The
Committee consisted of the following
Members:
Chairman:
Christopher
Fraser
Bacon,
Mr. Richard
(South Norfolk)
(Con)
Creagh,
Mary
(Wakefield)
(Lab)
Field,
Mr. Mark
(Cities of London and Westminster)
(Con)
Harris,
Dr. Evan
(Oxford, West and Abingdon)
(LD)
Hewitt,
Ms Patricia
(Leicester, West)
(Lab)
Keeble,
Ms Sally
(Northampton, North)
(Lab)
Merron,
Gillian
(Minister of State, Department of
Health)
Naysmith,
Dr. Doug
(Bristol, North-West)
(Lab/Co-op)
Pugh,
Dr. John
(Southport)
(LD)
Simmonds,
Mark
(Boston and Skegness)
(Con)
Slaughter,
Mr. Andy
(Ealing, Acton and Shepherd's Bush)
(Lab)
Taylor,
Ms Dari
(Stockton, South)
(Lab)
Tredinnick,
David
(Bosworth)
(Con)
Turner,
Dr. Desmond
(Brighton, Kemptown)
(Lab)
Waltho,
Lynda
(Stourbridge)
(Lab)
Wilson,
Mr. Rob
(Reading, East)
(Con)
Martin Gaunt, Rhiannon Hollis,
Committee Clerks
attended
the Committee
First
Delegated Legislation
Committee
Monday 13
July
2009
[Christopher
Fraser in the
Chair]
Draft
Human Fertilisation and Embryology (Special Exemption) Regulations
2009
4.30
pm
The
Minister of State, Department of Health (Gillian Merron):
I beg to
move,
That
the Committee has considered the draft Human Fertilisation and
Embryology (Special Exemption) Regulations
2009.
The
Chairman: With this it will be convenient to consider the
draft Human Fertilisation and Embryology (Appeals) Regulations 2009 and
the draft Human Fertilisation and Embryology (Consequential Amendments
and Transitional and Saving Provisions) Order 2009. The statutory
instruments are narrowly drawn and do not lend themselves to wider
debate.
Gillian
Merron: It is a pleasure to serve under your chairmanship,
Mr.
Fraser.
The
three statutory instruments are necessary to implement the provisions
of the Human Fertilisation and Embryology Act 2008, which was debated
in great detail last year. Two of the statutory instruments are
consequential to the changes introduced by the 2008 Act and the appeals
regulations will supplement the 2008 Act by providing additional
detail. I echo your assurance, Mr. Fraser, that the
statutory instruments are mainly technical or consequential. They do
not reopen the debate on matters of substance, nor undermine the
principles agreed by this House when considering the 2008
Act.
I
will describe briefly each of the statutory instruments, beginning with
the draft Human Fertilisation and Embryology (Appeals) Regulations
2009. The Human Fertilisation and Embryology Authority licenses in
vitro fertilisation and embryo research centres. The licensing regime
is set out in statute by the Human Fertilisation and Embryology Act
1990 and regulation-making powers allow further detail to be added to
that system. The 2008 Act updates and amends the 1990 Act, including
the licensing and appeals regime. The 2008 Act requires regulations to
be made to set out the details of the constitution of an appeals
committee and the process by which an appeal will be heard. The appeals
regulations will replace existing regulations that deal with the
current appeals
processes.
The
primary purpose of the appeals regulations is to ensure that the
committee is as independent of the HFEA as possible and that a clear
and robust appeals process is set out in legislation. The appeals
regulations are in four parts. Part 1 sets out the commencement date
for the regulations and the definitions of the terms used. It includes
who can appeal against a licensing decision. That is a limited
category, which essentially includes the person who wishes to be
granted a licence and the people to whom the licence applies.
Part 2 of the
regulations sets out the constitution of the committee. The regulations
specify that current and former HFEA members and staff, current licence
holders and current persons responsible cannot sit on the appeals
committee. That is aimed at ensuring that the committee is as
independent as
possible.
Part
3 relates to advisers to the committee. Although the regulations will
prevent licence holders and persons responsible who work in a licensed
clinic from sitting on the appeals committee, they will not restrict
who may be appointed as an adviser to the committee. Therefore, should
the committee require advice from persons who are excluded from being
members, they may be appointed as
advisers.
Part
4 sets out the procedure by which an appeal will be determined. I draw
the Committees attention to a typographical error in the
regulations. Regulation 21(5) refers back to paragraph (3) of that
regulation, whereas it should refer to paragraph (4). That will be
amended in the final version of the
regulations.
The
legislation prohibits storing gametes and creating, keeping or using a
human embryo without a licence from the HFEA. That was a key principle
of the 1990 Act and was retained in the 2008 Act. There are two
exceptions to that principle, which are set out in regulations made in
1991. Those regulations will be replaced by the draft Human
Fertilisation and Embryology (Special Exemption) Regulations 2009. The
two exceptions relate to circumstances in which gametes and embryos are
kept for purposes other than for providing fertility treatment or for
embryo research, for example, during the course of a criminal
investigation into alleged breaches of the relevant Act or in relation
to the storage of gametes for research into or the teaching or
development of pharmaceutical or contraceptive products. The 1991
regulations were made to set out exceptions to the HFEA licensing
requirements in those very specific and limited circumstances. In
drafting the 1991 regulations, the Government wanted to ensure that
those regulations could not be used to circumvent the stringent
controls set out in the 1990 Act, and the same applies to these draft
regulations.
It has been
necessary to update the regulations as a consequence of the provisions
of the 2008 Act, which updates the definition of gametes and embryos
contained in the 1990 Act and provides for the regulation of human
admixed embryos. It is also necessary to make some minor and technical
amendments to the drafting of the regulations. It is important to note
that the regulations do not remove any licensing requirement relating
to how the gametes are used; they only provide exceptions to the
requirement for a storage licence in certain limited circumstances, as
is currently the
case.
The
2008 Act updates the 1990 Act, and the draft Human Fertilisation and
Embryology (Consequential Amendments and Transitional and Saving
Provisions) Order 2009 makes provision to ensure that the changes made
by the 2008 Act are reflected in other primary and secondary
legislation. The order consists of four articles and four schedules.
Article 2 and schedules 1 and 2 make consequential
amendments to reflect the parenthood provisions introduced by the 2008
Act. In particular, the Act introduced the concept of second female
parents, which enables the female partner of a woman to be registered
as the legal parent of a child born following assisted conception
treatment with donor sperm in
certain circumstances. The amendments in those sections ensure that a
woman who is a parent by virtue of the new provisions has the same
rights and obligations as any other legal parent of the
child.
Article 3 and
schedule 3 contain consequential amendments to other pieces of
secondary legislation. Such amendments are necessary to ensure that the
secondary legislation appropriately reflects the updated definitions,
terms and provisions in the 2008 Act. Article 4 and schedule
4 contain transitional and saving provisions. Those ensure that the
process of the transition to the new provisions, as introduced by the
2008 Act, is as clear and as straightforward as possible. I commend the
regulations and the order to the
Committee.
4.38
pm
Mark
Simmonds (Boston and Skegness) (Con): May I say how
pleased I am to be under your guidance this afternoon, Mr.
Fraser? I welcome the Minister to her post, in which she has specific
responsibility for this extremely important piece of legislation and
for ensuring it is put into practice as swiftly and comprehensively as
possible. She will, of course, be aware of the many debates that took
place both in Committee and on the Floor of the House about the very
complex scientific and ethical foundations that needed to be put into
place to ensure that the Bill was robust and that it will, hopefully,
last at least as long as the previous Act, which was put in place in
1990.
The Minister
will also be aware that Britain isthank goodnessa world
leader in reproductive and stem cell technologies. That is not just
because of our scientists skill; it is also because of the
excellent regulatory background and framework that has been put in
placeboth in 1990 and as updated in the 2008 Act, which was
built on an ethical platform. I am happy to take the three regulations
together, but I want to comment on them in the order in which they are
set out in the delegated legislation information. That is a different
order from that in which the Minister introduced them. I will not
repeat or replicate what she said in her explanation of the
regulations, but it is important to ask some key questions about the
workings of the regulations.
Will the
Minister explain why the draft Human Fertilisation and Embryology
(Special Exemption) Regulations 2009, which I think is euphemistically
referred to as regulation one, were not included in the Act? As far as
I can see, they are simply restatements of the 1991 regulations and
could have been included in the Act, so why are they still regulations?
I was pleased that the Minister highlighted the deliberate mistake, and
I take her word that it will be rectified at the
appropriate time, and before the regulations are implemented.
It would be helpful if the Minister will tell the Committee how
frequently she expects the regulations to be used, and how frequently
the previous regulations were used between 1990 and 2009, when the 2008
Act replaces the 1990
Act.
It
would be helpful if the Minister will respond to a concern that was
raised in the other place. The exemption under regulation one applies
only to the storage of human gametes or embryos, not to admixed
embryos. That was inserted into the 2008 Act. Will she clarify whether
my understanding is correct, and that the HFEA would need a licence to
store admixed embryos in the
case of an ongoing investigation, because that is not exempt? How would
it operate in practice if a licence were removed from an individual or
a research establishment prior to an investigation, and what would
happen to those admixed embryos, which would no longer be licensed?
Will the Minister also confirm whether there is protection for the eggs
and gametes to ensure that they are not damaged during the period of
investigation? What will happen to the eggs and gametes after the
investigation has taken
place?
Another
matter that is unclear concerns the export of gametes. What is the
Governments view of the export of gametes, particularly to less
well-regulated environments. Certain things are not allowed under the
2008 Act, such as the insertion of artificial gametes or sperm to
fertilise an embryo in this countryresearch is being done at
Newcastle universitybut that may not be the case if those
artificial gametes were exported.
The Minister
will be aware that under clauses 1(5) and 4(11) of the 2008 Act, the
Secretary of State has the power to make further regulations, albeit
restricted, that could substantially alter the definition of words such
as gametes, eggs and
embryos. It would be helpful if the Minister put it on
the record that any alteration of those fundamental definitions should
be considered by the whole House, and not in a regulation-making
Committee such as this. That is the crux of this
legislation.
The
Opposition welcome the structure of the appeals committee in the draft
Human Fertilisation and Embryology (Appeals) Regulations 2009, and
indeed we suggested it when the Bill was in Committee because we
thought that the appeal structure should be more independent and that
members or former members of the HFEA should not sit on the appeals
committee. We are pleased with that, but I am slightly perplexed by
some of the detail. Why did the Government decide on a committee of
seven people? Is a quorum of three, which is a minority of those on the
committee, the right number? I would have thought that a quorum of four
was the appropriate number, requiring a majority of those on the
committee to
attend.
Will
the Minister explain today, or subsequently in a letter, what training
the Minister envisages the committee undertaking prior to commencement
of its work, and who she envisages being on the committee? Clearly, the
balance and weighting should be appropriate. The regulations state that
everyone who currently sits on the HFEA, or has done, will be excluded
from the committee, so the number of people with expertise in the
matter and who can make a contribution will be
limited.
I
do not understand why there is a ban on Committee members abstaining.
Surely, that option could be beneficial in some cases. I understand why
the Minister may not want to have a draw on the decision of the appeals
committee, but the chairman, who will have a quasi-judicial role,
should and could have a casting
vote.
It
would be helpful if the Minister said something about the advisers, who
will play a significant role in the context of those who have been on
the HFEA, in the past and currently, not being able to sit on the
appeals committee. Is she concerned that, if the advisers cannot be
drawn from the HFEA process, they may not be sufficiently independent?
They may not be sufficiently independent if they are drawn from the
HFEA structure. How does the Minister intend to balance those
conflicting
positions? I understand that the adviser can give advice and ask
questions. Has the Minister considered whether that gives the authority
too much power in the appeals process? Is the Minister concerned that
the chair will be predisposed to accept the advice of the professional
advisers and, if so, in what way has she considered potential conflicts
of
interests?
Inevitably,
the independent body will incur additional costs allied to the appeals
procedure. Perhaps the Minister could explain how those costs will be
incurred and how the changes to the licensing system, which is set out
in the additional documentation that comes with the regulations, will
pay for them. Will the additional appeals procedure be self-financing?
Again, we discussed that during the Bills Committee
stage.
There
is not a great deal of clarity about the time scale in which the appeal
must be heard. There seems to be clarity about the time scale in which
the result comes outthat is, seven days after the
appealbut not about the time within which the appeal procedure
must take place. How many times can an appeal take place? The Minister
may feel that that is a non sequitur, and that may be so, but I am
thinking of times when a licence has been revoked, rather than when a
research licence has been
given.
In
mentioning the consequential amendments and transitional and saving
provisions, I will not reopen the debate about clauses 42 and 43 of the
Act, which were debated at great length in the main Chamber and in the
Committee Room. I am sure that you would rule me out of order if I did
so, Mr. Fraser. Why were the amendments not contained in
schedule 6 of the original Bill? There is no reason why they should be
introduced in an order rather than in the
Bill.
On
the question of timing and when the Act will come into force, having
read the order it appears that some parts of the Act came into force on
6 April 2009 and that the remainder will be brought into force
on 1 October 2009. Why is there such a disparity and why are
there two dates for the commencement of the Act? That matter throws up
some potential anomalies. Perhaps the Minister will assure us that
there will be no breaches of patient consent, because research projects
that begin prior to 30 September 2009 will, on my understanding of the
order, not have to meet the more stringent consent requirements of the
2008 Act and will still meet the requirements of the 1990 Act. How does
that fit in with the implementation of this
Act?
Will
those who are undergoing treatment, but whose child is born after the
commencement of the order, have their birth registered under the
provisions of the 1990 Act or the 2008 Act? Under which Act will the
changes in respect of same-sex partners that the Minister mentioned be
made? The 2008 Act does not come into force until 1 October, so
we are in limbo. Some of the transitional arrangements in the order
address some of the points at issue, but they do not address the ones
that I am
raising.
I
should like the Minister to say for the record how many of the ongoing
cases that the authority is currently considering for revocation or for
a variation of a licence are still likely to be ongoing by 30 September
2009. Will the appeals be dealt with under the 1990 Act or the 2008
Act, or will the appellant have the choice, as seems to be the case in
the details of these regulations?
4.50
pm
Dr.
John Pugh (Southport) (LD): Although I promise not to
reopen the debate, I should like to mention in passing that one of the
issues of the debate was the beneficial effect of adult stem cell
research compared with embryonic stem cell research, about which we
argued long and hard. Recent evidence and research breakthroughs bear
out the point that adult stem cell research is enormously more
promising, but that is by the by.
I have no
objection to the structure of the appeals committee. It seems sensible,
and provision has been made for people to make decisions in areas in
which they have no obvious personal interest. My concernslike
those of the hon. Member for Boston and Skegnesslargely revolve
around the very powerful role of the adviser of the appeals
committee.
I accept that
the advisers role is entirely transparent; there is a record of
what he says and to whom. None the less, it is a powerful role. His
advice is recorded, and if it is not taken, the matter is referred to
the appellant. His role in this process is even more powerful than that
of a planning officer advising a planning committee at a council. He is
also an interrogator of witnesses. I accept that the appeals committee
will require a level of expertise that it may not have. However, what
we would not welcome is a level of bias that should not be there.
Unlike members of the committee who are obliged to declare a
professional interest, the adviser is under no such obligation.
Obviously, if the adviser has a professional interest and shows a clear
bias, it will be detected, because there is an audit trail, a record
and transparency.
However,
anxiety was voiced in Committee that the HFEA can be an easy touch when
it comes to research projects because its record of turning things down
is very poor. Even the things it turns down are generally won on
appeal. We must show that there is not some backdoor method by which
research projects almost effortlessly get through without proper
scrutiny and examination, so the advisers role is critical.
Will the Minister confirm whether it is true that the adviser does not
need to declare a professional interest, unlike other members involved
in the
process?
On
the draft Human Fertilisation and Embryology (Special Exemption)
Regulations 2009, given the fast pace of change in the field, I accept
that this is a difficult area to get right. The Merits Committee of the
House of Lords has recorded the difficulties of the Department of
Health. It says that
the Committee
has been concerned by the way the Department of Health has handled the
drafting of the Special Exemption Regulations. The Department has laid
three drafts of the instrument in a fortnight. The wording of the
earlier versions would not have met the policy intention of requiring
the licensing of any process that creates
embryos.
Clearly,
that was not the policy intention of the Department of Health. So, the
Department is by no means infallible here, and we must be cautious that
it has done all that it should have done, and that it has got things
right on this particular
occasion.
The
hon. Member for Boston and Skegness mentioned admixed embryos, which
were not considered when the exemption regulations were brought
forward. Will the Minister confirm three things for which there are
fairly obvious answers. Clearly, the statutory instrument does
not allow as an exemption the storing and
examination
of admixed embryos where there is considered to be a
breach of the legislation, where a criminal activity has occurred. It
does not mention it, so we cannot read an inference into it that does
not appear to be there. My second question follows from the first, but
perhaps I should ask my third question next. Will the Minister confirm
that there can be a breach of licence conditions, which is a criminal
offence, which involves admixed embryos? It seems self-evident that
there can be such breaches: there can be offences involving gametes and
embryos, so surely there can be offences involving admixed
embryos.
The only
other question to ask is whether there is any other way of dealing with
an offence that involves admixed embryos. We might be more concerned
about such offences than about those involving simply gametes. The
primary legislation says that storing and examining admixed embryos for
the purpose of a criminal investigation is not a licensable purpose
under the Act, so there seems to be a loophole that is not being
addressed by the Government in this statutory instrument. Let me
reiterate a point that I have made before, because I do not think that
it was well understood in the Lords. Lord Darzis response was
to say, If this is all going to be done, it is going to be done
in a licensable premise, but that is almost completely
irrelevant when it comes to answering certain fundamental questions. Is
there an offence? If so, does the statutory instrument allow it to be
investigated? If not, does the legislation allow it to be investigated?
We should bear in mind that investigation consists of two
processesthe storing and retention of admixed embryos that may
be the subject of contention, and the examination of them. I cannot see
how both can be allowed, and I should like the Minister to confirm that
they are not both
allowed.
4.57
pm
Ms
Dari Taylor (Stockton, South) (Lab): It is important to
put on record that both the 1990 and 2008 Acts were excellent and
extraordinarily complex, dealing with ethical questions that most of us
battled with again and again on the Floor of the House and in
Committee.
I would
greatly appreciate it if the Minister would reassure the House that the
timing of appeals will be carefully monitored and controlled. The HFEA
has a reputation for being slow and cautious in its deliberations,
invariably taking 18 months to establish, through investigation, a
decision on a licence. That process is extremely slow because the
majority of those who are deliberating are non-specialists, and it puts
an enormous strain on them to understand these issues and to reach
conclusions. As Members have said, this is an extremely fast-moving
area of research, and we need to be much more aware of that so that we
have people who are competent enough to instigate and work the appeals
system very quickly. The HFEA is a non-specialist organisation, but is
it not time, as we move into some of the most complex issues, in terms
of appeals, to use the Health Care Commission? It is there for us, it has a
good reputation and it would be very valuable to see the involvement
and deliberation of specialists at this
stage.
4.59
pm