QUEENS BENCH DIVISION
Strand, London, WC2A 2LL | ||
B e f o r e :
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THE LEEDS TEACHING HOSPITALS NHS
TRUST |
Claimant | |
- and - |
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(1) MR A (2) MRS A (3) YA & (4) ZA (by their Litigation Friend, the Official Solicitor) (5) THE HUMAN FERTILISATION AND EMBRYOLOGY AUTHORITY (6) MR B (7) MRS B |
Defendants |
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Miss Eleanor Hamilton QC and Miss Elizabeth O'Hare (instructed by
Lee and Priestley) for Mr and Mrs A
Mr Peter Jackson QC (instructed by the
Official Solicitor)
Miss Dinah Rose (instructed by Morgan Cole) for the Human
Fertilisation and Embryology Authority
Miss Judith Parker QC and Mr Charles
Foster (instructed by Lester Morrill) for Mr and Mrs B
Mr James Eadie
(instructed by the Solicitor, the Department for Work and Pensions and the
Department of Health) as Intervenor
Mr Neil Garnham QC (instructed by the
Treasury Solicitor) Advocate to the Court
Hearing dates : 20th, 21st and 22nd
January 2003
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Crown Copyright ©
The is the judgment of the President in this case which is being handed down on 26th February 2003 . It consists of 22 pages and has been signed and dated by the judge. The judge hereby gives leave for it to be reported and for the purposes of any law report also hereby directs that no transcript of the judgment need be taken and that the version hereby handed down may be treated as authentic
. The judgment is also being distributed on the strict understanding that in any report no person other than counsel or the solicitors instructing them (and other persons identified by name in the judgment itself) may be identified by name or location and that in particular the anonymity of the children and the adult members of their family must be strictly preserved.Dame Elizabeth Butler-Sloss, P. :
The parties
The Background Facts
a) Mrs A consented to her eggs being used and mixed with her husband's sperm. She did not consent to her eggs being mixed with named or anonymous donated sperm. She consented to the placing of not more than two resulting embryos in her uterus. She consented to her eggs and any resulting embryo being used in her own treatment or in any research project. She refused to consent to her eggs or embryos being used in treating others.b) Mr A consented to his wife's treatment, and confirmed his understanding that he would be the father of any resulting child. He consented to his sperm being used to treat his wife. He refused to consent to its being used to treat others or for research. He consented to his sperm being used to fertilise his wife's eggs in vitro and to the embryos developed from these eggs being used in the treatment of himself together with a named partner, his wife. He refused to consent to the embryos being used for the purpose of treatment of others but did consent to them being used in any project of research.
c) Mrs B consented to her eggs being mixed with her husband's sperm and two resulting embryos being placed in her uterus. She did not consent to her eggs being mixed with donor sperm, and did not consent to any spare embryos being used for research purposes.
d) Mr B consented to his wife's treatment and records that he understood that he would be the father of any resulting child. He consented to his sperm being used to treat his wife. He expressly refused to consent to his sperm being used in treating others or in any research project.
"….there is a particular need for certainty in provisions affecting status…"
The legislation
"An Act to make provision in connection with human embryos and any subsequent development of such embryos; to prohibit certain practices in connection with embryos and gametes; to establish a Human Fertilisation and Embryology Authority; to make provision about the persons who in certain circumstances are to be treated in law as the parents of a child; and to amend the Surrogacy Arrangements Act 1985."
(1) "In this Act, except where otherwise stated –(a) embryo means a live human embryo where fertilisation is complete,and(b) references to an embryo include an egg in the process of fertilisation,and, for this purpose, fertilisation is not complete until the appearance of a two cell zygote.(2) This Act, so far as it governs bringing about the creation of an embryo, applies only to bringing about the creation of an embryo outside the human body; and in this Act –
(a) references to embryos the creation of which was brought about in vitro (in their application to those where fertilisation is complete) are to those where fertilisation began outside the human body whether or not it was completed there, and(b) references to embryos taken from a woman do not include embryos whose creation was brought about in vitro.(3) This Act, so far as it governs the keeping or use of an embryo, applies only to keeping or using an embryo outside the human body.
(4) References in this Act to gametes, eggs or sperm, except where otherwise stated, are to live human gametes, eggs or sperm but references below in this Act to gametes or eggs do not include eggs in the process of fertilisation."
(1) In this Act –"treatment services" means medical, surgical or obstetric services provided to the public or a section of the public for the purpose of assisting women to carry children.
(1) The following shall be conditions of every licence under paragraph 1 of Schedule 2 to this Act.…………
(5) A woman shall not be provided with treatment services unless account has been taken of the welfare of any child who may be born as a result of the treatment (including the need of that child for a father), and of any other child who may be affected by the birth.
(6) A woman shall not be provided with any treatment services involving –
(a) the use of any gametes of any person, if that person's consent is required under paragraph 5 of Schedule 3 to this Act for the use in question,(b) the use of any embryo the creation of which was brought about in vitro, or(c) the use of any embryo taken from a woman, if the consent of the woman from whom it was taken is required under paragraph 7 of that Schedule for the use in question,unless the woman being treated and, where she is being treated together with a man, the man have been given a suitable opportunity to receive proper counselling about the implications of taking the proposed steps, and have been provided with such relevant information as is proper.(7) Suitable procedures shall be maintained –
(a) for determining the persons providing gametes or from whom embryos are taken for use in pursuance of the licence, and(b) for the purpose of securing that consideration is given to the use of practices not requiring the authority of a licence as well as those requiring such authority.
(1) This section applies in the case of a child who is being or has been carried by a woman as the result of the placing in her of an embryo or of sperm and eggs or her artificial insemination.(2) If –
(a) at the time of the placing in her of the embryo or the sperm and eggs or of her insemination, the woman was a party to a marriage, and(b) the creation of the embryo carried by her was not brought about with the sperm of the other party to the marriage,then, subject to subsection (5) below, the other party to the marriage shall be treated as the father of the child unless it is shown that he did not consent to the placing in her of the embryo or the sperm and eggs or to her insemination (as the case may be).
(3) If no man is treated, by virtue of subsection (2) above, as the father of the child but –
(a) the embryo or the sperm and eggs were placed in the woman, or she was artificially inseminated, in the course of treatment services provided for her and a man together by a person to whom a licence applies, and(b) the creation of the embryo carried by her was not brought about with the sperm of that man,then, subject to subsection (5) below, that man shall be treated as the father of the child.
(4) Where a person is treated as the father of the child by virtue of ` subsection (2) or (3) above, no other person is to be treated as the father of the child.
(5) Subsections (2) and (3) above do not apply –
(a) in relation to England and Wales and Northern Ireland, to any child who, by virtue of the rules of common law, is treated as the legitimate child of the parties to a marriage,(b) (applies to Scotland only), or(c) to any child to the extent that the child is treated by virtue of adoption as not being the child of any person other than the adopter or adopters.(6) Where –
(a) the sperm of a man who had given such consent as is required by paragraph 5 of Schedule 3 to this Act was used for a purpose for which such consent was required, or(b) the sperm of a man, or any embryo the creation of which was brought about with his sperm, was used after his death,he is not to be treated as the father of the child.(7) The references in subsection (2) above to the parties to a marriage at the time there referred to –
(a) are to the parties to a marriage subsisting at that time, unless a judicial separation was then in force, but(b) include the parties to a void marriage if either or both of them reasonably believed at that time that the marriage was valid; and for the purposes of this subsection it shall be presumed, unless the contrary is shown, that one of them reasonably believed at that time that the marriage was valid.(8) This section applies whether the woman was in the United Kingdom or elsewhere at the time of the placing in her of the embryo or the sperm and eggs or her artificial insemination.
(9) In subsection (7)(a) above, "judicial separation" includes a legal separation obtained in a country outside the British Islands and recognised in the United Kingdom.
(1) Where by virtue of section 27 or 28 of this Act a person is to be treated as the mother or father of a child, that person is to be treated in law as the mother or, as the case may be, father of the child for all purposes.(2) Where by virtue of section 27 or 28 of this Act a person is not to be treated as the mother or father of a child, that person is to be treated in law as not being the mother or, as the case may be, father of the child for any purpose."
- Schedule 3, headed 'Consents to Use of Gametes or Embryos,' provides for the necessary consents from the couples preparing to undergo this treatment.
"1 A consent under this Schedule must be given in writing and, in this Schedule, "effective consent" means a consent under this Schedule which has not been withdrawn.3. Procedure for giving consent2 (1) A consent to the use of any embryo must specify one or more of the following purposes –
(a) use in providing treatment services to the person giving consent, or that person and another specified person together,(b) use in providing treatment services to persons not including the person giving consent, or(c) use for the purposes of any project of research,and may specify conditions subject to which the embryo may be so used.
(2) A consent to the storage of any gametes or any embryo must –
(a) specify the maximum period of storage (if less than the statutory storage period), and(b) state what is to be done with the gametes or embryo if the person who gave the consent dies or is unable because of incapacity to vary the terms of the consent or to revoke it,and may specify conditions subject to which the gametes or embryo may remain in storage.
(3) A consent under this Schedule must provide for such other matters as the Authority may specify in directions.
(4) A consent under this Schedule may apply –
(a) to the use or storage of a particular embryo, or(b) in the case of a person providing gametes, to the use or storage of any embryo whose creation may be brought about using those gametes,and in the paragraph (b) case the terms of the consent may be varied, or the consent may be withdrawn, in accordance with this Schedule either generally or in relation to a particular embryo or particular embryos.
(1) Before a person gives consent under this Schedule –5. Use of gametes for treatment of others(a) he must be given a suitable opportunity to receive proper counselling about the implications of taking the proposed steps, and(b) he must be provided with such relevant information as is proper.…………
(1) A person's gametes must not be used for the purposes of treatment services unless there is an effective consent by that person to their being so used and they are used in accordance with the terms of the consent.(2) A person's gametes must not be received for use for those purposes unless there is an effective consent by that person to their being so used.
(3) This paragraph does not apply to the use of a person's gametes for the purpose of that person, or that person and another together, receiving treatment services."
Hansard
Code of Practice
"Consent of the Husband or Male Partner and Legal Fatherhood5.6 Centres should adopt the procedures described in the following paragraphs in the interests of preventing or resolving a dispute at a later stage about the fatherhood of a child. (Centres are also referred to paragraph 3.17(1), above.)
5.7 A woman's husband will be the legal father of a child born as a result of treatment using donated sperm, unless they are judicially separated or he can prove that he did not consent to the treatment. If a married woman is being treated with donated sperm, centres should explain the position and ask her whether her husband consents to the treatment. If he does, the centre should take all practicable steps to obtain his written consent. If the woman does not know, or he does not consent, centres should, if she agrees, take all practicable steps to ascertain the position and (if this is the case) obtain written evidence that he does not consent.
5.8 If a woman is being treated together with a male partner, using donated sperm, and she is unmarried or judicially separated or her husband does not consent to the treatment, her male partner will be the legal father of any resulting child. Centres should explain this to them both and record at each appointment whether or not the man was present. Centres should try to obtain the written acknowledgement of the man both that they are being treated together and that donated sperm is to be used. Centres should also explain that when a child is born to an unmarried couple the male partner may not have parental responsibility for that child (Children Act 1989). Unmarried couples concerned about how parental responsibility affects their legal rights should seek their own legal advice."
"The whole scheme of the 1990 Act lays great emphasis upon consent. The new scientific techniques which have developed since the birth of the first IVF baby in 1978 open up the possibility of creating human life in ways and circumstances quite different from anything experienced before then. These possibilities bring with them huge practical and ethical difficulties. These have to be balanced against the strength and depth of the feelings of people who desperately long for the children which only these techniques can give them, as well as the natural desire of clinicians and scientists to use their skills to fulfil those wishes. Parliament has devised a legislative scheme and a statutory authority for regulating assisted reproduction in a way which tries to strike a fair balance between the various interests and concerns. Centres, the HFEA and the courts have to respect that scheme, however great their sympathy for the plight of particular individuals caught up in it."
Section 28
Section 28(2)
Section 28(3)
" We start from the proposition, advanced by Mr Jackson for the child's guardian, that section 28(3) is an unusual provision, conferring the relationship of parent and child on people who are related neither by blood nor by marriage. Conferring such relationships is a serious matter, involving as it does not only the relationship between father and child but also between the whole of the father's family and the child. The rule should only apply to those cases which clearly fall within the footprint of the statutory language.The wording of section 28 makes it clear that the time at which the legal paternity is created is the time when the embryo or the sperm and eggs which subsequently result in the birth of the child are placed in the woman. Section 28(2) expressly refers to the mother being married at that time. Section 28(3) expressly refers back to section 28(2) for the purpose of ensuring that the mother's husband is excluded from paternity. This suggests that they both refer to the same time. Section 28(3) also focuses on the act of placing the embryo or sperm and eggs in the mother, further suggesting that the question whether this is done 'in the course of treatment services provide for her and a man together' should be answered at that time and no other."
The Court of Appeal clearly did not consider that section 28(3) applied to husbands.
Treatment together
"I have no doubt that there is a mental element inherent in the notion of 'treatment together' and that, if the respondent had believed at all material times that the treatment which was being provided in which his sperm alone was to be used, Dr A's treatment of the applicant with donor sperm would not have amounted to services provided for them together."
Section 28(6)
The Human Rights Act and the European Convention on Human Rights
Article 8
"…exceptionally other factors may … serve to demonstrate that a relationship has sufficient constancy to create de facto 'family ties'."
Mrs B
Mr B
"Family life …. implies close personal ties in addition to parenthood…The Commission considers that the situation in which a person donates sperm only to enable a woman to become pregnant through artificial insemination does not of itself give the donor a right to respect for family life with the child."
"the real existence in practice of close personal ties."
"Not every natural father has a right to respect for his family life with regard to every child of whom he may be the father (see also McMichael v United Kingdom (1995) 20 EHRR 205). The application of Art 8(1) will depend upon the facts of each case."
Mrs A and Mr A
Adoption
The Twins
"I do not consider that that factual distinction begins to displace the points of principle to be drawn from the cases: first, that the interests of justice are best served by the ascertainment of the truth and secondly, that the court should be furnished with the best available science and not confined to such unsatisfactory alternatives as presumptions and inferences."
Certificate of Incompatibility
Conclusion