Policy paper

The Department of Health's role in monitoring abortion

This publication was published under the 2010 to 2015 Conservative and Liberal Democrat coalition government

How the Department of Health monitors the Abortion Act and produces statistics on abortions in England and Wales.


Registered medical practitioners are legally required to notify the Chief Medical Officer (CMO) of every abortion, using form HSA4.

This documents sets out how the Department of Health monitors the abortion act and uses form HSA4 to produce abortion statistics.