14.6 10,337 1995 163,638 154,315 84,478 24,363 45,474 14.5 14.4 9,323

1996 177,495 167,916 88,410 33,255 46,251 16.0 15.7 9,579 1997 179,746 170,145 86,414 37,472 46,259 16.3 15.9 9,601 1998 187,402 177,871 87,568 44,332 45,971 17.2 16.6 9,531 1999 183,250 173,701 84,992 43,266 45,443 16.8 16.2 9,549 2000 185,375 175,542 81,074 50,400 44,068 17.0 16.3 9,833

2001 186,274 176,364 76,166 58,445 41,753 17.1 16.3 9,910 2002 185,385 175,932 73,544 63,938 38,450 17.0 16.2 9,453 2003 190,660 181,582 75,791 69,133 36,658 17.5 16.6 9,078 2004 194,498 185,713 4 75,328 77,289 33,096 17.8 16.9 8,785 2005 194,353 186,416 74,744 82,518 29,154 17.8 17.0 7,937

2006 201,173 193,737 75,328 92,494 25,915 18.3 17.5 7,436 2007 205,598 198,499 75,518 100,195 22,786 18.6 17.9 7,099 2008 202,158 195,296 74,433 103,905 16,958 18.2 17.6 6,862 2009 195,743 189,100 71,477 106,161 11,462 17.5 17.0 6,643 2010 196,109 189,574 69,529 111,775 8,270 17.5 17.1 6,535

2011 196,082 189,931 66,470 116,582 6,879 17.5 17.2 6,151 2012 190,972 185,122 64,399 114,999 5,724 16.5 16.4 5,850

1 1968 figures contain only 8 months data as the legislation came into effect on 27 April 1968. 2 the collection of information on independent sector commenced in 1981. 3 rates for all women residents age-standardised to the European population for ages 15-44. See Annex A for further details. 4 revised England and Wales total. . Not applicable: see footnotes 1 and 2.

18 Table 2: Legal abortions: age by (i) purchaser, (ii) statutory grounds, (iii) gestation weeks, (iv) procedure, (v) marital status, (vi) ethnicity, (vii) parity, (viii) previous miscarriages, (ix) previous abortions, (x) chlamydia screening, residents of England and Wales, 2012

England and Wales, residents numbers and percentages

All ages Under 20 20-34 35 and over no. % no. % no. % no. % All legal abortions 185,122 100% 31,380 100% 126,793 100% 26,949 100%

(i) Purchaser 0% 0% NHS Funded: NHS Hospital 64,399 35 11,936 38 43,656 34 8,807 33 NHS Funded: Independent Sector 114,999 62 19,148 61 79,339 63 16,512 61 Privately Funded 5,724 3 296 1 3,798 3 1,630 6 (ii) Statutory grounds A (alone or with B, C or D) 60 0 2 0 39 0 19 0 B (alone) 85 0 10 0 57 0 18 0 B (with C or D) 45 0 4 0 35 0 6 0 C (alone) 180,117 97 31,161 99 123,450 97 25,506 95 D (alone, or with C) 2,122 1 123 0 1,588 1 411 2 E (alone or with A, B, C, or D) 2,692 1 80 0 1,623 1 989 4 F or G 1 0 0 0 1 0 0 0 (iii) Gestation weeks 3 - 9 143,364 77 22,678 72 99,346 78 21,340 79 10 - 12 25,084 14 5,100 16 16,807 13 3,177 12 13 -19 13,814 7 3,009 10 8,785 7 2,020 7 20 and over 2,860 2 593 2 1,855 1 412 2

(iv) Procedure Surgical 95,799 52 15,988 51 65,096 51 14,715 55 Medical 89,323 48 15,392 49 61,697 49 12,234 45

1 (v) Marital status 0 0 0 0 Single no partner 44,923 26 9,651 33 31,266 26 4,006 16 Single with partner 86,764 50 17,310 59 60,978 51 8,476 33 Single not stated 10,387 6 2,391 8 7,159 6 837 3 Married/civil partnership 28,828 16 158 1 18,242 15 10,428 41 Separated/widowed/divorced 4,350 2 42 0 2,575 2 1,733 7 Not known & not stated 9,870 1,828 6,573 1,469

(vi) Ethnicity 1 White - British 119,932 68 24,089 81 79,837 66 16,006 62 White - Irish 852 0 97 0 582 0 173 1 White - Any other White background 13,948 8 1,024 3 10,438 9 2,486 10 Mixed - White and Black Caribbean 2,279 1 598 2 1,555 1 126 0 Mixed - White and Black African 723 0 141 0 510 0 72 0 Mixed - White and Asian 739 0 143 0 523 0 73 0 Mixed - Any Other 1,773 1 357 1 1,222 1 194 1 Asian or Asian British - Indian 6,585 4 307 1 5,082 4 1,196 5 Asian or Asian British - Pakistani 3,864 2 359 1 2,779 2 726 3 Asian or Asian British - Bangladeshi 1,701 1 178 1 1,250 1 273 1 Asian - Any other Asian background 5,068 3 346 1 3,661 3 1,061 4 Black or Black British - Caribbean 4,617 3 785 3 3,191 3 641 2 Black or Black British - African 9,814 6 1,014 3 7,056 6 1,744 7 Black or Black British - Any other 908 1 143 0 658 1 107 0 Chinese 1,852 1 96 0 1,440 1 316 1 Any other ethnic group 2,572 1 214 1 1,778 1 580 2 Not known/not stated 7,895 1,489 5,231 1,175

(vii) Parity (number of previous pregnancies resulting in live or still birth) 0 88,307 48 27,552 88 57,012 45 3,743 14 1+ 96,815 52 3,828 12 69,781 55 23,206 86

(viii) Number of previous pregnancies resulting in spontaneous miscarriage and ectopic pregnancies 0 152,994 83 29,825 95 104,241 82 18,928 70 1+ 32,128 17 1,555 5 22,552 18 8,021 30

(ix) Number of previous pregnancies resulting in abortion under the Act 0 117,166 63 26,969 86 75,525 60 14,672 54 1+ 67,956 37 4,411 14 51,268 40 12,277 46

(x) Chlamydia screening Offered 160,419 87 28,476 91 109,521 86 22,422 83 Not offered 24,703 13 2,907 9 17,264 14 4,532 17

1 percentages exclude not known and not stated

19 Table 3a: Legal abortions: by (i) purchaser, (ii) statutory grounds, (iii) gestation weeks, (iv) procedure, (v) marital status, (vi) ethnicity, (vii) parity, (viii) previous miscarriages, (ix) previous abortions, (x) chlamydia screening, residents of England and Wales 2002 to 2012

England and Wales, residents percentages

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

All legal abortions ( =100% ) 175,932 181,582 185,713 2 186,416 193,737 198,499 195,296 189,100 189,574 189,931 185,122

(i) Purchaser NHS Funded: NHS Hospital 42 42 40 40 39 38 38 38 37 35 35 NHS Funded: Independent Sector 36 38 42 44 48 50 53 56 59 61 62 Privately Funded 22 20 18 16 13 11 9 6 4 4 3

(ii) Statutory grounds A (alone or with B, C or D) or F or G 0 0 0 0 0 0 0 0 0 0 0 B (alone or with C or D) 1 1 1 1 1 0 0 0 0 0 0 C (alone) 94 94 95 96 97 98 98 97 98 98 97 D (alone, or with C) 4 3 3 2 1 1 1 1 1 1 1 E (alone or with A, B, C, or D) 1 1 1 1 1 1 1 1 1 1 1

(iii) Gestation weeks 3 - 9 57 58 60 67 68 70 73 75 77 78 77 10 - 12 30 29 27 23 22 20 17 16 15 13 14 13 - 19 11 11 11 9 9 9 8 8 7 7 7 20 and over 2 2 2 1 2 1 1 1 1 1 2

(iv) Procedure Vacuum aspiration 81 80 76 71 64 60 57 54 52 48 47 Dilatation and evacuation 4 3 4 5 6 5 5 5 5 5 5 Other surgical 0 0 0 0 0 0 0 0 0 0 0 All surgical 86 83 80 76 70 65 62 60 57 53 52

Antiprogesterone with or without prostaglandin 14 16 19 24 30 34 37 40 43 47 47 Other medical agent 0 0 0 0 0 0 0 0 0 1 1 All medical 14 17 20 24 30 34 37 40 43 47 48

(v) Marital status 1 Single no partner 25 35 31 33 32 31 29 29 26 26 26 Single with partner 17 30 29 31 36 42 42 43 49 49 50 Single not stated 32 11 17 15 12 8 9 11 6 6 6 Single (total) 75 76 77 79 80 81 81 82 81 81 81 Married/civil partnership 20 19 18 17 17 16 16 15 16 16 16 Separated 3 2 2 2 2 2 2 2 2 2 2 Widowed 0 0 0 0 0 0 0 0 0 0 0 Divorced 2 2 2 2 2 1 1 1 1 1 1

(vi) Ethnicity 1 White 75 76 75 74 75 75 76 76 76 76 76 Mixed 3 2 2 2 3 3 3 3 3 3 2 Asian or Asian British 7 7 7 8 8 8 8 9 10 10 10 Black or Black British 12 12 13 13 12 11 10 10 9 9 9 Chinese or other ethnic group 3 3 3 3 2 3 3 2 2 2 2

(vii) Parity (number of previous pregnancies resulting in live or stillbirth) 0 53 53 53 53 53 53 52 51 50 49 48 1+ 47 47 47 47 47 47 48 49 50 51 52

(viii) Number of previous pregnancies resulting in spontaneous miscarriage and ectopic pregnancies 0 87 87 86 86 86 86 85 85 84 83 83 1+ 13 13 14 14 14 14 15 15 16 17 17

(ix) Number of previous pregnancies resulting in abortion under the Act 0 69 68 68 68 68 68 67 66 66 64 63 1+ 31 32 32 32 32 32 33 34 34 36 37

(x) Chlamydia screening Offered 65 65 69 71 72 73 73 79 84 88 87 Not offered 35 35 31 29 28 27 27 21 16 12 13

1 percentages exclude not known and not stated 2 revised England and Wales total Note: percentages are rounded and may not add up to 100

20 Table 3b: Legal abortions: totals, rates and percentages by age group, resdients of England and Wales, 2002 to 2012

England and Wales, residents numbers, rates and percentages

Age 2002 2003 2004 2 2005 2006 2007 2008 2009 2010 2011 2012

Number All ages 175,932 181,582 185,713 186,416 193,737 198,499 195,296 189,100 189,574 189,931 185,122 Under 16 3,733 3,967 3,756 3,786 3,990 4,376 4,113 3,823 3,718 3,258 2,925 16-17 13,716 14,155 14,136 14,237 14,629 15,913 15,273 14,093 12,742 11,341 9,948 Under 18 17,449 18,122 17,892 18,023 18,619 20,289 19,386 17,916 16,460 14,599 12,873 18-19 19,269 20,092 21,250 21,076 22,667 23,666 23,303 22,151 21,809 20,324 18,507 20-24 48,359 51,201 52,701 53,342 55,340 56,963 56,172 54,749 55,481 55,909 54,558 25-29 35,795 36,018 37,759 38,330 40,396 41,704 41,896 40,634 40,800 42,321 41,882 30-34 28,503 28,749 28,064 27,836 28,153 27,257 26,985 26,701 27,978 29,579 30,353 35 or over 26,438 27,400 27,749 27,809 28,562 28,620 27,554 26,949 27,046 27,199 26,949 Age not stated 119 ......

Crude rate per 1,000 women 1 All ages 16.2 16.6 16.9 17.0 17.5 17.9 17.6 17.0 17.1 17.2 16.4 Under 16 3.7 3.9 3.7 3.7 3.9 4.4 4.2 4.0 3.9 3.4 3.0 16-17 21.1 21.5 21.0 21.1 21.4 23.4 22.2 20.5 18.9 17.2 14.7 Under 18 17.8 18.2 17.8 17.8 18.2 19.8 18.9 17.6 16.5 15.0 12.8 18-19 30.7 30.8 31.9 31.6 33.3 34.3 33.3 31.6 30.7 28.8 25.9 20-24 30.1 31.2 31.9 32.0 32.5 32.6 31.6 30.0 30.2 30.1 29.0 25-29 21.4 22.1 23.3 23.6 24.3 24.3 23.9 22.8 22.5 22.9 21.8 30-34 14.2 14.6 14.5 14.5 15.1 15.1 15.6 15.7 16.5 17.2 16.4 35 or over 6.6 6.8 6.8 6.8 6.9 6.9 6.7 6.6 6.7 6.9 6.9

Percentage Under 16 2 2 2 2 2 2 2 2 2 2 2 16-17 8 8 8 8 8 8 8 7 7 6 5 Under 18 10 10 10 10 10 10 10 9 9 8 7 18-19 11 11 11 11 12 12 12 12 12 11 10 20-24 27 28 28 29 29 29 29 29 29 29 29 25-29 20 20 20 21 21 21 21 21 22 22 23 30-34 16 16 15 15 15 14 14 14 15 16 16 35 or over 15 15 15 15 15 14 14 14 14 14 15

1rates for all ages, under 16 and under 18 are based on the mid-year population estimates for 15-44, 13-15 and 15-17 respectively. See Annex A for further details. 2 revised England and Wales total. . not applicable: records where age was not stated have been distributed pro-rata across age group 20-24. Note: percentages are rounded and may not add up to 100

21 Table 4a: Legal abortions: by age, residents of England and Wales, 2012

England and Wales, residents numbers and rates

Crude rates Crude rates Age Total per 1,000 Age Total per 1,000 women 1 women 1

All ages 185,122 16

Under 15 841 1 30-34 30,353 16

Under 14 142 0 30 6,927 18 14 699 2 31 6,729 17 32 6,282 17 Under 16 2,925 3 33 5,682 16 Under 18 12,873 13 34 4,733 14

15-19 30,539 18 35-39 18,523 10

15 2,084 6 35 4,406 13 16 3,913 12 36 4,053 11 17 6,035 18 37 3,813 10 18 8,277 24 38 3,326 9 19 10,230 28 39 2,925 7

20-24 54,558 29 40-44 7,737 4

20 11,090 30 40 2,583 6 21 11,426 31 41 2,083 5 22 11,048 30 42 1,448 3 23 10,562 27 43 974 2 24 10,432 27 44 649 2

25-29 41,882 22 45-49 662 0

25 9,374 25 45 322 1 26 9,066 23 46 201 0 27 8,418 22 47 76 0 28 7,787 20 48 47 0 29 7,237 19 49 16 0

50 and over 27

1 rates for all ages, under 14, under 15, under 16 and under 18 are based on mid-2010 population estimates for 15-44, 13, 13-14, 13-15 and 15-17 respectively. See Annex A for further details. . rate not available. Records where age was not stated have been distributed pro-rata across age group 20-24.

Table 4b: Legal abortions: number of previous abortions by age, residents of England and Wales, 2012

England and Wales, residents numbers and percentages

Number of Total under 16 16 and 17 18 and 19 20 - 24 25 - 29 30 or over previous abortions no. % no. % no. % no. % no. % no. % no. %

0 117,166 63 2,836 97 9,118 92 15,015 81 35,966 66 23,405 56 30,826 54 1 50,454 27 84 3 779 8 3,054 17 14,658 27 13,265 32 18,614 32 2 12,974 7 4 0 48 0 392 2 3,152 6 3,818 9 5,560 10 3 3,194 2 1 0 3 0 44 0 577 1 999 2 1,570 3 4 914 0 0 0 0 0 2 0 153 0 281 1 478 1 5 267 0 0 0 0 0 0 0 36 0 75 0 156 0 6 91 0 0 0 0 0 0 0 10 0 28 0 53 0 7 29 0 0 0 0 0 0 0 5 0 5 0 19 0 8 or more 33 0 0 0 0 0 0 0 1 0 6 0 26 0

Total 185,122 2,925 9,948 18,507 54,558 41,882 57,302

Note: percentages are rounded and may not add up to 100

22 Table 5: Legal abortions: gestation weeks by purchaser and method of abortion, residents of England and Wales, 2012

England and Wales, residents percentages

Gestation weeks Total number Purchaser (%) Method (%) of abortions NHS Funded Privately Funded Medical Surgical NHS Independent Hospital Sector

Total 185,122 35 62 3 48 52

3 and 4 1,007 13 80 7 73 27 5 16,855 24 71 6 74 26 6 40,946 26 69 4 67 33 7 38,540 32 65 3 57 43

8 29,685 41 57 2 50 50 9 16,331 47 51 2 24 76 10 11,878 48 50 2 13 87 11 7,677 46 53 2 14 86

12 5,529 46 52 2 18 82 13 4,004 39 58 2 24 76 14 3,032 36 62 2 26 74 15 2,207 31 67 2 25 75

16 1,620 30 68 2 26 74 17 1,337 27 70 3 24 76 18 1,004 20 77 3 18 82 19 610 26 72 1 22 78

20 764 33 65 2 32 68 21 784 39 59 2 40 60 22 596 29 68 3 29 71 23 1 556 20 77 3 20 80

Over 24 weeks 1 160 100 . . 93 8 24 1 32 100 . . 97 3 25 29 100 . . 100 0 26-27 33 100 . . 97 3 28-31 38 100 . . 89 11 32 and over 28 100 . . 79 21

Total 185,122 35 62 3 48 52

3-8 127,033 31 65 4 61 39 9-12 41,415 47 51 2 18 82 13-19 13,814 33 65 2 24 76

20-23 1 2,700 31 68 2 31 69

Over 24 weeks 1 160 100 0 0 93 8

1 24 weeks and 0 days gestation is included in 23 weeks, because the legislation distinguishes between abortions up to 24 weeks and over 24 weeks . not applicable: abortions undertaken at over 24 weeks can only be carried out in an NHS hospital Note: percentages are rounded and may not add up to 100

23 Table 6: Legal abortions: gestation weeks by age and purchaser, residents of England and Wales, 2012 England and Wales, residents percentages

35 and Purchaser Gestation weeks All ages 1 Under 20 20-34 over

Total Total number 185,122 31,380 126,793 26,949 % breakdown by age 100 17 68 15

All gestations 100 100 100 100 3-9 77 72 78 79 10-12 14 16 13 12 13-19 7 10 7 7 20 and over 2 2 1 2

NHS Funded: NHS Hospital Total number 64,399 11,936 43,656 8,807 % breakdown by age 100 19 68 14

All gestations 100 100 100 100 3-9 73 73 74 69 10-12 18 20 18 17 13-19 7 7 6 11 20 and over 2 0 2 3

NHS Funded: Independent Sector Total number 114,999 19,148 79,339 16,512 % breakdown by age 100 17 69 14

All gestations 100 100 100 100 3-9 79 72 80 84 10-12 11 14 11 10 13-19 8 11 7 6 20 and over 2 3 1 1

Privately Funded Total number 5,724 296 3,798 1,630 % breakdown by age 100 5 66 28

All gestations 100 100 100 100 3-9 86 81 86 87 10-12 8 11 7 7 13-19 5 6 6 5 20 and over 1 2 1 1

1 age not stated have been distributed pro-rata across age group 20-24 Note: percentages are rounded and may not add up to 100

24 Table 7a: Legal abortions: procedure by gestation weeks, residents of England and Wales, 2012 England and Wales, residents percentages

Procedure Gestation weeks

Total 3 - 9 10 - 12 13 - 14 15 - 19 20 and over

Total abortions 185,122 143,364 25,084 7,036 6,778 2,860 Surgical 52 43 85 75 76 65 Vacuum Aspiration 47 43 82 56 4 0 Dilatation and Evacuation 5 0 4 19 71 43 Feticide with a surgical evacuation 1 0 0 0 0 1 22

Medical 48 57 15 25 24 35 Antiprogesterone with or without prostaglandin 47 56 15 24 22 16 Other medical agent 1 1 0 1 1 1 Feticide with a medical evacuation 0 0 0 0 0 17

1includes feticide with no method of evacuation and surgical 'other'. Note: percentages are rounded and may not add to 100

Table 7b: Legal abortions: grounds by gestation weeks, residents of England and Wales, 2012

England and Wales, residents numbers

Gestation weeks

Grounds Total 3 - 9 10 - 12 13 - 19 20 and over

A (alone, or with B, C, D) or F or G 61 14 9 21 17 B (alone, or with C or D) 130 81 21 18 10 C (alone) 180,117 141,644 24,257 12,259 1,957 D (alone, or with C) 2,122 1,605 431 85 1 E (alone, or with A, B, C or D) 2,692 20 366 1,431 875

Total 185,122 143,364 25,084 13,814 2,860

25 Table 8a: Legal abortions: complication1 rates by procedure and gestation weeks, residents of England and Wales, 2012

England and Wales, residents complication rates per 1,000 abortions

Gestation Total Procedure weeks all procedures Surgical Medical

Total complications (numbers) 278 91 187

Rate, all gestations 2 1 2

3 - 9 1 1 1

10 - 12 2 2 3

13 - 19 5 1 16

20 and over 12 3 29

1complications include: haemorrhage, uterine perforation and/or sepsis and are those reported up to the time ofdischarge from the place of termination

Table 8b: Legal abortions: grounds by region, residents of England and Wales, 2012

England and Wales, residents percentages

England North Midlands and South of and Wales England of England East of England London England Wales

Total all grounds 185,122 176,480 46,173 48,114 45,311 36,882 8,642 A (alone or with B, C or D) or F or G 0 0 0 0 0 0 0 B (alone or with C or D) 0 0 0 0 0 0 0 C (alone) 97 97 97 97 98 98 93 D (alone, or with C) 1 1 1 1 1 0 6 E (alone or with A, B, C, or D) 1 2 1 2 1 2 0 100 100 100 100 100 100 100

26 Table 9a: Legal abortions: principal medical condition and total mentions of medical conditions for abortions performed under ground E, residents of England and Wales, 2012

England and Wales, residents numbers and percentages

Number of Number of abortions by mentions by Over 24 weeks principal principal gestation ICD-10 code Condition medical condition medical condition

number % number % number %

Total ground E alone or with any other 1 2,692 100 160 100

Q00-Q89 Congenital malformations total 1,197 44 1,676 49 106 66

Q00-Q07 the nervous system total 607 23 755 22 69 43

Q00 anencephaly 208 8 216 6 5 3 Q01 encephalocele 33 1 39 1 1 1 Q02 microcephaly 6 0 13 0 4 3 Q03 hydrocephalus 26 1 36 1 3 2 Q04 other malformations of the brain 109 4 156 5 30 19 Q05 spina bifida 149 6 167 5 5 3 Q06-Q07 other 76 3 128 4 21 13 Q10-Q18 the eye, ear, face and neck 2 0 2 0 0 0 Q20-Q28 the cardiovascular system 191 7 305 9 12 8 Q30-Q34 the respiratory system 16 1 26 1 1 1 Q35-Q37 cleft lip and cleft palate 4 0 12 0 0 0 Q38-Q45 other malformations of the digestive system 6 0 16 0 1 1 Q60-Q64 the urinary system 104 4 162 5 7 4 Q65-Q79 the musculoskeletal system 174 6 287 8 11 7 Q80-Q85 the skin, breast integument phakomatoses 7 0 11 0 1 1 Q86-Q89 other 86 3 100 3 4 3 Q90-Q99 Chromosomal abnormalities total 1,012 38 1,088 32 32 20

Q90 Down’s syndrome 544 20 570 17 3 2 Q910-Q913 Edwards’ syndrome 211 8 226 7 8 5 Q914-Q917 Patau’s syndrome 79 3 93 3 7 4 Q92-Q99 other 178 7 199 6 14 9 Other conditions total 483 18 663 19 22 14 P00-P04 fetus affected by maternal factors 165 6 235 7 1 1 P05-P08 fetal disorders related to gestation and growth 27 1 38 1 11 7 P35-P39 fetus affected by congenital infectious disease 0 0 0 0 0 0 P529 intercranial nontraumatic haemorrhage of fetus 7 0 7 0 4 3 P832-P833 hydrop fetalis not due to haemolytic disease 39 1 81 2 1 1 O30 multiple gestation 39 1 45 1 0 0 O41 disorder of the amniotic fluids 4 0 8 0 0 0 Z20-Z22 exposure to communicable disease 6 0 7 0 5 3 Z80-Z84 family history of heritable disorder 154 6 191 6 0 0 E84 cystic fibrosis 15 1 17 0 0 0 G71 disorder of the muscles 11 0 18 1 0 0 other 11 0 11 0 0 0 not known* 5 0 5 0 0 0

1 ICD-10 codes are taken from the International Statistical Classification of Diseases and Related Health problems (Tenth Revision) published by the World Health Organisation (WHO) 2 the all mentions totals show abortions where more than one medical condition is reported. Totals therefore do not equal the number of abortions performed under Ground E Other conditions in 'other' may be available by ICD-10 code on request. * 'not known' includes 1 case which on further investigation was found to be performed under ground C and not ground E, and too late to amend the tables. Note: percentages are rounded and may not add up to 100

27 Table 9b: Legal abortions performed under ground E by gestation weeks, residents of England and Wales, numbers, 2012

England and Wales, residents numbers

Gestation weeks for abortions performed under ground E

Procedure Total under 13 13 & 14 15 & 16 17 to 19 20 & 21 22 and over

Total abortions 2,692 386 795 353 283 482 393

Surgical 676 213 344 72 28 6 13 Vacuum Aspiration 452 175 261 16 0 0 0 Dilatation and Evacuation 154 16 64 52 19 3 0 Feticide with a surgical evacuation 1 70 22 19 4 9 3 13

Medical 2,016 173 451 281 255 476 380 Antiprogesterone with or 1,463 165 420 256 221 372 29 without prostaglandin Other medical agent 127 8 31 25 29 24 10 Feticide with a medical evacuation 2 426 0 0 0 5 80 341

1 includes feticide with no method of evacuation and surgical 'other'. 2 includes 8 cases where use of feticide was not confirmed at time of publication.

Table 9c: Legal abortions performed under ground E by gestation weeks, residents of England and Wales, percentages, 2012

England and Wales, residents percentages

Gestation weeks for abortions performed under ground E

Procedure Total under 13 13 & 14 15 & 16 17 to 19 20 & 21 22 and over

Total abortions 2,692 386 795 353 283 482 393

Surgical 25 55 43 20 10 1 3

Vacuum Aspiration 17 45 33 5 0 0 0 Dilatation and Evacuation 6 4 8 15 7 1 0 Feticide with a surgical evacuation 1 3 6 2 1 3 1 3

Medical 75 45 57 80 90 99 97

Antiprogesterone with or 54 43 53 73 78 77 7 without prostaglandin Other medical agent 5 2 4 7 10 5 3 Feticide with a medical evacuation 2 16 0 0 0 2 17 87

1 includes feticide with no method of evacuation and surgical 'other'. 2 includes 8 cases where use of feticide was not confirmed at time of publication.

28 Table 10a: Legal abortions: numbers by Clinical Commissioning Group (England) and Locality Office (Wales) of residence, by age, 2012

EnglandEngland and and Wales.Wales, Residentsresidents numbers

Age

Total PrimaryClinical CareCommissioning Organisation/ Groups/ number 95% Locality Office of confidence Under abortions interval 18 18-19 20-24 25-29 30-34 35 +

England and Wales 185,122 184,280 - 185,967 12,873 18,507 54,558 41,882 30,353 26,949 England 176,480 175,658 - 177,305 12,171 17,530 51,824 40,018 29,119 25,818 E40000001 Y54 North Of England 46,173 45,753 - 46,596 3,738 5,068 14,586 10,223 6,865 5,693

E39000001 Q44 Cheshire, Warrington and Wirral 3,502 3,387 - 3,620 281 418 1,072 770 484 477 E38000056 01C NHS Eastern Cheshire 462 421 - 506 35 64 122 101 66 74 E38000151 01R NHS South Cheshire 412 373 - 454 35 49 139 88 48 53 E38000189 02D NHS Vale Royal 255 225 - 288 24 23 76 51 41 40 E38000194 02E NHS Warrington 628 580 - 679 44 74 170 141 90 109 E38000196 02F NHS West Cheshire 633 585 - 684 47 86 203 118 101 78 E38000208 12F NHS Wirral 1,112 1,048 - 1,179 96 122 362 271 138 123

E39000002 Q45 Durham, Darlington and Tees 3,078 2,970 - 3,189 314 335 958 638 465 368 E38000042 00C NHS Darlington 291 259 - 326 32 30 89 55 42 43 E38000047 00D NHS Durham Dales, Easington & Sedgefield 670 620 - 723 66 80 200 135 113 76 E38000075 00K NHS Hartlepool and Stockton-on-Tees 789 735 - 846 82 73 246 177 121 90 E38000116 00J NHS North Durham 494 451 - 540 53 64 154 88 64 71 E38000162 00M NHS South Tees 834 778 - 893 81 88 269 183 125 88

E39000003 Q46 Greater Manchester 10,680 10,478 - 10,885 767 1,117 3,310 2,552 1,666 1,268 E38000016 00T NHS Bolton 969 909 - 1032 80 97 273 219 177 123 E38000024 00V NHS Bury 694 643 - 748 61 72 209 156 99 97 E38000032 00W NHS Central Manchester 1,028 966 - 1093 50 99 343 245 164 127 E38000080 01D NHS Heywood, Middleton & Rochdale 750 697 - 806 65 71 268 168 94 84 E38000123 01M NHS North Manchester 1,042 980 - 1107 71 95 299 305 148 124 E38000135 00Y NHS Oldham 818 763 - 876 67 93 242 209 118 89 E38000143 01G NHS Salford 1,135 1,070 - 1,203 81 113 385 271 183 102 E38000158 01N NHS South Manchester 802 747 - 859 47 88 272 190 127 78 E38000174 01W NHS Stockport 868 811 - 928 65 92 252 201 136 122 E38000182 01Y NHS Tameside and Glossop 906 848 - 967 61 92 290 216 142 105 E38000187 02A NHS Trafford 774 720 - 831 44 98 210 169 137 116 E38000205 02H NHS Wigan Borough 894 836 - 955 75 107 267 203 141 101

E39000004 Q47 Lancashire 4,358 4,230 - 4,489 348 517 1,391 911 656 535 E38000014 00Q NHS Blackburn with Darwen 489 447 - 534 40 48 130 116 89 66 E38000015 00R NHS Blackpool 528 484 - 575 47 66 163 125 69 58 E38000034 00X NHS Chorley and South Ribble 457 416 - 501 40 36 159 80 75 67 E38000050 01A NHS East Lancashire 1,192 1,125 - 1,262 97 148 381 245 187 134 E38000060 02M NHS Fylde & Wyre 381 344 - 421 36 34 126 74 63 48 E38000065 01E NHS Greater Preston 631 583 - 682 39 81 209 148 79 75 E38000093 01K NHS Lancashire North 353 317 - 392 27 54 121 64 39 48 E38000200 02G NHS West Lancashire 327 293 - 364 22 50 102 59 55 39

E39000005 Q48 Merseyside 4,924 4,787 - 5,063 369 522 1,653 1,093 742 545 E38000068 01F NHS Halton 547 502 - 595 44 63 160 131 77 72 E38000091 01J NHS Knowsley 676 626 - 729 62 66 211 158 108 71 E38000101 99A NHS Liverpool 2,257 2,165 - 2,352 141 217 817 494 350 238 E38000161 01T NHS South Sefton 609 562 - 659 49 79 202 130 92 57 E38000170 01V NHS Southport and Formby 275 243 - 309 20 31 96 64 28 36 E38000172 01X NHS St Helens 560 515 - 608 53 66 167 116 87 71

E39000006 Q49 Cumbria, Northumberland, Tyne and Wear 4,845 4,710 - 4,983 446 560 1,510 1,018 704 607 E38000041 01H NHS Cumbria 1,077 1,014 - 1,143 100 137 333 215 159 133 E38000061 00F NHS Gateshead 505 462 - 551 48 49 156 102 77 73 E38000111 00G NHS Newcastle North and East 450 409 - 494 28 55 171 98 56 42 E38000112 00H NHS Newcastle West 507 464 - 553 40 44 169 121 67 66 E38000127 99C NHS North Tyneside 557 512 - 605 52 60 165 112 89 79 E38000130 00L NHS Northumberland 626 578 - 677 54 84 170 138 87 93 E38000163 00N NHS South Tyneside 340 305 - 378 28 42 103 70 56 41 E38000176 00P NHS Sunderland 783 729 - 840 96 89 243 162 113 80

E39000007 Q50 North Yorkshire and Humber 3,181 3,071 - 3,294 290 366 949 710 425 441 E38000052 02Y NHS East Riding of Yorkshire 375 338 - 415 46 36 108 77 48 60 E38000069 03D NHS Hambleton, Richmondshire and Whitby 269 238 - 303 21 33 74 56 43 42 E38000073 03E NHS Harrogate and Rural District 258 227 - 291 21 27 79 54 37 40 E38000085 03F NHS Hull 490 448 - 535 41 51 154 124 73 47 E38000119 03H NHS North East Lincolnshire 521 477 - 568 52 60 166 113 75 55 E38000122 03K NHS North Lincolnshire 422 383 - 464 41 52 117 104 40 68 E38000145 03M NHS Scarborough and Ryedale 200 173 - 230 16 29 62 37 23 33 E38000188 03Q NHS Vale of York 646 597 - 698 52 78 189 145 86 96

E39000008 Q51 South Yorkshire and Bassetlaw 4,275 4,148 - 4,405 325 481 1,352 941 646 530 E38000006 02P NHS Barnsley 722 670 - 777 63 89 230 153 93 94 E38000008 02Q NHS Bassetlaw 228 199 - 260 18 23 82 42 27 36 E38000044 02X NHS Doncaster 1,002 941 - 1066 81 116 301 225 155 124 E38000141 03L NHS Rotherham 700 649 - 754 52 76 208 176 91 97 E38000146 03N NHS Sheffield 1,623 1,545 - 1,704 111 177 531 345 280 179

28 Table 10a: Legal abortions: numbers by Clinical Commissioning Group (England) and Locality Office (Wales) of residence, by age, 2012

EnglandEngland and and Wales.Wales, Residentsresidents numbers

Age

Total PrimaryClinical CareCommissioning Organisation/ Groups/ number 95% Locality Office of confidence Under abortions interval 18 18-19 20-24 25-29 30-34 35 +

England and Wales 185,122 184,280 - 185,967 12,873 18,507 54,558 41,882 30,353 26,949 England 176,480 175,658 - 177,305 12,171 17,530 51,824 40,018 29,119 25,818

E39000009 Q52 West Yorkshire 7,330 7,163 - 7,500 598 752 2,391 1,590 1,077 922 E38000001 02N NHS Airedale, Wharfedale and Craven 373 336 - 413 .. .. 125 65 38 65 E38000018 02W NHS Bradford City 384 347 - 424 .. .. 134 87 70 45 E38000019 02R NHS Bradford Districts 1,098 1,034 - 1,165 86 88 367 250 165 142 E38000025 02T NHS Calderdale 605 558 - 655 62 65 195 125 93 65 E38000064 03A NHS Greater Huddersfield 755 702 - 811 60 96 224 156 111 108 E38000094 02V NHS Leeds North 609 562 - 659 41 63 190 128 100 87 E38000095 03G NHS Leeds South and East 974 914 - 1037 90 88 314 239 132 111 E38000096 03C NHS Leeds West 1,128 1,063 - 1,196 85 109 402 232 162 138 E38000121 03J NHS North Kirklees 524 480 - 571 46 52 171 112 93 50 E38000190 03R NHS Wakefield 880 823 - 940 76 115 269 196 113 111

E40000002 Y55 Midlands and East of England 48,114 47,685 - 48,546 3,599 5,120 14,358 10,504 7,692 6,841

E39000010 Q53 Arden, Herefordshire and Worcestershire 4,960 4,823 - 5,100 394 506 1,520 1,039 814 687 E38000038 05A NHS Coventry and Rugby 1,979 1,893 - 2,068 125 189 658 433 325 249 E38000078 05F NHS Herefordshire 409 370 - 451 .. .. 114 80 76 63 E38000139 05J NHS Redditch and Bromsgrove 440 400 - 483 46 53 126 102 60 53 E38000164 05R NHS South Warwickshire 647 598 - 699 51 63 177 122 117 117 E38000166 05T NHS South Worcestershire 628 580 - 679 69 73 205 103 94 84 E38000195 05H NHS Warwickshire North 651 602 - 703 51 71 186 153 114 76 E38000211 06D NHS Wyre Forest 206 179 - 236 .. .. 54 46 28 45

E39000011 Q54 Birmingham and the Black Country 10,203 10,006 - 10,403 688 985 3,172 2,415 1,647 1,296 E38000012 13P NHS Birmingham CrossCity 3,375 3,262 - 3,491 202 319 1,075 834 512 433 E38000013 04X NHS Birmingham South and Central 884 827 - 944 45 93 287 186 153 120 E38000046 05C NHS Dudley 949 890 - 1011 104 92 262 198 163 130 E38000144 05L NHS Sandwell and West Birmingham 2,162 2,072 - 2,255 117 175 682 528 380 280 E38000149 05P NHS Solihull 675 625 - 728 56 81 217 141 92 88 E38000191 05Y NHS Walsall 1,037 975 - 1102 88 115 319 240 153 122 E38000210 06A NHS Wolverhampton 1,121 1,056 - 1,189 76 110 330 288 194 123

E39000012 Q55 Derbyshire and Nottinghamshire 5,057 4,919 - 5,198 381 572 1,568 1,115 776 645 E38000058 03X NHS Erewash 213 185 - 244 .. .. 62 56 22 31 E38000071 03Y NHS Hardwick 196 170 - 225 .. .. 61 35 26 27 E38000103 04E NHS Mansfield & Ashfield 494 451 - 540 40 67 147 121 73 46 E38000109 04H NHS Newark & Sherwood 233 204 - 265 32 25 65 47 29 35 E38000115 04J NHS North Derbyshire 479 437 - 524 49 54 137 88 74 77 E38000132 04K NHS Nottingham City 1,275 1,206 - 1,347 50 146 443 303 215 118 E38000133 04L NHS Nottingham North & East 379 342 - 419 33 36 120 91 53 46 E38000134 04M NHS Nottingham West 242 212 - 274 16 26 80 54 33 33 E38000142 04N NHS Rushcliffe 218 190 - 249 24 19 63 27 49 36 E38000169 04R NHS Southern Derbyshire 1,328 1,258 - 1,401 101 146 390 293 202 196

E39000013 Q56 East Anglia 5,237 5,096 - 5,381 388 602 1,506 1,102 822 817 E38000026 06H NHS Cambridgeshire and Peterborough 1,883 1,799 - 1,970 118 210 504 423 310 318 E38000063 06M NHS Great Yarmouth & Waveney 556 511 - 604 48 68 170 100 81 89 E38000086 06L NHS Ipswich and East Suffolk 868 811 - 928 73 88 253 197 129 128 E38000124 06V NHS North Norfolk 244 214 - 277 15 39 68 38 34 50 E38000131 06W NHS Norwich 524 480 - 571 33 60 168 111 90 62 E38000159 06Y NHS South Norfolk 405 367 - 446 29 56 111 77 67 65 E38000203 07J NHS West Norfolk 331 296 - 369 27 40 111 62 42 49 E38000204 07K NHS West Suffolk 426 387 - 468 45 41 121 94 69 56

E39000014 Q57 Essex 5,039 4,901 - 5,180 375 562 1,448 1,052 823 779 E38000007 99E NHS Basildon and Brentwood 803 748 - 861 62 91 210 173 142 125 E38000030 99F NHS Castle Point, Rayleigh and Rochford 412 373 - 454 33 57 130 69 56 67 E38000106 06Q NHS Mid Essex 896 838 - 957 75 122 228 180 153 138 E38000117 06T NHS North East Essex 715 664 - 769 57 93 233 160 88 84 E38000168 99G NHS Southend 514 471 - 560 43 55 147 115 88 66 E38000185 07G NHS Thurrock 665 615 - 718 37 55 220 139 103 111 E38000197 07H NHS West Essex 1,034 972 - 1,099 68 89 280 216 193 188

E39000015 Q58 Hertfordshire and the South Midlands 8,857 8,673 - 9,043 583 868 2,535 1,935 1,506 1,430 E38000010 06F NHS Bedfordshire 1,305 1,235 - 1,378 95 152 373 277 201 207 E38000037 03V NHS Corby 238 209 - 270 .. .. 71 51 37 32 E38000049 06K NHS East and North Hertfordshire 1,719 1,639 - 1,802 120 158 526 343 287 285 E38000079 06N NHS Herts Valleys 1,757 1,676 - 1,841 90 179 446 377 318 347 E38000102 06P NHS Luton 1,013 952 - 1,077 63 97 283 253 178 139 E38000107 04F NHS Milton Keynes 957 897 - 1,020 .. .. 274 206 180 157 E38000108 04G NHS Nene 1,868 1,784 - 1,955 136 174 562 428 305 263

E39000016 Q59 Leicestershire and Lincolnshire 4,263 4,136 - 4,393 357 456 1,283 892 656 619 E38000051 03W NHS East Leicestershire and Rutland 714 663 - 768 65 89 188 126 111 135 E38000097 04C NHS Leicester City 1,211 1,144 - 1,281 71 118 350 293 212 167 E38000099 03T NHS Lincolnshire East 450 409 - 494 50 44 143 85 76 52 E38000100 04D NHS Lincolnshire West 559 514 - 607 49 74 177 117 79 63 E38000157 99D NHS South Lincolnshire 286 254 - 321 24 26 94 64 36 42 E38000165 04Q NHS South West Lincolnshire 240 211 - 272 32 20 78 52 26 32 E38000201 04V NHS West Leicestershire 803 748 - 861 66 85 253 155 116 128

28 Table 10a: Legal abortions: numbers by Clinical Commissioning Group (England) and Locality Office (Wales) of residence, by age, 2012

EnglandEngland and and Wales.Wales, Residentsresidents numbers

Age

Total PrimaryClinical CareCommissioning Organisation/ Groups/ number 95% Locality Office of confidence Under abortions interval 18 18-19 20-24 25-29 30-34 35 +

England and Wales 185,122 184,280 - 185,967 12,873 18,507 54,558 41,882 30,353 26,949 England 176,480 175,658 - 177,305 12,171 17,530 51,824 40,018 29,119 25,818

E39000017 Q60 Shropshire and Staffordshire 4,498 4,367 - 4,631 433 569 1,326 954 648 568 E38000028 04Y NHS Cannock Chase 440 400 - 483 43 65 135 82 59 56 E38000053 05D NHS East Staffordshire 326 292 - 363 28 32 94 75 52 45 E38000126 05G NHS North Staffordshire 532 488 - 579 53 79 165 99 80 56 E38000147 05N NHS Shropshire 648 599 - 700 70 91 185 118 85 99 E38000153 05Q NHS South East Staffs & Seisdon & Peninsular 661 612 - 713 70 94 176 139 93 89 E38000173 05V NHS Stafford and Surrounds 414 375 - 456 28 50 111 96 65 64 E38000175 05W NHS Stoke on Trent 970 910 - 1,033 98 106 320 202 135 109 E38000183 05X NHS Telford & Wrekin 507 464 - 553 43 52 140 143 79 50

E40000003 Y56 London 45,311 44,895 - 45,730 2,008 3,273 12,135 11,749 8,798 7,348

E39000018 Q71 London 45,311 44,895 - 45,730 2,008 3,273 12,135 11,749 8,798 7,348 E38000004 07L NHS Barking & Dagenham 1,456 1,382 - 1,533 89 106 382 360 287 232 E38000005 07M NHS Barnet 1,582 1,505 - 1,662 53 109 434 395 314 277 E38000027 07R NHS Camden 1,049 986 - 1114 34 61 303 290 204 157 E38000035 07T NHS City and Hackney 1,674 1,595 - 1,756 58 104 414 501 356 241 E38000057 07X NHS Enfield 1,624 1,546 - 1,705 69 123 430 425 307 270 E38000072 08D NHS Haringey 1,586 1,509 - 1,666 77 124 432 406 300 247 E38000077 08F NHS Havering 1,041 979 - 1,106 86 112 302 231 159 151 E38000088 08H NHS Islington 1,197 1,130 - 1,267 51 67 362 326 206 185 E38000113 08M NHS Newham 1,862 1,778 - 1,949 72 136 503 527 370 254 E38000138 08N NHS Redbridge 1,650 1,571 - 1,732 55 121 438 412 344 280 E38000186 08V NHS Tower Hamlets 1,530 1,454 - 1,609 52 98 462 456 273 189 E38000192 08W NHS Waltham Forest 1,569 1,492 - 1,649 73 116 449 422 245 264 E38000020 07P NHS Brent 1,988 1,902 - 2,077 47 105 507 584 428 317 E38000031 09A NHS Central London (Westminster) 737 685 - 792 .. .. 179 194 149 157 E38000048 07W NHS Ealing 1,977 1,891 - 2,066 74 138 501 557 378 329 E38000070 08C NHS Hammersmith and Fulham 1,017 955 - 1,081 39 67 271 292 190 158 E38000074 08E NHS Harrow 1,234 1,166 - 1,305 38 96 300 315 262 223 E38000082 08G NHS Hillingdon 1,457 1,383 - 1,534 74 120 417 343 273 230 E38000084 07Y NHS Hounslow 1,598 1,521 - 1,678 88 103 414 416 348 229 (Kensington & Chelsea, E38000202 08Y NHS West London Queen’s Park & Paddington) 1,013 952 - 1,077 .. .. 231 261 232 187 E38000011 07N NHS Bexley 987 926 - 1051 64 104 272 219 162 166 E38000023 07Q NHS Bromley 1,253 1,185 - 1,324 82 108 359 257 218 229 E38000040 07V NHS Croydon 1,982 1,896 - 2,071 108 176 518 488 355 337 E38000066 08A NHS Greenwich 1,662 1,583 - 1,744 80 131 468 422 316 245 E38000090 08J NHS Kingston 697 646 - 751 35 60 220 135 116 131 E38000092 08K NHS Lambeth 2,066 1,978 - 2,157 80 135 564 557 411 319 E38000098 08L NHS Lewisham 1,893 1,809 - 1,980 119 138 485 472 375 304 E38000105 08R NHS Merton 936 877 - 998 39 64 245 227 180 181 E38000140 08P NHS Richmond 571 525 - 620 31 40 141 123 100 136 E38000171 08Q NHS Southwark 2,144 2,054 - 2,237 78 152 562 558 466 328 E38000179 08T NHS Sutton 759 706 - 815 61 71 194 165 149 119 E38000193 08X NHS Wandsworth 1,520 1,445 - 1,598 49 81 376 413 325 276

E40000004 Y57 South of England 36,882 36,507 - 37,260 2,826 4,069 10,745 7,542 5,764 5,936

E39000019 Q64 Bath, Gloucestershire, Swindon and Wiltshire 3,459 3,345 - 3,576 278 416 991 712 527 535 E38000009 11E NHS Bath and North East Somerset 405 367 - 446 25 62 141 66 52 59 E38000062 11M NHS Gloucestershire 1,304 1,234 - 1,377 108 149 373 270 202 202 E38000181 12D NHS Swindon 732 680 - 787 54 89 192 170 135 92 E38000206 99N NHS Wiltshire 1,018 956 - 1,083 91 116 285 206 138 182

E39000020 Q65 Bristol, North Somerset, Somerset and South Gloucestershire 3,395 3,282 - 3,511 256 360 1,007 733 524 515 E38000022 11H NHS Bristol 1,423 1,350 - 1,499 83 135 418 352 239 196 E38000125 11T NHS North Somerset 369 332 - 409 20 55 105 68 60 61 E38000150 11X NHS Somerset 1,048 986 - 1,113 103 109 321 203 143 169 E38000155 12A NHS South Gloucestershire 555 510 - 603 50 61 163 110 82 89

E39000021 Q66 Devon, Cornwall and Isles of Scilly 3,854 3,733 - 3,978 374 481 1,155 740 551 553 E38000089 11N NHS Kernow 1,161 1,095 - 1,230 100 150 333 218 180 180 E38000129 99P NHS North, East, West Devon 1,954 1,868 - 2,043 189 239 591 379 278 278 E38000152 99Q NHS South Devon and Torbay 739 687 - 794 85 92 231 143 93 95

E39000022 Q67 Kent and Medway 5,389 5,246 - 5,535 401 625 1,605 1,086 839 833 E38000002 09C NHS Ashford 346 310 - 384 26 33 106 70 52 59 E38000029 09E NHS Canterbury and Coastal 552 507 - 600 35 69 195 89 69 95 E38000043 09J NHS Dartford, Gravesham and Swanley 848 792 - 907 67 77 242 176 151 135 E38000104 09W NHS Medway 1,094 1,030 - 1,161 77 136 349 234 160 138 E38000156 10A NHS South Kent Coast 612 564 - 662 38 79 173 124 113 85 E38000180 10D NHS Swale 343 308 - 381 38 40 85 74 53 53 E38000184 10E NHS Thanet 433 393 - 476 39 51 131 96 61 55 E38000199 99J NHS West Kent 1,161 1,095 - 1,230 81 140 324 223 180 213

28 Table 10a: Legal abortions: numbers by Clinical Commissioning Group (England) and Locality Office (Wales) of residence, by age, 2012

EnglandEngland and and Wales.Wales, Residentsresidents numbers

Age

Total PrimaryClinical CareCommissioning Organisation/ Groups/ number 95% Locality Office of confidence Under abortions interval 18 18-19 20-24 25-29 30-34 35 +

England and Wales 185,122 184,280 - 185,967 12,873 18,507 54,558 41,882 30,353 26,949 England 176,480 175,658 - 177,305 12,171 17,530 51,824 40,018 29,119 25,818

E39000023 Q68 Surrey and Sussex 7,530 7,361 - 7,702 552 840 2,197 1,431 1,200 1,310 E38000021 09D NHS Brighton & Hove 1,196 1,129 - 1,266 64 103 382 254 186 207 E38000036 09G NHS Coastal West Sussex 1,105 1,041 - 1,172 103 140 324 191 172 175 E38000039 09H NHS Crawley 415 376 - 457 28 35 116 104 80 52 E38000054 09L NHS East Surrey 475 433 - 520 38 53 126 95 68 95 E38000055 09F NHS Eastbourne, Hailsham and Seaford 474 432 - 519 37 61 144 89 77 66 E38000067 09N NHS Guildford and Waverley 454 413 - 498 .. .. 138 104 73 75 E38000076 09P NHS Hastings & Rother 528 484 - 575 50 66 172 105 82 53 E38000081 99K NHS High Weald Lewes Havens 371 334 - 411 33 52 89 54 58 85 E38000083 09X NHS Horsham and Mid Sussex 472 430 - 517 36 53 128 92 61 102 E38000128 09Y NHS North West Surrey 1,092 1,028 - 1,159 71 126 313 193 189 200 E38000177 99H NHS Surrey Downs 704 653 - 758 49 81 195 109 113 157 E38000178 10C NHS Surrey Heath 244 214 - 277 .. .. 70 41 41 43

E39000024 Q69 Thames Valley 6,109 5,957 - 6,264 413 585 1,673 1,278 1,054 1,106 E38000003 10Y NHS Aylesbury Vale 465 424 - 509 33 58 131 67 92 84 E38000017 10G NHS Bracknell and Ascot 396 358 - 437 30 26 105 103 71 61 E38000033 10H NHS Chiltern 940 881 - 1,002 60 101 265 178 139 197 E38000110 10M NHS Newbury and District 266 235 - 300 25 31 76 57 33 44 E38000114 10N NHS North & West Reading 330 295 - 368 27 29 81 65 53 75 E38000136 10Q NHS Oxfordshire 1,681 1,602 - 1,763 133 172 470 333 249 324 E38000148 10T NHS Slough 748 695 - 804 30 49 228 196 152 93 E38000160 10W NHS South Reading 542 497 - 590 .. .. 143 141 116 77 E38000207 11C NHS Windsor, Ascot and Maidenhead 398 360 - 439 27 40 87 76 84 84 E38000209 11D NHS Wokingham 343 308 - 381 .. .. 87 62 65 67

E39000025 Q70 Wessex 7,146 6,981 - 7,314 552 762 2,117 1,562 1,069 1,084 E38000045 11J NHS Dorset 1,812 1,730 - 1,897 137 198 578 383 261 255 E38000059 10K NHS Fareham and Gosport 475 433 - 520 29 45 138 122 67 74 E38000087 10L NHS Isle of Wight 233 204 - 265 28 32 60 48 34 31 E38000118 99M NHS North East Hampshire and Farnham 575 529 - 624 42 57 147 106 98 125 E38000120 10J NHS North Hampshire 582 536 - 631 48 64 158 109 92 111 E38000137 10R NHS Portsmouth 839 783 - 898 57 87 266 194 130 105 E38000154 10V NHS South Eastern Hampshire 499 456 - 545 55 59 140 120 69 56 E38000167 10X NHS Southampton 939 880 - 1001 59 104 307 220 134 115 E38000198 11A NHS West Hampshire 1,192 1,125 - 1,262 97 116 323 260 184 212

Wales 8,642 8,461 - 8,826 702 977 2,734 1,864 1,234 1,131

6B1 Anglesey 174 149 - 202 15 22 56 38 21 22 6C2 Blaenau Gwent 158 134 - 185 14 15 46 30 27 26 6B3 Bridgend 401 363 - 442 32 38 149 78 66 38 6B2 Caerphilly 479 437 - 524 27 50 142 99 100 61 6A8 Cardiff 1,257 1,188 - 1,328 85 127 397 307 180 161 6B7 Carmarthen 438 398 - 481 43 39 137 93 66 60 6A4 Ceredigion 143 121 - 168 9 32 50 20 11 21 6A7 Conwy 302 269 - 338 27 40 85 73 30 47 6C1 Denbighshire 252 222 - 285 27 34 72 45 46 28 6B5 Flintshire 427 387 - 469 40 43 119 101 53 71 6A2 Gwynedd 315 281 - 352 24 44 113 61 34 39 6B8 Merthyr Tydfil 169 144 - 196 18 16 60 33 27 15 6A1 Monmouth 145 122 - 171 21 12 46 28 15 23 6A5 Neath & Port Talbot 372 335 - 412 33 38 110 83 64 44 6B9 Newport 479 437 - 524 35 64 147 94 73 66 6A3 Pembroke 285 253 - 320 27 52 93 47 30 36 6C4 Powys 246 216 - 279 25 34 74 53 31 29 6A9 Rhondda, Cynon, Taff 809 754 - 867 66 96 244 200 115 88 6A6 Swansea 736 684 - 791 54 71 262 155 98 96 6B6 The Vale of Glamorgan 351 315 - 390 24 39 126 57 49 56 6C3 Torfaen 275 243 - 309 20 24 90 67 44 30 6B4 Wrexham 429 389 - 472 36 47 116 102 54 74

.. value suppressed to protect patient confidentiality

28 Table 10b: Legal abortions: rates by Clinical Commissioning Groups (England) and Locality Office (Wales) of residence, by age, 2012

England and Wales, residents rates per 1,000 women

Rate per Crude rate per 1000 women 1 1000 resident Clinical Commissioning Groups/ Total women Age Locality Office number aged 95% of 15-44 confidence Under abortions ASR 1 interval 18 18-19 20-24 25-29 30-34 35 +

England and Wales 185,122 16.5 16.5 - 16.6 13 26 29 22 16 7 England 176,480 16.6 16.6 - 16.7 13 26 29 22 17 7 E40000001 Y54 North Of England 46,173 15.5 15.4 - 15.6 14 25 28 21 15 6

E39000001 Q44 Cheshire, Warrington and Wirral 3,502 16.5 16.2 - 16.9 13 30 31 22 14 6 E38000056 01C NHS Eastern Cheshire 462 16.0 15.1 - 17.0 11 34 29 22 13 5 E38000151 01R NHS South Cheshire 412 13.3 12.5 - 14.2 11 22 28 18 10 4 E38000189 02D NHS Vale Royal 255 14.8 13.7 - 16.0 13 20 29 18 14 5 E38000194 02E NHS Warrington 628 17.0 16.2 - 17.9 12 33 29 23 14 7 E38000196 02F NHS West Cheshire 633 15.1 14.3 - 15.8 13 29 27 18 16 5 E38000208 12F NHS Wirral 1,112 20.0 19.3 - 20.8 16 34 40 29 15 6

E39000002 Q45 Durham, Darlington and Tees 3,078 13.7 13.4 - 14.0 15 21 24 17 14 5 E38000042 00C NHS Darlington 291 15.0 14.0 - 16.2 17 25 29 16 13 6 E38000047 00D NHS Durham Dales, Easington & Sedgefield 670 14.1 13.5 - 14.8 14 24 26 17 15 4 E38000075 00K NHS Hartlepool and Stockton-on-Tees 789 14.5 13.9 - 15.1 15 19 27 19 14 5 E38000116 00J NHS North Durham 494 10.3 9.8 - 11.0 14 16 16 12 9 4 E38000162 00M NHS South Tees 834 15.5 14.9 - 16.2 16 22 28 20 16 5

E39000003 Q46 Greater Manchester 10,680 18.4 18.1 - 18.6 15 30 32 25 18 7 E38000016 00T NHS Bolton 969 17.9 17.2 - 18.6 15 29 30 24 20 6 E38000024 00V NHS Bury 694 20.3 19.4 - 21.3 17 34 40 26 17 7 E38000032 00W NHS Central Manchester 1,028 19.1 18.4 - 20.0 19 19 23 25 21 12 E38000080 01D NHS Heywood, Middleton & Rochdale 750 17.7 16.9 - 18.5 15 26 38 23 14 6 E38000123 01M NHS North Manchester 1,042 23.4 22.5 - 24.4 26 32 33 33 21 12 E38000135 00Y NHS Oldham 818 18.5 17.7 - 19.3 15 33 33 27 17 6 E38000143 01G NHS Salford 1,135 21.1 20.4 - 21.9 20 35 40 26 22 7 E38000158 01N NHS South Manchester 802 18.7 17.9 - 19.6 19 48 27 22 18 7 E38000174 01W NHS Stockport 868 17.7 17.0 - 18.5 13 30 33 24 16 6 E38000182 01Y NHS Tameside and Glossop 906 18.6 17.9 - 19.4 13 29 37 25 18 6 E38000187 02A NHS Trafford 774 19.5 18.6 - 20.4 11 41 37 25 18 7 E38000205 02H NHS Wigan Borough 894 15.2 14.5 - 15.8 13 29 28 20 15 4

E39000004 Q47 Lancashire 4,358 15.7 15.4 - 16.0 13 26 29 21 16 5 E38000014 00Q NHS Blackburn with Darwen 489 16.2 15.3 - 17.1 13 26 27 21 18 6 E38000015 00R NHS Blackpool 528 20.6 19.6 - 21.8 18 37 38 29 18 6 E38000034 00X NHS Chorley and South Ribble 457 15.6 14.7 - 16.6 13 20 33 16 15 6 E38000050 01A NHS East Lancashire 1,192 17.5 16.8 - 18.1 14 33 34 21 17 5 E38000060 02M NHS Fylde & Wyre 381 15.8 14.8 - 16.9 13 19 33 20 17 5 E38000065 01E NHS Greater Preston 631 14.6 13.9 - 15.3 11 25 24 22 13 6 E38000093 01K NHS Lancashire North 353 10.9 10.2 - 11.7 10 16 17 14 10 5 E38000200 02G NHS West Lancashire 327 16.5 15.4 - 17.7 11 28 28 21 21 5

E39000005 Q48 Merseyside 4,924 19.8 19.5 - 20.2 17 29 35 27 21 7 E38000068 01F NHS Halton 547 22.5 21.3 - 23.7 19 39 40 32 20 8 E38000091 01J NHS Knowsley 676 23.0 21.9 - 24.1 21 32 42 32 24 7 E38000101 99A NHS Liverpool 2,257 19.9 19.4 - 20.4 18 24 32 26 22 8 E38000161 01T NHS South Sefton 609 21.1 20.1 - 22.2 16 40 40 28 22 5 E38000170 01V NHS Southport and Formby 275 16.3 15.1 - 17.5 10 26 35 23 11 5 E38000172 01X NHS St Helens 560 17.7 16.8 - 18.6 16 31 32 22 18 6

E39000006 Q49 Cumbria, Northumberland, Tyne and Wear 4,845 13.4 13.1 - 13.6 13 22 24 17 13 5 E38000041 01H NHS Cumbria 1,077 13.4 12.9 - 13.9 11 24 26 16 12 4 E38000061 00F NHS Gateshead 505 13.2 12.5 - 14.0 14 20 26 14 12 5 E38000111 00G NHS Newcastle North and East 450 12.2 11.5 - 13.1 15 17 15 17 13 5 E38000112 00H NHS Newcastle West 507 16.5 15.6 - 17.4 16 16 30 22 14 8 E38000127 99C NHS North Tyneside 557 15.3 14.5 - 16.1 15 27 30 17 13 5 E38000130 00L NHS Northumberland 626 12.3 11.7 - 13.0 10 25 21 17 11 5 E38000163 00N NHS South Tyneside 340 12.5 11.7 - 13.4 10 23 22 15 13 4 E38000176 00P NHS Sunderland 783 14.6 14.0 - 15.3 20 23 25 19 14 4

E39000007 Q50 North Yorkshire and Humber 3,181 10.6 10.4 - 10.8 10 17 18 15 9 4 E38000052 02Y NHS East Riding of Yorkshire 375 7.9 7.4 - 8.4 8 10 15 11 6 3 E38000069 03D NHS Hambleton, Richmondshire and Whitby 269 12.4 11.5 - 13.4 8 22 21 16 12 4 E38000073 03E NHS Harrogate and Rural District 258 10.7 9.9 - 11.5 7 17 23 14 9 4 E38000085 03F NHS Hull 490 8.4 8.0 - 8.9 9 14 13 12 9 3 E38000119 03H NHS North East Lincolnshire 521 17.3 16.4 - 18.3 18 29 32 22 17 5 E38000122 03K NHS North Lincolnshire 422 14.5 13.6 - 15.4 14 28 24 21 9 6 E38000145 03M NHS Scarborough and Ryedale 200 11.0 10.1 - 12.0 9 22 19 14 9 5 E38000188 03Q NHS Vale of York 646 9.6 9.1 - 10.0 9 15 14 14 9 4

E39000008 Q51 South Yorkshire and Bassetlaw 4,275 14.5 14.2 - 14.7 12 22 25 20 15 5 E38000006 02P NHS Barnsley 722 17.0 16.2 - 17.8 15 33 33 21 14 6 E38000008 02Q NHS Bassetlaw 228 12.4 11.5 - 13.5 8 18 29 14 9 5 E38000044 02X NHS Doncaster 1,002 17.9 17.2 - 18.6 14 33 31 23 18 6 E38000141 03L NHS Rotherham 700 14.9 14.2 - 15.6 11 25 27 22 12 5 E38000146 03N NHS Sheffield 1,623 12.8 12.4 - 13.3 12 16 19 18 16 5

32 Table 10b: Legal abortions: rates by Clinical Commissioning Groups (England) and Locality Office (Wales) of residence, by age, 2012

England and Wales, residents rates per 1,000 women

Rate per Crude rate per 1000 women 1 1000 resident Clinical Commissioning Groups/ Total women Age Locality Office number aged 95% of 15-44 confidence Under abortions ASR 1 interval 18 18-19 20-24 25-29 30-34 35 +

England and Wales 185,122 16.5 16.5 - 16.6 13 26 29 22 16 7 England 176,480 16.6 16.6 - 16.7 13 26 29 22 17 7

E39000009 Q52 West Yorkshire 7,330 15.3 15.1 - 15.5 14 23 28 20 14 6 E38000001 02N NHS Airedale, Wharfedale and Craven 373 14.9 14.0 - 15.9 .. .. 32 16 9 6 E38000018 02W NHS Bradford City 384 17.6 16.5 - 18.8 .. .. 29 22 22 10 E38000019 02R NHS Bradford Districts 1,098 16.2 15.6 - 16.8 13 22 34 20 14 6 E38000025 02T NHS Calderdale 605 16.7 15.8 - 17.5 16 26 34 20 15 4 E38000064 03A NHS Greater Huddersfield 755 16.4 15.7 - 17.2 14 30 27 21 15 6 E38000094 02V NHS Leeds North 609 17.1 16.3 - 18.0 11 29 37 20 15 6 E38000095 03G NHS Leeds South and East 974 18.2 17.5 - 19.0 21 25 34 23 15 7 E38000096 03C NHS Leeds West 1,128 13.5 13.0 - 14.0 18 15 18 17 14 7 E38000121 03J NHS North Kirklees 524 14.3 13.5 - 15.1 13 22 29 17 15 4 E38000190 03R NHS Wakefield 880 14.5 13.9 - 15.1 13 30 27 18 12 5

E40000002 Y55 Midlands and East of England 48,114 15.6 15.5 - 15.7 12 25 28 21 15 6

E39000010 Q53 Arden, Herefordshire and Worcestershire 4,960 16.6 16.4 - 16.9 14 25 30 21 17 6 E38000038 05A NHS Coventry and Rugby 1,979 21.6 21.0 - 22.2 16 28 38 28 23 9 E38000078 05F NHS Herefordshire 409 14.1 13.3 - 15.0 .. .. 25 17 16 5 E38000139 05J NHS Redditch and Bromsgrove 440 14.4 13.6 - 15.3 14 27 26 20 11 4 E38000164 05R NHS South Warwickshire 647 14.0 13.3 - 14.7 12 23 22 17 16 6 E38000166 05T NHS South Worcestershire 628 12.6 12.0 - 13.3 13 20 26 13 12 4 E38000195 05H NHS Warwickshire North 651 19.4 18.4 - 20.3 15 32 35 27 20 6 E38000211 06D NHS Wyre Forest 206 12.7 11.7 - 13.9 .. .. 21 17 11 7

E39000011 Q54 Birmingham and the Black Country 10,203 19.7 19.5 - 20.0 14 29 35 27 20 8 E38000012 13P NHS Birmingham CrossCity 3,375 20.8 20.4 - 21.3 14 27 38 30 19 9 E38000013 04X NHS Birmingham South and Central 884 18.0 17.3 - 18.8 12 28 23 25 22 9 E38000046 05C NHS Dudley 949 16.7 16.1 - 17.4 17 25 29 20 18 6 E38000144 05L NHS Sandwell and West Birmingham 2,162 20.1 19.6 - 20.7 12 27 37 27 22 9 E38000149 05P NHS Solihull 675 19.4 18.5 - 20.3 13 34 39 26 17 6 E38000191 05Y NHS Walsall 1,037 19.8 19.1 - 20.6 17 33 36 27 19 7 E38000210 06A NHS Wolverhampton 1,121 21.7 20.9 - 22.5 16 33 36 33 24 7

E39000012 Q55 Derbyshire and Nottinghamshire 5,057 13.1 12.9 - 13.4 11 21 23 18 13 5 E38000058 03X NHS Erewash 213 11.7 10.8 - 12.8 .. .. 21 19 7 4 E38000071 03Y NHS Hardwick 196 10.4 9.5 - 11.4 .. .. 20 11 9 4 E38000103 04E NHS Mansfield & Ashfield 494 14.0 13.2 - 14.8 11 29 25 20 12 3 E38000109 04H NHS Newark & Sherwood 233 12.2 11.3 - 13.3 16 18 22 16 10 4 E38000115 04J NHS North Derbyshire 479 10.9 10.3 - 11.6 10 18 20 13 11 4 E38000132 04K NHS Nottingham City 1,275 15.8 15.2 - 16.3 10 19 21 25 21 6 E38000133 04L NHS Nottingham North & East 379 14.9 14.0 - 15.9 13 21 31 22 12 4 E38000134 04M NHS Nottingham West 242 12.4 11.5 - 13.5 8 22 25 17 10 4 E38000142 04N NHS Rushcliffe 218 11.6 10.6 - 12.6 13 15 20 10 16 4 E38000169 04R NHS Southern Derbyshire 1,328 13.5 13.1 - 14.0 11 23 24 18 13 5

E39000013 Q56 East Anglia 5,237 11.9 11.7 - 12.1 9 21 21 15 11 5 E38000026 06H NHS Cambridgeshire and Peterborough 1,883 11.2 10.9 - 11.5 8 20 18 15 11 5 E38000063 06M NHS Great Yarmouth & Waveney 556 16.0 15.2 - 16.9 13 27 29 17 16 7 E38000086 06L NHS Ipswich and East Suffolk 868 13.1 12.6 - 13.7 10 20 24 18 12 5 E38000124 06V NHS North Norfolk 244 10.7 9.9 - 11.6 5 25 19 11 10 5 E38000131 06W NHS Norwich 524 11.8 11.2 - 12.5 12 20 18 14 13 5 E38000159 06Y NHS South Norfolk 405 11.0 10.3 - 11.7 7 23 20 13 11 4 E38000203 07J NHS West Norfolk 331 12.4 11.6 - 13.3 9 24 26 14 10 5 E38000204 07K NHS West Suffolk 426 11.3 10.6 - 12.0 12 19 20 13 11 4

E39000014 Q57 Essex 5,039 16.2 16.0 - 16.5 12 28 30 21 15 6 E38000007 99E NHS Basildon and Brentwood 803 17.8 17.0 - 18.6 13 32 31 22 17 7 E38000030 99F NHS Castle Point, Rayleigh and Rochford 412 15.4 14.5 - 16.4 10 30 31 18 13 6 E38000106 06Q NHS Mid Essex 896 13.7 13.2 - 14.3 11 30 22 17 13 5 E38000117 06T NHS North East Essex 715 12.6 12.1 - 13.2 11 23 23 18 10 4 E38000168 99G NHS Southend 514 15.9 15.0 - 16.8 14 29 30 20 15 5 E38000185 07G NHS Thurrock 665 20.7 19.8 - 21.8 12 30 45 24 17 9 E38000197 07H NHS West Essex 1,034 20.3 19.5 - 21.1 13 28 36 26 21 9

E39000015 Q58 Hertfordshire and the South Midlands 8,857 17.4 17.2 - 17.6 12 28 32 22 16 7 E38000010 06F NHS Bedfordshire 1,305 17.4 16.8 - 18.0 12 32 33 22 15 7 E38000037 03V NHS Corby 238 19.3 17.8 - 20.9 .. .. 36 20 18 7 E38000049 06K NHS East and North Hertfordshire 1,719 16.5 16.0 - 17.0 12 24 31 20 16 7 E38000079 06N NHS Herts Valleys 1,757 16.8 16.3 - 17.3 8 30 29 21 16 8 E38000102 06P NHS Luton 1,013 21.7 20.9 - 22.6 16 36 36 28 22 10 E38000107 04F NHS Milton Keynes 957 18.9 18.1 - 19.7 .. .. 38 21 17 8 E38000108 04G NHS Nene 1,868 16.4 15.9 - 16.9 12 25 32 22 15 6

E39000016 Q59 Leicestershire and Lincolnshire 4,263 12.8 12.6 - 13.1 11 19 21 17 13 5 E38000051 03W NHS East Leicestershire and Rutland 714 13.5 12.9 - 14.1 10 22 24 16 13 6 E38000097 04C NHS Leicester City 1,211 14.5 14.0 - 15.0 12 21 19 20 17 8 E38000099 03T NHS Lincolnshire East 450 13.0 12.2 - 13.8 13 19 25 15 14 4 E38000100 04D NHS Lincolnshire West 559 12.2 11.6 - 12.9 12 19 20 17 12 4 E38000157 99D NHS South Lincolnshire 286 12.8 11.9 - 13.7 10 18 27 17 9 4 E38000165 04Q NHS South West Lincolnshire 240 12.4 11.4 - 13.5 13 16 27 16 8 4 E38000201 04V NHS West Leicestershire 803 11.6 11.1 - 12.1 10 17 20 15 11 5

32 Table 10b: Legal abortions: rates by Clinical Commissioning Groups (England) and Locality Office (Wales) of residence, by age, 2012

England and Wales, residents rates per 1,000 women

Rate per Crude rate per 1000 women 1 1000 resident Clinical Commissioning Groups/ Total women Age Locality Office number aged 95% of 15-44 confidence Under abortions ASR 1 interval 18 18-19 20-24 25-29 30-34 35 +

England and Wales 185,122 16.5 16.5 - 16.6 13 26 29 22 16 7 England 176,480 16.6 16.6 - 16.7 13 26 29 22 17 7

E39000017 Q60 Shropshire and Staffordshire 4,498 16.1 15.8 - 16.4 15 30 29 21 15 5 E38000028 04Y NHS Cannock Chase 440 18.1 17.1 - 19.2 17 40 34 20 16 6 E38000053 05D NHS East Staffordshire 326 15.0 14.0 - 16.1 12 23 28 20 15 5 E38000126 05G NHS North Staffordshire 532 14.1 13.4 - 14.9 14 27 24 18 14 4 E38000147 05N NHS Shropshire 648 13.4 12.8 - 14.1 12 28 25 16 11 5 E38000153 05Q NHS South East Staffs & Seisdon & Peninsular 661 17.6 16.8 - 18.5 17 38 30 23 15 6 E38000173 05V NHS Stafford and Surrounds 414 17.4 16.4 - 18.5 11 30 30 26 16 6 E38000175 05W NHS Stoke on Trent 970 18.4 17.7 - 19.2 22 31 33 22 17 6 E38000183 05X NHS Telford & Wrekin 507 15.7 14.9 - 16.6 13 23 27 27 15 4

E40000003 Y56 London 45,311 22.4 22.3 - 22.5 15 34 39 28 22 12

E39000018 Q71 London 45,311 22.4 22.3 - 22.5 15 34 39 28 22 12 E38000004 07L NHS Barking & Dagenham 1,456 33.6 32.5 - 34.7 24 43 59 45 35 16 E38000005 07M NHS Barnet 1,582 19.6 19.0 - 20.3 8 29 36 24 20 10 E38000027 07R NHS Camden 1,049 16.2 15.6 - 16.9 13 17 26 22 17 9 E38000035 07T NHS City and Hackney 1,674 22.7 22.0 - 23.4 14 37 36 29 24 12 E38000057 07X NHS Enfield 1,624 22.7 22.0 - 23.4 11 31 38 32 24 11 E38000072 08D NHS Haringey 1,586 24.9 24.2 - 25.8 18 43 47 29 22 12 E38000077 08F NHS Havering 1,041 23.1 22.2 - 24.0 18 39 41 31 21 9 E38000088 08H NHS Islington 1,197 19.4 18.7 - 20.2 20 25 34 21 17 12 E38000113 08M NHS Newham 1,862 22.4 21.7 - 23.0 12 33 35 29 25 12 E38000138 08N NHS Redbridge 1,650 26.5 25.7 - 27.3 10 36 48 34 28 14 E38000186 08V NHS Tower Hamlets 1,530 18.5 17.9 - 19.1 14 29 29 22 17 11 E38000192 08W NHS Waltham Forest 1,569 25.1 24.3 - 25.9 16 39 45 33 21 13 E38000020 07P NHS Brent 1,988 25.3 24.6 - 26.0 9 29 44 35 29 14 E38000031 09A NHS Central London (Westminster) 737 18.0 17.2 - 18.9 .. .. 28 21 17 13 E38000048 07W NHS Ealing 1,977 24.7 24.0 - 25.4 13 40 42 33 23 12 E38000070 08C NHS Hammersmith and Fulham 1,017 19.9 19.1 - 20.8 17 42 32 22 17 10 E38000074 08E NHS Harrow 1,234 24.1 23.3 - 25.0 8 35 39 32 27 13 E38000082 08G NHS Hillingdon 1,457 23.2 22.5 - 24.0 14 31 38 32 25 12 E38000084 07Y NHS Hounslow 1,598 26.3 25.4 - 27.1 21 36 47 32 28 12 (Kensington & Chelsea, E38000202 08Y NHS West London Queen’s Park & Paddington) 1,013 18.4 17.7 - 19.2 .. .. 29 21 18 10 E38000011 07N NHS Bexley 987 21.6 20.8 - 22.5 13 35 36 30 21 10 E38000023 07Q NHS Bromley 1,253 22.2 21.4 - 23.0 14 33 43 28 20 9 E38000040 07V NHS Croydon 1,982 25.3 24.6 - 26.0 15 39 43 34 24 12 E38000066 08A NHS Greenwich 1,662 26.8 26.0 - 27.6 19 37 48 37 26 12 E38000090 08J NHS Kingston 697 18.1 17.3 - 19.0 14 26 31 22 17 10 E38000092 08K NHS Lambeth 2,066 24.7 24.0 - 25.5 19 49 42 26 22 13 E38000098 08L NHS Lewisham 1,893 27.4 26.6 - 28.2 26 40 46 35 27 13 E38000105 08R NHS Merton 936 20.6 19.7 - 21.5 13 34 39 23 17 11 E38000140 08P NHS Richmond 571 15.7 14.9 - 16.6 12 20 30 19 12 8 E38000171 08Q NHS Southwark 2,144 25.7 25.0 - 26.4 19 42 39 31 29 14 E38000179 08T NHS Sutton 759 20.1 19.2 - 21.1 16 36 35 24 20 8 E38000193 08X NHS Wandsworth 1,520 17.2 16.6 - 17.8 14 27 30 16 15 11

E40000004 Y57 South of England 36,882 14.6 14.5 - 14.7 12 24 26 19 14 6

E39000019 Q64 Bath, Gloucestershire, Swindon and Wiltshire 3,459 13.1 12.8 - 13.4 10 23 23 17 13 5 E38000009 11E NHS Bath and North East Somerset 405 10.9 10.2 - 11.6 8 19 18 14 11 5 E38000062 11M NHS Gloucestershire 1,304 12.3 11.9 - 12.8 10 21 21 16 12 5 E38000181 12D NHS Swindon 732 17.4 16.6 - 18.2 14 38 29 22 17 6 E38000206 99N NHS Wiltshire 1,018 13.2 12.7 - 13.7 10 22 25 17 11 5

E39000020 Q65 Bristol, North Somerset, Somerset and South Gloucestershire 3,395 12.3 12.0 - 12.6 10 20 21 16 12 5 E38000022 11H NHS Bristol 1,423 13.2 12.8 - 13.7 13 21 19 18 14 7 E38000125 11T NHS North Somerset 369 11.6 10.9 - 12.4 6 26 22 13 11 4 E38000150 11X NHS Somerset 1,048 12.2 11.8 - 12.7 10 18 23 16 11 5 E38000155 12A NHS South Gloucestershire 555 11.6 11.0 - 12.2 10 18 22 14 10 5

E39000021 Q66 Devon, Cornwall and Isles of Scilly 3,854 13.5 13.2 - 13.8 13 23 23 17 13 5 E38000089 11N NHS Kernow 1,161 13.3 12.8 - 13.8 11 23 24 16 13 5 E38000129 99P NHS North, East, West Devon 1,954 12.4 12.1 - 12.8 13 21 20 16 12 5 E38000152 99Q NHS South Devon and Torbay 739 18.4 17.5 - 19.2 18 32 37 22 15 6

E39000022 Q67 Kent and Medway 5,389 16.8 16.5 - 17.0 12 28 30 21 16 7 E38000002 09C NHS Ashford 346 16.6 15.5 - 17.8 12 23 34 20 15 7 E38000029 09E NHS Canterbury and Coastal 552 13.6 12.9 - 14.4 10 16 21 17 14 8 E38000043 09J NHS Dartford, Gravesham and Swanley 848 17.9 17.2 - 18.7 14 26 32 22 19 8 E38000104 09W NHS Medway 1,094 20.1 19.3 - 20.8 14 35 37 27 18 7 E38000156 10A NHS South Kent Coast 612 18.2 17.3 - 19.2 10 34 31 23 21 7 E38000180 10D NHS Swale 343 17.5 16.4 - 18.8 18 31 27 22 16 7 E38000184 10E NHS Thanet 433 18.8 17.7 - 20.0 16 31 36 25 17 7 E38000199 99J NHS West Kent 1,161 15.0 14.4 - 15.5 9 29 29 18 13 6

32 Table 10b: Legal abortions: rates by Clinical Commissioning Groups (England) and Locality Office (Wales) of residence, by age, 2012

England and Wales, residents rates per 1,000 women

Rate per Crude rate per 1000 women 1 1000 resident Clinical Commissioning Groups/ Total women Age Locality Office number aged 95% of 15-44 confidence Under abortions ASR 1 interval 18 18-19 20-24 25-29 30-34 35 +

England and Wales 185,122 16.5 16.5 - 16.6 13 26 29 22 16 7 England 176,480 16.6 16.6 - 16.7 13 26 29 22 17 7

E39000023 Q68 Surrey and Sussex 7,530 15.7 15.5 - 15.9 12 27 29 19 14 7 E38000021 09D NHS Brighton & Hove 1,196 17.7 17.0 - 18.3 16 22 26 23 17 10 E38000036 09G NHS Coastal West Sussex 1,105 14.7 14.2 - 15.3 14 27 27 16 14 6 E38000039 09H NHS Crawley 415 18.1 17.0 - 19.2 15 30 33 23 17 7 E38000054 09L NHS East Surrey 475 15.8 14.9 - 16.8 12 29 30 19 11 7 E38000055 09F NHS Eastbourne, Hailsham and Seaford 474 16.3 15.4 - 17.2 12 30 31 19 16 6 E38000067 09N NHS Guildford and Waverley 454 11.9 11.2 - 12.6 .. .. 21 19 12 5 E38000076 09P NHS Hastings & Rother 528 18.5 17.6 - 19.6 15 32 36 23 19 5 E38000081 99K NHS High Weald Lewes Havens 371 14.8 13.9 - 15.9 11 28 24 15 15 7 E38000083 09X NHS Horsham and Mid Sussex 472 13.3 12.6 - 14.1 8 24 26 16 9 6 E38000128 09Y NHS North West Surrey 1,092 18.0 17.4 - 18.7 13 38 35 19 16 8 E38000177 99H NHS Surrey Downs 704 15.8 15.0 - 16.5 9 28 31 17 14 8 E38000178 10C NHS Surrey Heath 244 15.4 14.2 - 16.7 .. .. 31 16 13 6

E39000024 Q69 Thames Valley 6,109 15.3 15.0 - 15.5 11 24 27 19 15 7 E38000003 10Y NHS Aylesbury Vale 465 14.2 13.4 - 15.0 9 29 27 12 15 6 E38000017 10G NHS Bracknell and Ascot 396 16.3 15.3 - 17.4 11 18 31 24 15 6 E38000033 10H NHS Chiltern 940 17.1 16.4 - 17.8 10 28 32 21 15 9 E38000110 10M NHS Newbury and District 266 15.1 14.0 - 16.4 12 28 31 19 10 5 E38000114 10N NHS North & West Reading 330 19.2 17.9 - 20.6 15 27 36 23 16 10 E38000136 10Q NHS Oxfordshire 1,681 12.8 12.4 - 13.2 12 20 21 15 12 7 E38000148 10T NHS Slough 748 22.5 21.5 - 23.6 12 30 48 28 22 9 E38000160 10W NHS South Reading 542 18.1 17.1 - 19.2 .. .. 23 23 22 11 E38000207 11C NHS Windsor, Ascot and Maidenhead 398 14.5 13.7 - 15.5 12 22 19 17 17 8 E38000209 11D NHS Wokingham 343 13.2 12.3 - 14.1 .. .. 25 15 13 5

E39000025 Q70 Wessex 7,146 14.4 14.2 - 14.6 12 22 25 20 14 6 E38000045 11J NHS Dorset 1,812 14.3 13.9 - 14.8 11 23 27 19 13 6 E38000059 10K NHS Fareham and Gosport 475 14.7 13.9 - 15.6 8 20 27 23 13 5 E38000087 10L NHS Isle of Wight 233 11.4 10.5 - 12.4 11 22 19 15 11 4 E38000118 99M NHS North East Hampshire and Farnham 575 14.8 14.0 - 15.6 11 25 25 17 14 8 E38000120 10J NHS North Hampshire 582 15.3 14.5 - 16.1 12 28 30 16 13 7 E38000137 10R NHS Portsmouth 839 17.3 16.6 - 18.1 17 23 25 24 19 8 E38000154 10V NHS South Eastern Hampshire 499 15.0 14.2 - 15.9 14 25 26 24 13 4 E38000167 10X NHS Southampton 939 15.5 14.8 - 16.1 16 23 22 21 15 8 E38000198 11A NHS West Hampshire 1,192 13.3 12.8 - 13.7 10 19 22 20 13 6

Wales 8,642 14.9 14.7 - 15.1 13 24 26 20 14 6

6B1 Anglesey 174 16.0 14.6 - 17.7 13 30 31 21 12 5 6C2 Blaenau Gwent 158 11.9 10.8 - 13.2 10 15 20 14 14 5 6B3 Bridgend 401 16.6 15.6 - 17.6 13 25 38 19 16 4 6B2 Caerphilly 479 14.2 13.4 - 15.0 8 22 27 17 18 5 6A8 Cardiff 1,257 14.4 13.9 - 15.0 15 19 20 21 14 7 6B7 Carmarthen 438 14.2 13.4 - 15.1 13 18 27 19 13 5 6A4 Ceredigion 143 9.4 8.4 - 10.5 8 17 13 12 7 5 6A7 Conwy 302 17.7 16.5 - 19.0 13 34 31 27 11 7 6C1 Denbighshire 252 16.5 15.3 - 17.9 15 29 28 21 19 5 6B5 Flintshire 427 16.1 15.2 - 17.1 14 26 28 24 12 7 6A2 Gwynedd 315 14.2 13.2 - 15.3 12 22 23 20 12 5 6B8 Merthyr Tydfil 169 5.8 5.2 - 6.4 6 8 12 7 6 2 6A1 Monmouth 145 11.2 10.1 - 12.4 12 12 23 15 7 4 6A5 Neath & Port Talbot 372 15.1 14.1 - 16.1 13 24 28 19 16 5 6B9 Newport 479 41.5 39.2 - 44.0 31 85 75 43 42 17 6A3 Pembroke 285 14.6 13.6 - 15.7 12 35 29 16 10 5 6C4 Powys 246 13.0 12.0 - 14.1 10 24 25 19 11 4 6A9 Rhondda, Cynon, Taff 809 17.8 17.0 - 18.6 16 32 31 26 16 6 6A6 Swansea 736 15.2 14.5 - 15.9 14 20 27 21 14 6 6B6 The Vale of Glamorgan 351 16.8 15.7 - 18.0 10 25 39 17 14 6 6C3 Torfaen 275 16.4 15.2 - 17.7 11 21 32 24 17 5 6B4 Wrexham 429 17.1 16.1 - 18.2 16 30 28 23 13 8

1 rates for CCGs and LOs are based on mid-2011 population estimates. See Annex A for further details. rates for all ages, under 16, under 18 and 35 and over are based on populations 15-44, 13-15, 15-17 and 35-44 respectively .. value suppressed to protect patient confidentiality

32 Table 10c: Legal abortions: numbers by age and Local Authority, England, residents, 2012 England, residents numbers

Age

Total Local Authority number of Under abortions 18 18-19 20-24 25-29 30-34 35 +

England 176,480 12,171 17,530 51,824 40,018 29,119 25,818 Yorkshire and the Humber 14,566 1,196 1,578 4,613 3,201 2,121 1,857 E08000016 Barnsley 722 63 89 230 153 93 94 E08000032 Bradford 1,773 .. .. 599 389 263 239 E08000033 Calderdale 605 62 65 195 125 93 65 E08000017 Doncaster 1,002 81 116 301 225 155 124 E06000011 East Riding of Yorkshire 407 .. .. 117 81 51 68 E06000010 Kingston upon Hull, City of 490 41 51 154 124 73 47 E08000034 Kirklees 1,279 106 148 395 268 204 158 E08000035 Leeds 2,711 216 260 906 599 394 336 E06000012 North East Lincolnshire 521 52 60 166 113 75 55 E06000013 North Lincolnshire 422 41 52 117 104 40 68 E08000018 Rotherham 700 52 76 208 176 91 97 E08000019 Sheffield 1,623 111 177 531 345 280 179 E08000036 Wakefield 880 76 115 269 196 113 111 E06000014 York ...... E10000023 North Yorkshire ...... North West 24,446 1,861 2,698 7,724 5,522 3,694 2,947 E06000008 Blackburn with Darwen 489 40 48 130 116 89 66 E06000009 Blackpool 528 47 66 163 125 69 58 E08000001 Bolton 969 80 97 273 219 177 123 E08000002 Bury 694 61 72 209 156 99 97 E06000049 Cheshire East UA 874 70 113 261 189 114 127 E06000050 Cheshire West and Chester UA 888 71 109 279 169 142 118 E06000006 Halton 547 44 63 160 131 77 72 E08000011 Knowsley 676 62 66 211 158 108 71 E08000012 Liverpool 2,257 141 217 817 494 350 238 E08000003 Manchester 2,872 168 282 914 740 439 329 E08000004 Oldham 818 67 93 242 209 118 89 E08000005 Rochdale 750 65 71 268 168 94 84 E08000006 Salford 1,135 81 113 385 271 183 102 E08000014 Sefton 884 69 110 298 194 120 93 E08000013 St. Helens 560 53 66 167 116 87 71 E08000007 Stockport 868 65 92 252 201 136 122 E08000008 Tameside 819 58 81 258 199 129 94 E08000009 Trafford 774 44 98 210 169 137 116 E06000007 Warrington 628 44 74 170 141 90 109 E08000010 Wigan 894 75 107 267 203 141 101 E08000015 Wirral 1,112 96 122 362 271 138 123 E10000006 Cumbria 1,069 99 135 330 213 159 133 E10000017 Lancashire 3,341 261 403 1,098 670 498 411 North East 6,846 660 758 2,135 1,441 1,010 842

E06000047 County Durham UA 1,164 119 144 354 223 177 147 E06000005 Darlington 291 32 30 89 55 42 43 E08000020 Gateshead 505 48 49 156 102 77 73 E06000001 Hartlepool 259 31 21 80 62 41 24 E06000002 Middlesbrough 502 48 51 162 113 80 48 E08000021 Newcastle upon Tyne 957 68 99 340 219 123 108 E08000022 North Tyneside 557 52 60 165 112 89 79 E06000048 Northumberland UA 626 54 84 170 138 87 93 E06000003 Redcar and Cleveland 332 33 37 107 70 45 40 E08000023 South Tyneside 340 28 42 103 70 56 41 E06000004 Stockton-on-Tees 530 51 52 166 115 80 66 E08000024 Sunderland 783 96 89 243 162 113 80 West Midlands 19,661 1,515 2,060 6,018 4,408 3,109 2,551 E08000025 Birmingham 5,347 292 498 1,695 1,306 864 692 E08000026 Coventry 1,713 109 168 573 381 271 211 E08000027 Dudley 949 104 92 262 198 163 130 E06000019 Herefordshire, County of 409 38 38 114 80 76 63 E08000028 Sandwell 1,074 72 89 349 242 181 141 E06000051 Shropshire UA 648 70 91 185 118 85 99 E08000029 Solihull 675 56 81 217 141 92 88 E06000021 Stoke-on-Trent 951 94 103 314 201 131 108 E06000020 Telford and Wrekin 507 43 52 140 143 79 50 E08000030 Walsall 1,037 88 115 319 240 153 122 E08000031 Wolverhampton 1,121 76 110 330 288 194 123 E10000028 Staffordshire 2,392 .. .. 687 492 353 311 E10000031 Warwickshire 1,564 118 155 448 327 285 231 E10000034 Worcestershire 1,274 .. .. 385 251 182 182 East Midlands 11,778 924 1,260 3,604 2,553 1,816 1,621 E06000015 Derby 800 48 86 250 199 106 111 E06000016 Leicester 1,211 71 118 350 293 212 167 E06000018 Nottingham 1,275 50 146 443 303 215 118 E06000017 Rutland 60 .. .. 10 12 11 13 E10000007 Derbyshire 1,503 .. .. 432 290 231 231 E10000018 Leicestershire 1,457 126 165 431 269 216 250 E10000019 Lincolnshire 1,535 155 164 492 318 217 189 E10000021 Northamptonshire 2,143 .. .. 639 487 344 310 E10000024 Nottinghamshire 1,794 163 196 557 382 264 232

36 Table 10c: Legal abortions: numbers by age and Local Authority, England, residents, 2012 England, residents numbers

Age

Total Local Authority number of Under abortions 18 18-19 20-24 25-29 30-34 35 +

England 176,480 12,171 17,530 51,824 40,018 29,119 25,818

East 16,033 1,130 1,745 4,576 3,396 2,627 2,559 E06000055 Bedford 557 .. .. 169 126 81 83 E06000056 Central Bedfordshire 748 58 91 204 151 120 124 E06000032 Luton 1,013 63 97 283 253 178 139 E06000031 Peterborough 746 44 73 210 190 115 114 E06000033 Southend-on-Sea 514 43 55 147 115 88 66 E06000034 Thurrock 665 37 55 220 139 103 111 E10000003 Cambridgeshire 1,070 71 129 284 219 186 181 E10000012 Essex 3,860 295 452 1,081 798 632 602 E10000015 Hertfordshire 3,506 .. .. 976 726 612 640 E10000020 Norfolk 1,778 130 229 532 345 279 263 E10000029 Suffolk 1,576 140 163 470 334 233 236

London 45,311 2,008 3,273 12,135 11,749 8,798 7,348 E09000002 Barking and Dagenham 1,456 89 106 382 360 287 232 E09000003 Barnet 1,582 53 109 434 395 314 277 E09000004 Bexley 987 64 104 272 219 162 166 E09000005 Brent 1,988 47 105 507 584 428 317 E09000006 Bromley 1,253 82 108 359 257 218 229 E09000007 Camden 1,049 34 61 303 290 204 157 E09000001 City of London 19 .. .. 5 7 5 0 E09000008 Croydon 1,982 108 176 518 488 355 337 E09000009 Ealing 1,977 74 138 501 557 378 329 E09000010 Enfield 1,624 69 123 430 425 307 270 E09000011 Greenwich 1,662 80 131 468 422 316 245 E09000012 Hackney 1,655 58 102 409 494 351 241 E09000013 Hammersmith and Fulham 1,017 39 67 271 292 190 158 E09000014 Haringey 1,586 77 124 432 406 300 247 E09000015 Harrow 1,234 38 96 300 315 262 223 E09000016 Havering 1,041 86 112 302 231 159 151 E09000017 Hillingdon 1,457 74 120 417 343 273 230 E09000018 Hounslow 1,598 88 103 414 416 348 229 E09000019 Islington 1,197 51 67 362 326 206 185 E09000020 Kensington and Chelsea 664 .. .. 153 163 165 124 E09000021 Kingston upon Thames 697 35 60 220 135 116 131 E09000022 Lambeth 2,066 80 135 564 557 411 319 E09000023 Lewisham 1,893 119 138 485 472 375 304 E09000024 Merton 936 39 64 245 227 180 181 E09000025 Newham 1,862 72 136 503 527 370 254 E09000026 Redbridge 1,650 55 121 438 412 344 280 E09000027 Richmond upon Thames 571 31 40 141 123 100 136 E09000028 Southwark 2,144 78 152 562 558 466 328 E09000029 Sutton 759 61 71 194 165 149 119 E09000030 Tower Hamlets 1,530 52 98 462 456 273 189 E09000031 Waltham Forest 1,569 73 116 449 422 245 264 E09000032 Wandsworth 1,520 49 81 376 413 325 276 E09000033 Westminster 1,086 .. .. 257 292 216 220 South East 25,326 1,832 2,704 7,291 5,181 4,082 4,236 E06000036 Bracknell Forest 356 26 24 93 94 62 57 E06000043 Brighton and Hove 1,196 64 103 382 254 186 207 E06000046 Isle of Wight 233 28 32 60 48 34 31 E06000035 Medway 1,094 77 136 349 234 160 138 E06000042 Milton Keynes 944 50 87 271 203 178 155 E06000044 Portsmouth 839 57 87 266 194 130 105 E06000038 Reading 727 .. .. 186 183 145 115 E06000039 Slough 748 30 49 228 196 152 93 E06000045 Southampton 939 59 104 307 220 134 115 E06000037 West Berkshire 411 .. .. 114 80 57 81 E06000040 Windsor and Maidenhead 410 .. .. 89 83 87 84 E06000041 Wokingham 343 23 39 87 62 65 67 E10000002 Buckinghamshire ...... E10000011 East Sussex 1,373 120 179 405 248 217 204 E10000014 Hampshire 3,233 267 331 888 703 496 548 E10000016 Kent 4,295 324 489 1,256 852 679 695 E10000025 Oxfordshire ...... E10000030 Surrey 3,077 .. .. 868 556 503 602 E10000032 West Sussex 2,002 .. .. 570 389 314 331

South West 12,513 1,045 1,454 3,728 2,567 1,862 1,857 E06000022 Bath and North East Somerset 405 25 62 141 66 52 59 E06000028 Bournemouth 674 28 61 236 163 110 76 E06000023 Bristol, City of 1,423 83 135 418 352 239 196 E06000052 Cornwall ...... E06000053 Isles of Scilly ...... E06000024 North Somerset 369 20 55 105 68 60 61 E06000026 Plymouth 772 70 100 255 147 101 99 E06000029 Poole 371 27 40 105 86 66 47 E06000025 South Gloucestershire 555 50 61 163 110 82 89 E06000030 Swindon 725 54 88 189 169 134 91 E06000027 Torbay 398 40 48 132 84 50 44 E06000054 Wiltshire UA 1,018 91 116 285 206 138 182 E10000008 Devon 1,523 164 183 435 291 220 230 E10000009 Dorset 767 82 97 237 134 85 132 E10000013 Gloucestershire 1,304 108 149 373 270 202 202 E10000027 Somerset 1,048 103 109 321 203 143 169

.. value suppressed to protect patient confidentiality

36 Table 10d: Legal abortions: rates by age and Local Authority, England, residents, 2012

England, residents Crude rates per 1,000 women

Age

Local Authority All Under ages 18 18-19 20-24 25-29 30-34 35 +

England 16.6 13 26 29 22 17 7

Yorkshire and the Humber 13.8 13 21 24 18 13 5 E08000016 Barnsley 17.0 15 33 33 21 14 6 E08000032 Bradford 16.3 .. .. 33 20 15 7 E08000033 Calderdale 16.7 16 26 34 20 15 4 E08000017 Doncaster 17.9 14 33 31 23 18 6 E06000011 East Riding of Yorkshire 8.1 .. .. 16 11 6 3 E06000010 Kingston upon Hull, City of 8.4 9 14 13 12 9 3 E08000034 Kirklees 15.4 13 27 28 19 15 5 E08000035 Leeds 15.3 17 20 25 20 15 7 E06000012 North East Lincolnshire 17.3 18 29 32 22 17 5 E06000013 North Lincolnshire 14.5 14 28 24 21 9 6 E08000018 Rotherham 14.9 11 25 27 22 12 5 E08000019 Sheffield 12.8 12 16 19 18 16 5 E08000036 Wakefield 14.5 13 30 27 18 12 5 E06000014 York ...... E10000023 North Yorkshire ...... North West 17.5 15 29 32 24 17 6 E06000008 Blackburn with Darwen 16.2 13 26 27 21 18 6 E06000009 Blackpool 20.6 18 37 38 29 18 6 E08000001 Bolton 17.9 15 29 30 24 20 6 E08000002 Bury 20.3 17 34 40 26 17 7 E06000049 Cheshire East UA 14.6 11 27 29 20 11 5 E06000050 Cheshire West and Chester UA 14.9 13 26 28 18 15 5 E06000006 Halton 22.5 19 39 40 32 20 8 E08000011 Knowsley 23.0 21 32 42 32 24 7 E08000012 Liverpool 19.9 18 24 32 26 22 8 E08000003 Manchester 20.0 21 28 27 27 20 10 E08000004 Oldham 18.5 15 33 33 27 17 6 E08000005 Rochdale 17.7 15 26 38 23 14 6 E08000006 Salford 21.1 20 35 40 26 22 7 E08000014 Sefton 19.3 14 35 39 26 18 5 E08000013 St. Helens 17.7 16 31 32 22 18 6 E08000007 Stockport 17.7 13 30 33 24 16 6 E08000008 Tameside 19.1 14 30 37 26 19 6 E08000009 Trafford 19.5 11 41 37 25 18 7 E06000007 Warrington 17.0 12 33 29 23 14 7 E08000010 Wigan 15.2 13 29 28 20 15 4 E08000015 Wirral 20.0 16 34 40 29 15 6 E10000006 Cumbria 13.4 11 24 26 16 13 4 E10000017 Lancashire 15.4 12 24 28 20 15 5 North East 13.6 14 21 24 17 13 5 E06000047 County Durham UA 12.1 14 20 20 15 12 4 E06000005 Darlington 15.0 17 25 29 16 13 6 E08000020 Gateshead 13.2 14 20 26 14 12 5 E06000001 Hartlepool 14.8 17 17 27 21 15 4 E06000002 Middlesbrough 17.1 18 24 29 23 19 5 E08000021 Newcastle upon Tyne 14.0 16 16 20 20 14 7 E08000022 North Tyneside 15.3 15 27 30 17 13 5 E06000048 Northumberland UA 12.3 10 25 21 17 11 5 E06000003 Redcar and Cleveland 13.7 13 21 27 17 12 5 E08000023 South Tyneside 12.5 10 23 22 15 13 4 E06000004 Stockton-on-Tees 14.3 14 20 27 18 13 5 E08000024 Sunderland 14.6 20 23 25 19 14 4 West Midlands 18.0 14 28 32 24 18 7 E08000025 Birmingham 20.9 13 28 35 30 22 10 E08000026 Coventry 23.4 19 30 39 32 25 10 E08000027 Dudley 16.7 17 25 29 20 18 6 E06000019 Herefordshire, County of 14.1 12 19 25 17 16 5 E08000028 Sandwell 16.6 12 23 34 20 17 7 E06000051 Shropshire UA 13.4 12 28 25 16 11 5 E08000029 Solihull 19.4 13 34 39 26 17 6 E06000021 Stoke-on-Trent 18.4 22 31 33 22 17 7 E06000020 Telford and Wrekin 15.7 13 23 27 27 15 4 E08000030 Walsall 19.8 17 33 36 27 19 7 E08000031 Wolverhampton 21.7 16 33 36 33 24 7 E10000028 Staffordshire 16.4 .. .. 29 21 15 5 E10000031 Warwickshire 16.2 12 26 28 20 18 6 E10000034 Worcestershire 13.3 .. .. 25 16 12 5 East Midlands 13.5 11 21 24 18 13 5 E06000015 Derby 14.7 11 24 25 22 13 6 E06000016 Leicester 14.5 12 21 19 20 17 8 E06000018 Nottingham 15.8 10 19 21 25 21 6 E06000017 Rutland 11.1 .. .. 14 15 13 6 E10000007 Derbyshire 11.5 .. .. 22 14 11 4 E10000018 Leicestershire 12.7 11 19 22 15 12 5 E10000019 Lincolnshire 12.7 12 18 24 16 11 4 E10000021 Northamptonshire 16.7 .. .. 32 22 16 6 E10000024 Nottinghamshire 13.1 12 21 25 17 12 4

40 Table 10d: Legal abortions: rates by age and Local Authority, England, residents, 2012

England, residents Crude rates per 1,000 women

Age

Local Authority All Under ages 18 18-19 20-24 25-29 30-34 35 +

England 16.6 13 26 29 22 17 7

East 14.8 11 26 26 19 14 6 E06000055 Bedford UA 18.1 .. .. 35 24 15 7 E06000056 Central Bedfordshire UA 17.0 12 34 32 21 15 6 E06000032 Luton 21.7 16 36 36 28 22 10 E06000031 Peterborough 19.3 12 34 34 25 16 9 E06000033 Southend-on-Sea 15.9 14 29 30 20 15 5 E06000034 Thurrock 20.7 12 30 45 24 17 9 E10000003 Cambridgeshire 8.9 6 16 14 11 9 4 E10000012 Essex 15.8 11 28 28 20 15 6 E10000015 Hertfordshire 16.7 .. .. 30 20 16 8 E10000020 Norfolk 12.1 9 23 21 14 12 5 E10000029 Suffolk 13.0 11 21 24 16 11 5 London 22.4 15 34 39 28 22 12 E09000002 Barking and Dagenham 33.6 24 43 59 45 35 16 E09000003 Barnet 19.6 8 29 36 24 20 10 E09000004 Bexley 21.6 13 35 36 30 21 10 E09000005 Brent 25.3 9 29 44 35 29 14 E09000006 Bromley 22.2 14 33 43 28 20 9 E09000007 Camden 16.2 13 17 26 22 17 9 E09000001 City of London 11.7 .. .. 19 17 15 0 E09000008 Croydon 25.3 15 39 43 34 24 12 E09000009 Ealing 24.7 13 40 42 33 23 12 E09000010 Enfield 22.7 11 31 38 32 24 11 E09000011 Greenwich 26.8 19 37 48 37 26 12 E09000012 Hackney 22.9 14 37 37 29 24 12 E09000013 Hammersmith and Fulham 19.9 17 42 32 22 17 10 E09000014 Haringey 24.9 18 43 47 29 22 12 E09000015 Harrow 24.1 8 35 39 32 27 13 E09000016 Havering 23.1 18 39 41 31 21 9 E09000017 Hillingdon 23.2 14 31 38 32 25 12 E09000018 Hounslow 26.3 21 36 47 32 28 12 E09000019 Islington 19.4 20 25 34 21 17 12 E09000020 Kensington and Chelsea 17.1 .. .. 27 20 19 9 E09000021 Kingston upon Thames 18.1 14 26 31 22 17 10 E09000022 Lambeth 24.7 19 49 42 26 22 13 E09000023 Lewisham 27.4 26 40 46 35 27 13 E09000024 Merton 20.6 13 34 39 23 17 11 E09000025 Newham 22.4 12 33 35 29 25 12 E09000026 Redbridge 26.5 10 36 48 34 28 14 E09000027 Richmond upon Thames 15.7 12 20 30 19 12 8 E09000028 Southwark 25.7 19 42 39 31 29 14 E09000029 Sutton 20.1 16 36 35 24 20 8 E09000030 Tower Hamlets 18.5 14 29 29 22 17 11 E09000031 Waltham Forest 25.1 16 39 45 33 21 13 E09000032 Wandsworth 17.2 14 27 30 16 15 11 E09000033 Westminster 19.0 .. .. 29 22 17 13 South East 15.6 12 25 28 20 15 7 E06000036 Bracknell Forest 16.4 11 20 31 24 14 6 E06000043 Brighton and Hove 17.7 16 22 26 23 17 10 E06000046 Isle of Wight 11.4 11 22 19 15 11 4 E06000035 Medway 20.1 14 35 37 27 18 7 E06000042 Milton Keynes 18.9 11 33 38 21 17 8 E06000044 Portsmouth 17.3 17 23 25 24 19 8 E06000038 Reading 18.3 .. .. 25 24 20 10 E06000039 Slough 22.5 12 30 48 28 22 9 E06000045 Southampton 15.5 16 23 22 21 15 8 E06000037 West Berkshire 15.9 .. .. 32 19 12 7 E06000040 Windsor and Maidenhead 16.3 .. .. 27 19 17 7 E06000041 Wokingham 13.2 8 23 25 15 13 5 E10000002 Buckinghamshire ...... E10000011 East Sussex 16.7 13 30 31 20 17 6 E10000014 Hampshire 14.5 11 22 25 20 13 6 E10000016 Kent 16.4 12 26 29 20 16 7 E10000025 Oxfordshire ...... E10000030 Surrey 15.5 .. .. 28 18 14 7 E10000032 West Sussex 14.9 .. .. 28 18 13 6 South West 13.1 11 22 23 17 13 5 E06000022 Bath and North East Somerset 10.9 8 19 18 14 11 5 E06000028 Bournemouth 15.8 11 21 27 22 16 7 E06000023 Bristol, City of 13.2 13 21 19 18 14 7 E06000052 Cornwall UA ...... E06000053 Isles of Scilly UA ...... E06000024 North Somerset 11.6 6 26 22 13 11 4 E06000026 Plymouth 13.9 16 24 22 16 13 6 E06000029 Poole 14.5 11 24 26 20 15 5 E06000025 South Gloucestershire 11.6 10 18 22 14 10 5 E06000030 Swindon 17.5 14 38 29 22 18 6 E06000027 Torbay 19.4 18 34 40 25 15 5 E06000054 Wiltshire UA 13.2 10 22 25 17 11 5 E10000008 Devon 12.9 13 20 21 16 12 5 E10000009 Dorset 13.4 11 23 27 16 10 5 E10000013 Gloucestershire 12.4 10 21 21 16 12 5 E10000027 Somerset 12.3 10 18 23 16 11 5

1 rates for LAs are based on mid-2011 population estimates. See Annex A for further details. rates for all ages, under 16, under 18 and 35 and over are based on populations 15-44, 13-15, 15-17 and 35-44 respectively .. value suppressed to protect patient confidentiality

40 Table 11a: Legal abortions: purchaser, gestation weeks and Sexual Health Indicator by Clinical Commissioning Group England and Locality Office (Wales) of residence, 2012

England and Wales, residents percentages

Purchaser (%) Gestation weeks (%)

Clinical Commissioning Groups/ NHS Funded Privately Total NHS funded Percentage Locality Office Funded NHS abortions of all NHS 95% NHS Indep- funded at under funded confidence Hospital endent 3-9 10-12 13+ abortions 10 weeks abortions interval Sector under 10 weeks

England and Wales 35 62 3 77 14 9 179,398 138,443 77.2 77.0 - 77.4 England 33 64 3 78 13 9 171,237 132,745 77.5 77.3 - 77.7

E40000001 Y54 North Of England 55 44 1 77 14 9 45,504 35,196 77 77.0 - 77.7

E39000001 Q44 Cheshire, Warrington and Wirral 46 51 2 80 12 9 3,428 2,736 80 78.4 - 81.1 E38000056 01C NHS Eastern Cheshire 5 91 4 79 13 8 444 352 79 75.3 - 82.8 E38000151 01R NHS South Cheshire 57 41 3 64 22 14 401 255 64 58.8 - 68.2 E38000189 02D NHS Vale Royal 40 55 4 69 18 12 244 169 69 63.2 - 74.7 E38000194 02E NHS Warrington 5 93 3 82 9 8 612 505 83 79.3 - 85.3 E38000196 02F NHS West Cheshire 58 41 1 80 12 9 624 500 80 76.8 - 83.1 E38000208 12F NHS Wirral 78 21 1 87 7 6 1,103 955 87 84.4 - 88.5

E39000002 Q45 Durham, Darlington and Tees 94 4 2 72 17 10 3,020 2,174 72 70.4 - 73.6 E38000042 00C NHS Darlington 91 8 1 68 20 12 288 197 68 62.8 - 73.5 E38000047 00D NHS Durham Dales, Easington & Sedgefield 93 6 1 71 19 10 664 473 71 67.7 - 74.5 E38000075 00K NHS Hartlepool and Stockton-on-Tees 97 1 2 78 15 7 771 596 77 74.2 - 80.1 E38000116 00J NHS North Durham 89 10 1 74 16 9 491 365 74 70.3 - 78.0 E38000162 00M NHS South Tees 94 2 3 68 18 14 806 543 67 64.1 - 70.5

E39000003 Q46 Greater Manchester 29 69 1 83 10 7 10,547 8,712 83 81.9 - 83.3 E38000016 00T NHS Bolton 31 67 2 82 11 8 953 778 82 79.1 - 84.0 E38000024 00V NHS Bury 19 79 2 86 8 6 681 583 86 82.8 - 88.0 E38000032 00W NHS Central Manchester 17 82 2 86 8 7 1,012 866 86 83.3 - 87.6 E38000080 01D NHS Heywood, Middleton & Rochdale 34 65 1 82 10 7 742 610 82 79.3 - 84.8 E38000123 01M NHS North Manchester 16 83 1 87 7 6 1,029 889 86 84.2 - 88.4 E38000135 00Y NHS Oldham 42 57 1 83 10 7 810 673 83 80.3 - 85.5 E38000143 01G NHS Salford 49 50 1 77 14 9 1,125 872 78 75.0 - 79.9 E38000158 01N NHS South Manchester 11 88 1 84 10 7 795 664 84 80.8 - 85.9 E38000174 01W NHS Stockport 26 72 2 82 11 7 852 701 82 79.6 - 84.7 E38000182 01Y NHS Tameside and Glossop 38 61 1 84 9 8 896 750 84 81.1 - 86.0 E38000187 02A NHS Trafford 6 93 2 84 9 7 762 640 84 81.2 - 86.4 E38000205 02H NHS Wigan Borough 57 42 0 77 14 9 890 686 77 74.2 - 79.7

E39000004 Q47 Lancashire 46 52 1 81 12 7 4,302 3,501 81 80.2 - 82.5 E38000014 00Q NHS Blackburn with Darwen 90 5 6 84 11 6 462 387 84 80.1 - 86.8 E38000015 00R NHS Blackpool 4 96 0 81 11 8 526 426 81 77.4 - 84.1 E38000034 00X NHS Chorley and South Ribble 3 97 0 82 11 7 456 375 82 78.5 - 85.5 E38000050 01A NHS East Lancashire 91 7 1 81 12 7 1,176 951 81 78.5 - 83.0 E38000060 02M NHS Fylde & Wyre 3 96 1 85 7 8 378 321 85 81.0 - 88.2 E38000065 01E NHS Greater Preston 4 95 0 82 11 7 628 516 82 79.0 - 85.0 E38000093 01K NHS Lancashire North 59 40 1 79 15 6 351 277 79 74.3 - 82.9 E38000200 02G NHS West Lancashire 66 33 1 76 17 6 325 248 76 71.4 - 80.6

E39000005 Q48 Merseyside 70 29 1 76 16 8 4,874 3,716 76 75.0 - 77.4 E38000068 01F NHS Halton 26 72 1 78 14 7 540 422 78 74.5 - 81.4 E38000091 01J NHS Knowsley 78 21 1 75 15 10 672 503 75 71.4 - 78.0 E38000101 99A NHS Liverpool 83 16 1 75 17 8 2,234 1,679 75 73.3 - 76.9 E38000161 01T NHS South Sefton 85 14 1 78 14 8 604 473 78 74.9 - 81.4 E38000170 01V NHS Southport and Formby 88 10 2 80 16 4 270 216 80 74.8 - 84.3 E38000172 01X NHS St Helens 29 70 1 77 15 8 554 423 76 72.6 - 79.7

E39000006 Q49 Cumbria, Northumberland, Tyne and Wear 92 7 2 75 16 9 4,770 3,567 75 73.5 - 76.0 E38000041 01H NHS Cumbria 92 5 2 73 18 10 1,052 763 73 69.8 - 75.1 E38000061 00F NHS Gateshead 95 2 3 77 14 9 490 374 76 72.4 - 79.9 E38000111 00G NHS Newcastle North and East 82 18 0 78 13 9 449 350 78 73.9 - 81.5 E38000112 00H NHS Newcastle West 87 13 0 76 16 8 507 386 76 72.2 - 79.6 E38000127 99C NHS North Tyneside 92 7 1 78 15 8 553 429 78 73.9 - 80.9 E38000130 00L NHS Northumberland 92 8 0 77 13 10 623 481 77 73.8 - 80.3 E38000163 00N NHS South Tyneside 96 1 3 73 19 9 330 238 72 67.0 - 76.7 E38000176 00P NHS Sunderland 96 2 2 72 20 9 766 546 71 68.0 - 74.4

E39000007 Q50 North Yorkshire and Humber 65 33 2 71 19 10 3,122 2,209 71 69.1 - 72.3 E38000052 02Y NHS East Riding of Yorkshire 82 12 6 58 30 12 352 198 56 51.0 - 61.3 E38000069 03D NHS Hambleton, Richmondshire and Whitby 84 14 1 70 21 9 265 185 70 64.0 - 75.0 E38000073 03E NHS Harrogate and Rural District 32 66 2 78 10 12 254 199 78 72.9 - 83.0 E38000085 03F NHS Hull 84 14 1 53 32 14 485 257 53 48.5 - 57.4 E38000119 03H NHS North East Lincolnshire 97 2 2 82 11 7 513 422 82 78.7 - 85.3 E38000122 03K NHS North Lincolnshire 83 15 1 82 12 6 416 342 82 78.2 - 85.6 E38000145 03M NHS Scarborough and Ryedale 59 39 3 67 23 10 195 130 67 59.8 - 72.9 E38000188 03Q NHS Vale of York 10 89 1 74 15 11 642 476 74 70.6 - 77.4

E39000008 Q51 South Yorkshire and Bassetlaw 66 32 2 69 20 11 4,195 2,881 69 67.3 - 70.1 E38000006 02P NHS Barnsley 68 30 2 51 32 17 707 356 50 46.7 - 54.0 E38000008 02Q NHS Bassetlaw 68 29 3 80 13 7 222 178 80 74.4 - 84.9 E38000044 02X NHS Doncaster 5 95 0 78 14 8 1,002 782 78 75.4 - 80.5 E38000141 03L NHS Rotherham 86 12 2 61 25 14 689 414 60 56.4 - 63.7 E38000146 03N NHS Sheffield 95 2 3 73 18 9 1,575 1,151 73 70.8 - 75.2

44 Table 11a: Legal abortions: purchaser, gestation weeks and Sexual Health Indicator by Clinical Commissioning Group England and Locality Office (Wales) of residence, 2012

England and Wales, residents percentages

Purchaser (%) Gestation weeks (%)

Clinical Commissioning Groups/ NHS Funded Privately Total NHS funded Percentage Locality Office Funded NHS abortions of all NHS 95% NHS Indep- funded at under funded confidence Hospital endent 3-9 10-12 13+ abortions 10 weeks abortions interval Sector under 10 weeks

England and Wales 35 62 3 77 14 9 179,398 138,443 77.2 77.0 - 77.4 England 33 64 3 78 13 9 171,237 132,745 77.5 77.3 - 77.7

E39000009 Q52 West Yorkshire 39 60 1 79 13 8 7,246 5,700 79 77.7 - 79.6 E38000001 02N NHS Airedale, Wharfedale and Craven 53 46 1 80 14 6 368 293 80 75.2 - 83.4 E38000018 02W NHS Bradford City 72 27 2 76 14 10 378 285 75 70.8 - 79.5 E38000019 02R NHS Bradford Districts 73 27 1 77 15 8 1,092 843 77 74.6 - 79.6 E38000025 02T NHS Calderdale 92 5 2 82 11 7 590 483 82 78.6 - 84.8 E38000064 03A NHS Greater Huddersfield 90 7 3 83 11 6 732 607 83 80.0 - 85.5 E38000094 02V NHS Leeds North 9 90 1 81 12 8 604 486 80 77.1 - 83.4 E38000095 03G NHS Leeds South and East 7 92 1 77 14 9 968 747 77 74.4 - 79.7 E38000096 03C NHS Leeds West 7 93 1 79 13 8 1,121 889 79 76.8 - 81.6 E38000121 03J NHS North Kirklees 18 81 2 76 13 11 515 390 76 71.8 - 79.2 E38000190 03R NHS Wakefield 4 96 0 77 12 11 878 677 77 74.2 - 79.8

E40000002 Y55 Midlands and East of England 33 65 2 75 16 10 46,991 35,000 74 74.1 - 74.9

E39000010 Q53 Arden, Herefordshire and Worcestershire 15 83 2 76 14 10 4,870 3,668 75 74.1 - 76.5 E38000038 05A NHS Coventry and Rugby 3 96 1 75 14 11 1,966 1,468 75 72.7 - 76.5 E38000078 05F NHS Herefordshire 92 4 4 72 17 11 391 278 71 66.4 - 75.4 E38000139 05J NHS Redditch and Bromsgrove 3 93 4 82 9 9 424 346 82 77.6 - 85.0 E38000164 05R NHS South Warwickshire 4 95 1 71 18 11 638 450 71 66.9 - 73.9 E38000166 05T NHS South Worcestershire 37 60 3 78 13 9 609 473 78 74.2 - 80.8 E38000195 05H NHS Warwickshire North 2 96 2 76 14 9 641 489 76 72.8 - 79.4 E38000211 06D NHS Wyre Forest 9 88 2 82 13 5 201 164 82 75.7 - 86.3

E39000011 Q54 Birmingham and the Black Country 9 89 2 79 12 9 10,021 7,931 79 78.3 - 79.9 E38000012 13P NHS Birmingham CrossCity 2 97 1 80 12 8 3,338 2,665 80 78.4 - 81.2 E38000013 04X NHS Birmingham South and Central 3 96 1 81 11 8 873 713 82 79.0 - 84.1 E38000046 05C NHS Dudley 2 96 2 83 9 8 928 773 83 80.8 - 85.6 E38000144 05L NHS Sandwell and West Birmingham 5 93 2 75 13 12 2,114 1,572 74 72.5 - 76.2 E38000149 05P NHS Solihull 2 96 2 86 8 6 659 566 86 83.0 - 88.3 E38000191 05Y NHS Walsall 62 37 1 81 11 8 1,030 832 81 78.3 - 83.1 E38000210 06A NHS Wolverhampton 5 92 4 75 15 9 1,079 810 75 72.4 - 77.6

E39000012 Q55 Derbyshire and Nottinghamshire 61 36 3 67 23 11 4,905 3,241 66 64.7 - 67.4 E38000058 03X NHS Erewash 82 12 6 66 26 8 201 130 65 57.8 - 71.0 E38000071 03Y NHS Hardwick 87 10 3 65 21 14 190 123 65 57.7 - 71.2 E38000103 04E NHS Mansfield & Ashfield 29 70 2 66 18 16 485 320 66 61.7 - 70.1 E38000109 04H NHS Newark & Sherwood 28 69 3 69 21 10 225 154 68 62.1 - 74.2 E38000115 04J NHS North Derbyshire 65 29 6 70 20 10 452 311 69 64.4 - 72.9 E38000132 04K NHS Nottingham City 62 36 2 65 24 11 1,250 806 64 61.8 - 67.1 E38000133 04L NHS Nottingham North & East 29 69 2 73 18 9 372 270 73 67.8 - 76.9 E38000134 04M NHS Nottingham West 29 69 2 69 19 12 237 162 68 62.2 - 73.9 E38000142 04N NHS Rushcliffe 24 72 3 62 27 11 211 129 61 54.4 - 67.5 E38000169 04R NHS Southern Derbyshire 91 5 3 66 25 9 1,282 836 65 62.6 - 67.8

E39000013 Q56 East Anglia 85 12 3 72 18 10 5,083 3,655 72 70.7 - 73.1 E38000026 06H NHS Cambridgeshire and Peterborough 69 28 3 73 17 11 1,818 1,314 72 70.2 - 74.3 E38000063 06M NHS Great Yarmouth & Waveney 96 2 2 68 22 10 546 369 68 63.5 - 71.4 E38000086 06L NHS Ipswich and East Suffolk 96 2 2 74 18 8 847 626 74 70.8 - 76.8 E38000124 06V NHS North Norfolk 95 1 3 80 13 7 236 186 79 73.2 - 83.5 E38000131 06W NHS Norwich 98 1 1 77 12 11 519 396 76 72.5 - 79.8 E38000159 06Y NHS South Norfolk 96 1 3 71 20 9 394 277 70 65.6 - 74.6 E38000203 07J NHS West Norfolk 82 15 3 76 13 11 322 245 76 71.1 - 80.4 E38000204 07K NHS West Suffolk 92 3 6 62 30 8 401 242 60 55.5 - 65.0

E39000014 Q57 Essex 27 70 3 79 12 9 4,902 3,881 79 78.0 - 80.3 E38000007 99E NHS Basildon and Brentwood 14 84 2 75 15 10 784 583 74 71.2 - 77.3 E38000030 99F NHS Castle Point, Rayleigh and Rochford 28 71 1 79 11 9 408 323 79 75.0 - 82.8 E38000106 06Q NHS Mid Essex 10 89 1 80 11 9 883 702 80 76.7 - 82.0 E38000117 06T NHS North East Essex 77 19 3 80 11 9 693 557 80 77.3 - 83.2 E38000168 99G NHS Southend 41 56 3 81 12 7 499 402 81 76.9 - 83.8 E38000185 07G NHS Thurrock 16 81 2 77 15 8 649 496 76 73.0 - 79.5 E38000197 07H NHS West Essex 18 78 5 83 9 8 986 818 83 80.5 - 85.2

E39000015 Q58 Hertfordshire and the South Midlands 22 76 2 75 15 10 8,660 6,480 75 73.9 - 75.7 E38000010 06F NHS Bedfordshire 41 57 3 74 15 11 1,272 940 74 71.4 - 76.2 E38000037 03V NHS Corby 82 17 1 55 34 11 235 129 55 48.5 - 61.1 E38000049 06K NHS East and North Hertfordshire 5 93 2 79 10 11 1,687 1,328 79 76.7 - 80.6 E38000079 06N NHS Herts Valleys 5 92 3 80 10 10 1,707 1,371 80 78.4 - 82.1 E38000102 06P NHS Luton 15 83 2 76 13 11 989 748 76 72.9 - 78.2 E38000107 04F NHS Milton Keynes 4 94 3 77 13 11 933 717 77 74.0 - 79.4 E38000108 04G NHS Nene 45 53 2 68 22 10 1,837 1,247 68 65.7 - 70.0

E39000016 Q59 Leicestershire and Lincolnshire 75 21 4 66 24 10 4,102 2,663 65 63.4 - 66.4 E38000051 03W NHS East Leicestershire and Rutland 62 33 5 70 20 10 676 465 69 65.2 - 72.2 E38000097 04C NHS Leicester City 76 20 3 64 25 11 1,174 744 63 60.6 - 66.1 E38000099 03T NHS Lincolnshire East 95 2 3 64 28 8 436 280 64 59.6 - 68.6 E38000100 04D NHS Lincolnshire West 95 2 4 62 31 7 538 324 60 56.0 - 64.3 E38000157 99D NHS South Lincolnshire 89 9 2 71 19 10 280 198 71 65.1 - 75.7 E38000165 04Q NHS South West Lincolnshire 91 6 3 60 28 13 232 138 59 53.1 - 65.6 E38000201 04V NHS West Leicestershire 51 45 5 68 21 11 766 514 67 63.7 - 70.3

44 Table 11a: Legal abortions: purchaser, gestation weeks and Sexual Health Indicator by Clinical Commissioning Group England and Locality Office (Wales) of residence, 2012

England and Wales, residents percentages

Purchaser (%) Gestation weeks (%)

Clinical Commissioning Groups/ NHS Funded Privately Total NHS funded Percentage Locality Office Funded NHS abortions of all NHS 95% NHS Indep- funded at under funded confidence Hospital endent 3-9 10-12 13+ abortions 10 weeks abortions interval Sector under 10 weeks

England and Wales 35 62 3 77 14 9 179,398 138,443 77.2 77.0 - 77.4 England 33 64 3 78 13 9 171,237 132,745 77.5 77.3 - 77.7

E39000017 Q60 Shropshire and Staffordshire 5 94 1 78 13 9 4,448 3,481 78 77.0 - 79.4 E38000028 04Y NHS Cannock Chase 6 94 0 76 14 10 438 334 76 72.1 - 80.0 E38000053 05D NHS East Staffordshire 8 90 2 76 15 9 321 244 76 71.1 - 80.4 E38000126 05G NHS North Staffordshire 5 94 2 82 11 7 523 429 82 78.5 - 85.1 E38000147 05N NHS Shropshire 6 93 1 78 13 9 640 496 78 74.1 - 80.6 E38000153 05Q NHS South East Staffs & Seisdon & Peninsular 3 95 1 76 15 9 652 496 76 72.7 - 79.2 E38000173 05V NHS Stafford and Surrounds 5 94 1 74 16 9 410 304 74 69.7 - 78.1 E38000175 05W NHS Stoke on Trent 3 96 1 85 8 8 964 817 85 82.3 - 86.9 E38000183 05X NHS Telford & Wrekin 4 94 1 72 16 12 500 361 72 68.1 - 75.9

E40000003 Y56 London 18 76 6 81 11 9 42,601 34,245 80 80.0 - 80.8

E39000018 Q71 London 18 76 6 81 11 9 42,601 34,245 80 80.0 - 80.8 E38000004 07L NHS Barking & Dagenham 4 94 2 78 12 10 1,429 1,120 78 76.2 - 80.4 E38000005 07M NHS Barnet 4 91 5 82 9 8 1,504 1,242 83 80.6 - 84.4 E38000027 07R NHS Camden 15 76 9 81 11 8 953 760 80 77.1 - 82.2 E38000035 07T NHS City and Hackney 81 11 7 81 12 7 1,552 1,255 81 78.8 - 82.7 E38000057 07X NHS Enfield 11 79 10 73 17 10 1,463 1,047 72 69.2 - 73.8 E38000072 08D NHS Haringey 8 87 5 77 12 11 1,503 1,157 77 74.8 - 79.0 E38000077 08F NHS Havering 4 94 2 80 11 9 1,019 817 80 77.6 - 82.5 E38000088 08H NHS Islington 13 79 7 79 11 9 1,110 869 78 75.8 - 80.6 E38000113 08M NHS Newham 79 8 13 72 18 10 1,625 1,150 71 68.5 - 72.9 E38000138 08N NHS Redbridge 4 93 3 82 9 9 1,600 1,307 82 79.7 - 83.5 E38000186 08V NHS Tower Hamlets 81 8 11 79 14 7 1,364 1,054 77 75.0 - 79.4 E38000192 08W NHS Waltham Forest 5 91 5 79 12 9 1,496 1,178 79 76.6 - 80.7 E38000020 07P NHS Brent 4 92 4 83 10 8 1,915 1,584 83 81.0 - 84.3 E38000031 09A NHS Central London (Westminster) 37 44 18 85 9 7 602 504 84 80.6 - 86.5 E38000048 07W NHS Ealing 3 92 6 81 10 9 1,862 1,500 81 78.7 - 82.3 E38000070 08C NHS Hammersmith and Fulham 10 82 8 81 11 8 933 743 80 76.9 - 82.1 E38000074 08E NHS Harrow 2 94 4 83 9 8 1,182 983 83 80.9 - 85.2 E38000082 08G NHS Hillingdon 4 91 5 80 11 9 1,377 1,103 80 77.9 - 82.1 E38000084 07Y NHS Hounslow 4 90 6 81 10 9 1,507 1,217 81 78.7 - 82.7 E38000202 08Y NHS West London 62 15 23 86 9 5 775 667 86 83.4 - 88.3 E38000011 07N NHS Bexley 3 96 2 78 12 10 971 757 78 75.2 - 80.5 E38000023 07Q NHS Bromley 3 93 4 83 10 8 1,206 998 83 80.5 - 84.8 E38000040 07V NHS Croydon 2 95 2 80 10 9 1,933 1,551 80 78.4 - 82.0 E38000066 08A NHS Greenwich 3 93 4 81 10 10 1,597 1,287 81 78.6 - 82.5 E38000090 08J NHS Kingston 2 94 3 82 9 8 674 553 82 79.0 - 84.8 E38000092 08K NHS Lambeth 8 89 3 83 9 8 1,995 1,655 83 81.2 - 84.5 E38000098 08L NHS Lewisham 10 88 3 83 9 8 1,841 1,535 83 81.6 - 85.0 E38000105 08R NHS Merton 23 71 5 83 9 8 886 737 83 80.6 - 85.5 E38000140 08P NHS Richmond 31 62 7 84 6 10 531 441 83 79.6 - 86.0 E38000171 08Q NHS Southwark 10 87 4 84 9 7 2,062 1,721 83 81.8 - 85.0 E38000179 08T NHS Sutton 22 75 3 84 8 7 737 619 84 81.2 - 86.5 E38000193 08X NHS Wandsworth 26 66 8 82 11 8 1,397 1,134 81 79.0 - 83.1

E40000004 Y57 South of England 24 74 2 78 12 9 36,141 28,304 78 77.9 - 78.7

E39000019 Q64 Bath, Gloucestershire, Swindon and Wiltshire 45 53 2 78 12 10 3,391 2,647 78 76.6 - 79.4 E38000009 11E NHS Bath and North East Somerset 50 48 1 76 14 10 399 303 76 71.5 - 79.9 E38000062 11M NHS Gloucestershire 93 4 3 72 15 13 1,259 907 72 69.5 - 74.5 E38000181 12D NHS Swindon 1 98 1 88 7 5 727 640 88 85.5 - 90.2 E38000206 99N NHS Wiltshire 12 87 1 79 11 10 1,006 797 79 76.6 - 81.6

E39000020 Q65 Bristol, North Somerset, Somerset and South Gloucestershire 46 53 1 78 12 10 3,356 2,605 78 76.2 - 79.0 E38000022 11H NHS Bristol 52 48 1 80 12 8 1,412 1,124 80 77.4 - 81.6 E38000125 11T NHS North Somerset 30 69 2 75 11 14 363 272 75 70.2 - 79.1 E38000150 11X NHS Somerset 47 52 1 76 12 11 1,037 792 76 73.7 - 78.9 E38000155 12A NHS South Gloucestershire 37 61 2 77 12 11 544 417 77 72.9 - 80.0

E39000021 Q66 Devon, Cornwall and Isles of Scilly 76 23 1 74 18 8 3,807 2,802 74 72.2 - 75.0 E38000089 11N NHS Kernow 84 15 1 72 17 11 1,146 827 72 69.5 - 74.7 E38000129 99P NHS North, East, West Devon 92 7 1 73 21 7 1,925 1,397 73 70.5 - 74.5 E38000152 99Q NHS South Devon and Torbay 22 78 0 79 12 10 736 578 79 75.4 - 81.3

E39000022 Q67 Kent and Medway 3 95 2 79 12 9 5,281 4,187 79 78.2 - 80.4 E38000002 09C NHS Ashford 4 94 1 81 11 8 341 275 81 76.1 - 84.5 E38000029 09E NHS Canterbury and Coastal 3 96 1 81 11 8 547 443 81 77.5 - 84.1 E38000043 09J NHS Dartford, Gravesham and Swanley 3 94 3 81 12 8 824 664 81 77.7 - 83.1 E38000104 09W NHS Medway 4 95 1 79 11 10 1,081 853 79 76.4 - 81.2 E38000156 10A NHS South Kent Coast 4 96 0 77 12 11 610 470 77 73.5 - 80.2 E38000180 10D NHS Swale 3 96 1 81 13 6 338 274 81 76.5 - 84.9 E38000184 10E NHS Thanet 4 96 0 78 13 9 431 338 78 74.3 - 82.0 E38000199 99J NHS West Kent 2 93 4 79 12 9 1,109 870 78 75.9 - 80.8

44 Table 11a: Legal abortions: purchaser, gestation weeks and Sexual Health Indicator by Clinical Commissioning Group England and Locality Office (Wales) of residence, 2012

England and Wales, residents percentages

Purchaser (%) Gestation weeks (%)

Clinical Commissioning Groups/ NHS Funded Privately Total NHS funded Percentage Locality Office Funded NHS abortions of all NHS 95% NHS Indep- funded at under funded confidence Hospital endent 3-9 10-12 13+ abortions 10 weeks abortions interval Sector under 10 weeks

England and Wales 35 62 3 77 14 9 179,398 138,443 77.2 77.0 - 77.4 England 33 64 3 78 13 9 171,237 132,745 77.5 77.3 - 77.7

E39000023 Q68 Surrey and Sussex 4 93 2 80 11 9 7,362 5,841 79 78.4 - 80.2 E38000021 09D NHS Brighton & Hove 1 97 1 83 10 7 1,179 977 83 80.6 - 84.9 E38000036 09G NHS Coastal West Sussex 12 86 2 75 15 10 1,088 812 75 72.0 - 77.1 E38000039 09H NHS Crawley 3 95 2 76 11 13 408 309 76 71.3 - 79.6 E38000054 09L NHS East Surrey 3 95 3 79 11 10 463 361 78 74.0 - 81.5 E38000055 09F NHS Eastbourne, Hailsham and Seaford 2 97 1 79 13 8 470 370 79 74.8 - 82.2 E38000067 09N NHS Guildford and Waverley 5 93 3 78 11 11 442 344 78 73.7 - 81.5 E38000076 09P NHS Hastings & Rother 3 95 2 71 17 12 517 366 71 66.7 - 74.5 E38000081 99K NHS High Weald Lewes Havens 3 95 2 82 11 7 364 298 82 77.6 - 85.5 E38000083 09X NHS Horsham and Mid Sussex 2 93 5 79 12 9 449 354 79 74.8 - 82.4 E38000128 09Y NHS North West Surrey 5 92 3 82 9 9 1,058 870 82 79.8 - 84.4 E38000177 99H NHS Surrey Downs 2 96 2 86 9 6 688 588 85 82.6 - 87.9 E38000178 10C NHS Surrey Heath 7 89 3 81 9 10 236 192 81 75.9 - 85.8

E39000024 Q69 Thames Valley 4 93 3 79 11 10 5,906 4,666 79 77.9 - 80.0 E38000003 10Y NHS Aylesbury Vale 7 89 5 72 17 11 444 319 72 67.5 - 75.8 E38000017 10G NHS Bracknell and Ascot 4 94 2 82 12 6 389 318 82 77.6 - 85.3 E38000033 10H NHS Chiltern 4 91 6 78 10 12 888 691 78 75.0 - 80.4 E38000110 10M NHS Newbury and District 4 94 2 78 11 11 262 205 78 72.9 - 82.8 E38000114 10N NHS North & West Reading 1 96 3 82 10 8 319 260 82 76.9 - 85.4 E38000136 10Q NHS Oxfordshire 4 93 3 78 11 11 1,628 1,263 78 75.5 - 79.5 E38000148 10T NHS Slough 3 95 3 80 9 11 728 580 80 76.6 - 82.4 E38000160 10W NHS South Reading 2 96 2 82 10 8 532 436 82 78.5 - 85.0 E38000207 11C NHS Windsor, Ascot and Maidenhead 2 95 3 80 11 9 385 309 80 76.0 - 83.9 E38000209 11D NHS Wokingham 3 94 3 86 9 6 331 285 86 82.0 - 89.4

E39000025 Q70 Wessex 32 67 2 79 12 9 7,038 5,556 79 78.0 - 79.9 E38000045 11J NHS Dorset 22 77 1 78 11 10 1,790 1,403 78 76.4 - 80.2 E38000059 10K NHS Fareham and Gosport 83 16 1 82 11 7 469 383 82 77.9 - 84.9 E38000087 10L NHS Isle of Wight 93 7 0 75 16 9 233 175 75 69.2 - 80.2 E38000118 99M NHS North East Hampshire and Farnham 6 91 3 79 10 11 555 435 78 74.8 - 81.6 E38000120 10J NHS North Hampshire 3 96 2 81 12 7 571 465 81 78.0 - 84.4 E38000137 10R NHS Portsmouth 85 14 1 79 13 8 829 654 79 76.0 - 81.5 E38000154 10V NHS South Eastern Hampshire 75 23 2 78 15 7 490 380 78 73.7 - 81.0 E38000167 10X NHS Southampton 4 95 1 79 12 9 929 737 79 76.6 - 81.8 E38000198 11A NHS West Hampshire 8 91 2 79 13 9 1,172 924 79 76.4 - 81.1

Wales 71 23 6 71 20 9 8,161 5,698 70 68.8 - 70.8

6B1 Anglesey 27 70 3 75 14 11 168 125 74 67.3 - 80.4 6C2 Blaenau Gwent 80 16 3 80 15 5 153 123 80 73.4 - 85.9 6B3 Bridgend 91 2 6 59 27 14 376 215 57 52.1 - 62.1 6B2 Caerphilly 76 18 6 75 18 7 450 332 74 69.5 - 77.6 6A8 Cardiff 83 5 12 64 25 11 1,109 672 61 57.7 - 63.4 6B7 Carmarthen 93 3 5 61 26 13 418 251 60 55.3 - 64.6 6A4 Ceredigion 91 4 5 83 12 6 136 111 82 74.3 - 87.2 6A7 Conwy 26 72 2 76 13 11 296 223 75 70.1 - 79.9 6C1 Denbighshire 18 81 2 79 13 8 248 196 79 73.5 - 83.6 6B5 Flintshire 7 91 1 79 9 12 421 331 79 74.5 - 82.3 6A2 Gwynedd 36 62 2 71 16 13 310 220 71 65.7 - 75.7 6B8 Merthyr Tydfil 95 1 4 64 25 10 162 106 65 57.8 - 72.3 6A1 Monmouth 72 19 9 79 15 6 132 102 77 69.4 - 83.6 6A5 Neath & Port Talbot 92 2 5 63 27 10 353 220 62 57.2 - 67.2 6B9 Newport 74 22 5 75 17 8 456 345 76 71.5 - 79.4 6A3 Pembroke 87 8 5 74 20 6 270 201 74 68.9 - 79.3 6C4 Powys 89 5 7 74 16 10 230 170 74 67.9 - 79.2 6A9 Rhondda, Cynon, Taff 94 2 5 72 22 6 770 547 71 67.7 - 74.1 6A6 Swansea 95 1 4 68 23 10 707 476 67 63.8 - 70.7 6B6 The Vale of Glamorgan 84 3 12 66 26 7 308 195 63 57.8 - 68.5 6C3 Torfaen 77 19 4 79 15 6 265 208 78 73.2 - 83.0 6B4 Wrexham 3 96 1 78 13 9 423 329 78 73.6 - 81.5

Note: percentages are rounded and may not add up to 100

44 Table 11b: Legal abortions: method of abortion and repeat abortions, all ages and aged under 25 by Clinical Commissioning Groups (England) and Locality Office (Wales) of residence, 2012 England and Wales, residents percentages

Repeat Repeat Repeat Method of Abortion abortions abortions abortions Clinical Commissioning Groups/ all in women in women Locality Office ages aged aged Total Medical Surgical under 25 25 and over

England and Wales 185,122 48 52 36.7 26.8 45.3 England 176,480 47 53 36.9 27.1 45.4

E40000001 Y54 North Of England 46,173 64 36 34 25 44

E39000001 Q44 Cheshire, Warrington and Wirral 3,502 48 52 32 24 41 E38000056 01C NHS Eastern Cheshire 462 39 61 32 23 40 E38000151 01R NHS South Cheshire 412 39 61 22 16 28 E38000189 02D NHS Vale Royal 255 40 60 25 20 30 E38000194 02E NHS Warrington 628 25 75 35 25 43 E38000196 02F NHS West Cheshire 633 45 55 29 19 40 E38000208 12F NHS Wirral 1,112 73 27 39 30 49

E39000002 Q45 Durham, Darlington and Tees 3,078 93 7 33 23 44 E38000042 00C NHS Darlington 291 85 15 31 19 45 E38000047 00D NHS Durham Dales, Easington & Sedgefield 670 93 7 34 22 46 E38000075 00K NHS Hartlepool and Stockton-on-Tees 789 98 2 35 25 45 E38000116 00J NHS North Durham 494 86 14 24 17 34 E38000162 00M NHS South Tees 834 97 3 35 26 46

E39000003 Q46 Greater Manchester 10,680 59 41 35 27 43 E38000016 00T NHS Bolton 969 71 29 34 29 39 E38000024 00V NHS Bury 694 63 37 37 27 46 E38000032 00W NHS Central Manchester 1,028 58 42 36 26 46 E38000080 01D NHS Heywood, Middleton & Rochdale 750 61 39 33 29 37 E38000123 01M NHS North Manchester 1,042 65 35 36 28 43 E38000135 00Y NHS Oldham 818 63 37 33 24 40 E38000143 01G NHS Salford 1,135 48 52 35 25 44 E38000158 01N NHS South Manchester 802 54 46 37 30 44 E38000174 01W NHS Stockport 868 49 51 38 28 48 E38000182 01Y NHS Tameside and Glossop 906 61 39 37 28 45 E38000187 02A NHS Trafford 774 56 44 36 25 45 E38000205 02H NHS Wigan Borough 894 59 41 29 21 38

E39000004 Q47 Lancashire 4,358 70 30 35 26 44 E38000014 00Q NHS Blackburn with Darwen 489 91 9 35 23 44 E38000015 00R NHS Blackpool 528 65 35 37 28 47 E38000034 00X NHS Chorley and South Ribble 457 51 49 41 29 53 E38000050 01A NHS East Lancashire 1,192 91 9 33 26 40 E38000060 02M NHS Fylde & Wyre 381 66 34 37 26 48 E38000065 01E NHS Greater Preston 631 56 44 38 31 46 E38000093 01K NHS Lancashire North 353 50 50 30 22 41 E38000200 02G NHS West Lancashire 327 48 52 29 21 37

E39000005 Q48 Merseyside 4,924 57 43 37 28 48 E38000068 01F NHS Halton 547 32 68 35 30 41 E38000091 01J NHS Knowsley 676 61 39 39 28 51 E38000101 99A NHS Liverpool 2,257 65 35 38 26 50 E38000161 01T NHS South Sefton 609 68 32 38 29 48 E38000170 01V NHS Southport and Formby 275 58 42 34 28 41 E38000172 01X NHS St Helens 560 37 63 38 28 48

E39000006 Q49 Cumbria, Northumberland, Tyne and Wear 4,845 85 15 32 22 42 E38000041 01H NHS Cumbria 1,077 82 18 31 24 40 E38000061 00F NHS Gateshead 505 69 31 30 24 35 E38000111 00G NHS Newcastle North and East 450 82 18 30 20 43 E38000112 00H NHS Newcastle West 507 79 21 32 23 41 E38000127 99C NHS North Tyneside 557 91 9 33 20 46 E38000130 00L NHS Northumberland 626 92 8 36 25 47 E38000163 00N NHS South Tyneside 340 87 13 31 22 40 E38000176 00P NHS Sunderland 783 94 6 29 19 40

E39000007 Q50 North Yorkshire and Humber 3,181 55 45 32 22 42 E38000052 02Y NHS East Riding of Yorkshire 375 42 58 28 17 39 E38000069 03D NHS Hambleton, Richmondshire and Whitby 269 83 17 31 22 39 E38000073 03E NHS Harrogate and Rural District 258 53 47 35 21 49 E38000085 03F NHS Hull 490 30 70 28 20 36 E38000119 03H NHS North East Lincolnshire 521 82 18 43 35 51 E38000122 03K NHS North Lincolnshire 422 85 15 32 21 42 E38000145 03M NHS Scarborough and Ryedale 200 35 66 31 17 47 E38000188 03Q NHS Vale of York 646 38 62 28 18 38

E39000008 Q51 South Yorkshire and Bassetlaw 4,275 67 33 36 25 47 E38000006 02P NHS Barnsley 722 68 32 36 24 50 E38000008 02Q NHS Bassetlaw 228 57 43 30 26 35 E38000044 02X NHS Doncaster 1,002 46 54 40 27 53 E38000141 03L NHS Rotherham 700 82 18 34 25 43 E38000146 03N NHS Sheffield 1,623 74 26 36 25 46

48 Table 11b: Legal abortions: method of abortion and repeat abortions, all ages and aged under 25 by Clinical Commissioning Groups (England) and Locality Office (Wales) of residence, 2012 England and Wales, residents percentages

Repeat Repeat Repeat Method of Abortion abortions abortions abortions Clinical Commissioning Groups/ all in women in women Locality Office ages aged aged Total Medical Surgical under 25 25 and over

England and Wales 185,122 48 52 36.7 26.8 45.3 England 176,480 47 53 36.9 27.1 45.4

E39000009 Q52 West Yorkshire 7,330 55 45 34 27 42 E38000001 02N NHS Airedale, Wharfedale and Craven 373 33 67 28 25 32 E38000018 02W NHS Bradford City 384 49 51 31 24 37 E38000019 02R NHS Bradford Districts 1,098 55 45 33 28 38 E38000025 02T NHS Calderdale 605 93 7 36 27 46 E38000064 03A NHS Greater Huddersfield 755 92 8 35 27 44 E38000094 02V NHS Leeds North 609 44 56 36 34 38 E38000095 03G NHS Leeds South and East 974 43 57 38 28 48 E38000096 03C NHS Leeds West 1,128 43 57 34 24 44 E38000121 03J NHS North Kirklees 524 56 44 32 25 39 E38000190 03R NHS Wakefield 880 43 57 34 26 42

E40000002 Y55 Midlands and East of England 48,114 48 52 36 26 45

E39000010 Q53 Arden, Herefordshire and Worcestershire 4,960 48 52 39 28 51 E38000038 05A NHS Coventry and Rugby 1,979 48 52 42 32 53 E38000078 05F NHS Herefordshire 409 67 33 36 25 45 E38000139 05J NHS Redditch and Bromsgrove 440 43 58 40 26 54 E38000164 05R NHS South Warwickshire 647 36 64 38 28 46 E38000166 05T NHS South Worcestershire 628 51 49 32 21 45 E38000195 05H NHS Warwickshire North 651 45 55 40 24 54 E38000211 06D NHS Wyre Forest 206 50 50 42 29 52

E39000011 Q54 Birmingham and the Black Country 10,203 46 54 40 31 49 E38000012 13P NHS Birmingham CrossCity 3,375 45 55 42 34 49 E38000013 04X NHS Birmingham South and Central 884 49 51 40 32 48 E38000046 05C NHS Dudley 949 52 48 39 29 47 E38000144 05L NHS Sandwell and West Birmingham 2,162 33 67 41 32 48 E38000149 05P NHS Solihull 675 53 47 39 28 52 E38000191 05Y NHS Walsall 1,037 70 30 39 29 50 E38000210 06A NHS Wolverhampton 1,121 45 55 40 28 50

E39000012 Q55 Derbyshire and Nottinghamshire 5,057 49 51 31 22 41 E38000058 03X NHS Erewash 213 37 63 35 24 46 E38000071 03Y NHS Hardwick 196 69 31 24 19 32 E38000103 04E NHS Mansfield & Ashfield 494 66 34 29 20 37 E38000109 04H NHS Newark & Sherwood 233 67 33 30 24 38 E38000115 04J NHS North Derbyshire 479 49 51 28 18 38 E38000132 04K NHS Nottingham City 1,275 42 58 34 27 42 E38000133 04L NHS Nottingham North & East 379 63 37 36 25 47 E38000134 04M NHS Nottingham West 242 57 43 29 20 38 E38000142 04N NHS Rushcliffe 218 56 44 28 15 41 E38000169 04R NHS Southern Derbyshire 1,328 37 63 31 20 41

E39000013 Q56 East Anglia 5,237 62 38 29 20 37 E38000026 06H NHS Cambridgeshire and Peterborough 1,883 63 37 28 18 35 E38000063 06M NHS Great Yarmouth & Waveney 556 62 38 30 22 40 E38000086 06L NHS Ipswich and East Suffolk 868 47 53 30 21 38 E38000124 06V NHS North Norfolk 244 66 34 30 24 36 E38000131 06W NHS Norwich 524 72 28 32 21 42 E38000159 06Y NHS South Norfolk 405 68 32 31 22 39 E38000203 07J NHS West Norfolk 331 74 26 27 21 34 E38000204 07K NHS West Suffolk 426 58 42 23 14 32

E39000014 Q57 Essex 5,039 41 59 39 27 50 E38000007 99E NHS Basildon and Brentwood 803 36 64 41 29 52 E38000030 99F NHS Castle Point, Rayleigh and Rochford 412 44 56 39 29 51 E38000106 06Q NHS Mid Essex 896 38 62 36 23 47 E38000117 06T NHS North East Essex 715 39 61 31 24 39 E38000168 99G NHS Southend 514 50 50 40 27 52 E38000185 07G NHS Thurrock 665 36 64 41 29 52 E38000197 07H NHS West Essex 1,034 46 54 43 28 53

E39000015 Q58 Hertfordshire and the South Midlands 8,857 48 52 37 28 45 E38000010 06F NHS Bedfordshire 1,305 68 32 34 23 44 E38000037 03V NHS Corby 238 48 52 32 19 43 E38000049 06K NHS East and North Hertfordshire 1,719 38 62 39 30 47 E38000079 06N NHS Herts Valleys 1,757 40 60 41 30 48 E38000102 06P NHS Luton 1,013 65 35 39 32 44 E38000107 04F NHS Milton Keynes 957 50 50 37 25 46 E38000108 04G NHS Nene 1,868 41 59 35 26 43

E39000016 Q59 Leicestershire and Lincolnshire 4,263 44 56 30 19 40 E38000051 03W NHS East Leicestershire and Rutland 714 43 57 31 21 40 E38000097 04C NHS Leicester City 1,211 36 64 32 22 41 E38000099 03T NHS Lincolnshire East 450 59 41 24 13 37 E38000100 04D NHS Lincolnshire West 559 54 46 27 19 36 E38000157 99D NHS South Lincolnshire 286 61 39 25 8 42 E38000165 04Q NHS South West Lincolnshire 240 45 55 21 15 27 E38000201 04V NHS West Leicestershire 803 38 62 34 22 46

48 Table 11b: Legal abortions: method of abortion and repeat abortions, all ages and aged under 25 by Clinical Commissioning Groups (England) and Locality Office (Wales) of residence, 2012 England and Wales, residents percentages

Repeat Repeat Repeat Method of Abortion abortions abortions abortions Clinical Commissioning Groups/ all in women in women Locality Office ages aged aged Total Medical Surgical under 25 25 and over

England and Wales 185,122 48 52 36.7 26.8 45.3 England 176,480 47 53 36.9 27.1 45.4

E39000017 Q60 Shropshire and Staffordshire 4,498 46 54 35 26 44 E38000028 04Y NHS Cannock Chase 440 38 62 33 25 43 E38000053 05D NHS East Staffordshire 326 35 65 30 30 30 E38000126 05G NHS North Staffordshire 532 66 34 36 25 51 E38000147 05N NHS Shropshire 648 32 68 30 22 39 E38000153 05Q NHS South East Staffs & Seisdon & Peninsular 661 35 65 35 24 47 E38000173 05V NHS Stafford and Surrounds 414 36 64 34 19 46 E38000175 05W NHS Stoke on Trent 970 67 33 36 30 44 E38000183 05X NHS Telford & Wrekin 507 39 61 39 30 48

E40000003 Y56 London 45,311 38 62 43 33 49

E39000018 Q71 London 45,311 38 62 43 33 49 E38000004 07L NHS Barking & Dagenham 1,456 30 70 48 36 56 E38000005 07M NHS Barnet 1,582 36 64 43 38 46 E38000027 07R NHS Camden 1,049 42 58 41 30 47 E38000035 07T NHS City and Hackney 1,674 46 54 44 33 50 E38000057 07X NHS Enfield 1,624 37 63 45 35 52 E38000072 08D NHS Haringey 1,586 35 65 40 32 46 E38000077 08F NHS Havering 1,041 34 66 44 32 55 E38000088 08H NHS Islington 1,197 36 64 44 35 49 E38000113 08M NHS Newham 1,862 62 38 40 30 46 E38000138 08N NHS Redbridge 1,650 35 65 44 35 49 E38000186 08V NHS Tower Hamlets 1,530 40 60 37 29 42 E38000192 08W NHS Waltham Forest 1,569 36 64 44 32 53 E38000020 07P NHS Brent 1,988 39 61 44 36 48 E38000031 09A NHS Central London (Westminster) 737 51 49 40 32 44 E38000048 07W NHS Ealing 1,977 37 63 41 34 45 E38000070 08C NHS Hammersmith and Fulham 1,017 36 64 41 31 47 E38000074 08E NHS Harrow 1,234 41 59 43 36 47 E38000082 08G NHS Hillingdon 1,457 38 62 43 33 50 E38000084 07Y NHS Hounslow 1,598 36 64 36 30 39 E38000202 08Y NHS West London 1,013 58 42 39 30 44 E38000011 07N NHS Bexley 987 36 64 46 33 56 E38000023 07Q NHS Bromley 1,253 35 65 44 31 54 E38000040 07V NHS Croydon 1,982 33 67 49 36 59 E38000066 08A NHS Greenwich 1,662 35 65 44 36 50 E38000090 08J NHS Kingston 697 32 68 35 24 45 E38000092 08K NHS Lambeth 2,066 35 65 44 33 50 E38000098 08L NHS Lewisham 1,893 34 66 47 37 53 E38000105 08R NHS Merton 936 34 66 39 31 43 E38000140 08P NHS Richmond 571 51 49 34 27 38 E38000171 08Q NHS Southwark 2,144 34 66 46 33 54 E38000179 08T NHS Sutton 759 35 65 40 29 48 E38000193 08X NHS Wandsworth 1,520 34 66 38 31 42

E40000004 Y57 South of England 36,882 38 62 35 25 43

E39000019 Q64 Bath, Gloucestershire, Swindon and Wiltshire 3,459 45 55 33 23 42 E38000009 11E NHS Bath and North East Somerset 405 28 72 29 20 41 E38000062 11M NHS Gloucestershire 1,304 38 62 33 23 43 E38000181 12D NHS Swindon 732 69 31 37 31 42 E38000206 99N NHS Wiltshire 1,018 44 56 31 21 40

E39000020 Q65 Bristol, North Somerset, Somerset and South Gloucestershire 3,395 32 68 35 26 44 E38000022 11H NHS Bristol 1,423 34 66 36 26 44 E38000125 11T NHS North Somerset 369 27 73 37 26 48 E38000150 11X NHS Somerset 1,048 32 68 32 23 42 E38000155 12A NHS South Gloucestershire 555 30 70 38 31 44

E39000021 Q66 Devon, Cornwall and Isles of Scilly 3,854 36 64 29 21 38 E38000089 11N NHS Kernow 1,161 44 56 28 19 36 E38000129 99P NHS North, East, West Devon 1,954 31 69 27 19 37 E38000152 99Q NHS South Devon and Torbay 739 34 66 35 27 44

E39000022 Q67 Kent and Medway 5,389 38 62 39 29 49 E38000002 09C NHS Ashford 346 36 64 37 29 44 E38000029 09E NHS Canterbury and Coastal 552 39 61 35 23 49 E38000043 09J NHS Dartford, Gravesham and Swanley 848 38 63 41 32 49 E38000104 09W NHS Medway 1,094 39 61 41 32 51 E38000156 10A NHS South Kent Coast 612 35 65 40 29 49 E38000180 10D NHS Swale 343 43 57 44 26 60 E38000184 10E NHS Thanet 433 27 73 37 28 47 E38000199 99J NHS West Kent 1,161 40 60 37 29 45

48 Table 11b: Legal abortions: method of abortion and repeat abortions, all ages and aged under 25 by Clinical Commissioning Groups (England) and Locality Office (Wales) of residence, 2012 England and Wales, residents percentages

Repeat Repeat Repeat Method of Abortion abortions abortions abortions Clinical Commissioning Groups/ all in women in women Locality Office ages aged aged Total Medical Surgical under 25 25 and over

England and Wales 185,122 48 52 36.7 26.8 45.3 England 176,480 47 53 36.9 27.1 45.4

E39000023 Q68 Surrey and Sussex 7,530 32 68 37 27 46 E38000021 09D NHS Brighton & Hove 1,196 31 69 40 27 51 E38000036 09G NHS Coastal West Sussex 1,105 27 73 35 23 46 E38000039 09H NHS Crawley 415 25 75 40 30 48 E38000054 09L NHS East Surrey 475 33 67 40 33 45 E38000055 09F NHS Eastbourne, Hailsham and Seaford 474 22 78 36 26 48 E38000067 09N NHS Guildford and Waverley 454 34 66 35 27 42 E38000076 09P NHS Hastings & Rother 528 35 65 36 23 50 E38000081 99K NHS High Weald Lewes Havens 371 29 71 35 20 48 E38000083 09X NHS Horsham and Mid Sussex 472 30 70 32 21 42 E38000128 09Y NHS North West Surrey 1,092 39 61 37 30 44 E38000177 99H NHS Surrey Downs 704 37 63 38 31 43 E38000178 10C NHS Surrey Heath 244 42 58 33 23 43

E39000024 Q69 Thames Valley 6,109 42 58 36 27 43 E38000003 10Y NHS Aylesbury Vale 465 45 55 33 29 36 E38000017 10G NHS Bracknell and Ascot 396 37 63 40 34 45 E38000033 10H NHS Chiltern 940 47 53 37 25 47 E38000110 10M NHS Newbury and District 266 41 59 29 23 36 E38000114 10N NHS North & West Reading 330 40 60 44 35 51 E38000136 10Q NHS Oxfordshire 1,681 42 58 33 23 41 E38000148 10T NHS Slough 748 44 56 36 30 41 E38000160 10W NHS South Reading 542 39 61 40 30 46 E38000207 11C NHS Windsor, Ascot and Maidenhead 398 39 61 38 27 45 E38000209 11D NHS Wokingham 343 38 62 39 30 46

E39000025 Q70 Wessex 7,146 39 61 31 22 40 E38000045 11J NHS Dorset 1,812 41 59 34 23 46 E38000059 10K NHS Fareham and Gosport 475 40 60 28 19 35 E38000087 10L NHS Isle of Wight 233 34 66 26 15 38 E38000118 99M NHS North East Hampshire and Farnham 575 34 66 33 25 39 E38000120 10J NHS North Hampshire 582 41 59 32 26 38 E38000137 10R NHS Portsmouth 839 41 59 33 23 42 E38000154 10V NHS South Eastern Hampshire 499 40 60 32 24 40 E38000167 10X NHS Southampton 939 47 53 25 18 33 E38000198 11A NHS West Hampshire 1,192 32 68 32 21 41

Wales 8,642 65 35 32 21 43

6B1 Anglesey 174 35 65 25 18 32 6C2 Blaenau Gwent 158 46 54 28 17 39 6B3 Bridgend 401 82 18 32 23 43 6B2 Caerphilly 479 47 53 32 19 43 6A8 Cardiff 1,257 80 20 33 23 43 6B7 Carmarthen 438 87 13 31 19 43 6A4 Ceredigion 143 92 8 17 11 29 6A7 Conwy 302 43 57 37 26 47 6C1 Denbighshire 252 44 56 30 23 39 6B5 Flintshire 427 44 56 33 20 45 6A2 Gwynedd 315 44 56 29 22 38 6B8 Merthyr Tydfil 169 58 42 34 22 48 6A1 Monmouth 145 46 54 27 16 39 6A5 Neath & Port Talbot 372 82 18 35 21 48 6B9 Newport 479 44 56 29 20 40 6A3 Pembroke 285 88 12 28 17 43 6C4 Powys 246 70 30 29 17 43 6A9 Rhondda, Cynon, Taff 809 64 36 35 23 47 6A6 Swansea 736 89 11 33 24 44 6B6 The Vale of Glamorgan 351 79 21 34 22 48 6C3 Torfaen 275 44 56 31 17 43 6B4 Wrexham 429 39 61 37 26 47

Note: percentages are rounded and may not add up to 100

48 Table 12a: Legal abortions: non-residents of residents of England and Wales by country of residence, 2012

total percentages

All non-residents 5,850 100%

Country of residence 1

Northern Ireland 905 15.5 Scotland 212 3.6 Isle of Man 98 1.7 Jersey 9 0.2 Guernsey 6 0.1

European countries

Irish Republic 3,982 68.1 Austria 3 0.1 Belgium 6 0.1 Cyprus 10 0.2 Czech Republic 3 0.1 Denmark 11 0.2 France 82 1.4 Germany 22 0.4 Gibraltar 4 0.1 Italy 113 1.9 Malta 59 1.0 Norway 11 0.2 Poland 34 0.6 Portugal 8 0.1 Spain 10 0.2 Switzerland 5 0.1 Other 13 0.2

Rest of the world

Afghanistan 5 0.1 Australia 8 0.1 Bahrain 6 0.1 Brazil 5 0.1 China 6 0.1 India 16 0.3 Kenya 4 0.1 Kuwait 5 0.1 Nigeria 7 0.1 Qatar 21 0.4 Saudi Arabia 12 0.2 Somalia 3 0.1 Thailand 4 0.1 UAE 115 2.0 USA 7 0.1 Other 20 0.3

1 details of other countries shown under 'Other' can be obtained on request

52 Table 12b: Legal abortions: non residents of England and Wales, by (i) age, (ii) statutory grounds and (iii) gestation weeks, 2012

total percentages

All non-residents 5,850 100%

(i) Age Under 16 71 1 16 - 17 180 3 18 - 19 366 6 20 - 24 1,519 26 25 - 29 1,387 24 30 - 34 1,129 19 35 - 39 816 14 40 and over 382 7

(ii) Statutory grounds C (alone) 5,641 96 Other 209 4

(iii) Gestation weeks

3 - 9 3,847 66 10 - 12 902 15 13 - 19 763 13 20 and over 338 6

Note: percentages are rounded and may not add to 100

Table 12c: Legal abortions, country of residence by age and gestation weeks, and previous abortions, 2012

Scotland Northern Ireland Irish Republic

no. % no. % no. %

All 212 100 905 100 3,982 100

Age

Under 16 4 2 16 2 32 1 16 - 17 15 7 49 5 92 2 18 - 19 16 8 79 9 223 6 20 - 24 55 26 247 27 1,082 27 25 - 29 55 26 194 21 964 24 30 - 34 25 12 162 18 777 20 35 - 39 27 13 110 12 549 14 40 & over 15 7 48 5 263 7

Gestation weeks 3 - 9 86 41 697 77 2,700 68 10 - 12 12 6 109 12 690 17 13 - 19 31 15 87 10 491 12 20 & over 83 39 12 1 101 3

Number of previous abortions

0 160 75 774 86 3,227 81 1+ 52 25 131 14 755 19

Note: percentages are rounded and may not add up to 100

53 Table 12d: Legal abortions: residents of Irish Republic by county, 2012

Irish Republic residents

total percentages 1

County of residence 3,982 100%

Donegal 83 3 Dublin 1,275 41 Galway 138 4 Kerry 74 2 Kildare 120 4 Limerick 106 3 Longford 31 1 Meath 86 3 Monaghan 23 1 Wicklow 88 3 Carlow 36 1 Cavan 33 1 Clare 64 2 Cork 320 10 Kilkenny 37 1 Laois 30 1 Leitrim 21 1 Louth 88 3 Mayo 45 1 Offaly 58 2 Roscommon 28 1 Sligo 38 1 Tipperary 101 3 Waterford 45 1 Westmeath 47 2 Wexford 78 3

County not stated 889

1 percentages exclude not known and not stated county of Ireland Note: percentages are rounded and may not add to 100

54 Table 13: Legal abortions: countries of Great Britain by (i) age, (ii) gestation weeks, (iii) procedure, (iv) parity, (v) previous abortions, (vi) grounds and (vii) principal medical condition for abortions performed under ground E, 2012

Country of abortion numbers and percentages

England & Wales Scotland p Great Britain p

All legal abortions 190,972 100% 12,447 100% 203,419 100% (i) Age Under 16 2,996 2 249 2 3,245 2 16-17 10,128 5 788 6 10,916 5 18-19 18,873 10 1,460 12 20,333 10 20-24 56,077 29 3,809 31 59,886 29 25-29 43,269 23 2,730 22 45,999 23 30-34 31,482 16 1,786 14 33,268 16 35+ 28,147 15 1,625 13 29,772 15 (ii) Gestation weeks 3 - 9 147,211 77 9,762 78 156,973 77 10 - 12 25,986 14 1,752 14 27,738 14 13 - 19 14,577 8 867 7 15,444 8 20 and over 3,198 2 66 1 3,264 2 (iii) Procedure Surgical 100,796 53 1,780 14 102,576 50 Medical 90,176 47 10,667 86 100,843 50 (iv) Parity (number of previous pregnancies resulting in live or stillbirth) 0 91,504 48 6,238 50 97,742 48 1+ 99,468 52 6,209 50 105,677 52 (v) Number of previous pregnancies resulting in abortion under the Act 0 121,896 64 8,627 69 130,523 64 1+ 69,076 36 3,820 31 72,896 36 (vi) Grounds A (alone or with B, C or D) or F or G 62 0 * . * . B (alone or with C or D) 130 0 * . * . C (alone) 185,758 97 11,761 94 197,519 97 D (alone or with C) 2,193 1 519 4 2,712 1 E (alone one with A, B, C or D) 2,829 1 159 1 2,988 1

(vii) Principal medical condition for abortions performed under ground E 1 Total Ground E 2,692 100% 159 100% 2,851 100% The nervous system (Q00 - Q007) 607 23 41 26 648 23 Other congenital malformations (Q10-Q89) 590 22 40 25 630 22 Chromosomal abnormalities 1,012 38 56 35 1,068 37 Other 483 18 22 14 505 18 p Provisional data * Adhering to ISD Statistical Disclosure Control Protocol. See annex B . Not available 1 Some notifications record more than one Statutory Ground, therefore totals may not match with the numbers released by ISD Scotland. Source: ISD Scotland, Department of Health Note: percentages are rounded and may not add up to 100

55 Abortion Statistics, England and Wales: 2012

Annex A: Data Quality and Methods

Validation i. The Department of Health use a thorough process for inspecting and recording the information received on the forms in order to monitor compliance with the legislation and the extent to which best practice guidance from the Department of Health is followed. Selected forms are scrutinised by a medical practitioner who may request further detail from the patient’s medical record via the terminating doctor. Further details of the checks that are made on the data are available on the ,GOV.uk web site at:

https://www.gov.uk/government/publications/abortion-notification-forms-for-england-and- wales

Forms returned after the publication cut-off date ii. The 2012 figures in this annual bulletin are based on a snapshot of the records taken about eight weeks prior to publication. A small number of notifications have been, and will continue to be, received after this cut-off date. Whilst these additional notifications are processed and the information retained in line with our retention policy, they are not included in future statistical releases. So, for example, figures for 2011 published in the 2011 bulletin have not be revised in this year’s bulletin. This policy of not revising statistics is taken for three main reasons:

to prevent the disclosure of personal information arising from small differences in published tables; to ensure consistency in published outputs over time; and because the revisions would be small in scale and therefore of little value.

Abortion Statistics, England and Wales: 2012

iii. The scale of the effect is illustrated below for 2011. A further 513 notifications were received after the cut-off, equating to a quarter of one per cent of the published total. 7 of these late notifications related to abortions over 24 weeks. As the table below shows, the inclusion of this information would have resulted in no change in the percentage breakdowns by age group, gestation and grounds to one decimal place.

Table: Examples of the effect on the statistics of forms returned after the publication cut- off date

2011 figures incorporating Published 2011 figures notifications received after the publication cut-off

Total abortions 189,636 190,149

Gestation (weeks) 3 to 9 77.7% 77.7% 10 to 12 13.4% 13.4% 13 to 19 7.4% 7.4% 20 or over 1.4% 1.4% Not known N/A 0.0%

Grounds E 1.2% 1.2% Other 98.8% 98.8%

Age Under 20 18.4% 18.4% 20 to 34 67.3% 67.3% 35 or over 14.3% 14.3%

Incomplete information and imputation iv. Incomplete and incorrectly completed forms are returned to practitioners for completion and clarification. In a very small number of cases (about one-quarter of one percent), the information remains unavailable at the time of publication. Date of birth was missing from 17 records in 2012, gestation information from 41, postcodes from 38 and grounds from 22. v. For the purposes of constructing statistics, values for missing items are imputed. Records with missing ages were assigned pro-rata to the 20-24 age group, as this is the modal age group, accounting for 30% of abortions. Missing gestations were imputed as 6, 7, 8, 9 or 10 weeks in equal distribution unless the method of abortion or diagnosis suggested otherwise. Missing postcodes were imputed with a random postcode from within the main PCOs of other residents attending the same hospital or clinic. Missing grounds were imputed as ground C.

Population estimates used for rates of abortion vi. Abortion rates are calculated using the conventional age range for women in their child bearing years, 15 – 44.

ii Abortion Statistics, England and Wales: 2012

vii. Abortion rates per 1,000 women for 2012 at a national level and at CCG level were calculated using the mid-2011 population estimates for England, Wales, England and Wales, Clinical Commissioning Groups and Locality Office, as published at 9th February 20131. Rates for earlier years were calculated using the latest population estimates available at the time the relevant annual reports were produced and have not been revised, either by using population estimates for the year in question or by using updated population estimates.

Deriving age standardised rates of abortion viii. Rates of abortion are standardised using the European Standard Population (EuSP). The EuSP is also used to calculate age-standardised National Statistics for cancer incidence and mortality within the United Kingdom and cause specific mortality in England and Wales. Over virtually the whole of the age range of women terminating pregnancies, the EuSP assumes equal populations at each single year of age. The formulae used to calculate the age-standardised abortion rates are given below.

For the analysis of trends in abortion rates for England and Wales:

where EuSPi is the population of women aged i in the European Standard Population.

For the area analyses in table 10b:

where the rate for women aged under 16 (rate 15) =

number of abortions to women under 16 population of 15 year olds

rate for women aged 44 and over (rate 44) =

number of abortions to women aged 44 and over population of 44 year olds

1 Available at http://www.ons.gov.uk/ons/taxonomy/index.html?nscl=Population+Change iii Abortion Statistics, England and Wales: 2012

Confidence intervals ix. The figures recorded in this report are the outcome of a stochastic process – that is, they are influenced by chance or random processes such as fertilisation. Each recorded figure is only one of a range of results that could have occurred under the same circumstances if those random processes had led to different outcomes. It is often the underlying circumstances or process that is of interest and the actual value observed gives only an imprecise estimate of this ‘underlying risk’. For example, users are often interested in understanding whether there has been a change in rates of abortion, perhaps reflecting a change in the prevalence of risky sexual behaviour, a change in attitudes towards the options available in pregnancy or a change in access to services. To assess this, it is necessary to determine if the observed change is one that is unlikely to be the result of random fluctuation and therefore offers evidence that a real change has occurred. x. A confidence interval can be calculated around each observed value, which gives a range in which the expected or average value resulting from the underlying process is likely to fall. The 95 per cent confidence intervals have been calculated for some of the observed values in tables 10a, 10b and 11. These are known as such, because if it were possible to repeat the underlying process under the same conditions a large number of times (that is, ‘rerun’ the year over and over again), 95 per cent of the confidence intervals calculated in this way would contain the average value from those runs. When assessing the observed results for the year, it is usual to assume that there is only a 5 per cent chance that the expected or average value falls outside the 95 per cent confidence interval. xi. The confidence interval may be used to compare an estimate against a target or benchmark value. If the target or benchmark value is outside the confidence interval it can be inferred that the difference between the estimate and the target is statistically significant at the 95 per cent confidence level. xii. Confidence intervals are also often used to compare two observed values (for example, abortion rates within two regions.) Sometimes in such cases statistical testing is undertaken by seeing if the two confidence intervals overlap. This is quick and easy to do, but not necessarily conclusive: whilst it is safe to assume that non-overlapping confidence intervals indicate a statistically significant difference, it is not always the case that overlapping confidence intervals do not. xiii. The method for estimating a confidence interval varies depending on whether it is for a percentage, count, crude rate or standardised rate. The methods used are those detailed in the Association of Public Health Observatories’ Technical Briefing 3: Commonly used public health statistics and their confidence intervals. xiv. For example, the confidence interval associated with:

The figure of 185,122 for the total number of abortions of residents in England and Wales is 184,280 – 185,967 (Table 10a); The age standardised rate of 16.5 abortions per 1000 resident women aged 15-44 in England and Wales is 16.5 to 16.6 (Table 10b);

iv Abortion Statistics, England and Wales: 2012

The figure of 80 per cent for the percentage of NHS funded abortions in NHS Eastern Cheshire CCG undertaken within 10 weeks gestation is 78 per cent to 81 per cent (Table 11).

Disclosure Control xv. The Data Protection Act 1998 places a statutory obligation on the Department of Health to ensure that the statistics we release on abortion do not relate to a living individual who can be identified from those data alone or in conjunction with other available information, unless the conditions laid out in the Act are met. In recent years, the Department has attempted to meet this obligation by following the disclosure guidance for abortion statistics developed by the Office for National Statistics in July 2005. A judgment was handed down in 2011 by the High Court in a case relating to the release of information on principal medical condition for abortions performed under Ground E, showed that the disclosure controls set out in the guidance were overly cautious in some circumstances. The format of the tables in the annual report have therefore been revised, with a more limited degree of suppression applied, where still necessary to avoid the disclosure of personal data.

Geographical coding and naming xvi. On 1st January 2011, the Government Statistical Service introduced a new coding and naming policy for statistical geographies. Nine-digit codes have been developed to ensure consistency when comparing geographical areas as the geographical area covered by an NHS organisation is susceptible to change. These unique markers have been added to the relevant tables within this publication. xvii. On the 1st April 2013 Clinical Commissioning Groups assumed commissioning of termination of pregnancy services under the health system reforms. Further information on the Coding and Naming for Statistical Geographies is available at:

http://www.ons.gov.uk/ons/guide-method/geography/geographic-policy/coding-and- naming-for-statistical-geographies/index.html

Rounding xviii. Percentages are subject to rounding and totals may not agree with the sum of the component figures shown. Rates are also rounded.

Symbols xix. The following symbols are used in the tables: . = not applicable

v Abortion Statistics, England and Wales: 2012

Annex B: Further Information

Enquiries

Enquiries about the data or requests for further information should be addressed to:

Abortion Statistics Department of Health Skipton House 80 London Road London SE1 6LH e-mail: [email protected]

Extracts from this publication may be reproduced provided a reference to the source is given.

Links

This bulletin for 2012, and previous bulletins for 2002 to 2011, can be found on the Department of Health website: http://transparency.dh.gov.uk/category/statistics/abortion Data for 1991 to 2001 can be sent by email on request.

Information on abortions carried out in Scotland can be found at: http://www.isdscotland.org/Health-Topics/Sexual-Health/Abortions

Information about the release of abortion statistics in Scotland can be found at: http://www.isdscotland.org/Products-and-Services/Data-Protection-and- Confidentiality/Disclosure-Protocol-Version-2-2-WEBversion.pdf

Facts and figures about abortion in the European Region can be found at: http://www.euro.who.int/en/what-we-do/health-topics/Life-stages/sexual-and-reproductive- health/activities/abortion/facts-and-figures-about-abortion-in-the-european-region

Information on the incidence and recent trends in legal abortion worldwide can be found at: http://www.guttmacher.org/pubs/journals/3310607.html

Conception statistics for England and Wales are available at: http://www.ons.gov.uk/ons/search/index.html?newquery=conception

Statistics on the National Chlamydia Screening Programme are available at: http://www.chlamydiascreening.nhs.uk/ps/data/index.html

The British Isles Network of Congenital (BINOCAR) collect and publish data on terminations of pregnancy for fetal anomaly; http://www.binocar.org/Publications/Reports

vi