Gamble & Ghevaert

Posts Tagged ‘Natalie Gamble’

International surrogacy parents speak to the World at One

Tuesday, October 11th, 2011

Parents Michelle and Paul (names changed) spoke to BBC Radio 4′s World at One today about their experiences of international surrogacy, and the problems with surrogacy law in the UK.  Their legal case (in which we represented them successfully) was reported anonymously by the High Court last December (as Re L (a minor) 2010) and received national press coverage at the time.  Michelle and Paul took the brave decision today to speak about their personal experiences, in order to highlight the difficulties they have faced.

As Michelle and Paul explained, they entered into a surrogacy arrangement in Illinois after a very long and difficult journey of failed IVF and miscarriages.  They did so in accordance with the law in Illinois and underwent a thorough vetting process with a clear legal procedure designed to protect all involved.  Under Illinois law, they were treated as the legal parents of their child from the outset. 

However, UK law treated their surrogate and her husband as the legal parents, despite the fact that neither had any biological connection with the child.  Michelle and Paul therefore needed an English High Court order to become Mum and Dad in the UK. 

One of the key issues for the court here to consider was the mismatch between UK and Illinois law regarding the issue of payments  to their surrogate.  In Illinois, payments for a surrogate’s inconvenience and discomfort can legitimately be made, although payments for a child are not allowed.  In the UK, the law refers to ‘reasonable expenses’ (with no definition of what that means) but confusingly also gives the court a specific power to ‘authorise’ other payments.  Ultimately in this case Mr Justice Hedley, noting that Michelle and Paul were the ‘most careful and conscientious of parents’, agreed to authorise the payments so that they could be approved as legal parents.  However, he did not accept that the inconvenience payments to their surrogate were reasonable expenses. 

It’s a story with a happy outcome, but one which shows that working out what is acceptable to pay for surrogacy at home and abroad is tricky. 

In Illinois there is a clear legal framework in which payments are agreed and set out in writing at the outset (following counselling, psychological assessments and legal advice for all).   If everything is done correctly at the outset, then the child is a part of the intended parents’ family throughout.

There is no such certainty under UK law.   Every judge can interpret what is ‘reasonable’ differently, and the issue will only be considered after the birth of the child when the payments have been long since made, by which time there will always be tremendous pressure on the court to make an order protecting the child’s welfare.  As Michelle pointed out so poignantly, the value paid to the surrogate in this case was in fact no more than what has been accepted as being reasonable expenses for surrogacy in the UK, but it was not considered expenses in their case because the arrangement was an international one set up within a different legal framework. 

We are left asking – where the values being paid for surrogacy are comparable, does it make any sense to treat them differently just because they are called compensation rather than expenses, and just because they are agreed in writing at the outset?  Would it not be better to have a more upfront system in the UK which resolves these issues at the start, rather than after the event?  

You can hear the interview at http://www.bbc.co.uk/programmes/b006qptc

There is more information about international surrogacy law on our website.

Can you trust your surrogacy lawyer?

Monday, September 12th, 2011

By Natalie Gamble

Appeared in BioNews 624

Theresa Erickson, a high profile Californian attorney specialising in assisted reproduction law (self-styled online and in the media as ‘the surrogacy lawyer’) pleaded guilty last month to charges relating to her involvement in a baby selling scam. The case has sent shock waves through the US assisted reproduction law community, which is reeling at the disgrace of one of its best known members.

But although the story is shocking, I would hate to think that wider conclusions might be drawn about the way in which commercial surrogacy is practiced (legally) in many US states, or that US surrogacy lawyers in general should not be trusted. As well as being a story about the wrongs, this is a story of ethical boundaries being enforced, and a story of reputable US surrogacy attorneys who ensured that an unethical and illegal scheme was exposed and stopped.

How did the scheme work?

According to news reports and information posted online from those involved, Ms Erickson, working with another lawyer, Ms Neiman, and a third woman, Ms Chambers, recruited ‘surrogate mothers’ in the USA and arranged for them to travel to the Ukraine where embryos were transferred which had been created with donated eggs and sperm. The birth mothers were assured that this was perfectly legal and was ‘just another way of doing surrogacy’, and that there was a long list of intended parents waiting for their help.

Once the birth mothers were three months’ pregnant then – and only then – would the conspirators advertise for prospective intended parents. The couples who approached them were told, falsely, that intended parents had backed out of a planned surrogacy and that, for a substantial fee, they could step in. Ms Erickson then filed fraudulent papers with the Californian court to enable the parents to be named on the birth certificate. The scheme was said to have been carried out on at least twelve occasions.

What happened to expose the scam?

One of the birth mothers involved, suspecting something was amiss, approached another US assisted reproduction attorney for advice about whether this really was legitimate surrogacy practice. The attorney was concerned and contacted the chair of the American Bar Association’s Assisted Reproductive Technology Committee. He approached Ms Erickson to ask her about the scheme (she denied any involvement) and then, with the support of a colleague based in California where Ms Erickson was based, followed his professional duty to report dishonest or criminal conduct, and referred the case to the FBI. Following an investigation, Ms Erickson was charged and pleaded guilty. She is currently awaiting sentencing and faces up to five years in prison.

(I should add that the intended parents involved, all of whom were exonerated of any wrongdoing, have since been legally confirmed as the parents of the children they have, in effect, adopted).

Why was the scheme wrong?

This baby-making scam was so deeply and fundamentally wrong that it is difficult to know where to start. What shocks me the most, I suppose, was the flagrant disregard for all those involved – for the birth mothers who became pregnant on the basis of a lie (and the abuse of trust, relying on the reputation of a well-known lawyer, which that involved), for the intended parents whose desperation was exploited so greedily, and most of all for the preciousness of the lives of the children conceived, not within a loving family, but by design and for profit.

This was not, on anyone’s definition, really surrogacy. Under UK law, surrogacy involves artificial conception with the gametes of one or both of the intended parents (which quite obviously has to involve the intended parents from the outset). The rules are different in California, but surrogacy still has to involve an arrangement between specific individuals made before conception. Baby selling or adoption for profit is therefore probably a more accurate categorisation, although of course Ms Erickson was a well known surrogacy lawyer and so those involved were able to ‘sell’ the scam as surrogacy.

Interestingly, Ms Erickson was ultimately convicted, not of baby selling or any offences directly related to assisted reproduction, but of wire transfer fraud. Given the context, this has the resonance of Al Capone being convicted for tax evasion. However, I suppose it is appropriate that Ms Erickson has been held to account for deception (the scheme had, as I understand it, involved lies to the surrogates, the intended parents and even the Californian court). If the rules are anything like they are in the UK, whether or not she goes to prison, Ms Erickson will never be able to practice law again.

What does this mean for surrogacy lawyers in the USA?

Lawyers hold a very special position of trust and credibility. The essence of legal practice is to help others to comply with the law, and this carries a strict duty of honesty and integrity as well as, obviously, legality. This case is a perfect example of why the professional standards for lawyers are – quite rightly – so high. Would this scheme have been credible to the participants had Ms Erickson not been involved and, crucially, had she not been a well known lawyer? It seems doubtful.

This is, in many ways, an almost science fiction style tale of the creation of life for sale. But it is a strange and unusual case, and I would hate to think that wider conclusions about how surrogacy is practiced in the USA might be drawn from it. I salute the bravery and professionalism of the lawyers who ensured that their dishonest colleague was held criminally accountable – it cannot have been an easy decision. On behalf of them and the many other scrupulous US surrogacy lawyers I have worked with, I say shame on you Ms Erickson.

More information about international surrogacy law for those considering a US surrogacy arrangement is available 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.

BBC Radio 4 Woman’s Hour debates whether the UK should allow commercial surrogacy

Friday, June 3rd, 2011

radio4-logo

BBC

Natalie Gamble was interviewed on this morning’s Woman’s Hour by Jenni Murray, in a debate about whether it is time for UK law on payments for surrogacy to be updated.  Responding to the comments made by High Court judge Mr Justice Hedley on last weeks’ World at One (about several cases in which we acted for the parents), Woman’s Hour considered how the UK should respond to the growing phenomenon of Brits going abroad for surrogacy. 

Working with many parents conceiving through international surrogacy arrangements, we know very well how difficult the current law is for  families, and the risks it poses for newborn children who can be stranded stateless and parentless in a foreign country.  Natalie was interviewed on the programme together with Kim Cotton, surrogate mother and founder of COTS, and Lecturer in Ethics Anna Smajdor.  You can listen to the debate at http://www.bbc.co.uk/programmes/b011jx05.

There is more information on our website about surrogacy law and about the reasons why we think the current surrogacy laws need changing.

Natalie quoted in today’s Guardian on the Elton John story

Wednesday, December 29th, 2010

From the Guardian, 29 December 2010 (Helen Pidd):

You can tell everybody this is our son

Helen Pidd byline. Helen Pidd

Elton John and David Furnish John and Furnish announced that their son had been born on Christmas Day. Photograph: Theo Wargo/Getty Images/Time Inc
When the Beatles imagined their lives aged 64, they sang of knitting sweaters by the fireside, doing the garden and balancing grandchildren on their knees. Three months off that landmark birthday, Elton John might have partly retired from the pop music industry, but he is set to be busier than ever after becoming a father for the first time. The singer announced today that he and his partner, David Furnish, who is 48, have become parents after using a surrogate mother in the US.
The boy, Zachary Jackson Levon Furnish-John, was born in California on Christmas Day, weighing 7lb 15oz, John’s LA-based publicist confirmed. The name Levon is the title of a track on John’s 1971 album Madman Across the Water. In a statement, the couple said: “We are overwhelmed with happiness and joy at this very special moment. Zachary is healthy and doing really well, and we are very proud and happy parents.” The identity of their son’s surrogate mother is being protected by the new parents, and all questions about the birth and conception were answered “no comment” by the singer’s UK-based publicist.

It is not known who is the father, but Natalie Gamble, a specialist in fertility law at Gamble and Ghevaert LLP, said that one or both men will have provided sperm. She said that in all Californian cases of which she was aware, prospective parents must provide the sperm, and the egg would come not from the surrogate but a second woman.

John has spoken in the past of his desire to become a father, announcing last autumn that he wanted to adopt a 14-month-old boy from an orphanage in Ukraine. He said then that the couple had always talked about adoption, but that he had objected because of his age.

It was the death of his keyboard player, Guy Babylon, that helped to change his mind. Babylon, who died of a heart attack aged 52 last year, had two children whom John described as “wonderful”. He said at the time: “What better opportunity to replace someone I lost than to replace him with someone I can give a future to?” His plans to adopt were reportedly thwarted by Ukrainian laws. Instead, the couple turned to the US, a popular destination for UK citizens hoping to enter into surrogate arrangements.

In some US states, including California, parents who have paid a surrogate can apply for a prebirth order. This means that they, and not the woman who carried the baby, will be listed on the birth certificate as parents, regardless of whose egg and sperm was used in conception. And in California, unlike in Britain, surrogates can be paid an unlimited fee.

Olga van den Akker, professor of health psychology at Middlesex University, said the potentially enormous sum paid by John – who has an estimated fortune of £185m, according to the Sunday Times Rich List – could cause problems for his son further down the line. “We don’t know how much Elton John paid for him, but it was almost certainly a lot more than he would have paid in the UK, where around £10,000 per child is the norm. In the US, babies can cost a lot, lot more than that, especially where celebrities are involved. “Problems could arise if he thinks that he has been sold by his ‘mother’ – either the surrogate, and/or the egg donor, if one was involved.”

Lawyers said that the sum paid would become legally important if John and Furnish want to bring up Zachary in the UK, where surrogacy is legal only for altruistic and not commercial reasons. Surrogacy has been regulated in Britain since 1985, after Kim Cotton was paid £6,500 to carry a child conceived using her own egg and the sperm of a man whose wife was infertile. Gamble said: “The immigration and nationality rules are complex, and John and Furnish’s child may require special permission from the Home Office to enter the UK. In any event, their legal status in California will not be automatically recognised here, and they will need to apply to the UK high court for a parental order which legally recognises them as parents.”

A judge must then weigh the child’s welfare against the need to uphold public policy – in other words, recognising the child’s need for loving parents while acknowledging that UK law does not encourage the commercialisation of surrogacy, said Gamble. “Of the three publicly available judgments made on foreign surrogacy arrangements in the UK court since 2008, all three have allowed the child to stay with the parents,” added Gamble, who this month represented a couple in a similar situation to John and Furnish.

In that case, the couple were deemed to have paid more than just “reasonable expenses” to an American surrogate. But Mr Justice Hedley allowed the couple to keep the child after ruling that the existing rules on payments were unclear, and that the baby’s welfare must be the main consideration. Only in the “clearest case” of surrogacy for profit would a couple be refused the necessary court order to keep the baby, he said.

Andrea Williams, director of the Christian Legal Centre, said: “Children are not commodities to be bought and sold. It is not the case that everybody has the right to a child, whatever the cost.”

Potential legal issues aside, several celebrities congratulated the singer, with Elizabeth Hurley among the first to offer her best wishes. She wrote on Twitter: “Massive congratulations to David and Elton on having their beautiful son. Can’t wait for my first cuddle.” Lord Sugar expressed disbelief at the news, tweeting on the microblogging site: “Am I hearing things right on Sky news Elton John becomes a surrogate father.” He added about an hour later: “Oh well congratulations to him.”

Surrogacy and the law

UK

• Only non-commercial (ie altruistic) surrogacy is legal.

• Surrogates cannot be paid a fee for carrying a child. They may only charge “reasonable expenses” ranging from £12,000 to £15,000, according to the voluntary organisation Childlessness Overcome Through Surrogacy.

• UK law does not recognise surrogacy as a binding agreement on either party. There is little the intended parents can do to secure their position before the birth, even if baby is genetically related to both intended parents and not the surrogate. It is illegal to advertise for surrogates or intended parents.

• The surrogate is always registered as the legal mother of the child, even if an embryo from the recipient couple was used, as in gestational surrogacy.

California

• Commercial surrogacy is legal.

• Surrogates can be paid unlimited fees for carrying children.

• The commissioning couple have parental responsibility, not the woman who gave birth to the child. Californian courts have consistently upheld the intended parents’ rights and obligations to their parenthood when they use a surrogate or egg donor to help create their families.

• Surrogacy agencies are legal. Surrogates and egg donors can advertise themselves on websites.

• California recognises a contractual intent as a basis for parentage, meaning that prospective parents using surrogates can get their names on the child’s birth certificates.

There is more information about gay surrogacy law and international surrogacy law on our website

Natalie Gamble speaks at Progress Educational Trust Annual Conference: Cross Border Reproductive Care – Who oversees overseas?

Sunday, December 5th, 2010

Natalie Gamble was delighted to address the Progress Educational Trust’s Annual Conference on 24 November 2010, speaking to an eminent audience about the legal issues for patients having fertility treatment overseas, including donor conception and international surrogacy.

Reproduced below is Rachel Lyons’ article about the event, which appeared in BioNews 586

In a cold room at the Institute of Child Health in London, talk turned to warmer climes during session two of the Progress Educational Trust (PET)’s conferencePassport to Parenthood’. Even though the temperature of the room was cold, the debate surrounding who does (and should) oversee overseas cross-border reproductive care ‘hotted up’.

The session was chaired by Dr Evan Harris, adviser to the Social Liberal Forum and former Liberal Democrat Shadow Science Minister. The main aim of this session was to provide an overview of the current legal and regulatory frameworks surrounding cross-border care and to establish whether any changes are required.

The first panellist of the session was Juliet Tizzard, Head of Policy at the Human Fertilisation and Embryology Authority (HFEA). The HFEA is the UK’s fertility regulator and has a clear responsibility for regulating the activities of fertility centres in the UK. Juliet’s talk mainly focused on the question of whether this responsibility applies to overseas reproductive treatments.

Juliet began by outlining three ways in which the HFEA (and its clinics) has a responsibility, role or duty in relation to cross-border reproductive care. Namely: to inform the patient about the possibility of going abroad for services, to refer them abroad for reproductive services, or to be involved in the shared care arrangement system between the UK, European Union (EU) member states and internationally.

Juliet said the circumstances surrounding shared care arrangements cause the most problems for the HFEA. According to Juliet, the HFEA has sought legal advice on the extent of its powers to regulate the activities of UK licensed clinics which enter into a shared care arrangement. The advice that the HFEA received was unequivocal. The HFEA has almost no powers over clinics that provide information about or refer patients to clinics in other countries.

Regardless of this however, Juliet explained that the HFEA does expect centres, whether referring patients abroad or recommending shared, cross-border care, to provide patients with information about the consequences of having treatment outside the UK. For instance, patients having donor conception treatment abroad should be made aware that they (and their resultant child/children) will not be able to request information from the HFEA about their donor.

Juliet concluded by saying the HFEA will soon be revising the information they provide to patients and will make details available after they’ve concluded a consultation in January 2011. The HFEA hopes this will help those considering whether or not to travel abroad to understand the advantages and disadvantages. This, in turn, will help patients find the clinic that best meets their needs and will enable them to make informed treatment choices at their chosen clinic.

Second to speak was Natalie Gamble, who was introduced as the UK’s leading fertility lawyer and a founding partner of Gamble and Ghevaert LLP. The main focus of Natalie’s talk was the issues surrounding the patchwork of laws and regulations governing cross-border reproductive care. As she said: ‘the law is struggling to catch up’. Natalie’s primary concern was the information available on donor rights, parenthood and international surrogacy arrangements.

Natalie started by confirming information on country of conception is key for patients. Potential patients may not have the same protection that they might have had in their home country. The problem is many are not aware of this and how it might impact on their situation.

People need to be concerned about whether they will be treated as the legal parent of a child born to a surrogate. Natalie said the law of the person’s home country applies. In the UK, a child’s father and mother have parental responsibility for the child if they were married to each other at the time of his or her birth. Where a child’s mother and father were not married to each other at the time of his or her birth, only the mother has automatic parental responsibility for the child.

Natalie used surrogacy in cross-border situations as the perfect illustration of where the intended mother and father may have immense difficulty claiming legal parenthood over the child. As Natalie put it, ‘there is no harmonisation here’. Different countries take radically different stances. She cited the case of re X and Y (Foreign Surrogacy) 2008 to highlight how difficult the situation can be. The case concerned a British couple who went to the Ukraine to undergo surrogacy, but the child faced considerable immigration difficulties. Under Ukrainian law, the commissioning couple were treated as the child’s parents from birth so the surrogate mother was not the child’s mother.

Under UK law, which applied to the commissioning couple, they could not be treated as the child’s parents without a court order. The child was potentially then both stateless and parentless. The judge in the case The Hon. Mr Justice Hedley cautioned those contemplating parenthood by entering into a foreign surrogacy agreement because of the possibility of unintended consequences.

Natalie concluded her talk by making three clear statements. First, there needs to be better public information available for those considering cross-border reproductive care. Second, the law globally is struggling immensely with this area. And lastly, we have to remember that ultimately, the first priority is to the resulting child and ensuring that they are protected.

The third speaker on the panel was James Lawford-Davies, who is a solicitor and partner at Lawford Davies Denoon. His talk focused on the EU’s approach to cross-border care. He explained each EU member state has an obligation to protect the free movement of persons and services and there should be no restrictions on this right. He provided the example of the landmark case of Yvonne Watts who challenged this right all the way to the European Court of Justice.

Even with this landmark case, James emphasised that the law remains uncertain. However, it is hoped that the draft Directive concerning the application of patient’s rights in cross-border healthcare will provide more legal certainty on the quality and safety standards across the EU. James did show slight concern for the margin of appreciation aspect of the Directive, which will mean provisions will be in place to enable member states to enact limitations on certain treatments. However, James (and the audience) did seem pleased the Directive might enforce the requirement that Member States have to provide information about the procedures and services available.

The final speaker of the session was Zeynep Gürtin-Broadbent, a research fellow at the Centre for Family Research at the University of Cambridge. Zeynep began her talk by discussing the difficulty in defining cross-border reproduction, as it is a new and rapidly evolving problem with a lack of empirical data. However, she was comforted by the fact that there are a large number of studies being undertaken, which should provide us with greater insight in the near future.

Zeynep questioned the diversity of cross-border reproduction, namely who/what is doing the travelling (intending parents, donors, the import and export of gametes) and the reason for this travel. Zeynep suggested four categories illustrating why people might go to a different country for reproductive treatment: 1) travel for legal restrictions, 2) resource scarcity, 3) safety concerns and 4) personal preferences.

Zeynep believes that it should be down to the regulators to tackle the issue of patients going abroad. She believes the regulators need to assess whether the current law is fit for purpose. She suggested the harmonisation of laws is a burden for the EU and individual member states to resolve. Zeynep believes there needs to be sound empirical evidence and creative thinking to solve these dilemmas.

The discussion that followed covered issues of the welfare and interest of the child, the disparity of the information available and the issues surrounding surrogacy and legal parenthood. The final word final word must go to Juliet Tizzard who said that ‘[the HFEA] is not wanting to wash their hands of this issue’. We await the results of the consultation, which will be launched in January, with interest. A report on the third session of the conference will be published in next week’s BioNews. PET is grateful to the conference’s gold sponsors Merck Serono.

There is more information about international surrogacy law, fertility law in the UK and donor conception law on our website.

Independent’s Pink List 2010 honours Natalie Gamble

Wednesday, August 4th, 2010

We are delighted that Natalie has been named in the Independent on Sunday’s Pink List 2010, the paper’s renowned annual review of the 101 most influential gay and lesbian people in Britain. At number 88, Natalie is recognised as a “pioneer of fertility law” who was “heavily involved in the Human Fertilisation and Embryology Act 2008 and nominated in 2008 as Stonewall’s Hero of the Year”.

The only practising lawyer named, Natalie is ranked alongside British gays and lesbians at the very top of a broad range of professions. The Pink List 2010 includes politicians Lord Mandelson and Deputy Lib Dem leader Simon Hughes, judges Lord Justice Etherton and Sir Adrian Fulford, former head of the Law Society Dame Janet Paraskeva, business leaders Lord Black (the Telegraph), Sir Michael Bishop (BMI) and Dawn Airey (CEO of Channel 5), theatre directors Sir Nicholas Hytner and Sir Cameron Mackintosh, Director of the British Museum Neil MacGregor, Radio 4 broadcaster Evan Davis, poet laureate Carol Ann Duffy, Turner Prize winning painter Sir Howard Hodgkin, Rabbi Lionel Blue, authors Sarah Waters and Philip Hensher, fashion designers Christopher Bailey and John Galliano, actors John Barrowman, Fiona Shaw and Simon Russell Beale, and celebrities Stephen Fry, Sue Perkins, Matt Lucas, Gok Wan, Alan Carr, Will Young and Radio 1 DJ Scott Mills. The number one spot – balanced fairly between the sexes – is rightly shared by leading business guru Mary Portas and courageous rugby player Gareth Thomas.

A new entrant to the list at number 88, Natalie is ranked among these pre-eminent individuals as the 25th most influential lesbian in today’s Britain. Her inclusion recognises Natalie’s groundbreaking work as a leading fertility lawyer, and her work as a prominent champion and advocate of same sex parents.

Prime Minister David Cameron, writing in the Independent on Sunday 1 August, said “The wall of prejudice is chipped away by high-profile role models, by public celebrations, by a positive approach to diversity. That’s why I congratulate everyone on this list for doing their bit to inspire and change attitudes. This is a country where people can be proud of who they are – and quite right too.”

You can find out more about Natalie Gamble and her work or read the Independent’s Pink List 2010 in full.

Times article on unregulated fertility sites quotes Natalie Gamble

Monday, July 19th, 2010

By Mark Bridge, The Times, Saturday 17 July 2010

Shadowy world of web’s unregulated fertility sites

Unregulated “fertility” websites that put their members in touch with sperm donors for a fee are exploiting vulnerable women and risking users’ health and finances, the Human Fertilisation and Embryology Authority (HFEA) has warned.

An investigation by The Times this week also found that such sites, which enable people including single women and lesbian couples to obtain sperm outside of the regulated market, are being used by men searching for nostrings unprotected sex. The HFEA believes that the sites’ role as facilitator may in fact constitute illegal “procurement” of sperm, and it is taking legal action against one website to close it down. A spokesman said: “If you use a site that does not direct you to a licensed clinic, you put yourself at risk that the sample you receive is neither safe nor screened and that the donor is not who they say they are.” The regulator also warns that donors who donate sperm via these sites rather than at licensed clinics will be the legal fathers of any children born to single women or unmarried couples and may be liable for child support.

Natalie Gamble, of Gamble and Ghevaert, a firm of solicitors that specialises in fertility law, said that the legality of the sites was a grey area. “What is illegal is procurement of gametes [sperm and eggs]. It comes down to the definition of what procurement is. Putting sperm in the post would seem to be clear. Less clear is helping individuals to make contact with one another.”

Membership of the websites, such as Co-ParentMatch.com and Feeling-Broody.com, costs about £10 to £15 a month. Dr Allan Pacey, senior lecturer in andrology at the University of Sheffield, claimed: “They’re in it purely for ‘If a man wants to impregnate the South East… he will be in poor sexual health’ money. It’s blatant profiteering.” He added that the sites profited from the relative expense of licensed clinics which charge about £800 for frozen sperm and one insemination cycle and from a shortage of sperm at clinics now that children born to donor sperm are allowed to contact their natural father when they are 18.

The website of Fertility 1st, which the HFEA is taking legal action against, states that customers should budget £150 for sperm to be couriered. The other sites leave such arrangements up to the donor and recipient, who might decide that his sperm should be delivered to her home, or that he should visit to “produce”, or have sex with her. Whatever the arrangement, Dr Pacey cautioned that sperm obtained using the sites is not adequately screened, so puts the recipient at risk of blood-borne and sexually transmitted diseases, including HIV. It may also carry genetic disorders such as Down’s syndrome. He says that the risk was even greater if, as our investigation suggests, some donors have predatory intent. “If a man wants to impregnate the South East, that ups the risk that he will be in poor sexual health.” He added: “A licensed clinic will run tests before taking samples and again six months after the last sample was taken and frozen. Sperm can only be used after this final check.”

Seyi Joseph, of FeelingBroody.com, said that her site only covered its costs. She added that it has links to documents that explain the rules on legal paternity. She advises that donors be tested for a range of diseases. Nigel Woodforth, of Fertility 1st, said that donors at his site must take regular health tests. He added that donors at the website do not give identifying details to the recipient, and that their records are destroyed after their membership expires. Co-ParentMatch.com did not return our calls.

Time spent undercover on unregulated websites revealed a sad world frequented by men eager to “help” vulnerable women. When I joined one site under the alias of luciex, or Lucy, a 29-year-old nurse, I was contacted by a queue of donors keen to offer “NI”shorthand for natural insemination, as in sex (Mark Bridge writes). As Lucy I signed on at Co-ParentMatch.com, which claims to be the “No 1. Leading website of its kind”a “regulated environment” that uses the slogan: “After all, there’s no time to waste, the biological clock is ticking…” Having uploaded a picture of an attractive brunette and paid £9.95 a month, I was contacted by, among others, men claiming to be a 30-year-old studio manager and a “ready and able!” 58-year-old American “peacebuilder”. Profile photographs showed mainly thirtysomething and middle-aged men, some engaged in manly outdoor pursuits, others dressed for a hot dateone in a crisp white jacket. The tone of conversation was hardly clinical. One man sent “Lucy” a blunt “I am from Manchester and available for NI if you can travel when you are ovulating.” He said that he was a married man and donated to overcome both the national shortage of sperm and narrow-minded attitudes to lesbian parents.

Another tried charm, writing: “Hello Lucie! You reallly [sic] look so gorgeous and I would be happy to donate my sperm so you can become pregnant [...]” Meanwhile, a man whose photo loosely resembled AliG wrote: “Hi how u doin?My names [...] im 30 from London would you like to chat? x”, adding his mobile phone number. When Lucy failed to respond he asked: “Hi Lucie how r u hun? Good i hope… What did u decide to do? Id like to help you become a mother x” Most, when asked, said that they were willing to donate by natural or artificial means, so came across as opportunists rather than full-on predators. Some offered meaningless reassurances about their sexual health. One wrote: “I have also been checked for STDs two weeks ago, in case you wondered.”

Not one asked Lucy why a single woman of only 29 would want to conceive with donor sperm or how she intended to bring up the child, although three professed some interest in a co-parent role. On the other hand, two said that they would be unwilling to take on parental responsibility. One wrote: “I am a donor only and cannot offer financial or parenting support.” It is illegal for donors to charge, and none of the men who made contact requested payment. One did say: “Expenses may be travel costs or hotel costs etc if donation was done on neutral ground.”

Laura Witjens, left, of the National Gamete Donation Trust (NGDT), says that the casual nature of agreements on expenses leaves them open to abuse. “It is common for guys to insist on natural insemination so ‘pay me and sleep with me’, she said, adding: “Some even sent me photos of themselves ‘donating’. It was shocking, and I’m Dutch, so that’s saying something.”

In spite of this dubious donor-base, the sites manage to entice women “and the odd sincere gentleman”, Ms Witjens said, in part by presenting a clinical façade, using stock photographs of babies to play on emotions. I have spoken to several women who have used the sites who were angry at first when I criticised them. They said, ‘Why make it difficult for people to conceive?’ But they were surprised and grateful when I explained the dangers and the legalities.”

Completion of the UK’s new fertility laws welcomed today

Tuesday, April 6th, 2010

The last piece of the government’s flagship Human Fertilisation and Embryology Act 2008 came into force today, completing the first major overhaul of the UK’s fertility laws in twenty years. The HFE Bill is a major piece of government legislation which has updated the UK’s 1990 laws to bring them into line with 21st century scienific and social advances. It has introduced important changes including:

* new rights for lesbian partners to be recognised as parents after sperm donation,

* the abolition of clinics’ obligation to consider a child’s need for a father before offering fertility treatment,

* the broadening of the extended storage rules for gametes and embryos, allowing more people to store precious embryos for longer,

* new rights for donor conceived people to make contact with genetic siblings,

* a clearer legal framework for preimplantation genetic diagnosis, and

* the widening of surrogacy laws to allow same sex and unmarried couples to apply for legal parenthood.

The Act has been brought into force in stages, with the new parenthood rules on donor conception in force first for conceptions after 6 April 2009 and the bulk of the Act in force on 1 October 2009. The final pieces of the jigsaw, which came into force today, are the changes to surrogacy law, allowing same sex and unmarried couples to apply to court to become the parents of a surrogate born child and updating the court rules and procedures. This completes the implementation of this major piece of government legislation, rather fittingly today, the day on which it has been announced that this Parliament will be dissolved.

We are proud to have played a role at the forefront of these important legal changes, championing the position of fertility patients and same sex parents. Our contributions to the public and Parliamentary debate and to the legal changes include:

* Helping to secure the important new rights for same sex parents (work for which Natalie was nominated by gay rights organisation Stonewall as their Hero of the Year 2008, named by Diva magazine as one of the UK’s most influential gay women, and invited to 10 Downing Street to meet the Prime Minister last month);

* Winning a last minute government U-turn on embryo storage which allowed surrogacy patients to save embryos from destruction and store them for an extended period;

* Lobbying for changes to surrogacy law, which were debated in Parliament (but sadly not adopted) – we are continuing to campaign on this;

* Winning improvements to nationality law for British parents of children born through surrogacy abroad following our contribution to the Department of Health’s consultation on the new parental order regulations.

Find out more about the legal changes on our website, relating to donor conception, surrogacy and fertility treatment.

Today’s Guardian – Couples who pay surrogate mothers could lose right to raise the child

Tuesday, April 6th, 2010

By Denis Campbell, health correspondent. Published in the Guardian, Monday 5 April 2010

Childless couples who acquire a baby using a surrogate mother abroad risk not being recognised as its parents in Britain if they flout British law by paying fees, fertility lawyers have warned.

Such payments, which can be as high as £30,000, could lead to those who have made them being refused permission by the high court to become the child’s legal parents, specialist solicitors say. The Human Fertilisation and Embryology Act 1990 allows couples entering into deals with a surrogate mother overseas to pay her only what is allowed here – “expenses reasonably incurred”, such as compensation for time off work, medical bills and living expenses. But lawyers handling such cases have told the Guardian a growing number of couples are embarking on international surrogacy in places such as India, the US and Ukraine, and that many of them are in effect flouting the law by paying whatever is needed to get a child. This could cause serious problems for them and the children as the high court may not grant a parental order.

More couples have sought legal advice about international surrogacy in the past two years, fertility lawyers say. Finding a surrogate in the UK is difficult, and many see surrogacy abroad as their last chance, said Miranda Baker, a lawyer in the field. Lawyers predict that more people will pursue such deals after tomorrow, when the law changes to allow unmarried and same-sex couples to apply for parental orders.

Last November Mr Justice Hedley heard that a Mr and Mrs A had paid $23,000 (£15,000) to acquire twins from a surrogate mother in California. Mr A was the biological father. His sperm had been used to fertilise an egg from an anonymous donor and embryos were implanted into the surrogate. It was clear that “a significant element, although it is difficult to specify exactly what, of the $23,000 represents a payment contrary to the [law]“, he said.

Among matters of public policy the case raised was that “the court should be astute not to be involved in anything that looks like the simple payment for [in effect] buying children”. Despite that, Hedley granted Mr and Mrs A a parental order.

Hedley took the same view in 2008 in the case of X and Y – the first international surrogacy case the high court ruled on. A married couple whose repeated attempts to become parents had failed had twins known as X and Y using a Ukrainian surrogate. They also paid more than was “reasonable” to the woman, who used the money to put down a deposit on a flat, but obtained an order.

Sam King, a family law barrister specialising in assisted reproduction, warned couples having a baby through surrogacy abroad not to assume the high court would retrospectively endorse an arrangement that was “obviously commercial”. “They are taking a chance [by paying large sums]. Not all judges may be as generous as Mr Justice Hedley has been so far. All you need is one family to be denied a parental order because too much money has been paid for the whole thing to be thrown into confusion.”

Natalie Gamble, a lawyer who acted for the parents in both those cases, said: “If you don’t get a parental order the English couple aren’t seen as the child’s legal parents and you are committing an offence if you are caring for a child that’s not yours. You have to tell social services if you’re doing that.”

International surrogacy is hugely controversial. “It’s unethical and exploitative because the trade is all one-way,” said Breedagh Hughes, a Royal College of Midwives spokeswoman, on the ethics of childbirth. “It reduces babies to the level of commodities.”

Jonathan, a 32-year-old nurse, tells how he and his civil partner, Colin, 33, a financier, spent $150,000 (£98,000) on surrogacy to become the parents of Harriet, who was born in California last year. They live in London.

“We began discussing having a child in 2006, when we were deciding to become civil partners. I was feeling broody, and had always wanted to have my own biological child. We opted to pursue surrogacy in California because we would get legal custody there of the child before it was born and the surrogate would have no legal relationship to the baby.

“My sperm was introduced to eggs left by an egg donor: they were fertilised in an IVF clinic in Los Angeles and two of the embryos were implanted into the surrogate. She simply carried the child for nine months.

An agency in LA found both the egg donor and the surrogate. We never met the egg donor or knew who she was, but knew her medical history, results of her genetic tests, what she looked like and so on. We did meet and get on well with the surrogate, who was called Jennifer. She had two daughters of her own and had been a surrogate once before. There was no coercion. We had a contract, and Jennifer specified things in that like that she wanted back massages and a big hotel room for her family to stay in when she was giving birth.

Agencies in California quote a price of $100,000 to $150,000 to do everything relating to a child. The whole process wasn’t too difficult, and cost us about $150,000. We paid the embryologist $60,000, though that included the harvesting of the donor’s eggs, the IVF and the transfer of the embryos into the surrogate. It was $40,000 for the surrogate and $10,000 for the egg donor, plus $10,000 to the agency, who supplied the donor and the surrogate. Then there was $10,000 for our lawyer, $5,000 for the medical and psychological screening and another $5,000 for medication for both the donor and the surrogate, to ensure they were in cycle at the same time.

“Bringing Harriet into the UK nine months later was incredibly difficult, though, and we engaged lawyers to help us. She had to come in as an immigrant on a US passport on a six-month tourist visa. When we later filled in a form to get her British citizenship, we put ‘not known’ in the section headed ‘mother’. She now has dual nationality and is legally ours under Californian law. If we do apply, it could be an issue that we paid well over the ‘reasonable expenses’ limit – that is, we paid a fee. That’s illegal in this country, but allowed under Californian law.

“We shouldn’t have to seek a parental order. She was conceived and born in California as our child, and her birth certificate says who her parents are, so the courts here should respect Californian law.

Having to apply for a parental order, where there’d be an assessment of Harriet’s welfare and Colin would have to prove that he’s no danger to her, is an inequity. Anybody else can go out, get drunk, get pregnant, bring up a child appallingly and face no intervention or legal barriers.

I resent people saying that British couples who resort to surrogacy are buying babies abroad. We didn’t buy Harriet: she’s not picked off a shelf. She’s not a ‘designer baby’.

We had our own child and had a great team to help us. All we did was rent a woman to carry her. We paid for the services of an embryologist and an incubator who walks and makes good babies – but we didn’t buy a baby. She’s my daughter biologically, and she’s our baby.

A lot of heterosexual couples in the UK spend a lot of money having many cycles of IVF at £5,000 a time – is that not buying a baby?”

Only first names have been given to protect the family’s identity

More information on surrogacy law and international surrogacy law from the Gamble and Ghevaert website.