My hon. Friend asks me a difficult question, which I cannot answer, but I am sure that the advice came from a plethora of organisations. I have forgotten exactly which one was responsible for the advice about the bird coming from Hungary.
As I was saying, the RSC was critical of the lack of expertise in State Departments, which often led to a lack of competency to frame the right questions to outside organisations or consultants, to recruit the right advice or to understand the answers provided. The Royal Society has fellows working worldwide in every discipline of science and engineering. What a resource for the Government to tap into! Sometimes the Government do, but even the Royal Society feels that it has much more advice to offer. In the USA, the National Research Council was established specifically to provide scientific advice to the Government through the National Academies of Science and Engineering, the Institute of Medicine and the National Research Council.
Obviously, good advice is related to good research. In key policy areas—for example, supporting the ABC classification of controlled drugs—we collected evidence that the research was inadequate to support Government policies and that the Government were not investing in much needed research in key policy areas. Academics will not engage in research for the Government if they are prevented from publishing it within a reasonable time frame. We also collected evidence that Departments were not publishing all the research data amassed, but only such that supported Government policy. Much of it was not published at all, which is clearly unacceptable. I should point out that academics are often inhibited from collecting detailed advice for the Government, particularly when they are not able to publish it rapidly, because they operate under the constraints of the research assessment exercise. Perhaps that is why the Government do not receive much research from academia
Much of the legislation—a very high percentage of it—affecting our constituents is now formulated in Brussels. Personally, I do not believe that our Government are very good at scrutinising EU legislation. During our Committee’s inquiry, we came across a good example of a European directive—I have already referred to it—that will have an adverse effect on the use of magnetic resonance imaging equipment in clinical practice and research into disease diagnosis. I refer, of course, to the EU physical agents (electromagnetic fields) directive. If implemented without change, it will cause great damage in those areas.
The directive was adopted by the European Parliament in April 2004 and was originally scheduled to be enshrined in law in member states by April next year. In preparing it, the European Commission was heavily reliant on only one source of advice—namely, the International Commission on Non-Ionising Radiation Protection, or the ICNIRP. However, significant uncertainties still appear to exist around the scientific basis for the guidelines that were published on the use of electromagnetic frequencies.
To produce an image, MRI requires the body to be placed in a static magnetic field while it is irradiated with a time-variable radiofrequency. That causes electromagnetic frequencies to be emitted in three different frequency ranges. The directive sets EMF exposure limit values, but EMF from static fields was excluded—subject to a review in 2009—because no agreement could be reached on static fields. Although the EU advisory committee on health and safety was asked to consider an exemption from the directive for MRI, the request was initially rejected.
In the UK, the National Radiological Protection Board advised the Health and Safety Executive on the directive, urging that the HSE should take note of the ICNIRP guidelines on which the directive was founded. A regulatory impact assessment was prepared by the HSE, but despite the fact that it was aware of the possible impacts of the directive on the MRI community, it failed further to explore its consequences. We could find no evidence that the HSE had consulted its chief scientist, the CSA at the Department of Health or indeed the medical royal colleges. In that respect, both the HSE and the NRPB acted in contravention of the guidelines laid down by the Government chief scientific adviser.
Effectively, as a consequence of the lack of consultation with the MRI community and the failure of that community itself to recognise the significance of the physical agents directive on its work, the directive was cleared by the European Parliament for approval and implementation next year. As a result, if implemented without amendment, most MRI procedures will become extremely difficult or even illegal throughout British hospitals. Let us just imagine that. The European Commission was not fully aware of the work going on in the MRI community and believed that the directive would have little effect on the use of MRI in hospitals. Nothing, however, could have been further from the truth. Ironically, MRI uses non-ionising radiation, which is a lot safer than the ionising radiation technique that it has largely replaced—namely, the use of X-rays.
The fact that there is so much uncertainty about the directive’s impact some two years after its adoption reflects poorly on the influence of scientific advice on the policy making process in Brussels, to which we are subject to a great extent. Lord Hunt argued to the Commission that the ICNIRP guidelines were widely accepted and followed. He told our Committee:"““We felt that there was no need for the directive because we already have these guidelines.””"
Well, we have got the directive. I am, however, pleased to report the latest news—which I received only today—that it is now unlikely to be implemented before 2009, or even 2010. Two recent studies have demonstrated that the limits set by the European Commission are much too low, and are being routinely broken by MRI scanners in clinical and research settings throughout our hospitals. The results of the study commissioned by the Health and Safety Executive showed the problem to be more extensive than anyone had expected. As a result, the European Union’s advisory committee on health and safety will propose an amendment to postpone the directive’s implementation date.
That is just one example—a very serious example—that our Committee encountered showing that if policy makers do not take scientific advice from as wide a spectrum of scientists as possible, legislation may be extremely faulty. However, I am pleased that the Commission has accepted that the directive itself is faulty and will probably now amend it.
It is a given that the Government can no longer ignore the advice that is available from all our scientists, engineers and technologists, especially at a time when Britain is increasingly reliant on their discovery of products that are, by their very nature, highly technical in production and highly sophisticated in operation. It is also a given that the Government must improve the structure of the way in which that advice is gathered—a point made strongly in our report. The Government’s response to most of our 69 recommendations is quite positive, but changes will be needed in future.
Although we believe that Government must consider the evidence provided for them, we accept that the final policy outcome is likely to take other factors into consideration, which will depend on timing in the political cycle. Ministers will still make their judgments with the political consequences in mind, but we hope that they will rely increasingly on scientific advice as well.
Department of Trade and Industry
Proceeding contribution from
Brian Iddon
(Labour)
in the House of Commons on Monday, 9 July 2007.
It occurred during Estimates day on Department for Trade and Industry.
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