Joint committee on the Human Tissue and Embryos (Draft) Bill First Report


APPENDIX 5: REPORT OF EVENING FORUM


Attendance:

The Rt Revd Dr Lee Rayfield, Bishop of Swindon, Church of England; Dr Donald Bruce, Science, Religion and Technology Project, Church of Scotland; Dr Daniel Boucher, Director of Parliamentary Affairs, CARE; Dr Andrew Fergusson, Head of Communications, Christian Medical Fellowship; Andrea Minichiello Williams, Public Policy Director, Lawyers Christian Fellowship; Rachel Bell, Associate Director, BioCentre: Centre for Bioethics and Public Policy; Paul Tully, General Secretary, Society for the Protection of Unborn Children; Josephine Quintavalle, Comment on Reproductive Ethics; Julia Millington, Political Director, ProLife Alliance; Professor Neil Scolding, University of Bristol, on behalf of the APPG Pro-life Group; Sarah Veale, Head, Equality and Employment Rights Department, TUC.

Phil Willis MP, Chairman, introduced the session and noted the apologies of members of the Committee unable to attend. Unfortunately the date of the event had been changed so as not to clash with the HFEA consultation event. Mr Willis explained that the timetable for the Committee's inquiry had been set by the two Houses (rather than the Committee) and the Committee had been directed to report by the 25th July 2007. The Committee had been concerned that the time given was too little, but had agreed that it was important that the draft Bill was scrutinised before the summer, as it was expected to be included in the Queen's speech this year.

Mr Willis stated that the Committee would give equal consideration to written and oral evidence and that if further written submissions were made to the Committee after the forum, they would be accepted by the Committee and considered as part of its deliberation.

19 organisations had been invited to the evening forum, in particular those organisations representing faith groups or others with particular ethical perspectives. The Committee had decided that it was more appropriate to hold a discussion forum, inviting all these organisations, rather than to select a few to give evidence within the practical constraints of a formal oral evidence session.

The following organisations had been invited to the forum but were either unable to attend or had not responded to the invitation: Catholic Church/Linacre Centre; Office of the Chief Rabbi; Muslim Council of Britain; Muslim Doctors and Dentists Association; Evangelical Alliance; Medical Ethics Alliance; Human Genetics Alert; Scottish Council on Human Bioethics; LIFE; Fawcett Society; and Women's Institute.

Mr Willis noted that the session was not covered by parliamentary privilege, and that a note of the forum would be produced and circulated to participants for comment. Each attendee would be given the chance to make a short opening statement and then discussion would focus on four distinct areas: the ethical framework of RATE, hybrid embryos, embryo testing, and parenthood. Finally, the issue of public opinion and how to engage with the public would be discussed.

Opening statements

Rt Revd Dr Lee Rayfield, Bishop of Swindon, stated that he represented the Mission of Public Affairs Council of the Church of England. Dr Rayfield said that he took a gradualist approach of the human embryo. This did not mean opposition to research on embryos per se, but that it was important to preserve the special status of the embryo. It was important to consider how ethics could be maintained and supervised.

Phil Willis MP, Chairman, asked whether he felt there was a lack of an ethical framework in the draft Bill.

Rt Revd Dr Lee Rayfield, Bishop of Swindon, answered no, but said that there were some concerns, particularly around views coming from the Commons Science and Technology Committee, which were seen as pushing the ethics a long way down the line. Dr Rayfield stated that the burden being placed on one regulator under the RATE proposal was not practical. Dr Rayfield sat on an ethical authority which was an advisory Committee in relation to gene therapy. Tissues and embryos should be considered by two distinct bodies and there should also be another independent body which could provide support on the ethical side[154].

Dr Daniel Boucher, Director of Parliamentary Affairs, CARE, highlighted the importance of fathers. The draft Bill should not remove but enhance the need for the father provision. Removal of the need for a father provision would endorse fatherlessness and sent the wrong messages.

Paul Tully, General Secretary, Society for the Protection of Unborn Children, said that the ethical basis of the draft Bill was lacking and that the special status of the embryo was not preserved. Embryos should be protected from the time of conception. There was no rationale for a gradualist approach.

Phil Willis MP, Chairman, sought clarification of whether this position entailed rejection of the principles of the Warnock report. Paul Tully said it meant rejecting the conclusions of the Warnock Report, but that the Warnock Report had acknowledged the "special status" of the human embryo.[155].

Andrea Minichiello Williams, Public Policy Director, Lawyers Christian Fellowship, stressed the need for proper systems when issues under consideration essentially re-define humanity. In particular this referred to the regulation of inter-species embryos. The welfare of the child was of paramount importance. Ms Williams represented opposition to animal-human hybrids. Josephine Quintavalle, Comment on Reproductive Ethics, was in favour of absolute respect for the embryo. The problem was how the new types of embryo dealt with in the draft Bill were defined.

Phil Willis MP, Chairman, asked whether Ms Quintavalle understood the definitions in the Bill.

Josephine Quintavalle, Comment on Reproductive Ethics, answered no. She also raised the issue of women's heath in relation to assisted reproduction and mentioned the 'Hands Off Our Ovaries' campaign of which CORE is a member. She stated that she represented opposition to eggs being harvested for research purposes. The justification for using eggs for research had not been borne out. The 1990 Act made reference to the criteria of necessary and desirable.

Julia Millington, Political Director, ProLife Alliance, stated that she represented opposition to all experimentation on embryos. To deliberately create a life for experimentation was morally wrong.

Phil Willis MP, Chairman, asked whether this meant opposition to IVF.

Julia Millington, Political Director, ProLife Alliance, said that it was not opposition to IVF in principle, but that there was opposition to freezing embryos. The storage and destruction of embryos in the IVF process was problematic.

Professor Neil Scolding, University of Bristol, on behalf of the APPG Pro-life Group, stated that there was no new justification, since the original legislation in this area, for overriding the special status of the embryo. The original legislation had permitted experimentation for the development of therapies. In the case of the draft Bill there was not the same justification. The Bill would permit research on the basis of curiosity. Professor Scolding emphasised that there now existed strong alternatives to embryo experimentation. Embryonic stem cell science had moved forward and the material needed could now be made from adult stem cells by reliable but very new methods of artifical 'de-differentiation'. This altered the whole perspective on embryo experimentation.

Sarah Veale, Head, Equality and Employment Rights Department, TUC, said that the TUC was a secular organisation, its membership comprised those of all faiths and none. The TUC had submitted evidence to the Warnock inquiry, which was lay evidence as the TUC did not have scientific expertise. The TUC supported work to aid fertility and inherited disorders. If this could be done without embryo testing that would be even better. The TUC also had a pro-choice policy and would oppose any attempts to reduce time limits on abortion when the Bill was in Parliament.

Phil Willis MP, Chairman, clarified that the subject of abortion was not within the remit of the Joint Committee's inquiry.

Rachel Bell, Associate Director, BioCentre: Centre for Bioethics and Public Policy, explained that her organisation looked at the impact of emerging technologies and had commissioned a working group eight months ago to look at hybrid chimeras and human and non-human combinations. This reported a month ago and made twenty recommendations, some consistent and some inconsistent with the draft Bill. The main issue was the creation of human embryos for research purposed and the use of human and non-human biological material.

Dr Donald Bruce, Science, Religion and Technology Project, Church of Scotland, that the SRT project had developed policy through looking at ethical issues and technology such as cloning and stem cell research developed. He represented a view similar to the first speaker, which could be summarised as "no, unless". In other words 'no' to embryo testing except under very specific circumstances. There was a sense that the special status of the embryo was under threat. It was necessary to allow for basic research but there was a question of what research was justifiable.

Dr Andrew Fergusson, Head of Communications, Christian Medical Fellowship, said that his organisation represented 5,000 British doctors and 1,200 medical students. Within this group there were a range of views but the majority were in favour of an absolutist position on the status of the embryo. A single cell embryo should be viewed as a human and afforded respect and protection. On the question of whether he was happy with the ethical framework in the draft Bill, he said he would pose the question: what is the ethical framework of the draft Bill? There was a pre-supposition built into the arguments on this issue that it necessarily entailed a war of Judaeo-Christian and Secular-Humanist world views.

On the subject of competition and commerce, the argument had been put forward that the UK needed to stay ahead in the technological race. In this sense a parallel could be drawn with slavery which, was seen at the time, as an economic necessity.

It was possible to live with the 1990 Act but there was a responsibility not to let the situation get worse.

The ethical framework of RATE

Phil Willis MP, Chairman, noted that, as only a few witnesses had been concerned with the constitution of the regulator, he would try to deal with this topic as quickly as possible.

Rt Revd Dr Lee Rayfield, Bishop of Swindon, stated that the HFEA had had to deal with an increasing number of new research processes and this had caused significant strain. It was difficult in these circumstances for ethical advisers within the regulator to be effective. He would not like to see RATE suffer from the same problems. He suggested that a separate ethical committee should be set up to consider novel procedures and adjudicate on how these should be regulated. Presently, those who take an absolutist view of the rights of embryos are effectively excluded from ethical decision making. Their contributions could, nevertheless, be extremely valuable. This would also reflect our concern to be a liberal democracy.

Phil Willis MP, Chairman, asked whether this ethical committee should be a permanent, standing committee within RATE.

Rt Revd Dr Lee Rayfield, Bishop of Swindon, agreed that something along those lines would be appropriate.

Dr Ian Gibson MP, asked what the HFEA was currently doing wrong.

Rt Revd Dr Lee Rayfield, Bishop of Swindon, replied that the HFEA was taking decisions on difficult matters of Parliamentary concern and gave the example of the decision to allow the selection through PGD of saviour siblings.

Dr Donald Bruce, Science, Religion and Technology Project, Church of Scotland, expressed concerns about the HFEA both acting as regulator as well as having ethical oversight of the research field. He thought that the question of whether Parliament or the regulator should decide how a particular issue should be regulated rather depended on the nature of the issue and its gravity.

Dr Daniel Boucher, Director of Parliamentary Affairs, CARE, supported the establishment of a national bioethics committee because of the inherent conflict within RATE arising from its activities as a regulator funded through licence fees. Dr Boucher agreed with the Bishop of Swindon that a range of different interests and perspectives should be represented on the national bioethics committee.

Josephine Quintavalle, Comment on Reproductive Ethics, wished to register opposition to the establishment of RATE. There were inherent conflicts between the HFEA and the HTA which would be merged under RATE. The HFEA's primary role was to protect fertility patients. She could not understand why such a serious function should be combined with the regulation of research on inter-species embryos.

Dr Andrew Fergusson, Head of Communications, Christian Medical Fellowship, argued that the most serious problem with RATE was logistical. Large organisations tended to be overly cumbersome and ineffective and this was why, for example, the Home Office had been split up.

Sarah Veale, Head, Equality and Employment Rights Department, TUC, said that the TUC had not considered RATE as an issue.

Andrea Minichiello Williams, Public Policy Director, Lawyers Christian Fellowship, commented that Parliament, not the regulator, should have the final say on the regulation of new, scientific developments.

Hybrid embryos

Phil Willis MP, Chairman, moved the discussion on to the legislation for and regulation of inter-species embryos.

Dr Donald Bruce, Science, Religion and Technology Project, Church of Scotland, commented that the Church of Scotland had looked at this issue several years ago. What marked this research out from other areas of research was the mixing of reproductive cells. Even if the resulting entity was ultimately non-viable, its non-viability may, in and of itself, be morally wrong. He rejected the claims which had been made in relation to the scientific usefulness of this technique.

Lord Winston asked Dr Bruce to explain the moral objection to an entity which was, after all, non-viable.

Dr Donald Bruce, Science, Religion and Technology Project, Church of Scotland, said that if one took the view that this entity was primarily an embryo, then the argument went that researchers had spoiled that embryo and it was as a result of this that the embryo was non-viable. Thus, it is the spoiling of the embryo which is morally objectionable. This follows the logic set out in the Warnock report. The Church of Scotland was opposed to all work on inter-species embryos. However, it would support research using human eggs, even if those eggs were cloned.

Paul Tully, General Secretary, Society for the Protection of Unborn Children, argued that a cytoplasmic embryo was, effectively, a human embryo. However, when animal and human gametes were mixed to create a "true" hybrid, it was impossible to know whether the resulting entity would be animal or human. It was precisely because of this uncertainty that the Society for the Protection of Unborn Children objected to the creation of "true" hybrids, because the moral status of the resulting entity was not known.

Lord Mackay of Clashfern asked what the characteristics were which made an organism human.

Paul Tully, General Secretary, Society for the Protection of Unborn Children, stated that all embryos went back to a single cell. The appearance of the primitive streak did not indicate the start of anything in particular. Differentiation of cells started from conception, and there was some evidence to support this.

Josephine Quintavalle, Comment on Reproductive Ethics, stated her objections to inter-species embryos as being neither necessary nor desirable. There were three reasons why clarity in this area was needed. First, some aspects of this area were devolved to the Scottish Parliament. Second, a clear definitions of inter-species embryos were required for the purposes of the new EU Tissues and Cells Directive. Third, the HFEA was soon to take a decision regarding licence applications relating to this subject. She noted a high degree of controversy in this area and stated that her organisation together with the Lawyers Christian Fellowship had taken legal opinion on the issue which was protected by legal professional privilege.

Dr Andrew Fergusson, Head of Communications, Christian Medical Fellowship, noted that scientists and others remained unclear about the significance and effects of research in this field. This was not solely a quantitative debate. The debate had significant qualitative aspects and many different perspectives should be taken into account, including ethics and theology. There was no need to rush such an important decision.

Lord Winston commented that from the perspective of the Jewish faith, it was important to protect life at a somewhat later stage than the embryonic stage. Other faiths and cultures would have different perspectives. He asked how a pluralistic society should resolve such issues.

Dr Andrew Fergusson, Head of Communications, Christian Medical Fellowship, stated that if there was uncertainty, then the benefit of the doubt should be given and the cautious route taken.

Mr Doug Naysmith MP, thought it was possible and desirable to combine philosophy and science in a reasonable debate.

Dr Andrew Fergusson, Head of Communications, Christian Medical Fellowship, agreed that scientists needed to engage in philosophical debate.

Dr Donald Bruce, Science, Religion and Technology Project, Church of Scotland, commented that arguments for the creation and use of inter-species embryos had been made on the assumption that the entity was not deserving of respect. He stated that he was a member of the advisory group for the HFEA's consultation on the issue of inter-species embryos. He feared that the relevant provisions of the draft Bill would render the HFEA's consultation pointless. He did not understand the reasons for the Government's recent change of policy on this issue.

Rachel Bell, Associate Director, BioCentre: Centre for Bioethics and Public Policy, referred to page 13 of the recent report of the Centre for Bioethics and Public Policy. The definition set out in that report was produced before publication of the draft Bill. The relevant part of the report recommended that legislation should be clear as to whether particular entities were to be regulated under human or animal legislation.

Andrea Minichiello Williams, Public Policy Director, Lawyers Christian Fellowship, noted that whether the entity was classified as animal or human had wide legal ramifications. Inter-species embryos were banned in many countries including France, Germany, the Netherlands, Italy, Belgium, and Canada. In some of these countries scientists could be imprisoned for breaking these laws. Article 13 of the Council of Europe Convention on Human Rights and Biomedicine ruled out the creation of animal human hybrids for research purposes. Article 18 stated that where the law allows research on embryos in vitro it is necessary to ensure adequate protection for the embryo. The creation of human embryos for research purposes is prohibited. There was a risk that the UK would become ethically isolated and when legislating in this area, Parliament should bear in mind the international rule of law.

Dr Daniel Boucher, Director of Parliamentary Affairs, CARE, stated that the potential of adult stem cell technology should be recognised. Researchers should move away from embryonic stem cells because their utility had not been demonstrated. On the other hand, patients had been successfully treated using adult stem cell technology. With only limited resources available, those resources should be targeted here. There was also an economic imperative which pointed in this direction: there was economic benefit in successful treatments using adult stem cells.

Rt Revd Dr Lee Rayfield, Bishop of Swindon, said that the controversy surrounding hybrids was centred on the ambiguity of their moral status. The Church of England would probably view them as genetically disabled human beings. He thought that the issue of germ lines was far more troubling, since it went to the questions: what is human and what is animal? The Church of England might allow for the use of cytoplasmic hybrids, but this was subject to close regulation of research, especially in the light of doubts as to its scientific usefulness. However, the successful development of other, less controversial techniques which achieve the same objectives would provide a reason to halt this line of scientific investigation. Advances in the de-differentiation of cells would be one such technology.

Mr David Burrowes MP asked if it was possible to make a distinction between cytoplasmic hybrid embryos and pure hybrid embryos.

Dr Donald Bruce, Science, Religion and Technology Project, Church of Scotland, said that the Church of Scotland viewed them in totality.

Dr Ian Gibson MP asked about examples of hybrids made of purely animal material (animal-animal hybrids). Would there be the same objection to them?

Rt Revd Dr Lee Rayfield, Bishop of Swindon, said that his concerns related to the special status of the human embryo.

Phil Willis MP, Chairman, asked if that meant the hamster test should be outlawed.

Dr Donald Bruce, Science, Religion and Technology Project, Church of Scotland, replied that this was a question that had never been asked of the Church of Scotland, and so he did not have an official answer. Logic however, would suggest that the Church of Scotland would be unhappy with the hamster test.

Rt Revd Dr Lee Rayfield, Bishop of Swindon, said the hamster test had crept under the radar and the Church of England were unhappy with this. He argued that we should think again about the hamster test.

Professor Neil Scolding, University of Bristol, on behalf of the APPG Pro-life Group, picked up on what the Bishop of Swindon had said. The developments seen in the last two weeks, for instance research at King's College London, had demonstrated a new ability to create embryonic stem cells from fibroblasts without the use of an embryo. This drove a coach and horses through these discussions and arguments. It demonstrated there is no need to use embryos, and represented a sea change when looking at embryonic stem cells. It removed the justification for these more adventurous methods.

Sex Selection and embryo testing

Phil Willis MP, Chairman asked for the views of participants on the Bill's proposals on sex selection and embryo testing.

Julia Millington, Political Director, Pro-Life Alliance, said she was opposed to testing for abnormalities. Such testing could not be justified because it identified defective embryos and led to their destruction. There was no therapeutic benefit or emphasis on care, but an emphasis instead on elimination. Ms Millington supported the retention of the ban on social sex selection. There was a parallel with abortion, where some hospitals refused to tell parents the sex of their unborn child, because of the prevalence of abortion in some cultures when it was revealed that the child was a girl. There was concern at the destruction of embryos, and the resultant demographic problems that might ensue. She referred to the demographic problems apparent in India and China where there was a clear cultural preference for male children.

Phil Willis MP, Chairman asked if she was opposed to pre-implantation diagnosis, and whether it was better to implant an embryo with defects.

Julia Millington, Political Director, Pro-Life Alliance, answered yes.

Dr Ian Gibson MP asked participants what they thought about the human genome project.

Josephine Quintavalle, Comment on Reproductive Ethics, answered that we should learn to cure not kill.

Dr Ian Gibson MP asked participants what they thought about gene therapy.

Josephine Quintavalle, Comment on Reproductive Ethics, said that developments in the treatment of Parkinson's Disease were interesting. She said that the Committee should hear more about the alternatives—at the moment the approach seemed to be stem cells or nothing. Stem cell research was interminably linked in the public eye with embryos. The Guardian had recently run a story about cardiac treatment using bone marrow stem cells, and showed a picture of an embryo as an illustration. There was a need to look at other ways of doing things.

Paul Tully, General Secretary, Society for the Protection of Unborn Children, said that with regard to pre-implantation diagnosis, the draft Bill was headed in the direction of eugenics, as it was seeking to select out disabilities. From the point of view of people with such disabilities, this is seen as discrimination. Some people saw their disability as part of their personality. It was possible to treat some conditions after birth so that the disability element did not arise. Some disabled people saw screening as discrimination, as if to say "you are not welcome: embryos which are like you will be discarded". It could be argued that scientists and embryologists were protecting themselves, because they did not want the bad publicity of the birth of children with disabilities, or for people to say it was their fault.

Phil Willis MP, Chairman said that Paul Tully had referred to the 'wrong' embryodid that mean there was a 'right embryo'?

Paul Tully, General Secretary, Society for the Protection of Unborn Children, said he had used the phrase as a metaphor. He was not saying that able-bodied people were 'superior' in any way.

Lord Winston presented a scenario, which was based on a true circumstance, and was by no means unique. He referred to the case of a woman who had come to his clinic, who had a condition called Conradi Syndrome. This meant she had difficulty walking and keeping her balance. She didn't want her children to have the same lack of dignity that she had. Lord Winston asked how Mr Tully would respond to this scenario.

Paul Tully, General Secretary, Society for the Protection of Unborn Children, said he would refer her to previous advances in the treatment of medical conditions using ethically acceptable research methods. Regarding the example of Cystic Fibrosis—sufferers who might have once expected to live for 30 years, may now live for 60 years. It was desirable to give the patient hope.

Lord Winston said that there were 6,000 single genetic defects, and Cystic Fibrosis was an exception in that it could be treated. Many other conditions presented a scenario of declining health. Mr Tully was asked to respond.

Paul Tully, General Secretary, Society for the Protection of Unborn Children, referred to types of cancers that were untreatable in the past but were now treatable. Hope should not be denied because these conditions could be treated in the future.

Sarah Veale, Head, Equality and Employment Rights Department, TUC said that the TUC felt that the testing of embryos could be justified, but she found it difficult that a secular organisation such as the TUC might be accused of eugenics in making such an assertion, as if it would support the most horrendous examples of eugenics. In a society of checks and balances, this simply would not happen. The ban on sex selection for non-medical purposes should be retained. Ms Veale referred to the example of China as an illustration of why.

Phil Willis MP, Chairman asked if she was opposed to sex selection for family balancing purposes.

Sarah Veale, Head, Equality and Employment Rights Department, TUC said sex selection for family balancing purposes should not be allowed. She said that nature does a pretty good job on its own if you look at the statistics.

Dr Donald Bruce, Science, Religion and Technology Project, Church of Scotland said that the Church of Scotland did not have a formal view. In general he would wish to follow the Council of Europe Convention. Sex selection was acceptable in severe genetic cases, but not for family balancing or social reasons. Sex selection should only be permitted under exceptional or severe circumstances, but this raised the problem of how you define such circumstances. The question was at what point a line was crossed. But he argued that, once you accept one non-medical reason, you could argue that any non-medical reason could be justified, which could be dangerous.

Rt Revd Dr Lee Rayfield, Bishop of Swindon, largely supported Donald Bruce. To undertake sex selection against disease may not be a problem because was in itself a decision to alleviate suffering. He did not support sex selection for social reasons. The Church of England would support a careful case-by-case analysis of tissue typing of embryos. However, the HFEA had said it should only be undertaken as a last resort, and there was some slippage in language used in the draft Bill. Sex selection should be a last resort, and that the Bill as drafted would widen the door.

Dr Donald Bruce, Science, Religion and Technology Project, Church of Scotland said the Church of Scotland would oppose tissue typing if the discarded embryos were not diseased.

Andrea Minichiello Williams, Public Policy Director, Lawyers Christian Fellowship, expressed the wish that a disability group was represented. Even with society's checks and balances there were dangers. Society did not live with Down's Syndrome or Williams Syndrome in a way that it once did. This raised serious questions about the way human dignity is perceived, how we care for vulnerable people and how we perceive them.

Mr David Burrowes MP asked participants what they made of the scenario that Lord Winston had raised earlier.

Andrea Minichiello Williams, Public Policy Director, Lawyers Christian Fellowship, said that all funds and resources should be directed into cures.

Mr David Burrowes MP asked how that could be done.

Andrea Minichiello Williams, Public Policy Director, Lawyers Christian Fellowship, commented that we are greater as a society when we learn to show compassion. Ms Williams had just returned from Italy, where he saw her uncle spoon-feeding his dying wife. This was a moving picture of dignity, just like caring for a disabled child. There was a failure to see the big important issues in society as affected by the draft Bill. The repeal of the Human Reproductive Cloning Act 2001 would allow cloning, through the process aiming to prevent the transmission of serious mitochondrial disease. This could be the first of many examples. The Committee should be attentive as to where such changes might lead.

Parenting—the welfare of the child and the need for a father

Phil Willis MP, Chairman asked participants for their views on parenting, the welfare of the child and the need for a father.

Dr Andrew Fergusson, Head of Communications, Christian Medical Fellowship commented that everything in social policy research showed that children with fathers do better, although this was not to belittle single parents. The draft Bill's proposal to remove the need for a father flew in the face of recent proposals regarding the Child Support Agency and its crackdown on absent fathers. Under the Judeo-Christian tradition, God's ideal intention for life was for a child to have a mother and a father.

Phil Willis MP, Chairman asked whether he was opposed to same-sex couples having fertility treatment.

Dr Andrew Fergusson, Head of Communications, Christian Medical Fellowship, stated that having a child was not a right but a gift from God. He noted that although same-sex couples can access fertility treatment, a child should not be presented as the ultimate consumer accessory. This perception was growing in our culture, and this was not a good thing. People's desire to be a parent was understandable, but there was a risk of losing perspective as to where the child fits in.

Phil Willis MP, Chairman asked how the rights of a child and parent could be balanced.

Dr Andrew Fergusson, Head of Communications, Christian Medical Fellowship, said that the right of the child should be paramount because of a child's vulnerability. There had been a cultural shift in the role of children, and this was one of the presuppositions underlying the Bill that had been referred to earlier.

Rt Revd Dr Lee Rayfield, Bishop of Swindon, agreed. He commented that the Bill represented a massive shift. It was clear that the Government was approaching it from the point of view of not wanting to discriminate, but this was creating confusion instead. Single people and same-sex couples could adopt, and could do a good job. But adoption was different because it directly resulted from defective parenting, whereas the Bill related to a deliberate decision to bring a child into the world without a father. The Bill came across as an attempt at social engineering, and as a misguided attempt to correct discrimination. It was important that single parents did not feel less valued as a result of what he had to say, but it was a question of deliberately bringing a child into the world without knowledge of who their father was. Reference was made to recent television programmes on family roots, which showed how important they were for people. Many adoptees wanted to know who their biological parents were. The welfare of the child should be the top priority. The Adoption and Children Act stated that the welfare of the child should be paramount, and this draft Bill alters that.

Phil Willis MP, Chairman raised the question of donor-conceived people, asking if a record of their biological parenting should be placed on the birth certificate.

Rt Revd Dr Lee Rayfield, Bishop of Swindon, said that the Church of England had concerns around donor insemination, and would support people finding out who their biological father was. IVF had complicated how we related to people. In the example of a cytoplasmic hybrid embryo, its mother could be viewed as a sheep. As a result the world was fragmented.

Dr Daniel Boucher, Director of Parliamentary Affairs, CARE, said that research demonstrated the importance of fathers, and therefore, rather than removing the provision, it should be made to work better. The provision as it stands was not that you couldn't have IVF without a father, but it flagged up their importance. The draft Bill proposal was counter-productive, especially when viewed against a recent Government consultation on promoting the parental responsibilities of absent fathers. The draft Bill was giving off a confused message and was wrong-headed. Reference was made to Clause 51 of the draft Bill, which states that no man is to be treated as the father of the child. This was extraordinary. Dr Boucher argued that, in the draft Bill as a whole, there was no balance between the rights of parents and the rights of children. Greater regard should be given to the most vulnerable. Being a parent was not a right. In terms of the provisions of the draft Bill on access to information, not allowing a donor-conceived child to know until they are 18 means they would be effectively fatherless throughout childhood. The proposal might be good from an equality point of view but was not good for the child.

Phil Willis MP, Chairman asked how he knew it damaged children.

Dr Daniel Boucher, Director of Parliamentary Affairs, CARE, noted that a wealth of evidence pointed to the value of a father. Much of the research work undertaken on the children of same-sex parents looked at younger children, whilst there was little evidence concerning children in adolescence. In addition, the groups that have been studied are small. He argued that the birth certificate should have information in relation to biological parenting on it.

Phil Willis MP, Chairman, asked if Dr Boucher could provide them with the evidence he had referred to.

Dr Daniel Boucher, Director of Parliamentary Affairs, CARE, noted that he had already done so in written evidence.

Lord Mackay of Clashfern commented that it had been suggested to the Committee that research that points to the value of a father is actually due to other factors, such as economic circumstances. He asked if Dr Boucher could identify any research that shows that the value of a father goes deeper than this.

Dr Daniel Boucher, Director of Parliamentary Affairs, CARE, said he would send a bibliography with relevant references to the Committee.

Lord Jenkin of Roding asked whether there should be a legal obligation on parents to tell their children about their biological heritage.

Dr Daniel Boucher, Director of Parliamentary Affairs, CARE suggested that details of biological parentage should be on the birth certificate. There should be an obligation to tell the child before they were 18, but it should be up to the parent to deem when this was most appropriate. The reality would be that an obligation to place the information on a birth certificate would create an incentive, but nonetheless the parent is in the best position to judge—although it would be a bombshell for the child whenever they are told. Dr Boucher thought that this approach would allow flexibility.

Josephine Quintavalle, Comment on Reproductive Ethics stated that we should be giving as much consideration to this point as has been given to cytoplasmic hybrid embryos. Months of discussion had been devoted to the hybrid proposal, and by contrast, the Government was threatening to throw out the need for a father, without due consideration.

Phil Willis MP, Chairman, noting that he was getting nods from other participants, commented that this was a subject that the Committee took seriously, and had asked the question of oral witnesses over the past few weeks.

Public Opinion

Phil Willis MP, Chairman asked how the participants felt that public opinion could be judged, and how information relating to public opinion could be collected. He explained that this was why the Committee had heard from the journalist panel—to seek to understand how they influenced public opinion.

Dr Ian Gibson MP, asked if the public even had a point of view on these issues.

Dr Donald Bruce, Science, Religion and Technology Project, Church of Scotland said that yesterday he had been looking at public attitudes to nanotechnology. He agreed that with any public consultation the question of "who are the people who respond, and why do they come" has to be asked. He acknowledged the difficulties of this, but said that the alternative of not consulting at all was not acceptable. There was no reason not to make reasonable attempts to consult because of concerns over effectiveness. Different methods would be more appropriate for different issues, depending on the public's level of knowledge and engagement.

Phil Willis MP, Chairman asked how the Committee should judge public opinion.

Dr Donald Bruce, Science, Religion and Technology Project, Church of Scotland commented that the Committee should wait and see what the HFEA's public consultation on hybrid embryos revealed.

Phil Willis MP, Chairman referred to the HFEA's consultation event the previous evening. Given the event was held in London, his constituents were effectively excluded from the process. He asked if this presented something of an imbalance.

Dr Donald Bruce, Science, Religion and Technology Project, Church of Scotland agreed that it did. However, on some issues, the regulator had undertaken meetings up and down the country, which often gave a clear indication of public opinion. As a result it was possible to make an approximate gauge of public opinion on such issues.

Andrea Minichiello Williams, Public Policy Director, Lawyers Christian Fellowship, said that the public did not understand the issues that were at stake in the draft Bill, which were massive in their implications. Parliament had a duty to the public to make such issues known when attempts are being made to redefine family law and the meaning of humanity. It must be done, because so few people understood the implications of what the forum has discussed. The Committee should give proper consideration to this.

Phil Willis MP, Chairman thanked participants for attending, and closed the meeting.


154   Additional note by the witness-we have a general concern that Utilitarian ethical views are dominating the thinking Back

155   Report of the Committee of Inquiry into Human Fertilisation and Embryology, 1984, CM 9314, p.63-11.1 Back


 
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