Gamble & Ghevaert

Posts Tagged ‘HFEA donation review’

NGA part of HFEA National Donation Strategy Group

Friday, September 7th, 2012

The UK’s regulator of fertility treatment, the HFEA, undertook a wide ranging public consultation last year, which looked at the barriers and motivations to egg and sperm donation in the UK. The review uncovered numerous barriers to donation, some which could be removed through regulation and others which could not be as easily tackled. It is these issues which sit outside of traditional regulation that have led the Authority to set up a national strategy group to find new ways of tackling obstacles to sperm and egg donation.

The HFEA aims were to use their unique position as the national regulator to bring together a wide range of experts to come up with new approaches to raising awareness of donation and improving the care of donors in the UK.

Helen is really pleased to have achieved a place on this valuable group that will make a real difference to the future of sperm and egg donation and the effects upon donors, future parents and ultimately the donor conceived children.

The three core objectives of the group will be to:
1. increase awareness of donation and the information that donors receive
2. improve the ‘customer service’ that donors receive when they contact clinics
3. help donors provide better information about themselves for future families

The HFEA aims to bring together a group of people with diverse experiences, including non-licensed donation services, people with experience of blood, organ or tissue donation, as well as those with experience of sperm and egg donation. This includes people with interest in the welfare of donors, patients and donor-conceived people.

We would love to hear from any donors, future parents or donor conceived to pass on their views to the donation strategy group. Please don’t hesitate to be in touch with us at [email protected]

Click here to read the members of the group

More information can be found on our website at donor conception and co-parenting as well as eggs, sperm and embryos.

HFEA shift on donor payments will make little difference

Thursday, October 20th, 2011

The HFEA announced yesterday that, after an extensive public consultation and review, the system for paying egg and sperm donors in the UK is changing.  Instead of donors being paid out of pocket expenses plus an allowance for loss of earnings of up to £250, egg donors will now be paid a blanket £750 per cycle, and sperm donors £35 per visit.

There was much discussion yesterday about the new payment to egg donors of £750 and whether this would encourage women to donate eggs for the money who wouldn’t otherwise have done so.

However, if we understand the HFEA’s press release correctly, this seems to be a bit of a misunderstanding.  The new figure of £750 does not seem to be an increase on the existing £250 cap, but rather a change of how the system works.  Women used to be able to claim their actual (unlimited) out of pocket expenses plus an allowance of £250 to represent (nominally) loss of earnings.  They can now claim £750 to cover everything, no matter what their actual expenses are.  In practice we know that expenses during an egg donation process can mount up very quickly, covering things like travel, drugs, the cost of scans and blood tests at a local hospital, childcare and time off work for consultations, counselling, scans and egg collection.  It’s not an easy or an inexpensive process.  The HFEA’s new rule therefore may not mean more money for donors, just a simpler way of dealing with expenses.  We think the change is less significant than it sounds, and will make little difference to donors or recipients in practice.

However, if nothing else, we hope that all this discussion about donation in the media will encourage donors to come forward.  Working with both donors and recipients, we know how much the donation process involves and we know what a life changing difference donation makes to people’s lives.  We salute all the donors in the UK who go through this to help others become families and we hope they know how very much they are appreciated.

There is more information about donation in the UK on our website.

 

 

UK Donor Link threatened with closure

Tuesday, August 23rd, 2011

We are dismayed and alarmed by news that funding may be withdrawn from UK Donor Link, an organisation which provides vital support to donor conceived people conceived in the UK before 1991.  Natalie Gamble has written to the Minister of Health Anne Milton to urge her to reconsider the decision, and Natalie’s letter is reproduced below:

Dear Minister

I am writing as a specialist fertility lawyer, responsible for representing many families created through donor conception.  I understand that the public funding provided to UK Donor Link since 2003 may be withdrawn from October, and that as a result UK Donor Link has already had to close its doors to new registrants and is threatened with closure from October.

I urge you to ensure that funding for UK Donor Link continues.  UK Donor Link provides a critical role in the provision of information to donor conceived people, and is the only organisation to offer support to adults conceived with donated eggs or sperm before the Human Fertilisation and Embryology Authority’s Register of Information was established in August 1991. 

Ensuring that donor conceived people have access to information about their genetic heritage  has been a clear foundation of government policy in relation to donor conception consistently over the past decade.  The policy reflects the growing and universally accepted understanding of the importance of openness and availability of information to donor conceived people, and followed a decision of the High Court as to UK law’s compliance with human rights legislation.

In 2002, the English High Court heard a landmark case (R. (on the application of Rose) v Secretary of State for Health) which established that if donor conceived people were denied rights to access information about their genetic heritage this engaged their human rights under article 8.  Mr Justice Scott Baker held that: 

“Article 8 is engaged both with regard to identifying and non-identifying information, albeit in this case the identity of the donors is not directly sought. What is wanted is non-identifying information and a voluntary contact register. I do emphasise, lest there be any doubt about it, that the fact that Article 8 is engaged is far from saying that there is a breach of it. That question, which may fall to be decided on a further occasion, involves consideration of other matters and may depend on any future action taken by the Secretary of State.”

In response to this case, two things happened: 

1. Parliament changed the law in respect of information about donor conception for people conceived in the UK since 1991 whose information was kept on the HFEA’s Register of Information.  Under the Human Fertilisation and Embryology Authority (Disclosure of Donor Information) Regulations 2004/1511 (which came into force on 1 April 2005) newly registered egg and sperm donors had to agree to being identifiable to their offspring once they reached the age of 18; and donors who were already registered (who, other than in limited circumstances, could not continue to donate on an anonymous basis) were given the opportunity to re-register as identifiable.

 2. UK Donor Link was established in 2003, with the support of public funding, in order to enable donor conceived people conceived in the UK before 1991 (whose details were not kept on the HFEA’s Register of Information) to make contact with genetic relatives through DNA testing and other methods of matching.

As a result of these actions, the question of whether the existing law breached article 8 of the Human Rights Act 1998 (justifying a declaration of incompatibility) did not need to be determined by the court.

The action taken by the government was in response to the High Court’s judgment, and represented a clear acknowledgement of the importance of providing access to information for donor conceived people.  The policy encompassed people conceived both before and after 1991 (although acknowledging the different means available for accessing information in each case).  This is inevitable given that, since human rights issues were engaged, they affected people irrespective of the whether they were conceived before or after 1 August 1991.

In 2008, additional steps were taken through the Human Fertilisation and Embryology Act 2008 (following rigorous Parliamentary debate) which further extended the rights of donor conceived people to information about their genetic heritage.  Section 31 of the Human Fertilisation and Embryology Act 2008 allows all donor conceived people whose details are kept on the HFEA Register of Information to have the opportunity to contact genetic siblings in adulthood, thereby extending access to information on the register.  Section 31ZF of the HFEA 2008 also made explicit provision allowing the HFEA to run or to fund a ‘voluntary contact register’ (in practice UK Donor Link) to support people conceived before 1 August 1991.  This therefore represents a recent Parliamentary endorsement of support for UK Donor Link, at the level of primary legislation.

I know that others have written to you emphasising the importance of UK Donor Link and the excellent work that it does for donor conceived people conceived in the UK before 1 August 1991.  In addition, I urge you to consider the legal context of support for donor conceived people in the UK, and the potential human rights implications of any withdrawal of funding.

Yours sincerely, Natalie Gamble

Further information about donor conception law in the UK is available on our website.

If you would like to add your support and write to the Minister of Health, her details are Anne Milton, Public Health Minister, Department of Health, Richmond House, 79 Whitehall, London SW1A 2NS.

First results from HFEA egg and sperm donation review

Tuesday, July 26th, 2011

The HFEA has been reviewing the rules for egg and sperm donation in the UK and has announced its first set of decisions this month.

The basic news so far is that little is set to change.  There will be no change to the current rule allowing donors to place any conditions on how their eggs and sperm are used.  This decision could cause conflict between fertility and equality legislation, as donors remain free to say that their eggs or sperm can only be given to recipients who are married, heterosexual or of a particular religious or ethnic background.  In response to objections, the HFEA has said it plans to issue further guidance, as well as to establish a ‘best practice’ concerning the taking of consent from donors.

The HFEA has also confirmed that the maximum number of families a single donor can help to create will remain at 10 (some had called for recruited donors to be used more widely, although others expressed concerns about the numbers of genetically related children who might be created from the same donor).  The HFEA will, however, encourage clinics to optimise use of donors since at the moment it seems that more families could be created within the existing limits.

We await the outcome of the review in respect of payments to donors, a decision on which is expected in October.  Currently donors can only receive their out of pocket expenses and loss of earnings limited to £250 per donation cycle, and no payments for inconvenience or discomfort are permitted.  The  HFEA is considering whether the £250 cap should be increased, or other types of payments allowed, as they are in many other countries.

There is more information on donor conception law on our website.