Examination of Witnesses (Questions 320-339)
CAROLINE FLINT
MP, PROFESSOR SIR
LIAM DONALDSON
AND DR
MARK BALE
28 FEBRUARY 2007
Q320 Chairman: The issue then, Sir
Liam, in terms of the Down's mouse where you have human chromosomes
into a mouse to create the Down's mouse, that would be banned,
would it?
Sir Liam Donaldson: The hybrid
whereby you put human sperm together with an animal egg and fertilise
a half person/half animal I think is something that Parliament
may have a view as to whether it is appropriate to leave such
decisions to the HFEA. There is existing legislation banning it.
It is the question of this spectrum from which, at the hard end
of the spectrum there are interesting techniques (which people
might want to perform but I cannot see what benefit they would
ever have and may be considered morally or ethically unsound)
set alongside something which is clearly a development of science
moving in a positive way.
Chairman: I appreciate that.
Q321 Adam Afriyie: Was the HFEA right
to delay the assessment of the proposals from Newcastle University
and from King's College, London, given the current climate? Do
you think they were right to delay their assessment of those proposals?
Caroline Flint: That is not for
me to have an opinion on. We have had no influence in that whatsoever;
that is for the HFEA to decide.
Q322 Adam Afriyie: Do you agree with
the HFEA that the licensing of human-animal chimeras and hybrids
is within their remit? They appear to have drawn a conclusion
that it is within their remit; I think most people would agree
that 99.9% human is pretty much human so it is within their remit.
Do you agree it is within their remit?
Sir Liam Donaldson: I did not
get a chance to answer the Chairman's question on that, is it
human or is it not human, and I am not going to give you a yes/no
answer, but I am going to answer it directly.
Q323 Adam Afriyie: Is it within the
HFEA remit?
Sir Liam Donaldson: I will give
you a direct answer to that. When Parliament considered and introduced
the regulations containing the term "human fertilisation"
it had in its mind a report that I produced where the leading
edge and controversial technique was cell nuclear transfer human
to human. In my view it depends what was in the minds of the parliamentarians
at the time. I would argue that in their minds was that human
meant human to human and not involving animals. I do not remember
anybody asking how broad the spectrum was, should they include
animals because at that stage the animal element was ruled out
in the report and nobody challenged that so in my view it is something
that needs to be clarified and no sane person could give a yes/no
answer to it.
Q324 Dr Iddon: Sir Liam, I know you
have a very broad remit but how often do you talk to people involved
in stem cell research?
Sir Liam Donaldson: I talked to
them extensively when the original report was produced and I have
kept in touch with developments both reading the medical literature
when I go on visits, when I meet leading scientists, when I talk
to our own director of research and development. I worked very
closely with Sir John Pattison who produced the stem cell bank
recommendation. I am a generalist and I would not claim to have
the sort of in-depth knowledge that specialist scientists would
have in this field, but I do think as a generalist I have kept
reasonably well in touch and interested in this field.
Q325 Dr Iddon: There has obviously
been an explosion in stem cell research, have you been aware recently
that the scientists involved in this research feel that research
is being restricted by the shortage of human embryos?
Sir Liam Donaldson: Yes, I have
been aware of that view point.
Q326 Dr Iddon: Have you talked to
either the King's group or the Newcastle group or anyone else
who is thinking along those lines of somatic cell nuclear transfer
to produce cytoplasmic hybrids as a potential new route to stem
cell lines?
Sir Liam Donaldson: I have tended
not to have direct discussions with groups that are currently
submitting research applications in case there should be any accusation
that I am trying to influence them getting permission. I have
kept in touch with the science at various times when I have felt
there has been a neutral period as far as live applications are
concerned and have talked to scientists involved in this field.
Q327 Dr Iddon: Are you aware of the
potential I have just mentioned?
Sir Liam Donaldson: I am indeed,
yes.
Q328 Dr Iddon: Are you sympathetic
to that? Are you changing your mind from your original report?
Sir Liam Donaldson: I would not
go further than to say that I think the process that we are embarked
on now to clarify all of this and getting it on a proper sound
footing and re-visit some of the earlier ideas is the right one
and I am a strong believergiven my past experience with
the earlier reportof the role of Parliament in this. I
actually think it is quite vital, given that there is so much
else that needs to be clarified, apart from the specific technique
that you have been talking mainly about this morning.
Q329 Dr Iddon: Do you agree that
there is a danger of damaging this research if we get the wrong
messages across to the public through the media that are here
this morning and that we have to be very careful that the honest
and correct message is given to the public so the general public
out there can make their own mind up about this research based
on knowledge rather than ignorance?
Sir Liam Donaldson: I absolutely
agree with that but I think that I would argue, based on the earlier
report, that the only reason we are out in the front of most other
countries on an issue which at the time was highly controversial
is because we took the public with us and because we had parliamentary
backing. If it had just been me who had chaired a committee recommending
and advocating these things I think there would be much more fire
power directed against research in this country and researchers
would be unwilling to come here from America and other centres
in the way that they have. That is why I feel so strongly that
if we are going to clarify this whole rather confused territory
we need parliamentary backing and then we get the solid foundation
for researchers to feel confident that this is not some flavour
of the month commitment, it is a deep-seated democratic commitment
to foster this sort of research in this country.
Dr Iddon: That is a very positive message,
thank you.
Q330 Graham Stringer: Picking up
on something Sir Liam said, how do you know that you have taken
the public with you? How do you measure it?
Caroline Flint: I think partly
we see arguments we make in Parliament and that debate but also
if we look at the last 10 years and the implementation of the
present legislation I would say there is a good example there
of where there has not been a situation where we have had public
demonstrations, campaigns against IVF, campaigns against the decisions
that sometimes the HFEA have made and debated that the Act did
not allow for (I think they have taken a very pragmatic but cautious
approach but not a limiting approach in that area). I think clearly
of areas where we have not had judicial reviews every five minutes
of the legislation. I think that is one test but I also think
another test is the fact that in relation to stem cell research,
as Sir Liam said, we are recognised as a country that has a strong
regulatory framework. There are other countries which do not and
I think that an indication of the impact of that is that they
do not get the same confidence by the scientific community to
go and work in those countries because it is not a framework that
they feel comfortable with.
Q331 Graham Stringer: I agree with
you that we have a very good international reputation in this
area. Are you concerned that the statements you have made about
bans, albeit with some of permissiveness at the end of it, have
damaged our international reputation in this area? How important
to you is the competitiveness of our research establishments and
industry in this area?
Caroline Flint: I do not think
it has. When taken in the context of what we were saying we wanted
to make a clear point in relation to hybrids but you see from
what you have said that we recognise there were other techniques,
how we define what name we give to them, we are opening doors
in a way that we were just at the frontiers of in that respect.
What worries me is that a lot of what we said has been taken out
of context and I do not think that is helpful, to be honest.
Q332 Graham Stringer: Do you think
our reputation has been damaged?
Caroline Flint: No because I think
actually what we are going through at the moment is a process
of coming to good foundations for the next 20 years or so and
that will be finally a bill in Parliament. My greatest wish is
that it is as successful as the bill it will be replacing. When
government consults and when you produce a White Paper it is only
when you get down to the nitty-gritty that you really get the
sort of public engagement. It sometimes polarises a position but
within that polarisation we need to try to find that common ground
to take us forward. I think this area is just one part of the
proposals we are making that will create a debate over the months
ahead. That is why I stand by the fact that we did not come forward
and say, "That's it, we've got a bill; we're going into committee".
We felt we needed this sort of scrutiny because I believe that
we would not have this debate if we had just gone forward with
the bill or the debate would have been limited. I just think that
is the way it is, to be honest, and that is the way Parliament
works. You often do not get the debate until you actually have
something for people to debate around.
Q333 Graham Stringer: The research
and technology that led to the creation of Dolly the sheep most
of that work is now being done in the United States and we have
lost it. Do you have an explanation for that? Are we worried that
this interregnum of research into stem cells is going to lead
to a similar loss of leadership in this area?
Caroline Flint: Again I think
there has been some misrepresentation in relation to another parallel
track in terms of science in relation to animal hybrids, animal
chimeras and animal cybrids or, for the matter, a transgenic animal
because all of those areas are actually covered by the Home Office
in terms of how they are regulated and licences given. During
the course of the consultation and the White Paper, as I said
before, we consulted every government department on this issue.
We engaged with the Home Office particularly and none of our proposals
affect what is currently happening within the sphere of the Home
Office. I am pleased to have the opportunity to make that clear
today in this Committee because again that in some quarters has
been misrepresented and I am pleased to put that right. The Home
Office is happy with our proposals in relation to other areas
they currently regulate and licence for. None of what we are saying
impacts on that.
Q334 Graham Stringer: You did not
really answer my question because what I was concerned about was
not the relationship between the licensing of the Home Office
compared to your Department, it was how we keep our leadership
in science and whether understanding that leadership and what
had happened to the development of cloning following the creation
of Dollywe seem to have lost that to the Statesare
you concerned that the same might happen with stem cell research?
Dr Bale: If I could just add to
something that Sir Liam said, in 2005 the Chancellor established
the UK Stem Cell Initiative which was led by Sir John Pattison
and we supported him. That covered a whole range of issues around
translating pure research into benefit to patients and none of
the issues around hybrids and chimeras that we have had now were
really seen to be key weaknesses or key areas that had to be addressed,
although there was a recommendation to clarify what would be allowed
in terms of putting human embryonic stem cells into animal embryos
to test the potency of those stem cells. That is an issue which
is as much to do with how the Medical Research Council self-regulates
stem cell research by the stem cell bank as to do with the Home
Office licensing arrangements. We did undertake on behalf of the
Government to try to lead a number of recommendations there of
which the clarification around human and animal hybrids is one.
Q335 Chris Mole: It seems to me,
after our weeks of consideration of this, it has come down to
whether we should have a permissive regime in which the HFEA prohibits
specific actions or a prohibitive one which the HFEA where the
HFEA permits specific research and how that is encoded in legislation.
Would you agree that what has really led to the misrepresentation
is the consideration of a breadth of hybrid and chimerac possibilities
being generalised from the specific examples that are related
to the applications that the HFEA have recently had around cytoplasmic
hybrid would work?
Caroline Flint: Sorry, do you
mean that the definitions we have used do not relate in the same
way to the application?
Q336 Chris Mole: You are looking
at a big picture but that big picture has been represented by
these two specific examples as if it is the whole picture. You
are only talking about banning parts of the other whole picture.
Caroline Flint: Absolutely. For
all I know there may be other processes or ideas that have not
come forward yet but might come forward in the future. I think
it is about the spectrum here about which there are probably different
arguments for and against and clearly that is why I had hoped
that our viewwhich was to leave the door open for defining
that and regulating some of these areaswas a positive step
forward; in fact it is a positive step forward, it is liberalising
where we are now.
Q337 Chris Mole: So the lesson to
be learned is that people should seek before they say anything.
Caroline Flint: That would be
helpful.
Q338 Chairman: Minister, could you
finally tell us when you expect the draft bill to be published?
Caroline Flint: We are looking
at around May for the draft bill. As far as these things go, that
is what we are working to.
Q339 Chairman: Our report will be
completed by April.
Caroline Flint: The HFEA is July
and September for responses. It has been a helpful opportunity
to clarify what we were saying and what we were not saying. I
think everyone agrees that it is that mixture of the scientific
evidence that taking the public with you in the most positive
sense is important for science to progress.
Chairman: Could I say, Minister, we have
very much enjoyed the hour with you and Sir Liam and Mark Bale.
Thank you very much for having a vigorous dialogue with us. I
am sorry that time only permits you to get to some of the issues
but we are very grateful.
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