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Abortion Statistics - England & Wales 2011
 

Abortion Statistics - England & Wales 2011

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Abortion Statistics England & Wales 2011

Abortion Statistics England & Wales 2011

Source: Department of Health

Data: 05.2012.

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    Abortion Statistics - England & Wales 2011 Abortion Statistics - England & Wales 2011 Document Transcript

    • Abortion Statistics, England and Wales: 2011 May 2012 1
    • Contents Summary ....................................................................................................................... 3 Introduction ................................................................................................................... 4 Commentary .................................................................................................................. 6 Index to tables ............................................................................................................. 13 Detailed tables ............................................................................................................ 14 Annex A: Data quality and methods ............................................................................... i Annex B: Further information …………………………………………………………………vi © Crown copyright 2012 First published May 2012 Published to DH website http://transparency.dh.gov.uk/category/statistics/abortion 2
    • Summary This report presents statistics on abortions carried out in England and Wales in 2011. In 2011, for women resident in England and Wales: • The total number of abortions was 189,931, 0.2% more than in 2010 (189,574) and 7.7% more than in 2001 (176,364). • The age-standardised abortion rate was 17.5 per 1,000 resident women aged 15-44, the same as in 2010, but 2.3% higher than in 2001 (17.1) and more than double the rate of 8.0 recorded in 1970. • The abortion rate was highest at 33 per 1,000 for women aged 20, the same as in 2010 and in 2001. • The under-16 abortion rate was 3.4 per 1,000 women and the under-18 rate was 15.0 per 1,000 women, both lower than in 2010 (3.9 and 16.5 per 1,000 women respectively) and in the year 2001 (3.7 and 18.0 per 1,000 women respectively). • 96% of abortions were funded by the NHS. Over half (61%) took place in the independent sector under NHS contract, up from 59% in 2010 and 2% in 1981. • 91% of abortions were carried out at under 13 weeks gestation. 78% were at under 10 weeks compared to 77% in 2010 and 58% in 2001. • Medical abortions accounted for 47% of the total, up from 43% in 2010 and 13% in 2001. • 2,307 abortions (1%) were carried out under ground E (risk that the child would be born handicapped). Non-residents: • In 2011, there were 6,151 abortions for non-residents carried out in hospitals and clinics in England and Wales (6,535 in 2010). The 2011 total is the lowest in any year since 1969. 3
    • 1. Introduction 1.1 This report presents statistics on abortions carried out in England and Wales in 2011. It is the tenth 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 DH website 1. 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 abortion.statistics@dh.gsi.gov.uk. 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 DH website: http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/Publichealth/Healthimprov ement/Sexualhealth/Sexualhealthgeneralinformation/DH_4063863 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 Primary Care Organisations (PCOs), 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)) 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)) 1 http://transparency.dh.gov.uk/category/statistics/abortion 4
    • 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. 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/assessmentreports/index.html. The Statistics Authority confirmed that the statistics could continue to be designated as National Statistics. 5
    • 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 196,082 abortions notified as taking place in England and Wales in 2011. There were 189,931 abortions to residents of England and Wales in 2011. This represents an age-standardised abortion rate of 17.5 per 1,000 resident women aged 1544 2. This is 6% lower than the rate of 18.6 in 2007, but 2% higher than in 2001 and 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 2011 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 2011 was highest, at 33 per 1,000, for women aged 20. There were 1,000 abortions to women aged under 15 (less than one per cent of the total) and 683 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. 6
    • Figure 2: Abortion rate per 1,000 population by single year of age, England and Wales, 2001, 2010 and 2011 40 2001 35 2010 30 2011 Rate 25 20 15 10 5 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 3.4 in 2011 compared with 3.9 in 2010 and 3.7 in 2001 and the under-18 rate was 15.0 in 2011, compared with 16.5 in 2010 and 18.0 in 2001. Rates for women aged 15 to 19 were lower than in 2010, whereas rates for women aged 31 to 39 were higher. Similarly, compared with 2001, the rates in 2011 were lower for women aged 15 to 24 and higher for women aged 25 or over. 2.4 The under-16 abortion rate for the period 2009-2011 varied from under two per 1,000 women in Kensington and Chelsea to nearly eight per 1,000 women in Southwark (See Table 10b). Marital status 2.5 About four-fifths (81%) of abortions in 2011 were carried out for single women, a proportion that has risen slowly from 76% since 2001 (See Table 3a.v). Ethnicity 2.6 The revised HSA4 forms introduced in 2002 allowed for the recording of ethnicity, as selfreported by the women involved. This information was not previously recorded. Ethnicity was recorded on 95% of the forms received for 2011 compared with 80% in 2003, the first full year of collection. Of women whose ethnicity was recorded in 2011, 76% were reported as White, 10% as Asian or Asian British and 9% as Black or Black British (See Table 3a.vi). 2.7 The percentage of women having an abortion in 2011 who had one or more previous abortions varies by ethnic group. 32% of Asian women having abortions in 2011 had previously had an abortion, compared with 49% of Black women (See Table A below). 7
    • Table A: Percentage of women who had one or more previous abortions, by ethnicity, England and Wales, 2011 Ethnicity Asian or Asian British Black or Black British Chinese or other ethnic group Mixed White All women % of women who had one or more previous abortions 32% 49% 33% 45% 35% 36% Location and funding of abortions 2.8 Table 3a.i and Figure 3 show that in 2011, 35% of abortions were performed in NHS hospitals and 61% in approved independent sector places under NHS contract (previously named NHS Agency), making a total of 96% of abortions funded by the NHS. The remaining 4% 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 2011 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 Statutory grounds for abortion 2.9 In 2011, the vast majority (98%; 185,973) of abortions were undertaken under ground C and a further 1% (1,455) under ground D. A similar proportion were carried out under ground E (1%; 2,307). Grounds A and B together accounted for about a tenth of one per cent of abortions (195). The proportion of ground C abortions has risen steadily, with a corresponding reduction in ground D cases (See Table 3a.ii). The vast majority (99.96%) 8
    • of ground C only terminations were reported as being performed because of a risk to the woman’s mental health. Abortions are rarely performed under grounds F or G. 2.10 Congenital malformations were reported as the principal medical condition in nearly half (45%; 1,046) of the 2,307 cases undertaken under ground E. The most commonly reported malformations were of the nervous system (23% of all ground E cases; 540) and the musculoskeletal system (7%; 160). Chromosomal abnormalities were reported as the principal medical condition for just over a third (39%; 889) of Ground E cases. Down’s syndrome was the most commonly reported chromosomal abnormality (22%; 511) (See Table 9). 2.11 As in each year since 1999, fewer than 10 abortions under ground E in 2011 were associated with rubella. Gestation period 2.12 The vast majority of abortions are performed at under 13 weeks (91% in 2011). There has been a continuing increase in the proportion of abortions that are performed under 10 weeks since 2002. In 2011, 78% of abortions were performed at under 10 weeks, compared to 77% in 2010 and 58% in 2001. There were corresponding decreases in the Figure 4: Abortions by gestation, England and Wales, 2001 to 2011 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 2001 2002 2003 2004 Under 10 weeks 2005 2006 10-12 weeks 2007 2008 2009 2010 2011 13 or more weeks proportion performed later: in 2011, 13% were performed at 10-12 weeks (compared to 15% in 2010 and 30% in 2001) and 9% at 13 weeks or more (compared to 9% in 2010 and 12% in 2001) (See Table 3a.iii and Figure 4). 2.13 Over three quarters (78%) of NHS funded abortions took place at under 10 weeks, ranging from 56% in Barnsley PCT to 89% in Caerphilly Local Health Board (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. 2.14 Abortions where gestation has exceeded its twenty-fourth week account for less than 0.1% of the total. There were 146 such abortions in 2011 (See Table 5 and Table 9). 9
    • Previous abortions 2.15 In 2011, 36% of women undergoing abortions had one or more previous abortions. The proportion has risen from 31% since 2001 (See Table 3a.ix and Table 4b). 26% of abortions to women aged under 25 were repeat abortions (See Table 11). 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). Table B: Percentage of women who had one or more previous abortions, by age, England and Wales, 2011 Age Under 18 18-19 20-24 25-29 30-34 35 or over All women % of women who had one or more previous abortions 7% 19% 34% 43% 46% 45% 36% Previous obstetric history 2.16 In 2011, 51% of women undergoing abortions had one or more previous pregnancies that resulted in a live or stillbirth, slightly up from 47% in 2001 (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 2.17 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. 2.18 Medical abortions accounted for 47% of the total in 2011. The proportion of medical abortions has more than trebled in the last ten years, from 13% in 2001. 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 2011, 60% of abortions under 9 weeks were medical abortions compared with 20% in 2001. The choice of early medical abortion as a method of abortion is likely to have contributed to the increase in the overall percentage of abortions performed at under 10 weeks gestation (58% in 2001 compared with 78% in 2011). Early medical abortion is less invasive than a surgical procedure and does not involve use of anaesthetics. 2.19 The surgical procedure vacuum aspiration was used for 48% of all abortions in 2011; and Dilatation and Evacuation (D&E) alone in about 5% (See Table 3a.iv). 10
    • 2.20 For abortions at 22 weeks or beyond, feticide is recommended prior to the evacuation of the uterus to stop the fetal heart. In 2011, of the 1,264 abortions performed at 22 weeks and over, 72% were reported as preceded by a feticide and a further 25% were performed by a method whereby the fetal heart is stopped as part of the procedure. 2% of abortions at 22 weeks or beyond were confirmed as having no feticide. For the remaining 4 cases, at the time of publication, we had not been able to confirm whether feticide had been performed. Length of stay 2.21 In 2011, 586 women (0.3%) 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, 2011 Gestation (weeks) Under 10 10-12 13-19 20 or over % of those requiring a length of stay of one or more nights (Total = 100%) 18% 7% 12% 63% % of all abortions (Total = 100%) 78% 13% 7% 1% Complications 2.22 Complications were reported in 279 cases in 2011, a rate of about one in every 700 abortions, slightly lower than in 2010 and 25 per cent lower than in 2001 (See Table 8). Selective terminations 2.23 In 2011, there were 72 abortions which involved selective terminations. In 37 cases, two fetuses were reduced to one fetus. In 18 cases, three fetuses were reduced to two fetuses and in 9 cases three fetuses were reduced to one fetus. Over three quarters (81%) of the selective terminations were performed under ground E. Chlamydia screening 2.24 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 2011 shows that 88% of women having abortions in 2011 were offered chlamydia screening, up from 65% in 2002 The figure for women aged under 25 is slightly higher (90%) (See Table 3.x). 11
    • Place of residence within England and Wales 2.25 The place of residence details provided on the HSA4 form are used to allocate each record to a Primary Care Organisation 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 2.26 In 2011, there were 6,151 abortions to women resident outside England and Wales, compared with 6,535 in 2010. Principally, these non-residents were from Northern Ireland (16%) and the Irish Republic (67%). The number of abortions to non-residents has fallen each year since 2001, when the figure was 9,910. The 2011 total is the lowest in any year since 1969 (See Table 1 and Table 12a). Abortions carried out in Great Britain 2.27 There were 208,553 abortions carried out in Great Britain in 2011, 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 74% compared to those performed in England and Wales where the proportions were surgical 54% and medical 46%. The proportion of women undergoing abortions who had one or more previous abortions was higher for women having abortions in England and Wales (35%) than those having abortions in Scotland (29%). 12
    • Index to Tables Table Description Table 1 Legal abortions: resident status and purchaser, 1968 to 2011 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, 2011 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, 2001 to 2011 Table 3b Legal abortions: totals, rates and percentages by age group, residents of England and Wales, 2001 to 2011 Table 4a Legal abortions: by age, residents of England and Wales, 2011 Table 4b Legal abortions: number of previous abortions by age, residents of England and Wales, 2011 Table 5 Legal abortions: gestation weeks by purchaser and method of abortion, residents of England and Wales, 2011 Table 6 Legal abortions: gestation weeks by age and purchaser, residents of England and Wales, 2011 Table 7a Legal abortions: procedure by gestation weeks, residents of England and Wales, 2011 Table 7b Legal abortions: grounds by gestation weeks, residents of England and Wales, 2011 Table 8 Legal abortions: complication rates by procedure and gestation weeks, residents of England and Wales, 2011 Table 9 Legal abortions: principal medical condition for abortions performed under ground E, residents of England and Wales, 2011 Table 10a Legal abortions: numbers by Primary Care Organisation (England) and Local Health Board (Wales) of residence, by age, 2011 Table 10b Legal abortions: rates by Primary Care Organisation (England) and Local Health Board (Wales) of residence, by age, 2011 Table 11 Legal abortions: purchaser, gestation, Sexual Health Indicator and repeat abortions, by Primary Care Organisation (England) and Local Health Board (Wales) of residence, 2011 Table 12a Legal abortions: non residents of England & Wales by country of residence, 2011 Table 12b Legal abortions: non residents of England & Wales by (i) age, (ii) statutory grounds and (iii) gestation, 2011 Table 12c Legal abortions: country of residence by age and gestation, 2011 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, 2011 13
    • Table 1: Legal abortions: resident status and purchaser, 1968 to 2011 England and Wales, residents and non-residents Year Total Residents Non-residents Privately Funded NHS Funded Total 1968 1 1969 1970 NHS Independent Sector2 Hospital Rate per 1,000 women residents aged 15-44 Total ASR 3 Crude 23,641 54,819 86,565 22,332 49,829 75,962 14,492 33,562 47,370 . . . 7,840 16,267 28,592 . 5.2 8.0 . 5.3 8.1 1,309 4,990 10,603 1971 1972 1973 1974 1975 126,777 159,884 167,149 162,940 139,702 94,570 108,565 110,568 109,445 106,224 53,455 56,861 55,456 56,076 50,941 . . . . . 41,115 51,704 55,112 53,369 55,283 9.9 11.3 11.4 11.2 10.8 10.1 11.5 11.7 11.5 11.1 32,207 51,319 56,581 53,495 33,478 1976 1977 1978 1979 1980 129,673 133,004 141,558 149,746 160,903 101,912 102,677 111,851 120,611 128,927 50,569 52,530 55,040 55,558 60,594 . . . . . 51,343 50,147 56,811 65,053 68,333 10.2 10.1 10.9 11.5 12.1 10.5 10.5 11.3 12.0 12.6 27,761 30,327 29,707 29,135 31,976 1981 1982 1983 1984 1985 162,480 163,045 162,161 169,993 171,873 128,581 128,553 127,375 136,388 141,101 61,103 62,409 62,609 64,823 65,176 2,343 4,425 4,614 4,912 5,929 65,135 61,719 60,152 66,653 69,996 11.9 11.8 11.5 12.2 12.5 12.4 12.3 12.1 12.8 13.1 33,899 34,492 34,786 33,605 30,772 1986 1987 1988 1989 1990 172,286 174,276 183,798 183,974 186,912 147,619 156,191 168,298 170,463 173,900 67,451 69,442 69,103 70,722 73,517 6,819 8,041 9,357 9,200 9,582 73,349 78,708 89,838 90,541 90,801 13.0 13.7 14.8 15.1 15.5 13.5 14.2 15.3 15.5 15.8 24,667 18,085 15,500 13,511 13,012 1991 1992 1993 1994 1995 179,522 172,069 168,714 166,876 163,638 167,376 160,501 157,846 156,539 154,315 75,172 79,543 84,071 85,243 84,478 9,197 11,982 14,835 19,551 24,363 83,007 68,976 58,940 51,745 45,474 15.0 14.6 14.5 14.6 14.5 15.2 14.8 14.7 14.6 14.4 12,146 11,568 10,868 10,337 9,323 1996 1997 1998 1999 2000 177,495 179,746 187,402 183,250 185,375 167,916 170,145 177,871 173,701 175,542 88,410 86,414 87,568 84,992 81,074 33,255 37,472 44,332 43,266 50,400 46,251 46,259 45,971 45,443 44,068 16.0 16.3 17.2 16.8 17.0 15.7 15.9 16.6 16.2 16.3 9,579 9,601 9,531 9,549 9,833 2001 2002 2003 2004 2005 186,274 185,385 190,660 194,498 194,353 176,364 175,932 181,582 185,713 186,416 76,166 73,544 75,791 75,328 74,744 58,445 63,938 69,133 77,289 82,518 41,753 38,450 36,658 33,096 29,154 17.1 17.0 17.5 17.8 17.8 16.3 16.2 16.6 16.9 17.0 9,910 9,453 9,078 8,785 7,937 2006 2007 2008 2009 2010 2011 201,173 205,598 202,158 195,743 196,109 196,082 193,737 198,499 195,296 189,100 189,574 189,931 75,328 75,518 74,433 71,477 69,529 66,470 92,494 100,195 103,905 106,161 111,775 116,582 25,915 22,786 16,958 11,462 8,270 6,879 18.3 18.6 18.2 17.5 17.5 17.5 17.5 17.9 17.6 17.0 17.1 17.2 7,436 7,099 6,862 6,643 6,535 6,151 4 1 1968 figures contain only 8 months data as the legislation came into effect on 27 April 1968. 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. 2 14
    • 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, 2011 England and Wales, residents numbers and percentages All ages no. All legal abortions Under 20 % no. 20-34 % no. 35 and over % no. % 189,931 100% 34,923 100% 127,809 100% 27,199 100% 66,470 116,582 6,879 35 61 4 13,556 20,987 380 39 60 1 44,146 79,020 4,643 35 62 4 8,768 16,575 1,856 32 61 7 45 102 48 185,973 1,455 2,307 1 0 0 0 98 1 1 0 3 14 3 34,699 99 105 0 0 0 0 99 0 0 0 26 62 39 125,252 1,067 1,362 1 0 0 0 98 1 1 0 16 26 6 26,022 289 840 0 0 0 0 96 1 3 0 147,636 25,540 14,026 2,729 78 13 7 1 25,332 5,617 3,357 617 73 16 10 2 100,581 16,728 8,784 1,716 79 13 7 1 21,723 3,195 1,885 396 80 12 7 1 100,190 89,741 53 47 18,307 16,616 52 48 66,502 61,307 52 48 15,381 11,818 57 43 46,790 88,667 10,171 29,107 5,685 9,511 26 49 6 16 3 10,810 19,374 2,493 180 143 1,923 33 59 8 1 0 32,001 60,734 6,871 18,543 3,416 6,244 26 50 6 15 3 3,979 8,559 807 10,384 2,126 1,344 15 33 3 40 8 121,238 912 13,766 2,131 958 632 1,693 6,840 3,715 1,691 5,419 4,878 10,616 905 1,992 2,300 10,245 67 1 8 1 1 0 1 4 2 1 3 3 6 1 1 1 26,600 109 1,054 555 214 154 352 366 346 192 405 866 1,169 151 114 194 2,082 81 0 3 2 1 0 1 1 1 1 1 3 4 0 0 1 78,218 622 10,419 1,450 664 406 1,178 5,385 2,744 1,230 3,957 3,291 7,606 642 1,562 1,639 6,796 65 1 9 1 1 0 1 4 2 1 3 3 6 1 1 1 16,420 181 2,293 126 80 72 163 1,089 625 269 1,057 721 1,841 112 316 467 1,367 64 1 9 0 0 0 1 4 2 1 4 3 7 0 1 2 30,724 4,199 88 12 58,643 69,166 46 54 3,902 23,297 14 86 (i) Purchaser NHS Funded: NHS Hospital NHS Funded: Independent Sector Privately Funded (ii) Statutory grounds A (alone or with B, C or D) B (alone) B (with C or D) C (alone) D (alone, or with C) E (alone or with A, B, C, or D) F or G (iii) Gestation weeks 3-9 10 - 12 13 -19 20 and over (iv) Procedure Surgical Medical (v) Marital status 1 Single no partner Single with partner Single not stated Married/civil partnership Separated/widowed/divorced Not known & not stated (vi) Ethnicity 1 White - British White - Irish White - Any other White background Mixed - White and Black Caribbean Mixed - White and Black African Mixed - White and Asian Mixed - Any Other Asian or Asian British - Indian Asian or Asian British - Pakistani Asian or Asian British - Bangladeshi Asian - Any other Asian background Black or Black British - Caribbean Black or Black British - African Black or Black British - Any other Chinese Any other ethnic group Not known/not stated (vii) Parity (number of previous pregnancies resulting in live or still birth) 0 1+ 93,269 96,662 49 51 (viii) Number of previous pregnancies resulting in spontaneous miscarriage and ectopic pregnancies 0 1+ 158,157 31,774 83 17 33,159 1,764 95 5 105,835 21,974 83 17 19,163 8,036 70 30 (ix) Number of previous pregnancies resulting in abortion under the Act 0 1+ 121,826 68,105 64 36 30,058 4,865 86 14 76,861 50,948 60 40 14,907 12,292 55 45 166,494 23,437 88 12 31,657 3,266 91 9 111,727 16,082 87 13 23,110 4,089 85 15 (x) Chlamydia screening Offered Not offered 1 Percentages exclude not known and not stated 15
    • 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, 2001 to 2011 England and Wales, residents percentages 2001 All legal abortions ( =100% ) 2002 2003 2004 2005 2006 2007 2008 2009 2010 2 176,364 175,932 181,582 185,713 186,416 193,737 198,499 195,296 189,100 189,574 2011 189,931 (i) Purchaser NHS Funded: NHS Hospital NHS Funded: Independent Sector Privately Funded 43 33 24 42 36 22 42 38 20 40 42 18 40 44 16 39 48 13 38 50 11 38 53 9 38 56 6 37 59 4 35 61 4 0 1 93 5 1 0 1 94 4 1 0 1 94 3 1 0 1 95 3 1 0 1 96 2 1 0 1 97 1 1 0 0 98 1 1 0 0 98 1 1 0 0 97 1 1 0 0 98 1 1 0 0 98 1 1 58 30 11 2 57 30 11 2 58 29 11 2 60 27 11 2 67 23 9 1 68 22 9 2 70 20 9 1 73 17 8 1 75 16 8 1 77 15 7 1 78 13 7 1 Vacuum aspiration Dilatation and evacuation Other surgical All surgical 81 6 0 87 81 4 0 86 80 3 0 83 76 4 0 80 71 5 0 76 64 6 0 70 60 5 0 65 57 5 0 62 54 5 0 60 52 5 0 57 48 5 0 53 Antiprogesterone with or without prostaglandin Other medical agent All medical 12 1 13 14 0 14 16 0 17 19 0 20 24 0 24 30 0 30 34 0 34 37 0 37 40 0 40 43 0 43 47 1 47 . . . 76 19 3 0 2 25 17 32 75 20 3 0 2 35 30 11 76 19 2 0 2 31 29 17 77 18 2 0 2 33 31 15 79 17 2 0 2 32 36 12 80 17 2 0 2 31 42 8 81 16 2 0 1 29 42 9 81 16 2 0 1 29 43 11 82 15 2 0 1 26 49 6 81 16 2 0 1 26 49 6 81 16 2 0 1 . . . . . 75 3 7 12 3 76 2 7 12 3 75 2 7 13 3 74 2 8 13 3 75 3 8 12 2 75 3 8 11 3 76 3 8 10 3 76 3 9 10 2 76 3 10 9 2 76 3 10 9 2 53 47 53 47 53 47 53 47 53 47 52 48 51 49 50 50 49 51 (ii) Statutory grounds A (alone or with B, C or D) or F or G B (alone or with C or D) C (alone) D (alone, or with C) E (alone or with A, B, C, or D) (iii) Gestation weeks 3-9 10 - 12 13 - 19 20 and over (iv) Procedure (v) Marital status 1 Single no partner Single with partner Single not stated Single (total) Married/civil partnership Separated Widowed Divorced (vi) Ethnicity 1 White Mixed Asian or Asian British Black or Black British Chinese or other ethnic group (vii) Parity (number of previous pregnancies resulting in live or stillbirth) 0 1+ 53 47 53 47 (viii) Number of previous pregnancies resulting in spontaneous miscarriage and ectopic pregnancies 0 1+ . . 87 13 87 13 86 14 86 14 86 14 86 14 85 15 85 15 84 16 83 17 (ix) Number of previous pregnancies resulting in abortion under the Act 0 1+ 69 31 69 31 68 32 68 32 68 32 68 32 68 32 67 33 66 34 66 34 64 36 . . 65 35 65 35 69 31 71 29 72 28 73 27 73 27 79 21 84 16 88 12 (x) Chlamydia screening Offered Not offered 1 Percentages exclude not known and not stated Revised England and Wales total . Information was not collected Note: percentages are rounded and may not add up to 100 2 16
    • Legal abortions: totals, rates and percentages by age group, 2001 to 2011 England and Wales, residents Age numbers, rates and percentages 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Number All ages 176,364 175,932 181,582 185,713 186,416 193,737 198,499 195,296 189,100 189,574 189,931 Under 16 16-17 3,658 13,615 3,733 13,716 3,967 14,155 3,756 14,136 3,786 14,237 3,990 14,629 4,376 15,913 4,113 15,273 3,823 14,093 3,718 12,742 3,258 11,341 Under 18 18-19 20-24 25-29 30-34 35 or over Age not stated 17,273 19,816 48,267 36,506 28,782 25,696 24 17,449 19,269 48,359 35,795 28,503 26,438 119 18,122 20,092 51,201 36,018 28,749 27,400 . 17,892 21,250 52,701 37,759 28,064 27,749 . 18,023 21,076 53,342 38,330 27,836 27,809 . 18,619 22,667 55,340 40,396 28,153 28,562 . 20,289 23,666 56,963 41,704 27,257 28,620 . 19,386 23,303 56,172 41,896 26,985 27,554 . 17,916 22,151 54,749 40,634 26,701 26,949 . 16,460 21,809 55,481 40,800 27,978 27,046 . 14,599 20,324 55,909 42,321 29,579 27,199 . Crude rate per 1,000 women 1 All ages 16.3 16.2 16.6 16.9 17.0 17.5 17.9 17.6 17.0 17.1 17.2 Under 16 16-17 3.7 21.4 3.7 21.1 3.9 21.5 3.7 21.0 3.7 21.1 3.9 21.4 4.4 23.4 4.2 22.2 4.0 20.5 3.9 18.9 3.4 17.2 Under 18 18-19 20-24 25-29 30-34 35 or over 18.0 32.1 30.6 20.9 14.2 6.5 17.8 30.7 30.1 21.4 14.2 6.6 18.2 30.8 31.2 22.1 14.6 6.8 17.8 31.9 31.9 23.3 14.5 6.8 17.8 31.6 32.0 23.6 14.5 6.8 18.2 33.3 32.5 24.3 15.1 6.9 19.8 34.3 32.6 24.3 15.1 6.9 18.9 33.3 31.6 23.9 15.6 6.7 17.6 31.6 30.0 22.8 15.7 6.6 16.5 30.7 30.2 22.5 16.5 6.7 15.0 28.8 30.1 22.9 17.2 6.9 Under 16 16-17 2 8 2 8 2 8 2 8 2 8 2 8 2 8 2 8 2 7 2 7 2 6 Under 18 18-19 20-24 25-29 30-34 35 or over 10 11 27 21 16 15 10 11 27 20 16 15 10 11 28 20 16 15 10 11 28 20 15 15 10 11 29 21 15 15 10 12 29 21 15 15 10 12 29 21 14 14 10 12 29 21 14 14 9 12 29 21 14 14 9 12 29 22 15 14 8 11 29 22 16 14 Percentage 1 Rates 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 17
    • Table 4a: Legal abortions: by age, 2011 England and Wales, residents Age Crude rates per 1,000 1 women Total All ages 189,931 2 158 842 1 3 Under 16 Under 18 3,258 14,599 3 15 15-19 33,923 20 2,258 4,494 6,847 9,304 11,020 7 14 21 27 31 55,909 30 11,829 11,455 11,431 10,946 10,248 33 31 31 29 27 42,321 23 9,557 9,065 8,274 7,981 7,444 25 24 23 22 20 Crude rates per 1,000 1 women Total 17 1,000 Age Under 15 Under 14 14 15 16 17 18 19 20-24 20 21 22 23 24 25-29 25 26 27 28 29 30-34 29,579 6,944 6,778 5,926 5,175 4,756 45 46 47 48 49 0 347 172 86 34 21 45-49 6 5 4 2 1 660 40 41 42 43 44 4 2,577 1,981 1,468 1,012 606 40-44 13 12 10 9 8 7,644 35 36 37 38 39 10 4,427 4,213 3,699 3,376 3,157 35-39 19 19 18 16 14 18,872 30 31 32 33 34 17 1 0 0 0 0 23 . 50 and over 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, 2011 England and Wales, residents Number of previous abortions Total no. 0 1 2 3 4 5 6 7 or more 121,826 50,864 12,803 3,122 882 279 79 76 Total 189,931 under 16 16 and 17 18 and 19 % no. % no. no. 64 27 7 2 0 0 0 0 3,174 82 2 0 0 0 0 0 97 3 0 0 0 0 0 0 3,258 10,371 910 56 2 2 0 0 0 11,341 % 91 8 0 0 0 0 0 0 16,513 3,392 373 43 2 1 0 0 20 - 24 25 - 29 % no. % no. % 81 17 2 0 0 0 0 0 37,009 14,902 3,205 608 145 29 4 7 66 27 6 1 0 0 0 0 23,973 13,319 3,695 939 269 82 24 20 57 31 9 2 1 0 0 0 20,324 55,909 Note: percentages are rounded and may not add up to 100 18 42,321 30 or over no. 30,786 18,259 5,472 1,530 464 167 51 49 56,778 % 54 32 10 3 1 0 0 0
    • Table 5: Legal abortions: gestation weeks by purchaser and method of abortion, 2011 England and Wales, residents Gestation weeks Total number of abortions Purchaser (%) NHS Funded Method (%) Privately Funded Medical Surgical 4 47 53 84 71 67 64 10 7 5 3 65 72 66 56 35 28 34 44 42 49 50 46 55 49 48 52 2 2 2 2 48 24 14 14 52 76 86 86 5,502 3,912 3,089 2,194 45 38 32 29 52 59 65 68 2 3 3 3 17 23 23 24 83 77 77 76 16 17 18 19 1,660 1,388 1,063 720 27 23 19 19 70 73 77 78 3 3 4 3 23 22 18 19 77 78 82 81 20 21 22 23 702 763 553 565 27 42 26 23 71 56 70 73 2 2 4 4 28 39 24 20 72 61 76 80 146 100 . . 92 8 31 31 28 27 29 100 100 100 100 100 . . . . . . . . . . 94 94 93 93 86 6 6 7 7 14 189,931 35 61 4 47 53 3-8 130,385 31 64 4 60 40 9-12 42,791 48 50 2 18 82 14,026 30 67 3 23 77 2,583 30 67 3 29 71 146 100 0 0 92 8 NHS Hospital Independent Sector 189,931 35 61 3 and 4 5 6 7 2,145 18,395 40,107 38,658 6 22 27 32 8 9 10 11 31,080 17,251 12,405 7,633 12 13 14 15 Total 1 Over 24 weeks 24 25 26-27 28-31 32 and over 1 1 Total 13-19 20-23 1 Over 24 weeks 1 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 19
    • Table 6: Legal abortions: gestation weeks by age and purchaser, 2011 England and Wales, residents percentages Purchaser Gestation weeks Total Total number % breakdown by age All ages 1 Under 20 34,923 18 127,809 67 27,199 14 100 78 13 7 1 100 73 16 10 2 100 79 13 7 1 100 80 12 7 1 66,470 100 13,556 20 44,146 66 8,768 13 100 74 18 6 1 100 73 20 6 0 100 75 18 6 1 100 71 17 9 3 116,582 100 20,987 18 79,020 68 16,575 14 100 79 11 8 1 100 72 14 12 3 100 80 11 8 1 100 84 9 6 1 6,879 100 380 6 4,643 67 1,856 27 100 86 7 6 1 Total number % breakdown by age 100 76 8 13 3 100 86 7 6 1 100 87 8 5 1 All gestations 3-9 10-12 13-19 20 and over NHS Funded: Independent Sector Total number % breakdown by age All gestations 3-9 10-12 13-19 20 and over Privately Funded 35 and over 189,931 100 All gestations 3-9 10-12 13-19 20 and over NHS Funded: NHS Hospital 20-34 Total number % breakdown by age All gestations 3-9 10-12 13-19 20 and over 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 20
    • Table 7a: Legal abortions: procedure by gestation weeks, 2011 England and Wales, residents percentages Procedure Gestation weeks Total 3-9 10 - 12 13 - 14 189,931 147,636 25,540 7,001 7,025 2,729 Surgical 53 45 85 77 78 68 Vacuum Aspiration Dilatation and Evacuation Feticide with a surgical evacuation 1 48 5 0 44 0 0 82 3 0 56 21 0 5 72 1 0 43 25 Medical 47 55 15 23 22 32 Antiprogesterone with or without prostaglandin Other medical agent Feticide with a medical evacuation 46 1 0 55 1 0 15 0 0 23 0 0 22 1 0 15 1 16 Total abortions 15 - 19 20 & over 1 includes 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, 2011 England and Wales, residents numbers Gestation weeks Grounds Total 3-9 10 - 12 13 - 19 20 & over A (alone, or with B, C, D) or F or G B (alone, or with C or D) C (alone) D (alone, or with C) E (alone, or with A, B, C or D) 46 150 185,973 1,455 2,307 15 101 146,505 1,003 12 7 32 24,793 382 326 13 12 12,742 68 1,191 11 5 1,933 2 778 Total 189,931 147,636 25,540 14,026 2,729 21
    • Table 8: Legal abortions: complication1 rates by procedure and gestation weeks, 2011 England and Wales, residents Gestation weeks complication rates per 1,000 abortions Total all procedures Procedure Surgical Medical 279 113 166 1 1 2 3-9 1 1 1 10 - 12 2 2 5 13 - 19 2 1 6 20 & over 4 1 11 Total complications (numbers) Rate, all gestations 1 Complications include: haemorrhage, uterine perforation and/or sepsis and are those reported up to the time of discharge from the place of termination 22
    • Table 9: Legal abortions: principal medical condition for abortions performed under ground E, 2011 England and Wales, residents Total ICD-10 code Over 24 weeks gestation 2 Condition number Total ground E alone or with any other 1 % number % 100 146 100 1,054 46 96 66 the nervous system total 540 23 56 38 anencephaly encephalocele microcephaly hydrocephalus other malformations of the brain spina bifida other 193 27 6 29 81 144 60 8 1 0 1 4 6 3 3 1 3 3 24 9 13 2 1 2 2 16 6 9 the eye, ear, face and neck the cardiovascular system the respiratory system cleft lip and cleft palate other malformations of the digestive system the urinary system the musculoskeletal system the skin, breast integument phakomatoses other 5 152 12 4 4 107 160 3 67 0 7 1 0 0 5 7 0 3 0 17 4 0 0 7 7 0 5 0 12 3 0 0 5 5 0 3 890 39 34 23 Down’s syndrome Edwards’ syndrome Patau’s syndrome other 512 176 54 148 22 8 2 6 17 2 1 14 12 1 1 10 Other conditions total Q00-Q89 2,307 363 16 16 11 124 14 1 27 30 3 3 157 0 2 2 5 1 0 1 1 0 0 7 0 0 0 5 8 0 0 0 0 1 0 2 0 0 3 5 0 0 0 0 1 0 1 0 0 Congenital malformations total Q00-Q07 Q00 Q01 Q02 Q03 Q04 Q05 Q06-Q07 Q10-Q18 Q20-Q28 Q30-Q34 Q35-Q37 Q38-Q45 Q60-Q64 Q65-Q79 Q80-Q85 Q86-Q89 Q90-Q99 Q90 Q910-Q913 Q914-Q917 Q92-Q99 P00-P04 P05-P08 P35-P39 P832-P833 O30 O41 Z20-Z22 Z80-Z84 Chromosomal abnormalities total fetus affected by maternal factors fetal disorders related to gestation and growth fetus affected by congenital infectious disease hydrop fetalis not due to haemolytic disease multiple gestation disorder of the amniotic fluids exposure to communicable disease family history of heritable disorder Ground A, B ,F, G other not known 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 Over 24 week total includes 2 abortions carried out under grounds A, B, F or G Note: percentages are rounded and may not add up to 100 23
    • Table 10a: Legal abortions: numbers by Primary Care Organisation (England) and Local Health Board (Wales) of residence, by age, 2011 England and Wales, residents numbers Age Total number of abortions 95% confidence interval Under 18 18-19 20-24 25-29 30-34 35 + 3 year total for age under 16 2009-2011 ENGLAND & WALES 189,931 189,078 - 190,787 14,599 20,324 55,909 42,321 29,579 27,199 10,799 ENGLAND 181,438 180,604 - 182,275 13,858 19,308 53,205 40,508 28,481 26,078 10,213 7,003 6,840 - 7,169 699 839 2,190 1,545 964 766 637 1,193 288 411 316 512 995 529 537 640 324 401 857 1,126 - 1,263 256 - 323 372 - 453 282 - 353 469 - 558 934 - 1,059 485 - 576 493 - 584 591 - 692 290 - 361 363 - 442 801 - 916 126 27 47 29 41 81 51 60 67 29 53 88 153 31 58 32 74 100 62 59 80 41 46 103 364 85 129 103 169 377 167 138 174 82 137 265 238 75 86 72 122 220 103 126 131 89 72 211 162 37 58 41 55 127 86 80 104 52 55 107 150 33 33 39 51 90 60 74 84 31 38 83 126 30 34 26 53 70 40 55 52 33 41 77 24,784 24,476 - 25,095 2,163 2,901 7,730 5,446 3,471 3,073 846 492 525 1,019 631 1,150 1,531 1,024 1,178 1,061 775 684 2,305 2,964 698 801 1,116 901 860 1,027 767 659 591 1,179 790 - 905 449 - 537 481 - 572 957 - 1,084 583 - 682 1,084 - 1,218 1,455 - 1,610 962 - 1,089 1,112 - 1,247 998 - 1,127 721 - 832 634 - 737 2,212 - 2,401 2,858 - 3,073 647 - 752 746 - 858 1,051 - 1,183 843 - 962 803 - 919 965 - 1,092 714 - 823 610 - 711 544 - 641 1,113 - 1,248 87 49 52 71 48 88 143 116 131 113 67 58 181 197 86 68 90 81 78 95 53 63 51 97 106 48 65 109 85 146 222 141 158 109 89 70 258 293 98 99 133 106 89 123 93 72 56 133 281 135 155 321 193 357 491 270 363 316 240 212 755 987 209 238 352 311 251 313 223 193 169 395 182 103 120 224 135 224 317 228 222 227 163 156 543 749 134 192 264 201 193 203 152 152 131 231 87 89 70 159 83 174 179 132 162 149 112 116 317 406 90 117 160 101 127 160 126 90 94 171 103 68 63 135 87 161 179 137 142 147 104 72 251 332 81 87 117 101 122 133 120 89 90 152 14,760 14,523 - 15,000 1,363 1,779 4,679 3,097 2,032 1,810 679 1,659 655 968 577 840 1,309 2,471 496 441 1,480 715 1,708 762 629 - 732 1,580 - 1,741 606 - 707 908 - 1,031 531 - 626 784 - 899 1,239 - 1,382 2,375 - 2,570 453 - 542 401 - 484 1,406 - 1,557 664 - 769 1,628 - 1,791 709 - 818 66 128 64 81 69 84 136 203 45 50 133 80 147 77 108 162 69 97 83 117 149 305 61 56 176 90 210 96 204 484 203 307 162 279 403 825 170 128 458 222 598 236 126 382 143 209 117 191 264 506 109 81 302 146 352 169 88 276 91 153 77 86 200 336 59 71 220 87 200 88 87 227 85 121 69 83 157 296 52 55 191 90 201 96 Primary Care Organisation/ Local Health Board NORTH EAST SHA E18000001 5ND 5J9 5KF 5D9 5KM 5D7 5E1 5D8 TAC 5QR 5KG 5KL E16000085 E16000041 E16000050 E16000019 E16000053 E16000017 E16000020 E16000018 E17000001 E16000146 E16000051 E16000052 County Durham Darlington Gateshead Hartlepool Middlesbrough Newcastle Stockton-on-Tees Teaching North Tyneside Northumberland Redcar and Cleveland South Tyneside Sunderland Teaching NORTH WEST SHA E18000002 5HG 5CC 5HP 5HQ 5JX 5NP 5NG 5NE 5NH 5NM 5NQ 5J4 5NL 5NT 5NF 5J5 5F5 5NJ 5F7 5LH 5NR 5J2 5NN 5NK E16000032 E16000014 E16000033 E16000034 E16000043 E16000095 E16000088 E16000086 E16000089 E16000093 E16000096 E16000038 E16000092 E16000098 E16000087 E16000039 E16000025 E16000090 E16000026 E16000062 E16000097 E16000037 E16000094 E16000091 Ashton, Leigh and Wigan Blackburn with Darwen Blackpool Bolton Bury Central and Eastern Cheshire Central Lancashire Cumbria Teaching East Lancashire Teaching Halton and St Helens Heywood, Middleton and Rochdale Knowsley Liverpool Manchester North Lancashire Teaching Oldham Salford Sefton Stockport Tameside and Glossop Trafford Warrington Western Cheshire Wirral YORKSHIRE & THE HUMBER SHA E18000003 5JE 5NY 5J6 5N5 5NW 5NX 5N2 5N1 5AN 5EF 5NV 5H8 5N4 5N3 E16000042 E16000102 E16000040 E16000078 E16000100 E16000101 E16000075 E16000074 E17000005 E16000021 E16000099 E16000031 E16000077 E16000076 Barnsley Bradford and Airedale Teaching Calderdale Doncaster East Riding of Yorkshire Hull Teaching Kirklees Leeds North East Lincolnshire North Lincolnshire North Yorkshire and York Rotherham Sheffield Wakefield District 24 1,662 93 32 35 65 40 71 99 89 95 102 57 42 118 131 61 62 63 53 55 98 30 50 43 78 1,153 68 93 58 76 54 77 108 182 58 34 96 67 97 85
    • Table 10a: Legal abortions: numbers by Primary Care Organisation (England) and Local Health Board (Wales) of residence, by age, 2011 England and Wales, residents numbers Age Total number of abortions 95% confidence interval Under 18 18-19 20-24 25-29 30-34 35 + 3 year total for age under 16 2009-2011 ENGLAND & WALES 189,931 189,078 - 190,787 14,599 20,324 55,909 42,321 29,579 27,199 10,799 ENGLAND 181,438 180,604 - 182,275 13,858 19,308 53,205 40,508 28,481 26,078 10,213 11,865 11,652 - 12,080 1,039 1,336 3,588 2,475 1,731 1,696 803 247 784 1,488 1,369 1,576 1,454 2,023 1,280 1,644 217 - 280 730 - 841 1,413 - 1,566 1,297 - 1,443 1,499 - 1,656 1,380 - 1,531 1,936 - 2,113 1,211 - 1,352 1,565 - 1,725 33 64 139 71 148 167 172 88 157 32 79 151 146 209 186 200 146 187 77 248 434 425 460 428 571 469 476 52 160 292 338 295 275 429 288 346 26 124 239 221 205 207 325 157 227 27 109 233 168 259 191 326 132 251 25 43 129 43 106 135 137 57 128 20,983 20,700 - 21,269 1,754 2,355 6,449 4,610 3,076 2,739 2,093 1,757 1,088 1,974 379 544 1,482 614 697 1,684 1,878 992 548 924 1,658 1,240 1,431 2,004 - 2,185 1,676 - 1,841 1,024 - 1,155 1,888 - 2,063 342 - 419 499 - 592 1,407 - 1,559 566 - 665 646 - 751 1,605 - 1,766 1,794 - 1,965 931 - 1,056 503 - 596 865 - 986 1,579 - 1,740 1,172 - 1,311 1,358 - 1,507 166 141 95 94 39 44 121 51 73 124 201 62 55 92 153 90 153 207 186 148 156 52 79 142 73 65 166 288 120 65 111 209 112 176 663 567 299 626 105 180 477 173 202 572 548 321 147 277 494 400 398 472 405 236 485 81 88 325 121 140 358 335 249 142 221 341 305 306 321 258 167 347 49 85 229 90 111 243 239 126 66 129 230 189 197 264 200 143 266 53 68 188 106 106 221 267 114 73 94 231 144 201 120 92 79 53 36 43 94 53 30 82 146 63 52 74 103 53 86 16,729 16,476 - 16,984 1,385 1,843 4,795 3,473 2,632 2,601 904 1,266 1,271 467 3,538 1,069 945 1,633 769 747 1,052 1,560 1,335 1,077 1,197 - 1,338 1,202 - 1,343 426 - 511 3,422 - 3,657 1,006 - 1,135 886 - 1,007 1,555 - 1,714 716 - 825 694 - 803 989 - 1,118 1,484 - 1,639 1,264 - 1,409 1,014 - 1,143 100 111 51 266 57 78 162 83 53 98 134 110 82 147 147 61 348 91 114 200 86 64 137 187 155 106 400 330 141 965 305 268 485 238 218 323 430 387 305 238 268 97 746 276 167 299 153 187 207 342 282 211 175 200 69 604 196 156 230 107 113 148 234 201 199 206 215 48 609 144 162 257 102 112 139 233 200 174 73 79 41 151 32 51 103 61 41 65 84 77 46 Primary Care Organisation/ Local Health Board EAST MIDLANDS SHA E18000004 5ET 5N7 5N6 5PC 5PA 5N9 5PD 5EM 5N8 E16000023 E16000080 E16000079 E16000113 E16000112 E16000082 E16000114 E16000022 E16000081 Bassetlaw Derby City Derbyshire County Leicester City Leicestershire County and Rutland Lincolnshire Teaching Northamptonshire Teaching Nottingham City Nottinghamshire County Teaching WEST MIDLANDS SHA E18000005 5PG 5MD 5PE 5MX 5CN 5PH 5PF 5M2 TAM 5M1 5PK 5PJ 5MK 5M3 5PM 5MV 5PL E16000117 E16000070 E16000115 E16000073 E16000015 E16000118 E16000116 E16000065 E17000004 E16000064 E16000120 E16000119 E16000071 E16000066 E16000122 E16000072 E16000121 Birmingham East and North Coventry Teaching Dudley Heart of Birmingham Teaching Herefordshire North Staffordshire Sandwell Shropshire County Solihull South Birmingham South Staffordshire Stoke on Trent Telford and Wrekin Walsall Teaching Warwickshire Wolverhampton City Worcestershire EAST OF ENGLAND SHA E18000006 5P2 5PP 5PR 5QV 5GC 5PX 5PQ 5PW 5PN 5P1 5PY 5PT 5PV E16000104 E16000124 E16000126 E16000150 E16000029 E16000130 E16000125 E16000129 E16000123 E16000103 E16000131 E16000127 E16000128 Bedfordshire Cambridgeshire Great Yarmouth and Waveney Hertfordshire Luton Mid Essex Norfolk North East Essex Peterborough South East Essex South West Essex Suffolk West Essex 25 1,259
    • Table 10a: Legal abortions: numbers by Primary Care Organisation (England) and Local Health Board (Wales) of residence, by age, 2011 England and Wales, residents numbers Age Total number of abortions 95% confidence interval Under 18 18-19 20-24 25-29 30-34 35 + 3 year total for age under 16 2009-2011 ENGLAND & WALES 189,931 189,078 - 190,787 14,599 20,324 55,909 42,321 29,579 27,199 10,799 ENGLAND 181,438 180,604 - 182,275 13,858 19,308 53,205 40,508 28,481 26,078 10,213 46,800 46,377 - 47,226 2,300 3,790 12,654 11,904 8,782 7,370 1,526 1,532 1,558 979 2,182 1,114 1,117 1,746 1,945 2,001 1,623 1,659 1,115 1,731 1,148 1,082 1,582 1,690 1,324 775 680 2,151 2,001 1,856 1,645 606 2,253 1,737 1,556 1,722 1,550 1,140 1,456 - 1,611 1,482 - 1,637 919 - 1,042 2,091 - 2,276 1,050 - 1,181 1,052 - 1,184 1,665 - 1,830 1,860 - 2,033 1,914 - 2,091 1,545 - 1,704 1,580 - 1,741 1,051 - 1,182 1,650 - 1,815 1,083 - 1,216 1,018 - 1,148 1,505 - 1,662 1,610 - 1,773 1,254 - 1,397 721 - 832 630 - 733 2,061 - 2,244 1,914 - 2,091 1,773 - 1,942 1,566 - 1,726 559 - 656 2,161 - 2,348 1,656 - 1,821 1,480 - 1,635 1,642 - 1,805 1,474 - 1,629 1,075 - 1,208 91 52 73 71 99 39 84 131 79 87 91 44 95 39 86 97 77 53 24 36 88 92 93 93 29 107 109 59 81 57 44 147 104 124 145 126 81 138 174 142 132 130 74 141 71 123 175 154 92 51 69 162 178 122 118 59 178 152 113 135 112 68 431 441 267 587 255 311 449 518 509 427 478 278 511 300 308 430 445 391 179 198 579 539 535 429 150 611 450 468 500 394 286 379 379 194 608 230 276 481 439 552 427 393 331 438 322 228 364 451 350 215 140 553 501 501 445 132 569 418 459 416 396 317 286 297 160 435 207 226 345 359 381 296 331 218 303 216 180 283 334 235 172 106 417 383 342 314 103 437 305 269 314 303 225 198 285 161 336 197 184 249 324 338 254 236 170 243 200 157 233 229 203 134 131 352 308 263 246 133 351 303 188 276 288 200 48 47 55 44 67 28 63 96 46 64 62 31 51 24 62 52 61 48 11 25 69 57 54 38 18 83 58 48 58 30 28 13,153 12,929 - 13,380 1,148 1,500 3,761 2,650 1,962 2,132 742 1,177 909 2,315 554 1,091 3,019 2,038 2,050 1,111 - 1,246 851 - 970 2,222 - 2,411 509 - 602 1,027 - 1,158 2,912 - 3,129 1,950 - 2,128 1,962 - 2,141 61 111 220 71 92 251 177 165 125 120 289 77 130 315 196 248 354 246 701 166 328 856 549 561 269 168 442 98 233 573 438 429 177 121 330 78 162 444 330 320 191 143 333 64 146 580 348 327 51 59 150 40 64 135 120 123 12,002 11,788 - 12,219 835 1,286 3,408 2,623 1,918 1,932 633 1,457 1,509 1,407 3,040 248 1,010 1,565 805 961 1,383 - 1,534 1,434 - 1,587 1,334 - 1,482 2,933 - 3,150 218 - 281 949 - 1,074 1,488 - 1,645 750 - 863 901 - 1,024 69 112 103 254 33 42 114 40 68 127 128 152 369 34 89 180 112 95 377 418 386 868 71 258 426 272 332 351 323 260 606 65 236 369 181 232 279 272 222 445 23 210 227 110 130 254 256 284 498 22 175 249 90 104 55 69 66 217 25 38 86 40 37 Primary Care Organisation/ Local Health Board LONDON SHA E18000007 5C2 5A9 TAK 5K5 5A7 5K7 5C3 5K9 5HX 5C1 5A8 5H1 5C9 5K6 5A4 5AT 5HY 5K8 5LA 5A5 5LD 5LF 5C5 5NA 5M6 5LE 5M7 5C4 5NC 5LG 5LC E16000009 E16000006 E17000002 E16000045 E16000004 E16000047 E16000010 E16000049 E16000035 E16000008 E16000005 E16000030 E16000013 E16000046 E16000002 E16000007 E16000036 E16000048 E16000056 E16000003 E16000058 E16000060 E16000012 E16000083 E16000067 E16000059 E16000068 E16000011 E16000084 E16000061 E16000057 Barking and Dagenham Barnet Bexley Brent Teaching Bromley Camden City and Hackney Teaching Croydon Ealing Enfield Greenwich Teaching Hammersmith and Fulham Haringey Teaching Harrow Havering Hillingdon Hounslow Islington Kensington and Chelsea Kingston Lambeth Lewisham Newham Redbridge Richmond and Twickenham Southwark Sutton and Merton Tower Hamlets Waltham Forest Wandsworth Westminster SOUTH EAST COAST SHA E18000008 5LQ 5P7 5QA 5P8 5L3 5P5 5P9 5P6 E16000063 E16000109 E16000132 E16000110 E16000055 E16000107 E16000111 E16000108 Brighton and Hove City East Sussex Downs and Weald Eastern and Coastal Kent Hastings and Rother Medway Surrey West Kent West Sussex SOUTH CENTRAL SHA E18000009 5QG 5QF 5QD 5QC 5QT 5CQ 5QE 5FE 5L1 E16000137 E16000136 E16000134 E16000133 E16000147 E16000016 E16000135 E16000027 E16000054 Berkshire East Berkshire West Buckinghamshire Hampshire Isle of Wight National Health Service Milton Keynes Oxfordshire Portsmouth City Teaching Southampton City 26
    • Table 10a: Legal abortions: numbers by Primary Care Organisation (England) and Local Health Board (Wales) of residence, by age, 2011 England and Wales, residents numbers Age Total number of abortions 95% confidence interval Under 18 18-19 20-24 25-29 30-34 35 + 3 year total for age under 16 2009-2011 ENGLAND & WALES 189,931 189,078 - 190,787 14,599 20,324 55,909 42,321 29,579 27,199 10,799 ENGLAND 181,438 180,604 - 182,275 13,858 19,308 53,205 40,508 28,481 26,078 10,213 13,359 13,133 - 13,587 1,172 1,679 3,951 2,685 1,913 1,959 894 420 1,141 1,526 1,083 1,572 890 1,321 453 851 1,188 636 724 510 1,044 381 - 462 1,076 - 1,209 1,450 - 1,605 1,019 - 1,149 1,495 - 1,652 832 - 950 1,251 - 1,394 412 - 497 795 - 910 1,121 - 1,258 588 - 687 672 - 779 467 - 556 982 - 1,109 30 84 88 112 165 86 115 47 73 131 50 52 54 85 53 114 163 153 202 140 145 68 109 159 91 68 76 138 131 343 480 331 480 250 384 120 280 312 176 218 157 289 73 260 372 171 294 160 287 75 163 239 125 157 100 209 61 189 244 151 220 111 197 59 113 160 95 101 69 143 72 151 179 165 211 143 193 84 113 187 99 128 54 180 18 54 91 75 112 58 98 31 57 97 45 35 34 89 8,493 8,313 - 8,676 741 1,016 2,704 1,813 1,098 1,121 586 167 154 363 476 1,268 354 148 287 265 455 312 190 175 343 465 270 245 817 711 324 249 455 143 - 194 131 - 180 327 - 402 434 - 521 1,199 - 1,340 318 - 393 125 - 174 255 - 322 234 - 299 414 - 499 278 - 349 164 - 219 150 - 203 308 - 381 424 - 509 239 - 304 215 - 278 762 - 875 660 - 765 290 - 361 219 - 282 414 - 499 21 10 37 33 87 28 17 27 25 49 29 14 12 26 41 36 29 72 52 30 27 39 23 19 39 54 144 54 24 49 45 56 28 17 24 40 53 33 28 84 73 47 23 60 41 48 119 146 437 109 58 76 85 136 88 65 50 110 138 82 56 275 254 105 77 149 39 27 73 103 299 71 18 53 40 98 67 52 33 81 110 57 52 186 157 54 54 89 17 29 48 73 163 47 13 39 31 53 38 21 19 46 60 33 28 106 89 45 36 63 26 21 47 67 138 45 18 43 39 63 62 21 37 40 63 29 52 94 86 43 32 55 18 9 33 34 64 25 11 19 15 30 28 21 11 23 26 25 22 53 36 21 27 35 Primary Care Organisation/ Local Health Board SOUTH WEST SHA E18000010 5FL 5QN 5QJ 5QP 5QQ 5QM 5QH 5M8 5F1 5QL 5A3 5K3 TAL 5QK E16000028 E16000143 E16000139 E16000144 E16000145 E16000142 E16000138 E16000069 E16000024 E16000141 E16000001 E16000044 E17000003 E16000140 Bath and North East Somerset Bournemouth and Poole Teaching Bristol Cornwall and Isles of Scilly Devon Dorset Gloucestershire North Somerset Plymouth Teaching Somerset South Gloucestershire Swindon Torbay Wiltshire WALES 6B1 6C2 6B3 6B2 6A8 6B7 6A4 6A7 6C1 6B5 6A2 6B8 6A1 6A5 6B9 6A3 6C4 6A9 6A6 6B6 6C3 6B4 NAWER06 NAWER10 NAWER08 NAWER10 NAWER09 NAWER07 NAWER07 NAWER06 NAWER06 NAWER06 NAWER06 NAWER10 NAWER10 NAWER08 NAWER10 NAWER07 NAWER07 NAWER08 NAWER08 NAWER09 NAWER10 NAWER06 Anglesey Blaenau Gwent Bridgend Caerphilly Cardiff Carmarthen Ceredigion Conwy Denbighshire Flintshire Gwynedd Merthyr Tydfil Monmouth Neath & Port Talbot Newport Pembroke Powys Rhondda, Cynon, Taff Swansea The Vale of Glamorgan Torfaen Wrexham 27
    • Table 10b: Legal abortions: rates by Primary Care Organisation (England) and Local Health Board (Wales) of residence, by age, 2011 England and Wales, residents rates per 1,000 women Crude rate per 1000 women 1 Rate per Primary Care Organisation/ Local Health Board 1000 resident Total women number aged 95% of 15-44 confidence 1 interval abortions ASR Under 18 18-19 20-24 25-29 30-34 35 + 3 year rate for age under 16 2009-2011 Age ENGLAND AND WALES 189,931 17.5 17.4 - 17.5 15.0 28.8 30.1 22.9 17.2 6.9 3.8 ENGLAND 181,438 17.6 17.6 - 17.7 15.1 29.1 30.4 23.1 17.4 6.9 3.8 7,003 13.6 13.4 - 13.8 15 23 23 18 13 4 5 1,193 288 411 316 512 995 529 537 640 324 401 857 12.3 16.4 11.7 18.7 16.2 13.2 14.5 14.8 13.3 13.5 13.7 15.0 11.9 - 12.8 15.2 - 17.6 11.0 - 12.4 17.4 - 20.0 15.3 - 17.1 12.6 - 13.7 13.7 - 15.3 14.0 - 15.6 12.7 - 14.0 12.6 - 14.5 12.8 - 14.5 14.3 - 15.6 14 15 14 16 15 19 14 18 12 11 20 17 21 27 25 28 33 16 24 26 23 24 24 26 20 30 23 35 26 18 27 25 23 20 26 26 16 25 13 25 23 16 17 20 17 22 15 22 12 12 10 16 14 15 15 12 14 15 13 13 4 5 2 6 6 6 4 5 4 3 4 4 5 6 4 5 7 6 4 6 3 4 5 5 24,784 18.1 18.0 - 18.3 17 31 31 24 18 6 5 846 492 525 1,019 631 1,150 1,531 1,024 1,178 1,061 775 684 2,305 2,964 698 801 1,116 901 860 1,027 767 659 591 1,179 15.1 17.8 21.3 20.3 18.9 15.8 17.2 13.3 17.2 19.0 20.0 22.9 21.5 21.0 11.8 19.4 21.2 19.6 17.3 21.6 20.7 18.8 14.2 22.3 14.4 - 15.7 16.8 - 18.8 20.2 - 22.5 19.5 - 21.1 18.0 - 19.8 15.2 - 16.4 16.7 - 17.8 12.8 - 13.8 16.6 - 17.9 18.3 - 19.7 19.1 - 20.9 21.8 - 24.0 20.9 - 22.0 20.5 - 21.5 11.2 - 12.4 18.6 - 20.3 20.4 - 22.0 18.8 - 20.4 16.6 - 18.1 20.7 - 22.4 19.8 - 21.7 17.9 - 19.8 13.5 - 15.0 21.6 - 23.2 15 16 20 14 14 11 18 13 17 20 17 19 26 28 14 16 23 15 15 20 14 18 13 17 29 25 35 33 39 29 33 25 32 28 33 32 32 30 19 37 40 29 28 38 40 32 18 36 31 28 36 38 36 31 30 22 32 35 37 39 29 26 19 35 34 38 32 39 42 35 22 44 20 24 32 27 24 20 23 20 21 24 25 31 27 25 15 28 26 29 24 26 24 26 22 27 10 21 21 20 15 15 15 11 16 18 19 28 24 22 12 18 21 17 15 22 18 16 16 22 4 7 7 7 6 5 6 4 5 7 7 7 9 12 4 6 8 6 6 7 7 6 6 7 6 4 5 4 4 3 4 3 4 6 5 5 6 7 4 5 6 4 4 7 3 5 4 5 14,760 13.5 13.4 - 13.7 14 24 23 17 13 5 4 679 1,659 655 968 577 840 1,309 2,471 496 441 1,480 715 1,708 762 16.4 15.1 18.1 18.9 11.5 13.2 16.0 12.2 16.6 17.0 10.4 15.5 12.8 12.6 15.7 - 17.2 14.7 - 15.6 17.2 - 19.0 18.2 - 19.7 10.9 - 12.1 12.6 - 13.8 15.4 - 16.5 11.9 - 12.5 15.7 - 17.6 16.0 - 18.1 10.1 - 10.8 14.8 - 16.3 12.4 - 13.2 12.1 - 13.2 15 13 17 15 12 18 19 16 15 17 9 17 17 13 37 24 29 29 21 29 27 21 29 31 16 29 20 24 30 25 35 35 21 21 27 18 32 32 18 30 20 24 19 19 24 24 16 16 20 13 23 19 14 19 16 17 14 16 16 20 10 10 16 13 14 18 11 12 12 10 5 7 5 6 3 5 5 6 5 5 3 5 5 4 5 3 5 5 3 6 5 5 7 4 2 5 4 5 NORTH EAST SHA E18000001 5ND 5J9 5KF 5D9 5KM 5D7 5E1 5D8 TAC 5QR 5KG 5KL E16000085 E16000041 E16000050 E16000019 E16000053 E16000017 E16000020 E16000018 E17000001 E16000146 E16000051 E16000052 County Durham Darlington Gateshead Hartlepool Middlesbrough Newcastle Stockton-on-Tees Teaching North Tyneside Northumberland Redcar and Cleveland South Tyneside Sunderland Teaching NORTH WEST SHA E18000002 5HG 5CC 5HP 5HQ 5JX 5NP 5NG 5NE 5NH 5NM 5NQ 5J4 5NL 5NT 5NF 5J5 5F5 5NJ 5F7 5LH 5NR 5J2 5NN 5NK E16000032 E16000014 E16000033 E16000034 E16000043 E16000095 E16000088 E16000086 E16000089 E16000093 E16000096 E16000038 E16000092 E16000098 E16000087 E16000039 E16000025 E16000090 E16000026 E16000062 E16000097 E16000037 E16000094 E16000091 Ashton, Leigh and Wigan Blackburn with Darwen Blackpool Bolton Bury Central and Eastern Cheshire Central Lancashire Cumbria Teaching East Lancashire Teaching Halton and St Helens Heywood, Middleton and Rochdale Knowsley Liverpool Manchester North Lancashire Teaching Oldham Salford Sefton Stockport Tameside and Glossop Trafford Warrington Western Cheshire Wirral YORKSHIRE & THE HUMBER SHA E18000003 5JE E16000042 5NY E16000102 5J6 E16000040 5N5 E16000078 5NW E16000100 5NX E16000101 5N2 E16000075 5N1 E16000074 5AN E17000005 5EF E16000021 5NV E16000099 5H8 E16000031 5N4 E16000077 5N3 E16000076 Barnsley Bradford and Airedale Teaching Calderdale Doncaster East Riding of Yorkshire Hull Teaching Kirklees Leeds North East Lincolnshire North Lincolnshire North Yorkshire and York Rotherham Sheffield Wakefield District 28
    • Table 10b: Legal abortions: rates by Primary Care Organisation (England) and Local Health Board (Wales) of residence, by age, 2011 England and Wales, residents rates per 1,000 women Crude rate per 1000 women 1 Rate per Primary Care Organisation/ Local Health Board 1000 resident Total women number aged 95% of 15-44 confidence 1 interval abortions ASR Under 18 18-19 20-24 25-29 30-34 35 + 3 year rate for age under 16 2009-2011 Age ENGLAND AND WALES 189,931 17.5 17.4 - 17.5 15.0 28.8 30.1 22.9 17.2 6.9 3.8 ENGLAND 181,438 17.6 17.6 - 17.7 15.1 29.1 30.4 23.1 17.4 6.9 3.8 11,865 13.8 13.6 - 14.0 13 22 23 18 14 5 3 247 784 1,488 1,369 1,576 1,454 2,023 1,280 1,644 13.7 14.4 12.5 17.1 12.8 12.4 16.3 14.3 13.7 12.7 - 14.9 13.8 - 15.1 12.1 - 12.9 16.5 - 17.7 12.4 - 13.2 12.0 - 12.8 15.8 - 16.7 13.8 - 14.9 13.3 - 14.2 16 15 10 14 12 13 13 20 13 24 22 18 28 22 21 25 19 23 27 25 24 24 22 21 29 19 25 19 16 16 22 17 16 21 16 18 9 16 12 21 12 13 16 15 12 3 6 4 8 5 4 6 7 5 4 3 3 3 3 4 4 5 4 20,983 19.9 19.7 - 20.1 17 32 35 26 20 7 4 2,093 1,757 1,088 1,974 379 544 1,482 614 697 1,684 1,878 992 548 924 1,658 1,240 1,431 23.7 23.7 20.1 25.4 14.6 14.3 25.0 14.7 19.7 20.0 18.3 19.3 18.3 19.0 17.7 25.3 16.1 23.1 - 24.3 23.0 - 24.5 19.3 - 20.8 24.7 - 26.1 13.7 - 15.6 13.5 - 15.1 24.2 - 25.9 14.0 - 15.5 18.8 - 20.7 19.4 - 20.7 17.8 - 18.8 18.5 - 20.0 17.4 - 19.4 18.3 - 19.8 17.2 - 18.3 24.4 - 26.2 15.6 - 16.6 20 26 17 17 12 12 22 9 18 21 17 15 17 18 16 21 15 35 33 41 30 27 27 37 22 25 27 41 35 30 33 36 36 27 43 37 35 37 26 26 49 28 35 31 34 34 28 34 32 46 30 29 30 26 32 21 16 31 19 25 25 21 28 32 27 22 34 23 24 26 19 32 13 16 23 14 21 21 15 18 15 18 15 25 13 9 10 6 15 4 5 9 5 7 10 6 7 6 5 6 9 5 5 6 5 3 4 4 6 3 2 5 4 5 5 5 4 4 3 16,729 15.8 15.6 - 15.9 13 27 28 20 15 6 3 1,266 1,271 467 3,538 1,069 945 1,633 769 747 1,052 1,560 1,335 1,077 16.9 10.7 13.4 17.1 23.8 14.7 12.3 12.7 21.7 18.4 19.8 13.7 21.6 16.3 - 17.5 10.3 - 11.1 12.6 - 14.2 16.8 - 17.5 22.9 - 24.8 14.1 - 15.3 11.9 - 12.7 12.1 - 13.2 20.7 - 22.7 17.7 - 19.1 19.2 - 20.5 13.2 - 14.2 20.8 - 22.4 13 10 14 13 16 11 13 15 17 16 18 10 16 31 18 24 27 35 28 23 21 33 35 39 24 34 35 16 24 32 36 27 21 22 41 35 36 27 40 19 14 18 21 32 16 14 15 29 23 25 17 24 13 11 13 16 29 14 12 12 18 16 16 12 23 6 5 3 7 11 6 5 5 9 6 7 5 8 3 3 4 2 3 3 3 4 4 4 4 2 3 EAST MIDLANDS SHA E18000004 5ET 5N7 5N6 5PC 5PA 5N9 5PD 5EM 5N8 E16000023 E16000080 E16000079 E16000113 E16000112 E16000082 E16000114 E16000022 E16000081 Bassetlaw Derby City Derbyshire County Leicester City Leicestershire County and Rutland Lincolnshire Teaching Northamptonshire Teaching Nottingham City Nottinghamshire County Teaching WEST MIDLANDS SHA E18000005 5PG E16000117 5MD E16000070 5PE E16000115 5MX E16000073 5CN E16000015 5PH E16000118 5PF E16000116 5M2 E16000065 TAM E17000004 5M1 E16000064 5PK E16000120 5PJ E16000119 5MK E16000071 5M3 E16000066 5PM E16000122 5MV E16000072 5PL E16000121 Birmingham East and North Coventry Teaching Dudley Heart of Birmingham Teaching Herefordshire North Staffordshire Sandwell Shropshire County Solihull South Birmingham South Staffordshire Stoke on Trent Telford and Wrekin Walsall Teaching Warwickshire Wolverhampton City Worcestershire EAST OF ENGLAND SHA E18000006 5P2 E16000104 5PP E16000124 5PR E16000126 5QV E16000150 5GC E16000029 5PX E16000130 5PQ E16000125 5PW E16000129 5PN E16000123 5P1 E16000103 5PY E16000131 5PT E16000127 5PV E16000128 Bedfordshire Cambridgeshire Great Yarmouth and Waveney Hertfordshire Luton Mid Essex Norfolk North East Essex Peterborough South East Essex South West Essex Suffolk West Essex 29
    • Table 10b: Legal abortions: rates by Primary Care Organisation (England) and Local Health Board (Wales) of residence, by age, 2011 England and Wales, residents rates per 1,000 women Crude rate per 1000 women 1 Rate per Primary Care Organisation/ Local Health Board 1000 resident Total women number aged 95% of 15-44 confidence 1 interval abortions ASR Under 18 18-19 20-24 25-29 30-34 35 + 3 year rate for age under 16 2009-2011 Age ENGLAND AND WALES 189,931 17.5 17.4 - 17.5 15.0 28.8 30.1 22.9 17.2 6.9 3.8 ENGLAND 181,438 17.6 17.6 - 17.7 15.1 29.1 30.4 23.1 17.4 6.9 3.8 46,800 25.8 25.7 - 26.0 19 45 46 32 24 12 4 1,532 1,558 979 2,182 1,114 1,117 1,746 1,945 2,001 1,623 1,659 1,115 1,731 1,148 1,082 1,582 1,690 1,324 775 680 2,151 2,001 1,856 1,645 606 2,253 1,737 1,556 1,722 1,550 1,140 37.7 22.2 22.5 39.4 19.9 16.1 28.9 28.6 28.8 26.9 30.9 25.4 35.2 24.5 25.0 26.3 31.7 23.8 20.8 17.2 30.4 32.3 32.6 28.5 17.0 30.8 21.2 21.2 35.3 20.4 16.3 36.5 - 38.9 21.5 - 22.9 21.6 - 23.4 38.4 - 40.5 19.2 - 20.7 15.5 - 16.8 28.0 - 29.9 27.8 - 29.4 28.0 - 29.6 26.0 - 27.7 30.0 - 31.9 24.4 - 26.5 34.1 - 36.3 23.6 - 25.4 24.1 - 26.0 25.5 - 27.1 30.8 - 32.7 23.0 - 24.7 19.8 - 21.8 16.4 - 18.0 29.5 - 31.3 31.4 - 33.2 31.6 - 33.5 27.6 - 29.4 16.1 - 17.9 29.9 - 31.6 20.6 - 21.9 20.5 - 21.9 34.2 - 36.4 19.6 - 21.1 15.6 - 16.9 26 9 16 18 18 14 26 21 17 17 27 21 30 10 18 21 22 23 12 15 25 23 23 18 11 30 17 19 22 21 19 63 31 43 55 42 26 58 44 47 40 47 53 64 32 45 47 63 42 36 30 67 63 41 39 32 60 40 39 55 49 26 70 45 38 66 31 26 50 52 50 47 57 37 70 44 45 41 58 40 33 28 53 57 56 54 33 52 39 37 68 36 24 46 28 27 55 25 17 32 35 39 37 37 32 41 36 30 33 39 25 27 21 29 42 44 39 21 33 26 27 45 19 18 39 21 22 46 19 16 26 29 26 26 32 24 28 24 25 28 29 21 22 15 24 29 35 27 13 27 16 18 33 14 14 14 10 9 18 8 10 13 12 14 11 13 13 13 11 9 11 13 14 10 10 16 13 15 12 7 15 9 10 14 11 10 5 3 4 4 4 3 6 5 3 4 6 5 5 2 5 4 6 7 2 3 7 5 4 3 2 8 3 5 5 3 4 13,153 17.1 16.9 - 17.3 14 28 31 22 16 7 3 1,177 909 2,315 554 1,091 3,019 2,038 2,050 18.5 18.3 17.0 20.6 21.2 15.8 17.4 16.1 17.8 - 19.2 17.6 - 19.1 16.5 - 17.4 19.5 - 21.7 20.5 - 22.0 15.4 - 16.1 16.9 - 17.9 15.6 - 16.5 16 18 16 22 18 12 13 12 29 32 27 37 38 25 26 28 25 33 29 39 38 31 33 30 26 23 22 25 27 19 23 22 20 16 17 19 20 13 16 14 9 6 7 6 8 7 7 6 5 3 4 4 4 2 3 3 LONDON SHA E18000007 5C2 5A9 TAK 5K5 5A7 5K7 5C3 5K9 5HX 5C1 5A8 5H1 5C9 5K6 5A4 5AT 5HY 5K8 5LA 5A5 5LD 5LF 5C5 5NA 5M6 5LE 5M7 5C4 5NC 5LG 5LC E16000009 E16000006 E17000002 E16000045 E16000004 E16000047 E16000010 E16000049 E16000035 E16000008 E16000005 E16000030 E16000013 E16000046 E16000002 E16000007 E16000036 E16000048 E16000056 E16000003 E16000058 E16000060 E16000012 E16000083 E16000067 E16000059 E16000068 E16000011 E16000084 E16000061 E16000057 Barking and Dagenham Barnet Bexley Brent Teaching Bromley Camden City and Hackney Teaching Croydon Ealing Enfield Greenwich Teaching Hammersmith and Fulham Haringey Teaching Harrow Havering Hillingdon Hounslow Islington Kensington and Chelsea Kingston Lambeth Lewisham Newham Redbridge Richmond and Twickenham Southwark Sutton and Merton Tower Hamlets Waltham Forest Wandsworth Westminster SOUTH EAST COAST SHA E18000008 5LQ 5P7 5QA 5P8 5L3 5P5 5P9 5P6 E16000063 E16000109 E16000132 E16000110 E16000055 E16000107 E16000111 E16000108 Brighton and Hove City East Sussex Downs and Weald Eastern and Coastal Kent Hastings and Rother Medway Surrey West Kent West Sussex SOUTH CENTRAL SHA E18000009 5QG 5QF 5QD 5QC 5QT 5CQ 5QE 5FE 5L1 E16000137 E16000136 E16000134 E16000133 E16000147 E16000016 E16000135 E16000027 E16000054 Berkshire East Berkshire West Buckinghamshire Hampshire Isle of Wight Milton Keynes Oxfordshire Portsmouth City Teaching Southampton City 12,002 14.8 14.7 - 15.0 11 24 25 20 15 6 3 1,457 1,509 1,407 3,040 248 1,010 1,565 805 961 17.1 15.4 16.8 14.1 12.2 21.4 12.3 14.7 14.7 16.5 - 17.6 14.9 - 15.9 16.3 - 17.4 13.8 - 14.4 11.2 - 13.2 20.5 - 22.2 11.9 - 12.7 14.0 - 15.3 14.0 - 15.3 9 13 10 11 14 10 10 13 18 26 20 28 25 21 33 20 29 19 29 25 33 26 22 39 19 21 21 24 20 20 18 21 28 18 17 20 17 17 15 13 8 23 12 15 14 8 7 7 5 2 9 5 7 7 2 3 2 3 3 3 3 5 4 30
    • Table 10b: Legal abortions: rates by Primary Care Organisation (England) and Local Health Board (Wales) of residence, by age, 2011 England and Wales, residents rates per 1,000 women Crude rate per 1000 women 1 Rate per Primary Care Organisation/ Local Health Board 1000 resident Total women number aged 95% of 15-44 confidence 1 interval abortions ASR Under 18 18-19 20-24 25-29 30-34 35 + 3 year rate for age under 16 2009-2011 Age ENGLAND AND WALES 189,931 17.5 17.4 - 17.5 15.0 28.8 30.1 22.9 17.2 6.9 3.8 ENGLAND 181,438 17.6 17.6 - 17.7 15.1 29.1 30.4 23.1 17.4 6.9 3.8 13,359 14.2 14.1 - 14.4 12 25 24 19 14 5 3 420 1,141 1,526 1,083 1,572 890 1,321 453 851 1,188 636 724 510 1,044 11.2 18.3 13.1 12.6 13.3 17.8 13.1 13.7 14.7 15.0 12.8 18.2 24.6 15.4 10.6 - 12.0 17.6 - 19.0 12.7 - 13.5 12.1 - 13.1 12.9 - 13.7 17.0 - 18.5 12.7 - 13.6 12.9 - 14.5 14.0 - 15.3 14.5 - 15.6 12.2 - 13.5 17.4 - 19.1 23.2 - 26.0 14.9 - 16.1 10 17 14 12 13 11 10 13 17 13 10 14 23 9 16 24 25 24 22 34 19 31 25 26 25 30 50 27 15 26 19 23 24 35 23 25 20 27 21 37 45 30 14 28 15 14 17 24 19 15 17 21 17 22 30 22 13 21 13 12 13 15 13 11 17 13 12 14 23 12 6 7 6 5 4 6 5 6 7 5 5 8 6 5 2 4 5 3 3 3 3 3 5 3 3 3 5 3 8,493 14.9 0.8 - 0.8 13 25 26 20 14 6 4 167 154 363 476 1,268 354 148 287 265 455 312 190 175 343 465 270 245 817 711 324 249 455 15.5 12.0 16.1 14.8 14.0 11.9 9.3 18.8 17.8 18.5 14.2 18.1 14.5 14.4 16.9 15.1 13.9 17.8 14.9 15.1 15.3 19.0 14.1 - 17.1 10.9 - 13.3 15.1 - 17.2 14.0 - 15.7 13.5 - 14.5 11.1 - 12.7 8.3 - 10.4 17.5 - 20.3 16.5 - 19.2 17.5 - 19.7 13.2 - 15.2 16.6 - 19.9 13.2 - 16.0 13.4 - 15.4 16.0 - 17.9 14.0 - 16.3 12.8 - 15.0 17.0 - 18.6 14.2 - 15.6 14.1 - 16.2 14.2 - 16.6 17.9 - 20.2 17 7 16 10 16 8 13 14 13 18 13 13 7 11 15 15 11 17 14 12 15 17 30 21 26 25 22 25 13 44 41 33 13 23 25 26 26 23 21 27 20 32 20 39 24 21 33 28 20 23 15 33 36 37 18 36 28 28 27 31 22 34 25 31 28 39 24 13 20 19 18 15 9 23 19 24 22 28 20 20 26 21 20 25 21 16 21 21 10 16 14 14 15 10 9 16 13 13 14 15 11 13 16 12 11 16 15 13 15 16 6 4 5 5 6 4 5 6 6 6 9 5 6 4 6 4 6 6 6 5 5 6 5 2 5 3 4 3 3 3 3 4 4 6 2 3 3 4 3 4 3 3 5 5 SOUTH WEST SHA E18000010 5FL E16000028 5QN E16000143 5QJ E16000139 5QP E16000144 5QQ E16000145 5QM E16000142 5QH E16000138 5M8 E16000069 5F1 E16000024 5QL E16000141 5A3 E16000001 5K3 E16000044 TAL E17000003 5QK E16000140 Bath and North East Somerset Bournemouth and Poole Teaching Bristol Cornwall and Isles of Scilly Devon Dorset Gloucestershire North Somerset Plymouth Teaching Somerset South Gloucestershire Swindon Torbay Wiltshire WALES 6B1 6C2 6B3 6B2 6A8 6B7 6A4 6A7 6C1 6B5 6A2 6B8 6A1 6A5 6B9 6A3 6C4 6A9 6A6 6B6 6C3 6B4 1 NAWER06 NAWER10 NAWER08 NAWER10 NAWER09 NAWER07 NAWER07 NAWER06 NAWER06 NAWER06 NAWER06 NAWER10 NAWER10 NAWER08 NAWER10 NAWER07 NAWER07 NAWER08 NAWER08 NAWER09 NAWER10 NAWER06 Anglesey Blaenau Gwent Bridgend Caerphilly Cardiff Carmarthen Ceredigion Conwy Denbighshire Flintshire Gwynedd Merthyr Tydfil Monmouth Neath & Port Talbot Newport Pembroke Powys Rhondda, Cynon, Taff Swansea The Vale of Glamorgan Torfaen Wrexham Rates for PCOs and LHBs are based on mid-2010 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 31
    • Table 11: Legal abortions: purchaser, gestation, Sexual Health Indicator and repeat abortions, by Primary Care Organisation (England) and Local Health Board (Wales) of residence, 2011 England and Wales, residents percentages Purchaser (%) NHS Funded Primary Care Organisation/ Local Health Board NHS Hospital 35 61 ENGLAND 34 Privately Funded Independent Sector ENGLAND & WALES Gestation weeks (%) NORTH EAST SHA E18000001 5ND 5J9 5KF 5D9 5KM 5D7 5E1 5D8 TAC 5QR 5KG 5KL E16000085 E16000041 E16000050 E16000019 E16000053 E16000017 E16000020 E16000018 E17000001 E16000146 E16000051 E16000052 County Durham Darlington Gateshead Hartlepool Middlesbrough Newcastle Stockton-on-Tees Teaching North Tyneside Northumberland Redcar and Cleveland South Tyneside Sunderland Teaching NORTH WEST SHA E18000002 5HG 5CC 5HP 5HQ 5JX 5NP 5NG 5NE 5NH 5NM 5NQ 5J4 5NL 5NT 5NF 5J5 5F5 5NJ 5F7 5LH 5NR 5J2 5NN 5NK E16000032 E16000014 E16000033 E16000034 E16000043 E16000095 E16000088 E16000086 E16000089 E16000093 E16000096 E16000038 E16000092 E16000098 E16000087 E16000039 E16000025 E16000090 E16000026 E16000062 E16000097 E16000037 E16000094 E16000091 Ashton, Leigh and Wigan Blackburn with Darwen Blackpool Bolton Bury Central and Eastern Cheshire Central Lancashire Cumbria Teaching East Lancashire Teaching Halton and St Helens Heywood, Middleton and Rochdale Knowsley Liverpool Manchester North Lancashire Teaching Oldham Salford Sefton Stockport Tameside and Glossop Trafford Warrington Western Cheshire Wirral YORKSHIRE & THE HUMBER SHA E18000003 5JE 5NY 5J6 5N5 5NW 5NX 5N2 5N1 5AN 5EF 5NV 5H8 5N4 5N3 E16000042 E16000102 E16000040 E16000078 E16000100 E16000101 E16000075 E16000074 E17000005 E16000021 E16000099 E16000031 E16000077 E16000076 Barnsley Bradford and Airedale Teaching Calderdale Doncaster East Riding of Yorkshire Hull Teaching Kirklees Leeds North East Lincolnshire North Lincolnshire North Yorkshire and York Rotherham Sheffield Wakefield District Sexual Health Indicator Total NHS funded abortions 95% confidence NHS funded Percentage interval abortions of all NHS at under funded 10 weeks abortions under 10 weeks Repeat abortions in women aged under 25 3-9 10-12 13+ 4 78 13 9 183,052 142,653 77.9 77.7 - 78.1 26.2 63 3 78 13 9 175,167 136,403 77.9 77.7 - 78.1 26.4 93 5 2 75 16 10 6,865 5,104 74 73 - 75 22 91 95 95 97 97 86 96 93 91 96 96 94 8 3 2 1 1 13 0 6 9 0 2 2 2 1 3 2 2 1 3 1 1 4 2 4 75 75 74 79 65 77 78 84 78 68 77 66 17 17 16 14 21 14 13 8 14 19 13 22 8 8 10 7 14 9 9 8 8 13 9 12 1,175 284 400 311 501 983 512 534 636 312 393 824 879 213 294 244 322 761 396 446 500 212 301 536 75 75 74 78 64 77 77 84 79 68 77 65 72 - 77 70 - 80 69 - 78 74 - 83 60 - 68 75 - 80 74 - 81 80 - 86 75 - 82 63 - 73 72 - 81 62 - 68 19 21 15 24 32 21 26 20 21 28 19 25 47 51 2 80 12 8 24,374 19,466 80 79 - 80 25 52 92 5 38 25 34 18 94 91 15 43 86 84 21 30 49 55 82 29 44 8 2 63 70 48 5 94 61 74 63 81 4 6 84 55 13 15 77 69 50 43 17 68 55 89 94 35 29 1 3 0 1 2 3 1 2 3 1 2 1 2 1 1 1 2 2 2 1 2 3 2 1 77 85 80 77 81 73 82 75 81 80 80 76 77 83 80 84 76 81 80 84 81 78 81 85 14 9 11 12 9 17 10 16 11 12 10 17 15 9 14 8 15 13 13 9 12 14 11 8 9 7 9 11 9 9 9 9 8 8 10 7 8 7 6 8 9 6 7 7 7 9 8 7 841 476 524 1,007 620 1,111 1,518 1,007 1,148 1,046 763 675 2,267 2,921 694 789 1,089 887 840 1,013 751 637 581 1,169 648 402 421 774 507 807 1,237 754 926 836 609 515 1,748 2,444 555 660 823 712 670 851 607 492 470 998 77 84 80 77 82 73 81 75 81 80 80 76 77 84 80 84 76 80 80 84 81 77 81 85 74 - 80 81 - 87 77 - 84 74 - 79 79 - 85 70 - 75 79 - 83 72 - 77 78 - 83 77 - 82 77 - 83 73 - 79 75 - 79 82 - 85 77 - 83 81 - 86 73 - 78 78 - 83 77 - 82 82 - 86 78 - 83 74 - 80 77 - 84 83 - 87 21 26 24 23 32 18 25 18 24 27 23 27 26 27 17 25 25 27 29 28 27 29 21 29 58 40 2 74 17 9 14,513 10,748 74 73 - 75 24 73 70 93 5 87 93 59 21 98 79 40 90 94 4 26 29 3 95 9 6 38 78 1 20 58 8 3 94 1 0 4 1 4 1 3 0 1 1 2 1 3 2 56 73 79 82 64 63 81 80 80 73 72 68 73 78 28 18 16 12 28 28 12 11 13 16 17 21 18 11 16 9 5 7 8 8 8 9 7 11 11 11 9 11 669 1,652 629 961 554 829 1,265 2,459 491 438 1,449 705 1,663 749 374 1,205 493 782 351 526 1,020 1,973 392 320 1,040 478 1,213 581 56 73 78 81 63 63 81 80 80 73 72 68 73 78 52 - 60 71 - 75 75 - 81 79 - 84 59 - 67 60 - 67 78 - 83 79 - 82 76 - 83 69 - 77 69 - 74 64 - 71 71 - 75 74 - 80 22 24 23 31 17 17 23 25 48 24 21 21 21 29 32
    • Table 11: Legal abortions: purchaser, gestation, Sexual Health Indicator and repeat abortions, by Primary Care Organisation (England) and Local Health Board (Wales) of residence, 2011 England and Wales, residents percentages Purchaser (%) NHS Funded Primary Care Organisation/ Local Health Board NHS Hospital 35 61 ENGLAND 34 Privately Funded Independent Sector ENGLAND & WALES Gestation weeks (%) EAST MIDLANDS SHA E18000004 5ET 5N7 5N6 5PC 5PA 5N9 5PD 5EM 5N8 E16000023 E16000080 E16000079 E16000113 E16000112 E16000082 E16000114 E16000022 E16000081 Bassetlaw Derby City Derbyshire County Leicester City Leicestershire County and Rutland Lincolnshire Teaching Northamptonshire Teaching Nottingham City Nottinghamshire County Teaching WEST MIDLANDS SHA E18000005 5PG 5MD 5PE 5MX 5CN 5PH 5PF 5M2 TAM 5M1 5PK 5PJ 5MK 5M3 5PM 5MV 5PL E16000117 E16000070 E16000115 E16000073 E16000015 E16000118 E16000116 E16000065 E17000004 E16000064 E16000120 E16000119 E16000071 E16000066 E16000122 E16000072 E16000121 Birmingham East and North Coventry Teaching Dudley Heart of Birmingham Teaching Herefordshire North Staffordshire Sandwell Shropshire County Solihull South Birmingham South Staffordshire Stoke on Trent Telford and Wrekin Walsall Teaching Warwickshire Wolverhampton City Worcestershire EAST OF ENGLAND SHA E18000006 5P2 5PP 5PR 5QV 5GC 5PX 5PQ 5PW 5PN 5P1 5PY 5PT 5PV E16000104 E16000124 E16000126 E16000150 E16000029 E16000130 E16000125 E16000129 E16000123 E16000103 E16000131 E16000127 E16000128 Bedfordshire Cambridgeshire Great Yarmouth and Waveney Hertfordshire Luton Mid Essex Norfolk North East Essex Peterborough South East Essex South West Essex Suffolk West Essex Sexual Health Indicator Total NHS funded abortions 95% confidence NHS funded Percentage interval abortions of all NHS at under funded 10 weeks abortions under 10 weeks Repeat abortions in women aged under 25 3-9 10-12 13+ 4 78 13 9 183,052 142,653 77.9 77.7 - 78.1 26.2 63 3 78 13 9 175,167 136,403 77.9 77.7 - 78.1 26.4 67 30 3 68 22 9 11,501 7,816 68 67 - 69 23 76 92 79 73 60 93 54 58 41 23 3 17 23 36 3 44 39 57 2 4 4 4 4 3 1 3 2 74 69 71 64 69 65 69 67 70 17 23 21 24 21 25 20 24 20 9 7 9 12 10 9 10 9 9 243 749 1,424 1,320 1,513 1,405 1,994 1,247 1,606 180 513 1,006 834 1,037 912 1,379 824 1,131 74 68 71 63 69 65 69 66 70 68 - 79 65 - 72 68 - 73 61 - 66 66 - 71 62 - 67 67 - 71 63 - 69 68 - 73 21 24 21 24 20 20 25 25 22 7 91 2 81 11 9 20,528 16,498 80 80 - 81 28 1 3 1 2 93 2 2 5 1 2 3 3 3 46 2 3 16 98 97 98 96 3 96 94 92 95 97 95 95 96 52 97 91 78 1 0 1 2 4 2 3 3 4 1 2 1 1 2 1 6 5 83 79 83 85 71 85 80 77 84 83 76 85 76 86 76 74 80 10 11 10 8 19 9 11 10 10 9 16 7 13 7 12 15 11 7 10 7 7 10 6 9 13 7 8 8 8 11 7 12 10 8 2,071 1,751 1,073 1,937 365 532 1,435 597 672 1,659 1,845 980 545 906 1,639 1,165 1,356 1,719 1,387 890 1,634 259 458 1,149 461 559 1,379 1,392 836 415 785 1,242 851 1,082 83 79 83 84 71 86 80 77 83 83 75 85 76 87 76 73 80 81 - 85 77 - 81 81 - 85 83 - 86 66 - 75 83 - 89 78 - 82 74 - 80 80 - 86 81 - 85 73 - 77 83 - 87 72 - 80 84 - 89 74 - 78 70 - 76 78 - 82 36 31 30 29 28 25 33 18 24 33 25 25 20 28 26 28 21 44 53 3 78 13 9 16,237 12,574 77 77 - 78 25 50 79 95 5 16 14 93 74 63 44 14 92 28 48 16 3 92 82 84 5 22 36 53 83 2 67 2 4 2 2 1 2 3 4 1 3 3 5 5 73 74 67 81 77 82 74 81 79 81 82 67 82 16 17 24 9 12 9 16 12 13 10 10 23 12 11 8 9 9 11 9 10 7 9 9 9 9 6 1,237 1,219 456 3,458 1,053 923 1,588 739 742 1,024 1,508 1,263 1,027 905 898 304 2,809 812 758 1,173 598 584 827 1,228 837 841 73 74 67 81 77 82 74 81 79 81 81 66 82 71 - 76 71 - 76 62 - 71 80 - 82 74 - 80 80 - 84 72 - 76 78 - 84 76 - 82 78 - 83 79 - 83 64 - 69 79 - 84 27 20 22 28 27 29 19 24 21 23 28 18 26 33
    • Table 11: Legal abortions: purchaser, gestation, Sexual Health Indicator and repeat abortions, by Primary Care Organisation (England) and Local Health Board (Wales) of residence, 2011 England and Wales, residents percentages Purchaser (%) NHS Funded Primary Care Organisation/ Local Health Board NHS Hospital 35 61 ENGLAND 34 Privately Funded Independent Sector ENGLAND & WALES Gestation weeks (%) LONDON SHA E18000007 5C2 5A9 TAK 5K5 5A7 5K7 5C3 5K9 5HX 5C1 5A8 5H1 5C9 5K6 5A4 5AT 5HY 5K8 5LA 5A5 5LD 5LF 5C5 5NA 5M6 5LE 5M7 5C4 5NC 5LG 5LC E16000009 E16000006 E17000002 E16000045 E16000004 E16000047 E16000010 E16000049 E16000035 E16000008 E16000005 E16000030 E16000013 E16000046 E16000002 E16000007 E16000036 E16000048 E16000056 E16000003 E16000058 E16000060 E16000012 E16000083 E16000067 E16000059 E16000068 E16000011 E16000084 E16000061 E16000057 Barking and Dagenham Barnet Bexley Brent Teaching Bromley Camden City and Hackney Teaching Croydon Ealing Enfield Greenwich Teaching Hammersmith and Fulham Haringey Teaching Harrow Havering Hillingdon Hounslow Islington Kensington and Chelsea Kingston Lambeth Lewisham Newham Redbridge Richmond and Twickenham Southwark Sutton and Merton Tower Hamlets Waltham Forest Wandsworth Westminster SOUTH EAST COAST SHA E18000008 5LQ 5P7 5QA 5P8 5L3 5P5 5P9 5P6 E16000063 E16000109 E16000132 E16000110 E16000055 E16000107 E16000111 E16000108 Brighton and Hove City East Sussex Downs and Weald Eastern and Coastal Kent Hastings and Rother Medway Surrey West Kent West Sussex SOUTH CENTRAL SHA E18000009 5QG 5QF 5QD 5QC 5QT 5CQ 5QE 5FE 5L1 E16000137 E16000136 E16000134 E16000133 E16000147 E16000016 E16000135 E16000027 E16000054 Berkshire East Berkshire West Buckinghamshire Hampshire Isle of Wight National Health Service Milton Keynes Oxfordshire Portsmouth City Teaching Southampton City Sexual Health Indicator Total NHS funded abortions 95% confidence NHS funded Percentage interval abortions of all NHS at under funded 10 weeks abortions under 10 weeks Repeat abortions in women aged under 25 3-9 10-12 13+ 4 78 13 9 183,052 142,653 77.9 77.7 - 78.1 26.2 63 3 78 13 9 175,167 136,403 77.9 77.7 - 78.1 26.4 17 76 7 81 11 8 43,551 34,945 80 80 - 81 32 3 2 2 4 2 14 82 1 2 11 2 10 10 1 2 3 4 14 66 4 7 11 75 3 33 10 25 80 3 25 44 94 92 95 92 93 77 9 96 86 79 93 81 82 96 96 93 90 79 7 91 88 86 9 93 58 86 70 9 92 67 40 3 6 3 4 5 10 9 2 12 10 4 10 7 4 2 5 6 7 27 5 5 3 16 4 9 5 6 11 5 9 17 82 84 82 84 83 82 78 81 75 69 81 82 73 85 87 79 79 82 86 81 81 80 78 83 82 82 82 80 82 84 84 8 9 11 9 9 11 15 11 15 21 10 10 17 8 6 11 11 12 8 11 10 10 11 9 9 10 10 13 10 9 10 10 7 8 7 9 7 7 8 11 11 8 8 10 7 7 9 10 7 6 8 9 10 11 8 9 8 8 7 8 7 7 1,492 1,461 950 2,100 1,059 1,009 1,593 1,900 1,766 1,462 1,588 1,008 1,602 1,107 1,062 1,509 1,596 1,234 567 646 2,045 1,938 1,559 1,577 551 2,146 1,640 1,379 1,644 1,413 948 1,220 1,224 776 1,773 875 822 1,236 1,542 1,279 983 1,291 813 1,157 940 921 1,203 1,253 1,000 482 522 1,647 1,551 1,195 1,310 447 1,752 1,341 1,077 1,344 1,174 795 82 84 82 84 83 81 78 81 72 67 81 81 72 85 87 80 79 81 85 81 81 80 77 83 81 82 82 78 82 83 84 80 - 84 82 - 86 79 - 84 83 - 86 80 - 85 79 - 84 75 - 80 79 - 83 70 - 74 65 - 70 79 - 83 78 - 83 70 - 74 83 - 87 85 - 89 78 - 82 76 - 80 79 - 83 82 - 88 78 - 84 79 - 82 78 - 82 74 - 79 81 - 85 78 - 84 80 - 83 80 - 84 76 - 80 80 - 84 81 - 85 81 - 86 37 36 30 33 33 29 33 37 28 32 34 31 33 32 32 32 28 33 24 28 35 33 28 33 26 36 29 31 36 35 29 5 93 2 79 11 10 12,858 10,161 79 78 - 80 27 1 1 3 6 3 3 3 13 98 97 95 93 95 94 93 84 1 2 1 1 2 3 4 2 79 74 80 75 81 82 80 75 11 13 10 15 11 9 10 15 10 13 10 10 8 9 10 10 1,163 892 2,286 547 1,072 2,940 1,960 1,998 922 659 1,833 413 870 2,402 1,565 1,497 79 74 80 76 81 82 80 75 77 - 82 71 - 77 78 - 82 72 - 79 79 - 83 80 - 83 78 - 82 73 - 77 25 22 26 27 34 27 28 24 16 81 3 79 12 9 11,666 9,163 79 78 - 79 25 3 1 3 25 90 3 4 90 5 93 96 92 74 8 94 93 8 93 4 3 5 1 2 3 3 2 2 81 84 74 80 77 78 78 78 72 10 9 15 11 18 13 13 15 17 9 7 12 9 4 9 9 7 12 1,392 1,467 1,340 3,001 244 983 1,512 788 939 1,134 1,228 981 2,400 188 769 1,176 613 674 81 84 73 80 77 78 78 78 72 79 - 83 82 - 86 71 - 76 79 - 81 71 - 82 76 - 81 76 - 80 75 - 81 69 - 75 28 28 26 22 13 25 26 28 21 34
    • Table 11: Legal abortions: purchaser, gestation, Sexual Health Indicator and repeat abortions, by Primary Care Organisation (England) and Local Health Board (Wales) of residence, 2011 England and Wales, residents percentages Purchaser (%) NHS Funded Primary Care Organisation/ Local Health Board NHS Hospital 35 61 ENGLAND 34 Privately Funded Independent Sector ENGLAND & WALES Gestation weeks (%) SOUTH WEST SHA E18000010 5FL 5QN 5QJ 5QP 5QQ 5QM 5QH 5M8 5F1 5QL 5A3 5K3 TAL 5QK Total NHS funded abortions 95% confidence NHS funded Percentage interval abortions of all NHS at under funded 10 weeks abortions under 10 weeks Repeat abortions in women aged under 25 3-9 10-12 13+ 4 78 13 9 183,052 142,653 77.9 77.7 - 78.1 26.2 63 3 78 13 9 175,167 136,403 77.9 77.7 - 78.1 26.4 49 49 2 76 15 9 13,074 9,928 76 75 - 77 22 E16000028 E16000143 E16000139 E16000144 E16000145 E16000142 E16000138 E16000069 E16000024 E16000141 E16000001 E16000044 E17000003 E16000140 Bath and North East Somerset Bournemouth and Poole Teaching Bristol Cornwall and Isles of Scilly Devon Dorset Gloucestershire North Somerset Plymouth Teaching Somerset South Gloucestershire Swindon Torbay Wiltshire 49 30 50 72 66 13 91 38 94 61 42 0 2 18 50 69 47 26 31 86 4 61 5 37 56 99 97 80 1 1 2 2 2 1 5 2 1 2 2 1 1 2 80 82 79 69 74 77 71 81 75 70 75 83 81 80 11 10 13 22 19 13 18 12 17 18 13 8 11 13 9 8 9 10 7 10 11 8 8 12 12 9 7 7 416 1,133 1,489 1,056 1,533 880 1,250 446 839 1,168 621 717 504 1,022 335 933 1,167 720 1,122 676 872 359 626 820 470 598 410 820 81 82 78 68 73 77 70 80 75 70 76 83 81 80 76 - 84 80 - 84 76 - 80 65 - 71 71 - 75 74 - 79 67 - 72 77 - 84 72 - 77 68 - 73 72 - 79 81 - 86 78 - 85 78 - 83 20 21 25 16 17 25 21 17 22 22 24 31 30 19 67 26 7 69 21 10 7,885 6,250 79 78 - 80 22 NAWER06 NAWER10 NAWER08 NAWER10 NAWER09 NAWER07 NAWER07 NAWER06 NAWER06 NAWER06 NAWER06 NAWER10 NAWER10 NAWER08 NAWER10 NAWER07 NAWER07 NAWER08 NAWER08 NAWER09 NAWER10 NAWER06 Anglesey Blaenau Gwent Bridgend Caerphilly Cardiff Carmarthen Ceredigion Conwy Denbighshire Flintshire Gwynedd Merthyr Tydfil Monmouth Neath & Port Talbot Newport Pembroke Powys Rhondda, Cynon, Taff Swansea The Vale of Glamorgan Torfaen Wrexham 15 74 91 78 76 94 95 13 11 7 15 96 71 95 71 81 84 91 93 79 78 3 84 21 1 15 7 0 1 83 87 93 81 2 22 2 22 8 8 2 1 5 20 97 1 5 9 7 17 5 3 4 2 0 3 2 7 3 7 10 9 6 6 16 2 0 77 68 59 77 56 68 74 80 83 83 78 72 69 63 72 76 74 69 64 61 71 80 11 26 30 17 32 24 19 11 11 11 10 21 20 24 20 19 15 22 24 27 23 9 11 6 10 5 13 8 7 9 6 7 13 7 11 13 8 6 11 9 12 13 6 11 165 146 332 442 1,051 335 143 276 260 453 302 186 163 331 432 242 224 766 666 272 245 453 137 121 244 395 662 258 121 234 230 400 245 153 130 248 368 213 177 635 500 190 208 381 83 83 73 89 63 77 85 85 88 88 81 82 80 75 85 88 79 83 75 70 85 84 77 - 88 76 - 88 68 - 78 86 - 92 60 - 66 72 - 81 78 - 90 80 - 89 84 - 92 85 - 91 76 - 85 76 - 87 73 - 85 70 - 79 82 - 88 83 - 92 73 - 84 80 - 85 72 - 78 64 - 75 80 - 89 80 - 87 18 13 23 14 23 24 12 25 20 22 27 23 19 26 21 23 19 23 23 23 18 29 WALES 6B1 6C2 6B3 6B2 6A8 6B7 6A4 6A7 6C1 6B5 6A2 6B8 6A1 6A5 6B9 6A3 6C4 6A9 6A6 6B6 6C3 6B4 Sexual Health Indicator Note: percentages are rounded and may not add up to 100 35
    • Table 12a: Legal abortions: non-residents by country of residence, 2011 total percentages 6,151 100% Northern Ireland Scotland Isle of Man Jersey Guernsey 1,007 233 96 11 14 16.4 3.8 1.6 0.2 0.2 European countries Irish Republic Austria Cyprus Denmark France Germany Gibraltar Hungary Italy Malta Netherland, The Norway Poland Portugal Romania Slovakia Spain Sweden Switzerland Other 4,149 4 13 12 51 10 6 7 169 63 3 6 24 10 4 3 11 3 6 18 67.5 0.1 0.2 0.2 0.8 0.2 0.1 0.1 2.7 1.0 0.0 0.1 0.4 0.2 0.1 0.0 0.2 0.0 0.1 0.3 8 4 5 3 6 7 3 6 7 8 6 4 102 14 35 0.1 0.1 0.1 0.0 0.1 0.1 0.0 0.1 0.1 0.1 0.1 0.1 1.7 0.2 0.6 All non-residents Country of residence 1 Rest of the world Australia Bahrain Brazil Cameroon India Kuwait Mauritius Nigeria Oman Qatar Saudi Arabia Thailand UAE USA Other 1 Details of other countries shown under 'Other' can be obtained on request 36
    • Table 12b: Legal abortions: non residents of England and Wales, by (i) age, (ii) statutory grounds and (iii) gestation weeks, 2011 total percentages 6,151 100% Under 16 16 - 17 18 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 and over 82 203 469 1,599 1,496 1,111 810 381 1 3 8 26 24 18 13 6 C (alone) Other 6,012 139 98 2 3-9 10 - 12 13 - 19 20 and over 3,989 946 826 390 65 15 13 6 All non-residents (i) Age (ii) Statutory grounds (iii) Gestation weeks Note: percentages are rounded and may not add to 100 Table 12c: Legal abortions, country of residence by age and gestation weeks, 2011 Scotland Northern Ireland no. % 233 All no. Irish Republic % no. % 100 1,007 100 4,149 100 6 12 30 59 49 41 19 17 3 5 13 25 21 18 8 7 19 50 91 268 226 170 121 62 2 5 9 27 22 17 12 6 37 111 295 1109 1051 755 534 257 1 3 7 27 25 18 13 6 100 10 23 100 43 4 10 43 709 174 108 16 70 17 11 2 2840 684 511 114 68 16 12 3 Age Under 16 16 - 17 18 - 19 20 - 24 25 - 29 30 - 34 35 - 39 40 & over Gestation weeks 3-9 10 - 12 13 - 19 20 & over Note: percentages are rounded and may not add up to 100 37
    • Table 13: Legal abortions: by country of procedure and (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, 2011 Country of abortion numbers England & Wales All legal abortions 196,082 100% 3,340 11,544 20,793 57,508 43,817 30,690 28,390 2 6 11 29 22 16 14 151,625 26,486 14,852 3,119 105,773 90,309 Scotland p Great Britain p 100% 208,553 100% 285 897 1,521 3,847 2,696 1,692 1,533 2 7 12 31 22 14 12 3,625 12,441 22,314 61,355 46,513 32,382 29,923 2 6 11 29 22 16 14 77 14 8 2 9,417 2,071 930 53 76 17 7 0 161,042 28,557 15,782 3,172 77 14 8 2 54 46 3,300 9,171 26 74 109,073 99,480 52 48 49 51 6,374 6,097 51 49 103,070 105,483 49 51 65 35 8,855 3,616 71 29 135,634 72,919 65 35 12,471 p (i) Age Under 16 16-17 18-19 20-24 25-29 30-34 35+ (ii) Gestation weeks 3-9 10 - 12 13 - 19 20 and over (iii) Procedure Surgical Medical (iv) Parity (number of previous pregnancies resulting in live or stillbirth) 0 1+ 96,696 99,386 (v) Number of previous pregnancies resulting in abortion under the Act 0 1 126,779 69,303 (vi) Grounds A (alone or with B, C or D) or F or G B (alone or with C or D) C (alone) D (alone or with C) E (alone one with A, B, C or D) 48 0 * 150 191,985 1,478 2,421 0 98 1 1 * 11,602 722 136 100% 136 . . 93 6 1 48 150 203,587 2,200 2,557 . . 98 1 1 (vii) Principal medical condition for abortions performed under ground E Total Ground E The nervous system (Q00 - Q007) Other congenital malformations (Q10-Q89) Chromosomal abnormalities: Other: 2,421 574 532 937 378 24 22 39 16 1 27 33 48 28 100% 20 24 35 21 2,557 601 565 985 406 100% 24 22 39 16 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 38
    • Abortion Statistics, England and Wales: 2011 Annex A: Data Quality and Methods • i. Validation 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 Department of Health web site at: http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/Publichealth/Healthimprov ement/Sexualhealth/Sexualhealthgeneralinformation/DH_4063863 • ii. Forms returned after the publication cut-off date The 2011 figures in this annual bulletin are based on a snapshot of the records taken about six 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 2010 published in the 2010 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: 2010 iii. The scale of the effect is illustrated below for 2010. A further 416 notifications were received after the cut-off, equating to a quarter of one per cent of the published total. 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 cutoff date Published 2010 figures 2010 figures incorporating notifications received after the publication cut-off 189,574 189,990 Gestation (weeks) 3 to 9 10 to 12 13 to 19 20 or over Not known 76.6% 14.5% 7.4% 1.4% N/A 74.6% 14.5% 7.4% 1.4% 0.0% Grounds E Other 1.2% 98.8% 1.2% 98.8% 20.2% 65.5% 14.3% 20.2% 65.5% 14.3% Total abortions Age Under 20 20 to 34 35 or over • 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 19 records in 2011, gestation information from 42, postcodes from 42 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. • vi. Population estimates used for rates of abortion Abortion rates are calculated using the conventional age range for women in their child bearing years, 15 – 44. ii
    • Abortion Statistics, England and Wales: 2010 vii. • Abortion rates per 1,000 women for 2011 at a national level and at PCO level were calculated using the mid-2010 population estimates for England, Wales and England and Wales and Primary Care Organisations and Local Health Boards, as published at 24 June 2010 and 24 November 2010 respectively 1. 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) 2. 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 2 Available at http://www.statistics.gov.uk/statbase/product.asp?vlnk=15106. Available at http://www.statistics.gov.uk/STATBASE/xsdataset.asp?vlnk=1260&More=Y. iii
    • Abortion Statistics, England and Wales: 2010 • 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 189,931 for the total number of abortions of residents in England and Wales is 189,078 to 190,787 (Table 10a); The age standardised rate of 17.5 abortions per 1000 resident women aged 15-44 in England and Wales is 17.5 to 17.6 (Table 10b); iv
    • Abortion Statistics, England and Wales: 2010 • • xv. • The figure of 75 per cent for the percentage of NHS funded abortions in County Durham undertaken within 10 weeks gestation is 72 per cent to 77 per cent (Table 11). Disclosure Control 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 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. The Department intends to publish more details about the new arrangements for assessing and dealing with the risk of disclosure in the coming months. GSS coding and naming policy 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. Further information on the Coding and Naming for Statistical Geographies is available at: http://www.ons.gov.uk/about-statistics/geography/policy/coding-and-naming-for-statisticalgeographies/index.html • Rounding xvii. Percentages are subject to rounding and totals may not agree with the sum of the component figures shown. Rates are also rounded. • Symbols xviii. The following symbols are used in the tables: . = not applicable v
    • Abortion Statistics, England and Wales: 2010 Annex B: Further Information • Enquiries Enquiries about the data or requests for further information should be addressed to: Abortion Statistics Department of Health Room 5A Skipton House 80 London Road London SE1 6LH e-mail: abortion.statistics@dh.gsi.gov.uk Extracts from this publication may be reproduced provided a reference to the source is given. • Links This bulletin for 2011, and previous bulletins for 2002 to 2010, 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 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-reproductivehealth/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 vi