
Termination
of Pregnancy (Jersey) Law 202-
A LAW to replace the Termination of Pregnancy
(Jersey) Law 1997, to provide for the circumstances in which a termination
may be legally performed and to introduce offences related to providing
terminations outside of those circumstances.
Adopted
by the States 12 March 2026
Sanctioned
by Order of His Majesty in Council [date to be inserted]
Registered by the Royal Court [date to be inserted]
Coming into force [date to be inserted]
THE STATES, subject to the sanction of His Most
Excellent Majesty in Council, have adopted the following Law –
Part 1
Interpretation
1 Interpretation
In this Law –
“approved place” –
(a) in relation to the
termination of a foetus that has a gestational age of less than 22 weeks,
means –
(i) a place administered by
the Minister for the purposes of delivering health services; or
(ii) a place approved by the
Minister in accordance with Regulations made under Article 15; or
(b) in relation to the
termination of a foetus that has a gestational age of 22 weeks or more,
means –
(i) a hospital administered
by the Minister; or
(ii) a hospital approved by
the Minister in accordance with Regulations made under Article 15;
“emergency termination” means a termination that
is immediately necessary to save the pregnant woman’s life;
“Minister” means the Minister for Health and
Social Services;
“Medical Officer of Health” means the person
appointed under Article 10 of the Loi (1934) sur la Santé Publique;
“pregnant woman”, in relation to a termination,
means the person who is pregnant with the foetus that is to be terminated;
“registered medical practitioner” means a person
registered as a medical practitioner under the Medical Practitioners
(Registration) (Jersey) Law 1960;
“termination”, in relation to a pregnancy, means
intentionally ending the pregnancy by any means but does not include –
(a) a procedure to induce the
birth of a live foetus if, having regard to the level of care available, the
person performing the procedure reasonably believes the foetus is capable of
surviving outside of the uterus;
(b) a procedure to remove a
dead foetus; or
(c) the use of a method of
contraception to prevent an embryo from being conceived or implanted;
“termination services” is defined in Article 2(1);
“termination-related services” is defined in
Article 2(2).
2 Termination services
and termination-related services
(1) “Termination
services” means –
(a) prescribing or
administering medication to terminate a pregnancy; or
(b) performing a procedure to
terminate a pregnancy.
(2) “Termination-related
services" means services that are not termination services, but are
provided in direct connection with a termination and are required for the
performance of the termination, including –
(a) dispensing medication
that has been prescribed to terminate a pregnancy;
(b) providing anaesthesia or
sedation;
(c) providing operative or procedural assistance; or
(d) undertaking essential
monitoring, imaging or stabilisation before, during or after the procedure.
(3) An
action taken by a pregnant woman in relation to her own pregnancy is not a
termination service or a termination-related service.
Part 2
Provision
of termination services
3 Circumstances in which
termination services may be provided
(1) A
registered medical practitioner may provide termination services if –
(a) the gestational age of
the foetus at the time of the termination is less than 22 weeks; or
(b) the gestational age of
the foetus at the time of the termination is 22 weeks or more and, in the
reasonable opinion of the registered medical practitioner –
(i) the termination is
necessary to save the pregnant woman’s life;
(ii) the termination is
necessary to prevent a significant risk to the survival of another foetus from
the same pregnancy;
(iii) the termination is
necessary to prevent a significant risk of serious injury to the pregnant
woman’s physical or mental health; or
(iv) the foetus has, or has a
significant risk of, a serious foetal anomaly.
(2) In
forming an opinion as to whether a circumstance in paragraph (1)(b) applies,
the registered medical practitioner must have regard to any guidance issued by the
Minister on the matter.
(3) In
paragraph (1)(b)(iv), “serious foetal anomaly” means that –
(a) the foetus is likely to
die before, during or shortly after birth; or
(b) if born, the foetus would
be likely to have a serious disability due to a physical or mental impairment.
(4) A
registered medical practitioner who provides termination services must ensure
that, except in the case of an emergency termination –
(a) the medical practitioner
has obtained the necessary consent; and
(b) the termination services comply
with –
(i) Article 4, if the
gestational age of the foetus is less than 22 weeks; or
(ii) Article 5, if the
gestational age the foetus is 22 weeks or more.
(5) A
medical practitioner has obtained the necessary consent if –
(a) the pregnant woman is
aged 16 years or over and does not lack capacity and has given her informed
consent;
(b) the pregnant woman is
aged 16 years or over and lacks capacity and the medical practitioner has
complied with the Capacity
and Self-Determination (Jersey) Law 2016; or
(c) the pregnant woman is
aged under 16 years and –
(i) does not lack capacity,
has given her informed consent and the medical practitioner is satisfied that
the woman understands the nature and implications of having a termination; or
(ii) the medical practitioner
has obtained informed consent from a person who is legally authorised to make
medical decisions on behalf of the woman.
(6) In
this Article, “informed consent” means consent given freely after receiving
information on the risk and benefits of termination.
4 Requirements for
terminations before 22 weeks
(1) This
Article applies to the termination of a foetus that has a gestational age of
less than 22 weeks.
(2) The
termination services must be provided at an approved place.
(3) A
termination must not be performed unless the pregnant woman has consulted, in
person, a registered medical practitioner (regardless of whether that
registered medical practitioner is the person who provides the termination
services).
(4) If
the termination is performed by administering medication, a registered medical
practitioner must not prescribe the medication unless they reasonably believe
that the medication will be administered in Jersey and in accordance with the
registered medical practitioner’s instructions.
(5) Before
the termination is performed, the pregnant woman must be provided with
information about the availability of, and access to, counselling services.
(6) Nothing
in this Article prevents a registered medical practitioner from taking any
other steps they consider necessary in order to decide any matter relating to
the provision of the termination services or whether to exercise their right to
refuse in Article 10.
5 Requirements for terminations
from 22 weeks onwards
(1) This
Article applies to the termination of a foetus that has a gestational age of 22 weeks
or more.
(2) The
termination services must be provided at an approved place.
(3) A
registered medical practitioner must not provide termination services unless,
before providing the services –
(a) the pregnant woman has
consulted, in person, a registered medical practitioner (the “first
practitioner”);
(b) the first practitioner has
consulted another medical practitioner (the “second practitioner”) who, in the
reasonable opinion of the first practitioner, has the appropriate professional
knowledge, experience and qualifications to consult on the matter; and
(c) the second practitioner
agrees that Article 3(1)(b) applies, on the same grounds that the registered
medical practitioner believes that provision applies.
(4) The
second practitioner does not need to be registered in Jersey but must be
registered in the jurisdiction in which they provide health services.
(5) Before
the termination is performed, the pregnant woman must be provided with
information about the availability of, and access to, counselling services.
6 Offences related to
provision of termination services by registered medical practitioners
(1) A
registered medical practitioner who, except in the case of an emergency
termination, knowingly or recklessly provides termination services in
circumstances other than those described in Article 3(1) commits an offence and
is liable to life imprisonment.
(2) A
registered medical practitioner does not commit an offence under paragraph (1) if the
practitioner, acting in good faith and within their professional duties,
reasonably believes that the termination services are provided in the
circumstances described in Article 3(1).
(3) A
registered medical practitioner who knowingly or recklessly provides
termination services without the necessary consent required by Article 3(4)(a)
commits an offence and is liable to life imprisonment and to a fine.
(4) A
registered medical practitioner commits an offence and is liable to imprisonment
for a term of 7 years and to a fine if –
(a) the registered medical
practitioner provides termination services in circumstances in which Article
4(3) applies; and
(b) the registered medical
practitioner knows that Article 4(3) has not been complied with or is reckless
as to whether Article 4(3) has been complied with.
(5) A
registered medical practitioner who prescribes medication to terminate a
pregnancy without reasonably believing that the medication will be administered
in Jersey and in accordance with the registered medical practitioner’s
instructions commits an offence and is liable to imprisonment for a term of 5
years and to a fine.
(6) A
registered medical practitioner who, except in the case of an emergency
termination, knowingly or recklessly provides termination services outside of
an approved place commits an offence and is liable to imprisonment for a term
of 5 years and to a fine.
(7) A
registered medical practitioner commits an offence and is liable to imprisonment
for a term of 5 years and to a fine if –
(a) the registered medical
practitioner provides termination services in circumstances in which Article
5(3) applies; and
(b) the registered medical
practitioner knows that Article 5(3) has not been complied with or is reckless
as to whether Article 5(3) has been complied with.
(8) A
registered medical practitioner who, without reasonable excuse, fails to ensure
that a pregnant woman is provided with information about counselling services
under Article 4(5) or 5(5) commits an offence and is liable to imprisonment for
a term of 5 years and to a fine.
7 Offences related to
termination-related services
(1) This
Article applies to a person who, in their professional capacity, provides
termination-related services.
(2) A
person who, except in the case of an emergency termination, knowingly or
recklessly provides termination-related services in circumstances other than
those described in Article 3(1) commits an offence and is liable to
imprisonment for a term of 7 years and to a fine.
(3) A
person does not commit an offence under paragraph (2) if the person,
acting in good faith and within their professional duties, reasonably believes
that the termination services are provided in the circumstances described in
Article 3(1).
8 Offence of providing false
or reckless information
A medical practitioner
who is consulted under Article 5(3) (referred to in that Article as the “second
practitioner”) commits an offence and is liable to imprisonment for a term of 5 years
and to a fine if the medical practitioner states that Article 3(1)(b)
applies, knowing, or being reckless as to whether, that is false.
9 Reporting requirements
(1) A
registered medical practitioner who provides termination services must notify
the Medical Officer of Health of each termination performed by the practitioner
and each referral made for a person to receive a termination outside of Jersey.
(2) The
Minister must, by Order, prescribe –
(a) the information that must
be contained in the notification;
(b) the manner in which and
the time by which a notification must be made;
(c) records that a registered
medical practitioner must, or must not, keep in relation to the provision of
termination services; and
(d) the length of time for
which records must be retained, or after which records must be destroyed.
(3) A
registered medical practitioner commits an offence and is liable to a fine of
level 3 on the standard scale if the registered medical
practitioner –
(a) fails to notify the
Medical Officer of Health under paragraph (1); or
(b) fails to comply with a
requirement of an Order made under paragraph (2).
(4) Before
making an Order, the Minister must consult –
(a) the Medical Officer of
Health; and
(b) any person who the
Minister determines is responsible for monitoring the safety, efficiency and
effectiveness of termination services provided in Jersey.
(5) An
Order must not require a registered medical practitioner to provide information
that would identify a person who has received termination services.
Part 3
Right
to refuse and employment protections
10 Right to refuse to
provide termination services
(1) A
person may, on any grounds –
(a) refuse to provide
termination services, termination-related services or counselling services
provided in connection with termination services; or
(b) refuse to provide termination
services, termination-related services or counselling services provided in
connection with termination services except in certain circumstances (for
example, a person may refuse to provide services after a certain gestational
age, or may choose to provide services only if the pregnant woman’s life is at
risk).
(2) The
right to refuse –
(a) overrides any obligation
under another Article of this Law or under a contract (of employment or
otherwise); but
(b) does not override a duty
that a person has to –
(i) provide prompt and
appropriate medical assistance to a person in a medical emergency; or
(ii) provide other medical or
nursing care to a person who has requested a termination or has had a
termination.
(3) A
registered medical practitioner who refuses to provide termination services
must, if requested to provide termination services or to provide information
about termination services, comply with any guidance issued by the
Minister about how to respond to the request.
11 Employment and
partnership protections
(1) An
employer must ensure that there is no employment detriment to their employee as
a result of the employee’s actual or potential –
(a) provision of termination
services or termination-related services;
(b) exercise of the right to
refuse to provide termination services or termination-related services under
Article 10.
(2) There
is an employment detriment to an employee if –
(a) the employer decides not
to employ them or to end their employment; or
(b) they are treated less
favourably in that employment.
(3) There
is no employment detriment to an employee if –
(a) it is a condition of the
employment contract that the employee provide the services; and
(b) either –
(i) the employer decides not
to employ the employee because the employer believes that the employee has
exercised, or will exercise, the right to refuse to provide the services under
Article 10; or
(ii) the employer ends the
employee’s employment because the employee has exercised the right to refuse to
provide the services under Article 10.
(4) A
partner in a partnership must ensure that there is no partnership detriment to
another partner as a result of the other partner’s actual or potential –
(a) provision of termination
services or termination-related services; or
(b) exercise of the right to
refuse to provide termination services or termination-related services under
Article 10.
(5) There
is a partnership detriment to a partner if –
(a) they are not invited to
become a partner in the partnership;
(b) they are offered less
favourable terms or conditions in being invited to become a partner in the
partnership;
(c) their access to a benefit
arising from being a partner in the partnership is denied or limited;
(d) they are expelled from
the partnership; or
(e) they are otherwise
treated less favourably, or subjected to any other detriment, in the
partnership.
(6) There
is no partnership detriment to a partner if –
(a) it is a condition of the
partnership agreement that the partner provide the services; and
(b) either –
(i) the partnership decides
not to invite the partner to join the partnership because the partnership
believes that the partner has exercised, or will exercise, the right to refuse
to provide the services under Article 10; or
(ii) the partnership expels
the partner from the partnership because the partner has exercised the right to
refuse to provide the services under Article 10.
(7) In
this Article –
“employment” –
(a) has the meaning given in
the Employment
(Jersey) Law 2003, including as affected by Article 1A
of that Law;
(b) for a natural person to
whom Article 1(2)(a) and (c) of that Law apply (if they are supplied by an
agent to do work for a principal), includes both –
(i) their relationship with
the agent; and
(ii) their relationship with
the principal; and
(c) includes prospective
employment;
“partnership” –
(a) means a partnership
described in Article 12(4) of the Discrimination (Jersey)
Law 2013; and
(b) includes prospective
partnership.
(8) The
States may, by Regulations, create a civil remedy, for an employee or a partner
who experiences detriment under this Article, that can be awarded by a tribunal
or a court, including matters such as –
(a) a right to compensation
or continued employment or partnership (as under Article 77 of the Employment (Jersey)
Law 2003, for example); and
(b) provision for appeals.
Part 4
Duties
of Minister, reports, Regulations, Orders and guidance
12 Minister to ensure
provision of termination services
(1) The
Minister must take all reasonable steps to ensure that termination services,
termination-related services and counselling services provided in connection
with those services are available in Jersey.
(2) This
Article does not require the Minister to ensure that all termination services and
termination-related services permitted under this Law are available in Jersey
if the Minister reasonably believes that there are grounds to provide a more
limited range of services because –
(a) it is not possible to
provide certain services safely due to limitations in the workforce or
facilities available in Jersey;
(b) the resources required to
provide certain services cannot reasonably be expended within available
government funds.
(3) This
Article does not prevent the Minister from charging fees for the provision of
termination services, termination-related services and counselling services
provided in connection with those services.
(4) This
Article does not require the Minister to pay, or make arrangements, for Jersey
residents to access termination services or termination-related services in
another jurisdiction (but does not prevent the Minister from doing so).
(5) In
this Article, counselling services are “available in Jersey” if a person is
able to access the service in person or remotely from within Jersey.
13 Reporting on termination
services
(1) The
Minister may, by Order, require the Medical Officer of Health to publish a
report on termination services provided in Jersey on or by a specified date.
(2) The
Medical Officer of Health must publish a report in compliance with the Order.
(3) The
report –
(a) must contain information
that the Medical Officer of Health considers supports the identification of
trends or potential issues with the provision of termination services; but
(b) must not include
information that could identify a person who has received termination services.
14 Amendment of this Law by
Regulations or Order
(1) The
States may, by Regulations, amend this Law to –
(a) amend the gestational age
limits in Article 3(1);
(b) amend the grounds on
which termination services may be provided under Article 3(1)(b);
(c) introduce a gestational
age limit beyond which termination services must not be provided on any grounds;
(d) impose, remove or vary
requirements that termination services and termination-related services must
comply with;
(e) allow a person who is
registered under the Health
Care (Registration) (Jersey) Law 1995 or a person who is registered under
the Pharmacists and
Pharmacy Technicians (Registration) (Jersey) Law 2010 to provide
termination services that consist of prescribing or administering medication up
to a specified gestational age; and
(f) provide for any other
matter that the States consider necessary to give effect to the purpose of this
Law or any of its provisions, including creating or amending criminal offences.
(2) The
Minister may, by Order, amend this Law to –
(a) allow a person who is
registered under the Health
Care (Registration) (Jersey) Law 1995 or a person who is registered under
the Pharmacists and
Pharmacy Technicians (Registration) (Jersey) Law 2010 to provide
termination services that consist of prescribing or administering medication up
to a specified gestational age; and
(b) create or amend criminal
offences to apply to a person who is allowed to provide those services.
(3) Before
lodging Regulations to be made under paragraph (1)(e) or making an Order under
paragraph (2), the Minister must consult –
(a) the Medical Officer of
Health;
(b) the professional
registration body in the United Kingdom for the relevant registrable occupation
(as that term is defined in Article 1(1) of the Health Care
(Registration) (Jersey) Law 1995); and
(c) a senior professional in
Health and Care Jersey who has responsibility for other professionals and
expertise in governance or professional practice and standards, such as the
following (or their equivalents) –
(i) the Chief Pharmacist;
(ii) the Chief Nurse;
(iii) the Medical Director in
Health and Care Jersey.
(4) If
the Minister determines that there are temporary extraordinary circumstances
that make doing so necessary, the Minister may, by Order, temporarily remove or
vary requirements that termination services and termination-related services
must comply with (for example, during a pandemic).
(5) In
this Article, “Health and Care Jersey” means the administration of the States (as
defined in Article 1 of the Employment of States of
Jersey Employees (Jersey) Law 2005) –
(a) that relates to health;
and
(b) for which the Minister is
assigned responsibility.
(6) The
Minister may, by Order, amend this Law to change the references in this Article
to Health and Care Jersey to reflect a change in name of that administration of
the States.
15 Approved places
Regulations
(1) The
States may, by Regulations –
(a) provide for the Minister
to approve a place for the provision of termination services; and
(b) impose obligations on
operators of approved places.
(2) Regulations
may provide for –
(a) how applications for
approval may be made, the information applications must contain, and fees
associated with applications;
(b) the process the Minister
must follow in considering an application;
(c) the grounds on which the
Minister may or must approve or refuse an application;
(d) the period for which an
approval is valid;
(e) the renewal of an
approval;
(f) the ability of the
Minister to place conditions on an approval, and to remove or vary conditions;
(g) the ability of the
Minister to withdraw or suspend an approval;
(h) the processes the Minister
must follow in placing conditions on an approval, removing or varying
conditions or withdrawing or suspending an approval;
(i) a process to appeal a
decision of the Minister related to an approval;
(j) duties and powers of the
Minister in relation to approved places, including the power of inspection;
(k) how information that is
obtained under this Law may be used or must not be used;
(l) the issuing of guidance
by the Minister and the consequences of failing to comply with guidance;
(m) the creation of criminal
offences; and
(n) any other matter the
States consider necessary or expedient in relation to approved places.
(3) Regulations
may allow the Minister, by Order, to provide for any matter that may be
provided for by Regulations made under this Article, except for the creation of
criminal offences.
16 Safe access zones
Regulations
(1) The
States may, by Regulations, provide for safe access zones at or around approved
places.
(2) Regulations
may –
(a) allow the Minister, by
Order, to designate an area at or around an approved place as a safe access
zone, either at all times or at specified times;
(b) prohibit specified
activities within safe access zones; and
(c) create criminal offences
for undertaking prohibited activities within safe access zones.
17 Fees Orders
(1) The
Minister may, by Order, provide for fees to be charged for termination
services, termination-related services or counselling services provided in
connection with termination services.
(2) An
Order may –
(a) set fees for some or for
all services;
(b) set different fees for
different services or for the same services provided in different circumstances;
(c) provide for exemptions
from fee payment, including how exemptions are applied and how decisions
relating to exemptions may be appealed.
(3) An
Order must not apply to termination services, termination-related services or
counselling services provided in connection with termination services other
than services –
(a) provided or arranged on
behalf of the Minister; or
(b) provided under a contract
for services arranged by the Minister for Social Security.
18 Regulations and Orders
may make consequential amendments to this Law and other enactments
Regulations and Orders
made under this Law may make consequential amendments to this Law and to any
other enactment.
19 Guidance
(1) The
Minister may issue guidance for registered medical practitioners, operators of
approved places or any other person who has a function or duty under this Law.
(2) A
person’s compliance with or breach of guidance –
(a) does not in itself mean
that the person has complied with or breached a requirement under this Law; but
(b) may be used as evidence
in –
(i) the prosecution of an
offence; or
(ii) disciplinary proceedings
about the person’s practice by their employer or a body that regulates their
profession.
Part 5
Further
offences, abolition of customary law offence of abortion, repeals, citation and
commencement
20 Further offences
(1) This
Article applies to actions taken with the intent of causing a termination or
being reckless as to whether a termination will be caused.
(2) A
person who is not a registered medical practitioner commits an offence if they intentionally
or recklessly take an action that causes or is likely to cause a termination
(regardless of whether that action is a termination service).
(3) A
person who commits an offence under paragraph (2) is liable to –
(a) imprisonment for a term
of 14 years and to a fine, if the pregnant woman consented to the action, with
the knowledge that it could result in the termination; or
(b) life imprisonment, in any
other case.
(4) A
person who causes, or attempts to cause, a pregnant woman to have a termination
by using force, undue threat or undue coercion commits an offence and is liable
to life imprisonment and to a fine.
21 Pregnant woman does not
commit offence in relation to termination
To avoid doubt, a pregnant woman does not commit an offence under this Law
in respect of any action taken in relation to her own pregnancy.
22 Customary law offence of
abortion abolished
(1) Any
customary law offence relating to abortion is abolished.
(2) Article
5 of the Legislation
(Jersey) Law 2021 applies in relation to the abolition in paragraph (1) as
if it were the repeal of Jersey legislation.
23 Repeals
The Termination of Pregnancy (Jersey) Law 1997
and the Termination of Pregnancy (General
Provisions) (Jersey) Order 2005
are repealed.
24 Citation and commencement
This Law may be cited as
the Termination of Pregnancy (Jersey) Law 202- and comes into force –
(a) on 1 September 2026; or
(b) on an earlier date
specified by the Minister by Order.