Mr. Peter Thompson:

We expect that they would have non-directive counselling in Ireland and when they come over we will discuss things with them. Often women are sent over for a second opinion. We re-scan, do everything from the beginning and re-counsel. It is difficult because just as we would do for a women from Birmingham or from Stoke, we do not agree to do a termination when we first meet them, but we impart some information and tell them to go away and think about it. The women from Ireland then have to find a local hotel in the UK or return to their community in Ireland. Most, however, tend to stay over in the UK, or Birmingham in our case. Most women from Ireland travelling for a termination used to go to Liverpool. Now it is London and some - fewer I believe - come to Birmingham. It is very difficult for these women. They certainly receive some counselling. I believe it is adequate.

I am more concerned that they do not receive the follow-up care that they should. This is not because the people in Ireland cannot, or do not, give it. If a woman has had a foeticide performed there should be some feedback afterwards. I ask patients if they have any questions about the procedure and how we got to that decision. It is very important that they say yes or no to that. If the woman is concerned about how she got to the decision then we need to explore it at that time.