Human Fertilisation and Embryology Authority
Encyclopedia
- HFEA redirects here. For the 1990 Act of ParliamentAct of ParliamentAn Act of Parliament is a statute enacted as primary legislation by a national or sub-national parliament. In the Republic of Ireland the term Act of the Oireachtas is used, and in the United States the term Act of Congress is used.In Commonwealth countries, the term is used both in a narrow...
, see Human Fertilisation and Embryology Act 1990Human Fertilisation and Embryology Act 1990The 1990 Human Fertilisation and Embryology Act is an Act of the Parliament of the United Kingdom.-Coverage:The act covers several areas:# The licensing of human fertility treatment involving the use of donated genetic material ....
The Human Fertilisation and Embryology Authority (HFEA) is a statutory body in the United Kingdom
United Kingdom
The United Kingdom of Great Britain and Northern IrelandIn the United Kingdom and Dependencies, other languages have been officially recognised as legitimate autochthonous languages under the European Charter for Regional or Minority Languages...
that regulates and inspects all UK clinics providing in vitro fertilisation
In vitro fertilisation
In vitro fertilisation is a process by which egg cells are fertilised by sperm outside the body: in vitro. IVF is a major treatment in infertility when other methods of assisted reproductive technology have failed...
, artificial insemination
Artificial insemination
Artificial insemination, or AI, is the process by which sperm is placed into the reproductive tract of a female for the purpose of impregnating the female by using means other than sexual intercourse or natural insemination...
and the storage of human eggs
Egg (biology)
An egg is an organic vessel in which an embryo first begins to develop. In most birds, reptiles, insects, molluscs, fish, and monotremes, an egg is the zygote, resulting from fertilization of the ovum, which is expelled from the body and permitted to develop outside the body until the developing...
, sperm
Spermatozoon
A spermatozoon is a motile sperm cell, or moving form of the haploid cell that is the male gamete. A spermatozoon joins an ovum to form a zygote...
or embryo
Embryo
An embryo is a multicellular diploid eukaryote in its earliest stage of development, from the time of first cell division until birth, hatching, or germination...
s. It also regulates Human Embryo research. In public administration terms it is a non-departmental public body
Non-departmental public body
In the United Kingdom, a non-departmental public body —often referred to as a quango—is a classification applied by the Cabinet Office, Treasury, Scottish Government and Northern Ireland Executive to certain types of public bodies...
(NDPB) accountable to the Department of Health.
Background to the establishment of the HFEA
After the birth of Louise BrownLouise Brown
Louise Joy Brown is the first person to be conceived by in vitro fertilization, or IVF.-Birth:...
, the world's first IVF baby, there was inevitably some concern about the implications of this new technology. In 1982 the government brought together a committee chaired by philosopher Mary Warnock to look into the issues and see what action needed to be taken.
Hundreds of interested individuals and organisations gave evidence to the committee from doctors, scientists and health organisations to patient and parent organisations and religious groups.
The final report has been much admired around the world for the depth and delicacy of its consideration of these very controversial and emotive issues.
In the years following the Warnock report, proposals were brought forward by the government in the publication of a white paper 'Human Fertilisation and Embryology: A Framework for Legislation' in 1987. The Human Fertilisation and Embryology Act 1990 was drafted from this.
Human Fertilisation and Embryology Act 1990
The 1990 Act provided for the establishment of the Human Fertilisation and Embryology Authority (HFEA), an executive, non-departmental public body, the first statutory body of its type in the world.The HFEA is the independent regulator for IVF treatment and human embryo research and came into effect on 1 August 1991. The 1990 Act ensured the regulation, through licensing, of:
- the creation of human embryos outside the body and their use in treatment and research
- the use of donated gametes and embryos
- the storage of gametes and embryos.
The Act also requires the HFEA keep a database of every IVF treatment carried out since that date and a database relating to all cycles and use of donated gametes (egg and sperm).
Cloning
In 2001, the Human Fertilisation and Embryology (Research Purposes) Regulations 2001/188 extended the purposes for which embryo research could be licensed to include “increasing knowledge about the development of embryos”, “increasing knowledge about serious disease”, and “enabling any such knowledge to be applied in developing treatments for serious disease”.This allows researchers to carry out embryonic stem cell research and therapeutic cloning providing that an HFEA Licence Committee considers the use of embryos necessary or desirable for one of these purposes of research.
The Human Reproductive Cloning Act 2001
Human Reproductive Cloning Act 2001
The Human Reproductive Cloning Act 2001 is an Act of the Parliament of the United Kingdom "to prohibit the placing in a woman of a human embryo which has been created otherwise than by fertilisation"...
was introduced to explicitly prohibit reproductive cloning in the UK.
Donor anonymity
In 2004, the Human Fertilisation and Embryology Authority (Disclosure of Donor Information) Regulations 2004/1511, enabled donor-conceived children to access the identity of their sperm, egg or embryo donor upon reaching the age of 18.The Regulations were implemented on 1 April 2005 and any donor who donated sperm, eggs or embryos from that date onwards is, by law, identifiable. Since that date, any person born as a result of donation is entitled to request and receive the donor’s name and last known address, once they reach the age of 18.
European Union Tissues and Cells Directive
The European Union Tissues and Cells Directives (EUTCD) introduced common safety and quality standards for human tissues and cells across the European Union (EU).The purpose of the directives was to facilitate a safer and easier exchange of tissues and cells (including human eggs and sperm) between member states and to improve safety standards for European citizens.
The EUTCD was adopted by the Council of Ministers on 2 March 2004 and published in the Official Journal of the European Union on 7 April 2004. Member States were obliged to comply with its provisions from 7 April 2006.
Human Fertilisation and Embryology Act 2008
In 2005, the House of Commons Science and Technology Select Committee published a report on Human Reproductive Technologies and the Law.This inquiry investigated the legislative framework provided by the 1990 Act and challenges presented by technological advance and “recent changes in ethical and societal attitudes".
In light of the Committee’s report, and legislative changes that had already been made, the Department of Health undertook a review of the 1990 Act. They then held a public consultation based on their review of the Act, and following this published a White Paper, Review of the Human Fertilisation and Embryology Act, within which Government presented its initial proposals to revise the legislation.
A Joint Committee of both houses scrutinised the Government’s recommendations, and provided its views on what ought to be the final form of the Bill to be brought to parliament.
The Bill was finally brought to the House of Lords in November 2007, passing through the House of Commons through Spring and Autumn of 2008, and finally receiving Royal Assent on 13 November 2008.
The HFE Act 2008 updates the law to ensure it is fit for purpose in the 21st Century. It is divided into three parts:
- amendments to the Human Fertilisation and Embryology Act 1990
- parenthood
- miscellaneous and general.
The main new elements of the Act are:
- ensuring that the creation and use of all human embryos outside the body - whatever the process used in their creation - are subject to regulation
- a ban on selecting the sex of offspring for social reasons
- continuing to require that clinics take account of “the welfare of the child” when providing fertility treatment, and replacing the previous requirement that they also take account of the child’s “need for a father” with "supportive parenting"
- allowing for the recognition of both partners in a same-sex relationship as legal parents of children conceived through the use of donated sperm, eggs or embryos
- enabling people in same sex relationships and unmarried couples to apply for an order allowing for them to be treated as the parents of a child born using a surrogate
- changing restrictions on the use of data collected by the HFEA to make it easier to conduct research using this information
- provisions clarifying the scope of legitimate embryo research activities, including regulation of ‘human admixed embryos’ (embryos combining both human and animal material).
Current responsibilities of the HFEA
The current statutory functions of the HFEA, as a regulator under the HFE Acts 1990 and 2008 and other legislation include:- license and monitor clinics carrying out in vitro fertilisation (IVF) and donor insemination
- license and monitor establishments undertaking human embryo research
- maintain a register of licences held by clinics, research establishments and storage centres
- regulate storage of gametes (eggs and sperm) and embryos
- implement the requirements of the European Union Tissue and Cells Directive (EUTCD) to relicense IVF clinics and to license Intrauterine Insemination (IUI), Gamete Intrafallopian Transfer (GIFT) and other services.
Recent policy decisions of the HFEA
- In 2010–2011 the HFEA is reviewing a number of its policies relating to sperm, egg and embryo donation. This includes the compensation paid to donors, donation between family members and the number of families a donor can donate to. The Authority is consulting widely with all people affected by donation.
- In October and November 2007, the HFEA decided on a policy to reduce multiple births from fertility treatment. This forms part of a wider national strategy to reduce the risk of multiple births from fertility treatment involving professional bodies, patient groups and NHS-funding bodies.
Multiple pregnancy is the single biggest risk to patients and children born as a result of fertility treatment. Women undergoing IVF treatment are twenty times more likely to have a multiple birth than if they conceive naturally.
After carefully considering views from clinics, patients and professional bodies, the HFEA decided to set a maximum multiple birth rate that clinics should not exceed, which will be lowered each year. All clinics will have their own strategy setting out how they will lower the multiple birth rate in their clinic by identifying the patients for whom single embryo transfer is the most appropriate treatment. The HFEA aims to reduce multiple births from IVF treatment to 10% over a period of years.
- In September 2007, after an extensive consultation with the UK public, the Authority decided that there is no fundamental reason to prevent cytoplasmic hybrid research. Individual research teams should be able to undertake research projects involving the creation of cytoplasmic hybrid embryos, provided that an HFEA Licence Committee is satisfied that their planned research is necessary and desirable. They must also meet the overall standards required by the HFEA for any embryo research. In January 2008, the HFEA granted licenses to Newcastle University and King's College London to carry out cytoplasmic hybrid research projects
- In 2007 the Authority agreed to allow women to be able to donate their eggs to research projects, provided that there are strong safeguards in place to ensure the women are properly informed of the risks of the procedure and are properly protected from coercion
- In 2006, the HFEA approved in principle the screening of embryos for genes that may lead to certain cancers in middle age
- In 2005, the HFEA granted a licence to treat mitochondrial diseases by allowing researchers to attempt to create an embryo with two genetic mothers
- In 2004, the HFEA granted British scientists a licence to produce cloned human cells, making it only the second country in the world to permit such a procedure
Current and Former Members
- Chair - Professor Lisa Jardine
- Deputy Chair - Professor Emily Jackson
- Chief Executive - Alan Doran
Former Chairs include Walter Merricks, Shirley Harrison, Lord Richard Harries, Dame Suzi Leather, Baroness Ruth Deech and Colin Campbell
Colin Campbell
-Scottish history:*Cailean Mór , also known as Sir Colin Campbell, or "Colin the Great"*Colin Iongantach , also known as Colin Campbell, self-styled Lord of Argyll, see Clan MacFarlane...