Further on the point about that level of legally mandated gatekeeping always leaving room for things to go wrong, I finally managed to track down one thing from Guttmacher that I remembered seeing referenced in some report from a few years back (which of course I couldn’t locate again right now).
British General Practitioners’ Attitudes Toward Abortion (PDF)
That was a bit older than I remembered, from 2000. I have no idea how/if the responses would differ now. (Though, I suspect not that much.)
General practitioners are allowed to provide women younger than 16 with birth control and abortion advice. However, eligible women sometimes are refused care. In a study of teenage mothers, some young women who had been refused birth control returned to their doctor pregnant shortly afterward. A doctor opposed to termination may put obstacles in the way, and calls to the British Family Planning Association’s helpline indicate that such problems occur. For example, some doctors refuse to refer women to hospitals for terminations and may not tell them that they have the right to ask for another opinion…
The first question we asked was whether doctors consider themselves “broadly pro choice” or “broadly antiabortion.” In all, 82% of the 663 respondents who answered the question characterized themselves as prochoice, while 18% said they were basically opposed to abortion. Eighty-five percent of general practitioners agreed that “if a general practitioner conscientiously objects to abortion, he/she should be required to declare this to a woman seeking access to abortion services.” How ever, 10% disagreed, including 27% of antiabortion doctors and 8% of those who were prochoice…
Given the current law requiring that two doctors be involved in the abortion decision, we asked respondents who they thought should take responsibility for the decision. Furthermore, as general practitioners were likely to have different views according to the pregnancy’s gestation, we asked separately about pregnancies up to 12 weeks’ gestation and those at a later stage. Within the first 12 weeks, 46% thought that the woman alone should make the decision; a further 7% thought it should be the woman and one doctor, and another 17% said that the woman should decide in conjunction with two physicians (Table 1). Only one in five doctors did not want women to be involved in the decision; these were largely doctors who were broadly antiabortion. After 12 weeks of pregnancy, doctors took a more restrictive line. Only 21% thought that the woman should make the decision on her own. Nevertheless, half still thought that the decision should be made by the woman alone or with up to two doctors. Forty percent felt that doctors alone should make the decision.
Let’s rephrase that. Even in the earliest stages of pregnancy, “one in five doctors did not want women to be involved in the decision”. Later on, “[f]orty percent felt that doctors alone should make the decision”.
Yes, a disturbing percentage of even the ones who said they were “broadly prochoice” were saying that it should be their decision only. Not the patient’s. Less than half of the self-described prochoice ones would say that “the woman alone should make the decision” about early abortions.
18% of responding GPs said that they were “basically opposed to abortion”, and 27% of those felt like they shouldn’t have to let patients know about these personal views. Very likely affecting their medical decisions, and which options are even being presented–before we even get to the outright refusals to refer.
With GPs gatekeeping access to pretty much all NHS services, and its sometimes being very difficult to find another one if you get hold of an obstructive asshole. Much less with the time pressure people needing abortions are up against. (Yes, you can go private if you know that’s an option and can afford it. This really should not be necessary in order to get appropriate medical care.)
Throw in all the “only” you want, this info really does not make me more confident in the current legal situation here.