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Yes they might. But laws mean things, and there is nothing wrong with taking an ordinary meaning from them. In this case doctors (RMP's) form their opinion on whether the criteria contained in the law are met. If the are, then happy days, the abortion proceeds as it does in the vast majority of cases.The danger with quoting from Parliamentary reports is that they are not always correct, or at least they might paraphrase or simplify the actual law.
If the criteria are not met then it cannot proceed. legally. That, in ordinary language means approval or not. To ague that the word approval isn't in the act is just silliness.