Legislation – Health and Care Act 2022

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Introduction

PART 1
Health service in England: integration, collaboration and other changes

1 NHS Commissioning Board renamed NHS England

2 Power to require commissioning of specialised services

3 Spending on mental health

4 NHS England mandate: general

5 NHS England mandate: cancer outcome targets

6 Duties as to reducing inequalities

7 Duties in respect of research: business plan and annual report etc

8 NHS England: wider effect of decisions

9 NHS England: duties in relation to climate change etc

10 Public involvement: carers and representatives

11 Information about inequalities

12 Support and assistance by NHS England

13 Exercise of functions relating to provision of services

14 Preparation of consolidated accounts for providers

15 Funding for service integration

16 Payments in respect of quality

17 Secondments to NHS England

18 Role of integrated care boards

19 Establishment of integrated care boards

20 People for whom integrated care boards have responsibility

21 Commissioning hospital and other health services

22 Commissioning primary care services etc

23 Transfer schemes in connection with transfer of primary care functions

24 Commissioning arrangements: conferral of discretions

25 General functions

26 Integrated care partnerships and strategies

27 NHS England’s financial responsibilities

28 Expansion of NHS England’s duties in respect of expenditure

29 Financial responsibilities of integrated care boards and their partners

30 Expansion of financial duties of integrated care boards and their partners

31 Care Quality Commission reviews etc of integrated care system

32 Integrated care system: further amendments

33 Abolition of Monitor and transfer of functions to NHS England

34 Exercise by NHS England of new regulatory functions

35 Modification of standard licence conditions

36 Abolition of NHS Trust Development Authority

37 Merger of bodies: consequential amendment

38 Transfer schemes in connection with abolished bodies

39 Transfer schemes under section 38: taxation

40 Duties in respect of research

41 Report on assessing and meeting workforce needs

42 Arrangements for exercise of public health functions

43 Power of direction: public health functions

44 Power of direction: investigation functions

45 General power to direct NHS England

46 Reconfiguration of services: intervention powers

47 Review into NHS supply chains

48 NHS trusts in England

49 Removal of power to appoint trust funds and trustees

50 Sections 48 and 49: consequential amendments

51 Licensing of NHS trusts

52 NHS trusts: wider effect of decisions

53 NHS trusts: duties in relation to climate change

54 Oversight and support of NHS trusts

55 Directions to NHS trusts

56 Recommendations about restructuring of NHS trusts

57 Intervention in NHS trusts

58 NHS trusts: conversion to NHS foundation trusts and dissolution

59 Appointment of chair of NHS trusts

60 Financial objectives for NHS trusts

61 Licensing of NHS foundation trusts

62 Capital spending limits for NHS foundation trusts

63 Accounts, reports and forward plans

64 NHS foundation trusts: joint exercise of functions

65 NHS foundation trusts: mergers, acquisitions and separations

66 Transfers on dissolution of NHS foundation trusts

67 NHS foundation trusts: wider effect of decisions

68 NHS foundation trusts: duties in relation to climate change

69 Transfer schemes between trusts

70 Trust special administrators

71 Joint working and delegation arrangements

72 References to functions: treatment of delegation arrangements etc

73 Repeal of duties to promote autonomy

74 Guidance about joint appointments

75 Co-operation by NHS bodies etc

76 Wider effect of decisions: licensing of health care providers

77 The NHS payment scheme

78 Regulations as to patient choice

79 Procurement regulations

80 Procurement and patient choice: consequential amendments etc

81 Eradicating slavery and human trafficking in supply chains

82 Duty to provide assistance to the CMA

83 Mergers of providers: removal of CMA powers

84 Removal of functions relating to competition etc

85 Removal of CMA’s involvement in licensing etc

86 Special Health Authorities: removal of 3 year limit

87 Tidying up etc provisions about accounts of certain NHS bodies

88 Meaning of “health” in NHS Act 2006

89 Repeal of spent powers to make transfer schemes etc

90 Abolition of Local Education and Training Boards

91 Hospital patients with care and support needs: repeals etc

PART 2
Health and adult social care: information

92 Information about payments etc to persons in the health care sector

93 Regulations under section 92: enforcement

94 Regulations under section 92: consent

95 Information standards

96 Sharing anonymous health and social care information

97 General duties of the Health and Social Care Information Centre etc

98 Collection of information from private health care providers

99 Collection of information about adult social care

100 Enforcement of duties against private providers

101 Medicine information systems

PART 3
Secretary of State’s powers to transfer or delegate functions

102 Relevant bodies and Special Health Authorities

103 Power to transfer functions between bodies

104 Power to provide for exercise of functions of Secretary of State

105 Scope of powers

106 Transfer schemes in connection with regulations

107 Transfer schemes: taxation

108 Consent and consultation

PART 4
The Health Services Safety Investigations Body

109 Establishment of the HSSIB

110 Investigation of incidents with safety implications

111 Deciding which incidents to investigate

112 Criteria, principles and processes

113 Final reports

114 Interim reports

115 Draft reports

116 Response to reports

117 Admissibility of reports

118 Powers of entry, inspection and seizure

119 Powers to require information etc

120 Voluntary provision of information etc

121 Offences relating to investigations

122 Prohibition on disclosure of HSSIB material

123 Exceptions to prohibition on disclosure

124 Offences of unlawful disclosure

125 Restriction of statutory powers requiring disclosure

126 Co-operation

127 Assistance of NHS bodies

128 Investigations relating to Wales and Northern Ireland

129 Failure to exercise functions

130 Review

131 Offences by bodies corporate

132 Offences by partnerships

133 Obligations of confidence etc

134 Consequential amendments relating to Part 4

135 Interpretation of Part 4

PART 5
Virginity testing and hymenoplasty offences

CHAPTER 1 Virginity testing offences

Virginity testing offences: England and Wales

136 Offence of virginity testing: England and Wales

137 Offence of offering to carry out virginity testing: England and Wales

138 Offence of aiding or abetting etc a person to carry out virginity testing: England and Wales

139 Virginity testing offences in England and Wales: penalties

Virginity testing offences: Scotland

140 Offence of virginity testing: Scotland

141 Offence of offering to carry out virginity testing: Scotland

142 Offence of aiding or abetting etc a person to carry out virginity testing: Scotland

143 Virginity testing offences in Scotland: penalties and supplementary

Virginity testing offences: Northern Ireland

144 Offence of virginity testing: Northern Ireland

145 Offence of offering to carry out virginity testing: Northern Ireland

146 Offence of aiding or abetting etc a person to carry out virginity testing: Northern Ireland

147 Virginity testing offences in Northern Ireland: penalties

CHAPTER 2 Hymenoplasty offences

Hymenoplasty offences: England and Wales

148 Offence of carrying out hymenoplasty: England and Wales

149 Offence of offering to carry out hymenoplasty: England and Wales

150 Offence of aiding or abetting etc a person to carry out hymenoplasty: England and Wales

151 Hymenoplasty offences in England and Wales: penalties

Hymenoplasty offences: Scotland

152 Offence of carrying out hymenoplasty: Scotland

153 Offence of offering to carry out hymenoplasty: Scotland

154 Offence of aiding or abetting etc a person to carry out hymenoplasty: Scotland

155 Hymenoplasty offences in Scotland: penalties and supplementary

Hymenoplasty offences: Northern Ireland

156 Offence of carrying out hymenoplasty: Northern Ireland

157 Offence of offering to carry out hymenoplasty: Northern Ireland

158 Offence of aiding or abetting etc a person to carry out hymenoplasty: Northern Ireland

159 Hymenoplasty offences in Northern Ireland: penalties

CHAPTER 3 Consequential amendments

160 Consequential amendments relating to Part 5

PART 6
Miscellaneous

161 Pharmaceutical services: remuneration in respect of vaccines etc

162 International healthcare arrangements

163 Regulation of local authority functions relating to adult social care

164 Default powers of Secretary of State in relation to adult social care

165 Care Quality Commission’s powers in relation to local authority failings

166 Cap on care costs for charging purposes

167 Provision of social care services: financial assistance

168 Regulation of health care and associated professions

169 Medical examiners

170 Commercial dealings in organs for transplantation: extra-territorial offences

171 Storage of gametes and embryos

172 Advertising of less healthy food and drink

173 Hospital food standards

174 Food information for consumers: power to amend retained EU law

175 Fluoridation of water supplies

176 Fluoridation of water supplies: transitional provision

177 Review into disputes relating to treatment of critically ill children

178 Early medical termination of pregnancy

179 Child safeguarding etc in health and care: policy about information sharing

180 Licensing of cosmetic procedures

181 Mandatory training on learning disability and autism

PART 7
General

182 Power to make consequential provision

183 Regulations

184 Financial provision

185 Extent

186 Commencement

187 Short title

SCHEDULES

SCHEDULE 1 Renaming of NHS Commissioning Board

SCHEDULE 2 Integrated care boards: constitution etc

SCHEDULE 3 Conferral of primary care functions on integrated care boards etc

SCHEDULE 4 Integrated care system: minor and consequential amendments

SCHEDULE 5 Abolition of Monitor and transfer of its functions

SCHEDULE 6 Intervention powers over the reconfiguration of NHS services

SCHEDULE 7 NHS trusts in England and removal of power to appoint trustees: consequential amendments

SCHEDULE 8 Trust special administrators: NHS trusts and NHS foundation trusts

SCHEDULE 9 References to functions: treatment of delegation arrangements etc

SCHEDULE 10 The NHS payment scheme

SCHEDULE 11 Patient choice: undertakings by integrated care boards

SCHEDULE 12 Removal of functions relating to competition etc

SCHEDULE 13 The Health Services Safety Investigations Body

SCHEDULE 14 Prohibition on disclosure of HSSIB material: exceptions

SCHEDULE 15 Consequential amendments relating to Part 4

SCHEDULE 16 Virginity testing and hymenoplasty: consequential amendments

SCHEDULE 17 Storage of gametes and embryos

SCHEDULE 18 Advertising of less healthy food and drink

SCHEDULE 19 Licensing of cosmetic procedures

SCHEDULES

SCHEDULE 17Storage of gametes and embryos

Section 171

PART 1Amendments to Human Fertilisation and Embryology Act 1990

Introductory

1

The Human Fertilisation and Embryology Act 1990 is amended as follows.

Maximum storage periods

2

(1)

Section 14 (conditions of storage licences) is amended as follows.

(2)

In subsection (1), for paragraph (c) substitute—

“(c)

that the requirements of subsection (3) (maximum storage periods) are met,”.

(3)

For subsections (3) to (5) substitute—

“(3)

The requirements referred to in subsection (1)(c) are as follows—

(a)

gametes must not be kept in storage for longer than such period not exceeding 55 years beginning with the day on which they are first placed in storage as the licence may specify;

(b)

an embryo must not be kept in storage for treatment purposes for longer than such period not exceeding 55 years beginning with the day on which it is first so kept as the licence may specify;

(c)

an embryo that is kept in storage for the research or training purpose but not for treatment purposes must not be so kept for longer than such period not exceeding 10 years beginning with the day on which consent was given under Schedule 3 to the storage of the embryo for that purpose as the licence may specify;

(d)

a human admixed embryo must not be kept in storage for longer than such period not exceeding 10 years beginning with the day on which it is first placed in storage as the licence may specify.

(4)

Where under Schedule 3 consent is given to the storage of an embryo for the training or research purpose by different persons on different days, the reference in subsection (3)(c) to the day on which consent was given is to be taken as a reference to the last of those days.

(5)

For the purposes of this section—

(a)

“treatment purposes” are purposes referred to in paragraph 2(1)(a) or (b) of Schedule 3;

(b)

the “training purpose” is the purpose referred to in paragraph 2(1)(ba) of that Schedule;

(c)

the “research purpose” is the purpose referred to in paragraph 2(1)(c) of that Schedule.”

3

In section 47 (index), omit the entry for the “Statutory storage period”.

4

In Schedule 3 (consents), in paragraph 2(2)(a), for “statutory storage period” substitute “period for which, by virtue of section 14(3), the gametes, embryo or human admixed embryo may be stored under the licence”.

Disposal of material

5

In section 14 (conditions of storage licences), in subsection (1), after paragraph (c) insert—

“(ca)

that any gametes, embryos or human admixed embryos that have been kept in storage pursuant to the licence must, once they may no longer lawfully be so kept, be removed from storage and disposed of, and”.

6

In section 17 (the person responsible), in subsection (1)(c), for “allowed to perish” substitute “removed from storage”.

7

(1)

Schedule 3 (consents) is amended as follows.

(2)

In paragraph 1—

(a)

in sub-paragraph (1), before the first “and” insert “any renewal of consent,”;

(b)

in sub-paragraph (2), before the first “and” insert “any renewal of consent by a person unable to sign,”;

(c)

in sub-paragraph (3)—

(i)

the words from ““effective consent” to the end become paragraph (a);

(ii)

after that paragraph insert—

“(b)

references to renewal of consent are to renewal of consent to the storage of any gametes or embryo under paragraph 11A or 11C.”

(3)

In paragraph 3, in sub-paragraph (1), after “gives” insert “or renews”.

(4)

After paragraph 11 insert—

11A

(1)

This paragraph applies where—

(a)

the gametes of a person (“P”) are in storage,

(b)

P’s consent to the storage of the gametes is required under paragraph 8(1),

(c)

there is effective consent from P to the storage of the gametes, and

(d)

the gametes are being kept for use for the purposes of providing treatment services to—

(i)

P, or

(ii)

P and another person together.

(2)

The person keeping the gametes in storage (“K”) must, in each consent period, request P to renew consent to storage of the gametes within the renewal period.

For the meaning of “consent period” and “renewal period”, see paragraph 11B.

(3)

A request under sub-paragraph (2) must be given in writing before the start of the renewal period.

(4)

The duty in sub-paragraph (2) ceases to apply if K is notified that P has died.

(5)

The duty in sub-paragraph (2) does not apply in relation to any consent period if—

(a)

K has at any time been informed in writing that P has been certified as lacking capacity to renew consent to storage of the gametes, and

(b)

K has not subsequently been informed in writing, before the start of the renewal period which relates to that consent period, that P has been certified as having capacity to renew consent to storage of the gametes.

(6)

P renews consent by informing K in writing that P consents to the storage of the gametes.

(7)

If P’s consent is not renewed under sub-paragraph (6) before the end of the consent period, K must, as soon as possible after the end of that period, give a notice to P stating that if P does not renew consent before the end of the renewal period, the gametes will be removed from storage and disposed of.

(8)

P’s consent to the storage of the gametes is to be taken as having been withdrawn at the end of a renewal period that relates to a consent period if—

(a)

K has complied with the requirements of sub-paragraphs (2) and (7) in relation to that consent period, and

(b)

P’s consent is not renewed under sub-paragraph (6) before the end of the renewal period.

But this is subject to sub-paragraphs (9) and (10).

(9)

If, in a case referred to in sub-paragraph (8)(a) and (b), P dies before the end of the renewal period—

(a)

P’s consent is not to be taken as withdrawn under sub-paragraph (8), but

(b)

if at the end of the period of 10 years beginning with the day on which P died there is still effective consent from P to the storage, P’s consent is to be taken as withdrawn at that time.

(10)

If, in a case referred to in sub-paragraph (8)(a) and (b), before the end of the renewal period P is certified as lacking capacity to renew consent—

(a)

P’s consent is not to be taken as withdrawn under sub-paragraph (8), but

(b)

if at the end of the period of 10 years beginning with the day on which P was so certified there is still effective consent from P to the storage, P’s consent is to be taken as withdrawn at that time.

(11)

But P’s consent is not to be taken as withdrawn under sub-paragraph (10)(b) if, before the time it would be taken to be withdrawn under that sub-paragraph—

(a)

P is certified as having capacity to renew consent to storage of the gametes, and

(b)

P renews consent to storage of the gametes by informing K in writing that P consents to their storage.

(12)

In a case where P renews consent under sub-paragraph (11)(b), this paragraph applies subsequently as if references to a consent period were to—

(a)

the period of 10 years beginning with the day on which P so renewed consent, and

(b)

each successive period of 10 years.

11B

(1)

For the purposes of paragraph 11A, each of the following is a “consent period”—

(a)

the period of 10 years beginning with the relevant day, and

(b)

each successive period of 10 years.

(2)

In sub-paragraph (1)(a) “relevant day” means—

(a)

the day on which the gametes are first placed in storage, or

(b)

in a case where sub-paragraph (3) or (5) applies, the day on which P gives consent to the storage of the gametes.

(3)

This sub-paragraph applies where the gametes are taken from or provided by P before P attains the age of 18 years and, at the time the gametes are first stored—

(a)

P has not attained the age of 16 years and is not competent to deal with the issue of consent to storage of the gametes, or

(b)

P has attained that age but, although not lacking capacity to consent to the storage of the gametes, is not competent to deal with the issue of consent to their storage.

(4)

In relation to Scotland, sub-paragraph (3) is to be read as if, for paragraphs (a) and (b), there were substituted “P does not have capacity (within the meaning of section 2(4) of the Age of Legal Capacity (Scotland) Act 1991) to consent to storage of the gametes”.

(5)

This sub-paragraph applies where the gametes are taken from or provided by P after P attains the age of 16 years and, at the time the gametes are first stored, P lacks capacity to consent to their storage.

(6)

In paragraph 11A “the renewal period”, in relation to a consent period, means the period which—

(a)

begins 12 months before the end of the consent period, and

(b)

ends 6 months after the end of the consent period.

(7)

In paragraph 11A “certified” means certified in writing by a registered medical practitioner.

(8)

In paragraph 11A and this paragraph, in relation to Scotland, references to a person lacking or having capacity to consent or renew consent are to be read as references to the person being or not being incapable (within the meaning of section 1(6) of the Adults with Incapacity (Scotland) Act 2000) of consenting or renewing consent.

11C

(1)

This paragraph applies where—

(a)

an embryo, the creation of which was brought about in vitro, is in storage,

(b)

the embryo is being kept for use for the purposes of providing treatment services to—

(i)

a person (“P”) whose gametes or human cells were used to bring about the creation of the embryo, or

(ii)

P and another person together,

(c)

P’s consent to the storage of the embryo is required under paragraph 8(2), and

(d)

there is effective consent from P to the storage of the embryo.

(2)

The person keeping the embryo in storage (“K”) must, in each consent period, request P to renew consent to storage of the embryo within the renewal period.

For the meaning of “consent period” and “renewal period”, see paragraph 11D.

(3)

A request under sub-paragraph (2) must be given in writing before the start of the renewal period.

(4)

The duty in sub-paragraph (2) ceases to apply if—

(a)

K is notified that P has died, or

(b)

K is notified under paragraph 4A(1)(c) of the withdrawal of a person’s consent to storage of the embryo.

(5)

The duty in sub-paragraph (2) does not apply in relation to any consent period if—

(a)

K has at any time been informed in writing that P has been certified as lacking capacity to renew consent to storage of the embryo, and

(b)

K has not subsequently been informed in writing, before the start of the renewal period which relates to that consent period, that P has been certified as having capacity to renew consent to storage of the embryo.

(6)

P renews consent by informing K in writing that P consents to the storage of the embryo.

(7)

If P’s consent is not renewed under sub-paragraph (6) before the end of the consent period, K must, as soon as possible after the end of that period, give a notice to P stating that if P does not renew consent before the end of the renewal period, the embryo will be removed from storage and disposed of.

(8)

P’s consent to the storage of the embryo is to be taken as having been withdrawn at the end of a renewal period that relates to a consent period if—

(a)

K has complied with the requirements of sub-paragraphs (2) and (7) in relation to that consent period, and

(b)

P’s consent is not renewed under sub-paragraph (6) before the end of the renewal period.

But this is subject to sub-paragraphs (9) and (10).

(9)

If, in a case referred to in sub-paragraph (8)(a) and (b), P dies before the end of the renewal period—

(a)

P’s consent is not to be taken as withdrawn under sub-paragraph (8), but

(b)

if at the end of the period of 10 years beginning with the day on which P died there is still effective consent from P to the storage, P’s consent is to be taken as withdrawn at that time.

(10)

If, in a case referred to in sub-paragraph (8)(a) and (b), before the end of the renewal period P is certified as lacking capacity to renew consent—

(a)

P’s consent is not to be taken as withdrawn under sub-paragraph (8), but

(b)

if at the end of the period of 10 years beginning with the day on which P was so certified there is still effective consent from P to the storage, P’s consent is to be taken as withdrawn at that time.

(11)

But P’s consent is not to be taken as withdrawn under sub-paragraph (10)(b) if, before the time it would be taken to be withdrawn under that sub-paragraph—

(a)

P is certified as having capacity to renew consent to storage of the embryo, and

(b)

P renews consent to storage of the embryo by informing K in writing that P consents to its storage.

(12)

In a case where P has renewed consent under sub-paragraph (11)(b), this paragraph applies subsequently as if references to the consent period were to—

(a)

the period of 10 years beginning with the day on which P so renewed consent, and

(b)

each successive period of 10 years.

(13)

Where P’s consent is taken as withdrawn under this paragraph, K must, as soon as possible, take all reasonable steps to give notice of the withdrawal to each person whose gametes or human cells were used to bring about its creation.

(14)

Storage of the embryo remains lawful until—

(a)

the end of the period of 6 months beginning with the day on which P’s consent is taken as withdrawn under this paragraph, or

(b)

if, before the end of that period, K receives a notice from each person notified under sub-paragraph (13) stating that the person consents to the disposal of the embryo, the time at which the last of those notices was received.

11D

(1)

For the purposes of paragraph 11C, each of the following is a “consent period”—

(a)

the period of 10 years beginning with the day on which the embryo is first placed in storage, and

(b)

each successive period of 10 years.

(2)

In paragraph 11C “the renewal period”, in relation to a consent period, means the period which—

(a)

begins 12 months before the end of the consent period, and

(b)

ends 6 months after the end of the consent period.

(3)

In paragraph 11C “certified” means certified in writing by a registered medical practitioner.

(4)

In paragraph 11C, in relation to Scotland, references to a person lacking or having capacity to renew consent are to be read as references to the person being or not being incapable (within the meaning of section 1(6) of the Adults with Incapacity (Scotland) Act 2000) of renewing consent.”

PART 2Transitional provision

Interpretation

8

(1)

In this Part of this Schedule—

“the commencement day” means 1 July 2022;

“the transitional period” means the period beginning with the commencement day and ending with 30 June 2024.

(2)

In this Part of this Schedule—

“the 1990 Act” means the Human Fertilisation and Embryology Act 1990;

“the 2009 Regulations” means the Human Fertilisation and Embryology (Statutory Storage Period for Embryos and Gametes) Regulations 2009 (S.I. 2009/1582);

“the 2020 Regulations” means the Human Fertilisation and Embryology (Statutory Storage Period for Embryos and Gametes) (Coronavirus) Regulations 2020 (S.I. 2020/566).

(3)

In this Part of this Schedule—

“gamete storage licence” means a licence under Schedule 2 to the 1990 Act that authorises the storage of gametes;

“embryo storage licence” means a licence under Schedule 2 to the 1990 Act that authorises the storage of embryos;

“storage licence” means a licence under Schedule 2 to the 1990 Act that authorises the storage of gametes, embryos or human admixed embryos;

“pre-commencement”, in relation to a storage licence, or a storage licence of any description, means granted before the commencement day and “post-commencement” means granted on or after that day.

(4)

In this Part of this Schedule—

“statutory storage period” has the same meaning as in the 1990 Act immediately before the commencement day;

references to gametes, embryos and human admixed embryos have the same meaning as in that Act;

“the training purpose”, “the research purpose” and “treatment purposes” have the same meanings as in section 14(3)(c) of that Act.

Application of Part 1 to material already in storage

9

(1)

The amendments in paragraphs 2 to 6 of this Schedule have effect in relation to pre-commencement storage licences under which gametes, embryos or human admixed embryos are kept in storage on or after the commencement day (as well as having effect in relation to post-commencement storage licences).

This is subject to sub-paragraphs (2) and (3).

(2)

In the case of a pre-commencement embryo storage licence, the condition imposed by section 14(3)(c) of the 1990 Act (as substituted by paragraph 2 of this Schedule) does not apply in relation to an embryo which, on the commencement day, is kept in storage for the training or research purpose but not for treatment purposes.

(3)

In the case of any pre-commencement storage licence, the condition imposed by section 14(1)(ca) of the 1990 Act (as substituted by paragraph 5 of this Schedule) applies only in relation to times on or after the commencement day.

10

The amendments made by paragraph 7 of this Schedule have effect in relation to the storage of gametes and embryos under a pre-commencement gamete or embryo storage licence, where the gametes or embryos are kept in storage on or after the commencement day (as well as having effect in relation to the storage of gametes and embryos under a post-commencement gamete or embryo storage licence).

Date of first storage

11

(1)

This paragraph applies if the person storing gametes or an embyro under a pre-commencement gamete or embryo storage licence—

(a)

has, before the end of the transitional period, taken all reasonable steps to establish the date on which the gametes were or embryo was first placed in storage, but

(b)

is unable to establish that date.

(2)

The person may give a notice to each person whose consent to the storage is required under Schedule 3 to the 1990 Act specifying a date on which the gametes are or embryo is to be regarded as having been first placed in storage.

(3)

Where notice is given under sub-paragraph (2), the gametes are or embryo is to be regarded, for all purposes of the 1990 Act and this Part of this Schedule, as having been first placed in storage on the date specified in the notice.

Storage periods specified in pre-commencement storage licences

12

(1)

For the purposes of section 14(3)(a) of the 1990 Act (as substituted by paragraph 2 of this Schedule), a pre-commencement gamete storage licence under which, on and after the commencement day, gametes are kept in storage is to be regarded as specifying the period of 55 years beginning with the day on which the gametes were first placed in storage.

(2)

For the purposes of section 14(3)(b) of the 1990 Act (as substituted by paragraph 2 of this Schedule), a pre-commencement embryo storage licence under which, on and after the commencement day, an embryo is kept in storage for treatment purposes is to be regarded as specifying for those purposes the period of 55 years beginning with the day on which the embryo was first so kept.

13

(1)

If a pre-commencement consent to the storage of gametes or an embryo expires at any time in the transitional period, the storage of the gametes or embryo for the remainder of that period is not unlawful merely because of that fact.

(2)

In sub-paragraph (1)—

(a)

“pre-commencement consent” means consent given under Schedule 3 to the 1990 Act before the commencement day;

(b)

the reference to expiry of consent does not include withdrawal.

14

(1)

This paragraph applies in relation to the storage of gametes or an embryo under a pre-commencement gamete or embryo storage licence where, immediately before the commencement day, there is no effective consent to the storage by a relevant person.

(2)

The person keeping the gametes or embryo in storage must request the relevant person to give consent to the storage under Schedule 3 to the 1990 Act.

(3)

A request under sub-paragraph (2) must be given before 1 July 2023 in writing.

(4)

The storage of the gametes or embryo at any time before the end of the transitional period is not unlawful merely because there is no effective consent to the storage by the relevant person.

(5)

In this paragraph—

“effective consent” means consent under Schedule 3 to the 1990 Act which has not been withdrawn;

“relevant person” means a person whose consent is required under Schedule 3 to the 1990 Act to storage of the gametes or embryo.

15

(1)

This paragraph applies in relation to the storage of gametes under a pre-commencement gamete storage licence where the statutory storage period applicable immediately before the commencement day was provided for by—

(a)

regulation 4, 4A, 7 or 8 of the 2009 Regulations, or

(b)

regulation 4 of the 2020 Regulations.

(2)

For the purposes of paragraph 11A of Schedule 3 to the 1990 Act (as inserted by paragraph 7 of this Schedule), paragraph 11B(1)(a) of that Schedule has effect as if the reference to the period of 10 years beginning with the relevant day were a reference to the period which—

(a)

begins with the relevant day, and

(b)

ends at the end of the statutory storage period referred to in sub-paragraph (1).

16

(1)

This paragraph applies in relation to the storage of an embryo under a pre-commencement embryo storage licence where the statutory storage period applicable immediately before the commencement day was provided for by—

(a)

regulation 3, 3A, 5 or 6 of the 2009 Regulations, or

(b)

regulation 3 of the 2020 Regulations.

(2)

For the purposes of paragraph 11C of Schedule 3 to the 1990 Act (as inserted by paragraph 7 of this Schedule), paragraph 11D(1)(a) of that Schedule has effect as if the reference to the period of 10 years beginning with the day on which the embryo was first placed in storage were a reference to the period which—

(a)

begins with the day on which the embryo was first so placed, and

(b)

ends at the end of the statutory storage period referred to in sub-paragraph (1).

Renewals falling due in the transitional period

17

(1)

This paragraph applies in relation to the storage of gametes under a pre-commencement gamete storage licence in a case where—

(a)

paragraph 11A of Schedule 3 to the 1990 Act applies in relation to the storage, and

(b)

for the purposes of that paragraph, the first consent period (see paragraph 11B(1)(a) of that Schedule) ends in the transitional period.

(2)

Where this paragraph applies, paragraph 11A of Schedule 3 to the 1990 Act has effect in relation to that first consent period as if—

(a)

for sub-paragraphs (2) and (3) there were substituted—

“(2)

The person keeping the gametes in storage (“K”) must request P to renew consent to storage of the gametes before 1 July 2024.

(3)

A request under sub-paragraph (2) must—

(a)

be given in writing before 1 July 2023;

(b)

state that if P does not renew consent before 1 July 2024, the gametes will be removed from storage and disposed of.”;

(b)

in sub-paragraph (5)(b), for “the start of the renewal period which relates to that consent period” there were substituted “1 July 2023”;

(c)

sub-paragraph (7) were omitted;

(d)

for sub-paragraph (8) there were substituted—

“(8)

P’s consent to the storage of the gametes is to be taken as having been withdrawn at the beginning of 1 July 2024 if—

(a)

K has complied with sub-paragraph (2), and

(b)

P’s consent is not renewed under sub-paragraph (6) before 1 July 2024.

But this is subject to sub-paragraphs (9) and (10).”;

(e)

in sub-paragraphs (9) and (10), references to the end of the renewal period were to 1 July 2024.

18

(1)

This paragraph applies in relation to the storage of an embryo under a pre-commencement embryo storage licence in a case where—

(a)

paragraph 11C of Schedule 3 to the 1990 Act applies in relation to the storage, and

(b)

for the purposes of that paragraph, the first consent period (see paragraph 11D(1)(a) of that Schedule) ends in the transitional period.

(2)

Where this paragraph applies, paragraph 11C of Schedule 3 to the 1990 Act has effect in relation to that first consent period as if—

(a)

for sub-paragraphs (2) and (3) there were substituted—

“(2)

The person keeping the embryo in storage (“K”) must request P to renew consent to storage of the embryo before 1 July 2024.

(3)

A request under sub-paragraph (2) must—

(a)

be given in writing before 1 July 2023;

(b)

state that if P does not renew consent before 1 July 2024, the embryo will be removed from storage and disposed of.”;

(b)

in sub-paragraph (5)(b), for “the start of the renewal period which relates to that consent period” there were substituted “1 July 2023”;

(c)

sub-paragraph (7) were omitted;

(d)

for sub-paragraph (8) there were substituted—

“(8)

P’s consent to the storage of the embryo is to be taken as having been withdrawn at the beginning of 1 July 2024 if—

(a)

K has complied with sub-paragraph (2), and

(b)

P’s consent is not renewed under sub-paragraph (6) before 1 July 2024.

But this is subject to sub-paragraphs (9) and (10).”;

(e)

in sub-paragraphs (9) and (10), references to the end of the renewal period were to 1 July 2024.