Modernising fertility law: HFEA’s proposals

In November 2023, the Human Fertilisation and Embryology Authority (HFEA) outlined a series of recommendations to modernise fertility laws in England and Wales. These reforms aim to enhance patient care, ensure legal clarity, and keep pace with advancements in reproductive science.

Why reform is needed

The HFEA, as the regulator of fertility treatment in the UK, plays a critical role in protecting patients. Since the introduction of the Human Fertilisation and Embryology Act in 1990, fertility law has faced challenges due to outdated legislation. Judges in family law courts often have to interpret the law, leading to inconsistent outcomes, particularly regarding legal parenthood.

The HFEA’s recommendations address these gaps by focusing on four key areas:

  • Patient Safety and Best Practices
  • Access to Donor Information
  • Consent
  • Scientific Developments

Enhancing patient safety and best practices

To strengthen patient protection, the HFEA proposes stricter regulatory controls and expanded enforcement powers for licensed clinics. This would ensure clinics meet high standards of care, reducing the risk of legal complications for families undergoing fertility treatment.

Improving access to donor information

Recent legislative changes have enabled donors to access information on previously anonymous donations. The HFEA recommends providing donors with mandatory implications counselling before treatment. Additionally, clinics would be required to offer clear guidance to both donors and recipients on the implications of accessing this information.

Addressing consent complexities

Current laws surrounding consent for fertility treatment, embryo storage, and embryo use are ambiguous. Judges often face difficult decisions in cases involving consent disputes, particularly in situations of relationship breakdown or posthumous conception. The HFEA’s proposals call for clearer legal definitions to protect all parties and provide greater certainty for families.

Embracing scientific developments

With rapid advancements in reproductive technology, the HFEA also advocates for more flexibility in the law. Granting the HFEA greater discretion to adapt regulations in response to scientific progress will ensure the legal framework remains relevant and responsive.

The need for timely legal reform

Since its introduction, the Act has only undergone one significant update in 2008, which expanded parental rights for same-sex female couples. While this was a positive step, it also introduced complexities in legal parenthood determination. Many families face uncertainty and legal challenges due to the outdated framework.

Despite increasing calls for reform, including on the HFEA’s 30th anniversary in 2020, progress remains slow. As fertility treatments become more common, modern legal protections are essential to reflect the diverse family structures of today.

How Tees Law can help

At Tees Law, we frequently assist parents navigating the legal aspects of fertility treatment. From reviewing documentation to ensuring legal parenthood is established, our experts provide comprehensive support. We also offer guidance on consent and storage disputes, particularly during family breakdowns.

Furthermore, our clinical negligence team welcomes the HFEA’s emphasis on patient safety. Enhanced regulatory oversight can prevent instances where clinic errors lead to complex legal battles over parenthood.

Conclusion

While legislative changes are yet to be implemented, the HFEA’s recommendations represent a positive step toward safeguarding patients and modernising fertility law. At Tees Law, we support these efforts and remain committed to helping families achieve legal security and peace of mind throughout their fertility journeys.

For expert legal support on fertility law and parental rights, contact our team today.

Caroline Andrews reflects after speaking at AEPOCS conference

Caroline Andrews, a Fertility Law Solicitor, was invited by the Androgen Excess and Polycystic Ovary Syndrome Society (AEPCOS) to speak on behalf of Verity, a national charity for PCOS, at their annual conference in California, USA. She attended in her role as a volunteer trustee.

At the conference, Caroline emphasised the importance of providing comprehensive support to patients with fertility-affecting conditions. Beyond medical interventions, she highlighted the need for emotional and legal support in an increasingly complex world.

Reflecting on her experience, Caroline noted the stark differences between Fertility Law in the USA and in England and Wales. She shared her insights on fertility treatment and surrogacy practices across these jurisdictions.

Caroline’s perspective on fertility law differences

“It was fascinating to observe how fertility treatment and surrogacy laws differ in the USA compared to here.

In some US states, anti-abortion laws have led to embryos being granted ‘personhood rights.’ This legal shift has significant implications for IVF procedures. In contrast, England and Wales are governed by the Human Fertilisation and Embryology Authority (HFEA), which provides clear regulations on the storage and use of embryos. Hearing firsthand from American women about the impact of Roe v Wade’s repeal was deeply moving.

In July this year, an amendment to the HFEA Act 2008 extended the storage period for embryos, sperm, and eggs to 55 years, subject to the consent of both parties every ten years. Cases in England have debated what constitutes valid consent, particularly when one party passes away. A notable contrast is the USA, where legal disputes like the high-profile case of Sofia Vergara and her ex-partner have brought these issues to light. With more people considering the freezing of eggs, sperm, or embryos, understanding both the medical and legal implications is essential.

Some US states have introduced laws requiring medical insurance to cover certain fertility treatments, helping mitigate the significant costs involved. Meanwhile, in England, the Competition and Markets Authority (CMA) released a report in September 2022, highlighting compliance issues in fertility clinics and concerns about unexpected additional costs. This report is a valuable resource for anyone considering fertility treatment.

Surrogacy law: An international perspective

Regarding surrogacy, the legal framework in England and Wales is often viewed as outdated. The surrogate remains the legal parent until a parental order is granted post-birth. Although the Law Commission has proposed changes to modernise surrogacy law, implementation remains a distant prospect. As a result, some individuals pursue international surrogacy, but they must be cautious about the varying legal restrictions across US states and in England.

A final thought

As a patient representative in my spare time, I’m acutely aware of the emotional, physical, and financial toll of fertility treatment. However, as a family lawyer, I believe it’s equally important for people to consider the legal implications of their choices. How these laws will evolve remains to be seen.”

Stay tuned for a video link to Caroline’s full presentation.

Government debate: Funding for research into Fertility-related conditions

A debate is due to take place in Parliament on 1st November 2021 in response to a public petition to increase funding for research into Endometriosis and PCOS. The petition is calling for ‘more funding to enable new, extensive and thorough research into female health issues’.

Tees’ Family Law and Fertility expert Caroline Andrews is involved in the provision of information for MPs in order to assist the debate, and has been highlighting the long-term physical and emotional impact on women along with the resulting fertility issues that can occur.

A volunteer trustee of Verity the polycystic ovary syndrome (PCOS) charity, it is Caroline’s view that the strong public response to the petition underlines the chronic underfunding of womens’ health conditions that has taken place in the UK over a number of years.

Conditions such as polycystic ovary syndrome (PCOS) and endometriosis can have a wide-ranging impact on a woman’s life not just on her health, but also on her employment attendance and recourse to fertility treatment. PCOS is a leading issue for women undertaking fertility treatment and the process can be time-consuming and complex with financial and legal issues to contend with at an already difficult time.

If you are affected by one of these conditions and are looking to undergo fertility treatment, you can read Caroline’s article which outlines the important legal considerations and how we can help.

Why do I need legal advice for my fertility treatment?

Fertility treatment can be a stressful time for all involved and therefore it is important to ensure that you are fully aware of your legal position as parents in the future.

Speaking to a solicitor may be the last thing on your mind when undergoing fertility treatment, however it is becoming increasingly necessary to ensure that you take independent legal advice.

Caroline Andrews, family law specialist here at Tees has many years’ experience specialising in fertility and surrogacy law and has leading case law experience on the issue of legal parenthood, as well as an understanding of fertility-related conditions such as PCOS. In this article, Caroline outlines the various legal implications that must be considered by all parties when a child is born through fertility treatment.

Family law judges recommend that “any person considering fertility treatment should ensure that they are familiar with the legal steps around the treatment, given the significant impact it could have both in the short and long term”.

If you are thinking about undergoing fertility treatment, it is important to consider the legal issues. The law can be complex so if you are starting a family, there are some key factors to consider:

Who will be your child’s legal parents?

How does the nature of the treatment and any donors, or forms completed at the clinic, impact on the legal parenthood?

If you are conceiving at a clinic, it is important to understand how the law governs your fertility treatment and affects your rights to information

If you are not using an at home conception, does this change how the law looks at the status of any intended parent?

In addition, if you are conceiving with, or as a known donor or co-parent, being aware of how to manage relationships and expectations to avoid problems later on and knowing where you would stand if there was a dispute between you, are also important considerations that are worth taking the time to discuss with a legal expert ahead of time.

Should I use a fertility clinic?

The Human Fertilisation and Embryology Authority (HFEA) regulates all UK licensed fertility clinics.  You must give informed consent to fertility treatment at a UK licensed fertility clinic and this requires a clear understanding of English law and its implications in practice for you, your future child and your donor if you use donor sperm or eggs.

If you don’t have treatment with a licensed clinic the situation is more complicated. There’s a risk that your donor will be considered a parent by law – with all the rights and responsibilities that brings.

What are my options if I am separated from my partner but wish to have a baby?

If you are separated from your spouse or civil partner and you intend to artificially conceive a child as a single parent, you should first obtain expert legal advice.  English law states that if you carry the pregnancy then you are your child’s legal mother.

Your spouse or civil partner will be the legal second parent of your child for English legal purposes unless it can be shown your spouse did not consent to your treatment and artificial conception. There will be difficulties with the forms ahead of treatment and presumptions in law after treatment so advice is essential.

What is co-parenting?

Co-parenting is when two people wish to be parents but who are not in a relationship together. This is a rising trend in America and becoming more common here in the UK.

If you carry the pregnancy, you will be your child’s legal parent under English law and your co-parent may acquire legal rights and responsibilities for your child which may or may not accord with your wishes and expectations. Therefore in this situation is extremely important to have a legal expert draft a co-parenting agreement, to ensure that the childcare arrangements are established and agreed on from the start.

A bespoke co-parenting agreement will also be an important tool if a dispute arises with your co-parent or if there is a change in either of your personal circumstances.

Will a known male donor have any legal rights in relation to my baby?

Yes, he may do.  Artificial conception with a known donor creates complex legal issues under English law.  Your known donor will be the biological father of your child. Irrespective of your wishes, he may also acquire legal status in respect of your child, to the detriment of your legal parental autonomy.  He may also acquire unintended financial responsibility for your child. 

If you are considering known donation it is strongly advisable to put in place a known donor agreement before conception.

Can I seek fertility treatment abroad?

You may be considering fertility treatment abroad. The HFEA does not regulate the practices of overseas fertility clinics.   You should obtain expert legal advice in your destination country because the law may be different from law in the UK.   There are a number of concerns as to treatment abroad in relation to medical health and legal impact such as immigration issues for any child.

Can I take time off work for IVF treatment?

There is no specific statutory right to time off work for fertility treatment which can often be time consuming and stressful. However, your employer should treat your medical appointments for IVF treatment like any other medical appointment. Similarly, if you are written off sick by your GP due to the side effects of IVF, your employer should treat your absence as no different to any other sick leave taken not in conjunction with IVF.

If you are at a medical appointment or off sick, you must make sure you follow your employer’s usual sick policy requirements. There are specific rules for surrogates in respect of employment rights.  The Tees employment team can advise you fully on your legal employment rights whilst undergoing fertility treatment.

Storage of frozen embryos, egg and sperm

The Department for Health has extended the time limit for frozen embryo, egg and sperm storage for a period of 55 years as long as consent is gained every 10 years. This is to protect people who were finding the previous limit of 10 years was not sufficient.

Fertility organisations had been lobbying the government on this point of law for some time so this extension to the time limit is very welcome.

Other considerations

If you are going through a pregnancy involving a surrogate, there are different interpretations as well as concerns around whether the intended parents can be present for the birth.  To combat past lockdown measures, the Family Court has put in place systems to facilitate hearings involving parental orders via telephone and video conferencing to enable matters to progress in spite of disruption due to Covid.

The importance of a well drafted Will

Whether undergoing fertility treatment or conceiving naturally, any prospective parent should think about having a Will drawn up.  Your Will should appoint legal guardians for your child in the event of your death and appoint trustees to manage your finances on behalf of your child until your child is old enough to manage these assets.  Given the complexities of who is deemed a legal parent, this can impact on who is considered a child under a Will.  Therefore, tailored legal advice for your family is essential to protect them. 

At Tees, our specialist Wills, Tax and Trusts team can help you prepare a carefully-worded Will to ensure that your child’s interests are fully considered.

Whatever your situation, our legal specialists are here to help guide you. We at Tees understand that undergoing fertility treatment can be an emotional time for you not to mention one that involves considerable cost. The approach of our fertility law specialists is highly empathetic having been involved in the fertility sector at many levels, whilst ensuring that you receive clear advice across the full range of family law issues that you might encounter on your journey to parenthood.

We offer a fixed fee service at competitive rates and can discuss funding options for court cases if an order of the Court is required.