HOUSE OF LORDS Secondary Legislation Scrutiny Committee 8th Report of Session 2021-22 - UK Parliament

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HOUSE OF LORDS

          Secondary Legislation Scrutiny Committee
                                 8th Report of Session 2021–22

Drawn to the special attention of the House:
Draft Medical Devices (Coronavirus Test Device
Approvals) (Amendment) Regulations 2021
Draft Health and Social Care Act 2008 (Regulated
Activities) (Amendment) (Coronavirus)
Regulations 2021
Draft Motor Fuel (Composition and Content)
and the Biofuel (Labelling) (Amendment) (No. 2)
Regulations 2021
Town and Country Planning (Development
Management Procedure and Section 62A
Applications) (England) 2021

Includes information paragraphs on:
6 instruments relating to COVID-19            Draft Revision of the Highway Code Rules to
                                              improve safety for drivers using Motorway and
Draft Railway (Licensing of Railway
                                              high-speed roads
Undertakings) (Amendment) Regulations
2021

                      Ordered to be printed 6 July 2021 and published 8 July 2021

                                     Published by the Authority of the House of Lords

                                                                            HL Paper 40
Secondary Legislation Scrutiny Committee
The Committee’s terms of reference, as amended on 13 May 2021, are set out on the website
but are, broadly:
To report on draft instruments published under paragraph 14 of Schedule 8 to the European
Union (Withdrawal) Act 2018; to report on draft instruments and memoranda laid before
Parliament under sections 8 and 23(1) of the European Union (Withdrawal) Act 2018 and
section 31 of the European Union (Future Relationship) Act 2020.
And, to scrutinise –
   (a) every instrument (whether or not a statutory instrument), or draft of an instrument,
   which is laid before each House of Parliament and upon which proceedings may be, or might
   have been, taken in either House of Parliament under an Act of Parliament;
   (b) every proposal which is in the form of a draft of such an instrument and is laid before
   each House of Parliament under an Act of Parliament,
with a view to determining whether or not the special attention of the House should be drawn to
it on any of the grounds specified in the terms of reference.
The Committee may also consider such other general matters relating to the effective scrutiny
of secondary legislation as the Committee considers appropriate, except matters within the
orders of reference of the Joint Committee on Statutory Instruments.

Members
Baroness Bakewell of Hardington Mandeville   Viscount Hanworth              Lord Lisvane
Rt Hon. Lord Chartres                        Lord Hodgson of Astley Abbotts Lord Sherbourne of Didsbury
Rt Hon. Lord Cunningham of Felling           (Chair)                        Baroness Watkins of Tavistock
Lord German                                  The Earl of Lindsay

Registered interests
Information about interests of Committee Members can be found in the last Appendix to this
report.

Publications
The Committee’s Reports are published on the internet at https://committees.parliament.uk/
committee/255/secondary-legislation-scrutiny-committee/publications/

Committee Staff
The staff of the Committee are Christine Salmon Percival (Clerk), Philipp Mende (Adviser),
Jane White (Adviser) and Louise Andrews (Committee Operations Officer).

Further Information
Further information about the Committee is available at https://committees.parliament.uk/
committee/255/secondary-legislation-scrutiny-committee/
The progress of statutory instruments can be followed at https://statutoryinstruments.
parliament.uk/
The National Archives publish statutory instruments with a plain English explanatory
memorandum on the internet at http://www.legislation.gov.uk/uksi

Contacts
Any query about the Committee or its work, or opinions on any new item of secondary
legislation, should be directed to the Clerk to the Secondary Legislation Scrutiny Committee,
Legislation Office, House of Lords, London SW1A 0PW. The telephone number is 020 7219
8821 and the email address is hlseclegscrutiny@parliament.uk.
Eighth Report
       INSTRUMENTS DRAWN TO THE SPECIAL ATTENTION OF
       THE HOUSE

       Draft Medical Devices (Coronavirus Test Device Approvals)
       (Amendment) Regulations 2021
                                                                              Date laid: 18 June 2021

                                                           Parliamentary procedure: affirmative

       These draft Regulations propose a requirement for all COVID-19 tests sold in the
       UK to undergo a mandatory approval process. This is to ensure that tests for sale
       in the UK meet minimum standards in their sensitivity and specificity, similar to
       the quality standards that are already in place for tests used by the NHS. Separate
       quality requirements have also already been introduced for tests used by international
       travellers. The Department of Health and Social Care says that while the current
       market is “overwhelmingly dominated” by free NHS tests, “rapid intervention”
       is required to address quality issues with regard to the tests that are currently sold
       and to “create a strong regulatory framework so that consumers can buy tests with
       confidence and without confusion” once the market share of such tests grows, as part
       of the long-term management of COVID-19.
       The draft Regulations are drawn to the special attention of the House
       on the ground that they are politically or legally important and give
       rise to issues of public policy likely to be of interest to the House.
1.     These draft Regulations have been laid by the Department of Health and
       Social Care (DHSC) with an Explanatory Memorandum (EM). The
       instrument proposes a requirement for all COVID-19 tests sold in the UK to
       undergo a mandatory approval process, so that they are validated as meeting
       high quality standards, similar to the process already in place for tests used
       and distributed for free by the NHS. This is to ensure that tests for sale in
       the UK, both molecular or antigen tests,1 meet minimum standards in their
       sensitivity and specificity.2 According to DHSC, the market is currently
       overwhelmingly dominated by free tests provided by the NHS; the aim of
       these draft Regulations is to address the poor quality of many tests for sale in
       the UK at present, and to ensure that a new approval process for such tests
       is in place as their market share grows.

       Background
2.     DHSC says that the Government want to ensure that COVID-19 test kits
       sold in the UK, including those sold in pharmacies, are of the same high
       quality as those used by the NHS, as poorly performing tests giving false
       results could undermine national health efforts in containing the pandemic.
1    Molecular tests include polymerase chain reaction (PCR) tests which are mainly used for people with
     symptoms and which check for the genetic material (RNA) of the virus in the sample. The sample is
     sent for processing at a laboratory. Antigen tests include rapid Lateral Flow Device (LFD) tests which
     are only used for people who do not have symptoms. They detect proteins called ‘antigens’ produced
     by the virus and give results after 30 minutes.
2    While sensitivity is the proportion of patients with COVID-19 who have a positive test, or the true
     positive rate, specificity is the proportion of patients without COVID-19 who have a negative test, or
     the true negative rate.
2    SECONDARY LEGISLATION SCRUTINY COMMITTEE

     The Department explains that during the procurement of Lateral Flow
     Device (LFD) tests for the NHS, only 25% passed through all stages of
     validation including assessments of performance and quality standards,
     and that under the current regulatory regime, the 75% of LFD tests which
     were assessed as not meeting the performance and quality standards of the
     NHS still qualify “as fit for market”. DHSC says that “rapid intervention”
     is therefore required to address this quality issue urgently and to “create a
     strong regulatory framework so that consumers can buy tests with confidence
     and without confusion”.
3.   The Department adds that, as part of managing COVID-19 in the long
     term, the Government want to support a “thriving private sector market for
     COVID-19 detection tests, to supplement and support testing led by NHS
     Test and Trace” and “to encourage the private sector to bring a broad range
     of testing products and services to market to meet the differing needs of
     businesses and individuals and provide consumer choice”, while ensuring that
     all tests that are available meet minimum performance standards. According
     to DHSC, the new quality requirements introduced by this instrument “will
     make the UK private testing market more competitive, as manufacturers will
     need to improve the accuracy and speed of their tests in order to outcompete
     competitors”.
4.   We question whether intervention more than a year into the pandemic can
     still be considered “rapid”, but note that the changes are timed to ensure that
     a validation process will be in place for a time when privately bought tests
     play a more significant role in the long-term management of COVID-19.

     How the new validation process will work
5.   The new validation process will be managed by DHSC. The Department
     says that it considered a third-party conformity assessment but discounted
     such an approach due to the time it would take to implement it, but that this
     will be reconsidered as part of the planned review process and “once the
     immediate market failure has been remedied”.
6.   Under the new process, anyone seeking to place a test on the market in the
     UK will need to register via an online portal and submit data for a desk-
     based assessment of the specificity, sensitivity and limits of detection of the
     tests. DHSC says that to avoid any duplication, tests supplied by government
     will be exempt, as the new market validation process is based on the effective
     validation process that the Department used during public procurement.
     DHSC adds that to avoid any potential supply issues in NHS hospitals
     where a contract already exists for the supply of tests, those tests will be
     grandfathered and exempt for the duration of the contract. Where such a
     contract exists, it can continue to be honoured by the manufacturer, even if
     the same test subsequently fails the new market validation process.
7.   We asked whether the potential use of such poor-quality tests in NHS
     settings meant a risk of false results and therefore of further spread of the
     virus. DHSC told us that:
      “The risk that the NHS would ever be in a situation where it would
      need to use poor quality tests is judged to be extremely low, as the NHS
      feel that even a less accurate test may be better than no test at all and
      may have some diagnostic value in the hands of clinicians if certain
      mitigations are put in place. By contrast, it is not possible to say that
SECONDARY LEGISLATION SCRUTINY COMMITTEE               3

       such mitigations would be put in place when used by other providers of
       testing outside the NHS.”
8.    We note the Department’s explanation which appears to suggest that less
      accurate tests can still be of diagnostic value for the NHS if such tests are
      used by clinicians who are able to consider other factors and information and
      therefore put any test results into a wider clinical context.
9.    There will also be a transition period for tests that are already available
      on the UK market, to ensure that they can continue to be sold while they
      proceed through the new validation process. To remain on the market,
      manufacturers will be required to have submitted their application by 1
      September, the validation process must be complete, and the COVID-19
      test must have passed the minimum performance threshold by 31 October in
      order to remain on the market from 1 November 2021 onwards.
10.   DHSC says that the new validation process will improve quality standards in
      specific areas of test performance, and that it will complement but not replace
      the CE marking standard which currently applies to all tests sold in the UK.
      The Department explains that under the new validation process, the results
      of all tests that pass validation will be published online, so that consumers
      will have a single register of all tests that are on the market, enabling them
      to make informed decisions when buying a test. Tests that fail to meet the
      minimum levels of sensitivity and specificity will not pass validation and will
      not be allowed for sale in the UK. The online register of validated tests will
      be available to read in hard copy on request.
11.   DHSC emphasises that this new process will be an improvement on the
      current situation in which the data collection and analysis used by each
      manufacturer of COVID-19 tests to achieve its CE marking is unique and
      designed by each manufacturer, making it difficult for consumers to compare
      the data and acting as a barrier to effective competition. Furthermore, the
      Department will carry out the validation itself, in contrast to the CE marking
      process which in relation to most COVID-19 tests essentially involves a self-
      certification process in which manufacturers affirm that their products meet
      the relevant standards.
12.   Asked for further information about the new validation process and how it
      differs from the CE marking process, DHSC told us that:
       “The CE marking process is far less rigorous than the CDTA desktop
       review. CE marking requirements do not specify sample size, sample
       type (clinical v contrived) or present the raw data from which an accurate
       assessment of the performance can be made. Many of the CE marked
       products that have been reviewed previously have insufficient and poor
       data sets that do not accurately reflect how a test product performs.
       This data and evidence does not facilitate accurate assessment of the
       product by the end-user and can be misleading. A common example is
       “front-loading” of data, whereby the CE marked instructions for use
       will provide performance data based on a selection of samples with
       a very high viral load thus the test appears to be highly sensitive but
       in fact may have a poor sensitivity. Other products have used clinical
       symptoms as the comparator method rather than a gold-standard PCR
       comparison. [ … ]
4       SECONDARY LEGISLATION SCRUTINY COMMITTEE

          The desk top review is undertaken by an independent expert and
          ensures the validity and quality of the data used by the manufacturer
          for their CE mark self-certified claims. The pandemic has highlighted
          the inconsistency in the data behind such claims; for example using sets
          of samples that will make the performance of their test look better than
          if it was used on all samples, or not providing information on how their
          test works for all Variants of Concern. The data is then compared to
          defined performance thresholds for different testing technology types,
          as set within the legislation.”
13.     Asked about the independent experts carrying out the assessments, DHSC
        told us that:
          “We are currently recruiting individuals with appropriate scientific
          backgrounds and to add to the current scientists we have seconded in
          from the NHS and universities to put our validator team on a more
          stable long term footing.”

        Fees
14.     There will be a standard fee of £14,000 which is intended to cover the
        full costs of each validation, with a discounted rate for Small and Medium
        Enterprises of £6,200. According to DHSC, these fees are in line with those
        applied to other similar processes.

        Enforcement
15.     The Department says that the new system will be underpinned by the standard
        enforcement regime for medical devices.3 This will use the Medicines and
        Healthcare products Regulatory Agency’s intelligence-led approach to ensure
        manufacturers and retailers comply with their obligations. Local authority
        trading standards will ensure that unapproved tests are removed from sale,
        and penalties4 will be applied to retailers and manufacturers which breach
        their obligations.

        Impact
16.     The EM estimates that the maximum additional costs for manufacturers
        will be £70 million in a £3.7 billion market, leading to potential prices rises
        for consumers of around 2%. DHSC says that a full Impact Assessment (IA)
        is being developed and will be published ahead of the parliamentary debate
        on these draft Regulations. The Department told us that it had received a
        first round of comments from the Regulatory Policy Committee (RPC) and
        was working “at pace” to address these. While we welcome the financial
        information provided in the EM, we reiterate that, as set out in our
        guidance,5 failure to have the IA validated by the RPC in time is an
        internal planning matter for the Department but not an acceptable
        excuse for failing to present all the necessary documentation at the
        time the instrument is laid before Parliament.

3     As specified in Chapter 3 of Part 4 of the Medicines and Medical Devices Act 2021.
4     As set out in the Consumer Protection Act 1987: a prison term of up to six months or a fine not
      exceeding level 5 on the standard scale or both.
5     See paras 29 and 30 of the SLSC’s guidance for departments: https://www.parliament.uk/globalassets/
      documents/lords-committees/secondary-legislation-scrutiny-committee/guidance-documents/
      guidance_departments_slsc-_may-2021.pdf.
SECONDARY LEGISLATION SCRUTINY COMMITTEE                       5

        Timing
17.    Given the importance of reliable, high-quality testing devices for the effective
       management of COVID-19 in the long term, we asked the Department why
       the new validation process had not been introduced earlier. DHSC responded
       that:
         “The market is currently overwhelmingly dominated by free tests
         provided by NHS Test and Trace. The exception to that being
         international travellers where separate regulation has already set in
         place standards for those tests.6 However as it became clear many of the
         COVID-19 tests being offered to UK government weren’t fit for purpose
         we began expedited work to develop regulations and lay them, this is
         why elements like the Impact Assessment have been done in parallel in
         order to get regulations in place as soon as possible. As the private sector
         currently has a low market share this regulation will be ready and in
         place as that share grows.”
18.    We note that separate requirements have already been introduced for tests
       used by international travellers, and the intention of the Department that
       tests which are sold should play a bigger role in the long-term management
       of COVID-19. It is essential that free NHS tests remain available at
       this stage of the pandemic.

        Conclusion
19.    The introduction of a quality approval process for all COVID-19 tests sold
       in the UK is welcome. It will be important, however, that this new process is
       rigorous to ensure that all tests for sale in the UK meet the relevant quality
       standards, especially if such tests are to play a greater role in the long-term
       management of COVID-19. In the meantime, it is essential that free NHS
       tests continue to be available. These draft Regulations are drawn to the
       special attention of the House on the ground that they are politically
       or legally important and give rise to issues of public policy likely to be
       of interest to the House.

6     Health Protection (Coronavirus, Testing Requirements and Standards) (England) (Amendment)
      Regulations 2021 (SI 2021/682), see: SLSC, 5th Report, Session 2021–22 (HL Paper 21), 17 June
      2021.
6   SECONDARY LEGISLATION SCRUTINY COMMITTEE

    Draft Health and Social Care Act 2008 (Regulated Activities)
    (Amendment) (Coronavirus) Regulations 2021
                                                                  Date laid: 22 June 2021

                                                 Parliamentary procedure: affirmative

    This instrument would make it mandatory for anyone working in a care home
    to be fully vaccinated against coronavirus unless subject to medical exemption.
    The Explanatory Memorandum lacks all practical detail about what evidence is
    acceptable, and how a “registered person” “may process” that information. The
    Department of Health and Social Care (DHSC) promises more detail in operational
    guidance but that will not be available until the end of July. Care home residents,
    their family and friends, and emergency services are exempt, but the Regulations
    cover a wide range of people including staff, tradespeople and service providers who
    might routinely need to enter a care home. Although a 16 week grace period is
    provided to allow for existing staff and others to complete their vaccinations, no
    analysis is given of the number of current staff and others who may not comply or
    the potential impact on care homes if they become ineligible for work. We would
    normally expect that information to be included in the Impact Assessment but that
    has not been made available either.
    This information and the operational guidance are crucial to
    the House’s understanding of how the policy underlying these
    Regulations will work–for both individuals and on a sector wide
    basis. Without this, effective Parliamentary scrutiny is impossible.
    We therefore recommend that the debate on the instrument should
    be deferred until both are made available.
     In the meantime, because much remains unclear, despite the additional material
    published at Appendix 1 to this report, we have invited a DHSC Minister to give
    oral evidence on these Regulations at our next meeting. In particular, we will ask:
    - Why none of the practical information about how the legislation is to operate is
    included in the legislation but left to guidance that has not yet been published;
    - Why there is no analysis of why DHSC’s vaccination programme has not already
    achieved the required levels despite care home staff being prioritised, or why there is
    regional variation;
    - Why there is no discussion of the potential impact of the policy on the care home
    workforce, of any risk to the viability of care homes as a result, or of any other
    options considered for achieving this objective;
    -Why there has been no exposition about the degree and nature of opposition
    expressed during the consultation;
    - Why the EM does not state that this legislation is not just intended as a pandemic
    measure but is permanent, and that DHSC intends to consult on extending the
    requirement to other settings, including the NHS, and other vaccinations.
    These Regulations are drawn to the special attention of the House on
    the grounds that the explanatory material laid in support provides
    insufficient information to gain a clear understanding about the
    instrument’s policy objective and intended implementation.
SECONDARY LEGISLATION SCRUTINY COMMITTEE                       7

20. This instrument would make it mandatory for anyone working in a care
    home to be fully vaccinated against coronavirus unless subject to medical
    exemption. The requirement is however broader than just staff of the care
    home: regulation 5 requires a “registered person” (A)
         “to secure that a person (“B”) does not enter the premises used by A
         unless B has provided A with evidence that satisfies A that either
         (i) B has been vaccinated with the complete course of doses of an
         authorised vaccine; or
         (ii) that for clinical reasons B should not be vaccinated with any
         authorised vaccine;”
21.    There are exceptions for residents of care homes, their family and friends,
       emergency services and anyone providing “urgent maintenance assistance”,
       but a wide range of professionals, tradespeople, people making deliveries and
       service providers are included in the definition.
22. In the Explanatory Memorandum (EM), the policy is sketched out at
    high level with no information about the practicalities: for example, what
    constitutes evidence? will the registered person have to photocopy the
    plumber’s NHS record to prove that they have made the required check?
    what are the sanctions for failure to check? what is the scope of “registered
    person”—is it the home manager or any care worker or nurse who happens to
    be on duty at the time person B tries to enter? We have asked the Department
    of Health and Social Care (DHSC) an extensive list of questions (which is
    included at Appendix 1).
23.    We believe that much of the information that we—and the House—need to
       understand the intention of, and how, the policy will operate would probably
       be included in the operational guidance, but—we have been told—the
       Government do not plan to publish that until the end of July.

        Vaccination levels required and achieved
24. The EM bases the policy on the premise that the Scientific Advisory Group
    for Emergencies (SAGE) has advised that at least 80% of staff and 90% of
    residents in a care home should have had a first vaccination dose to provide
    a minimum level of protection against outbreaks of COVID-19.
25.    The EM states that: “Only 65% of care homes in England are currently
       meeting this dual threshold, and the proportion is only 44% of care homes
       in London.”
26. The link given in the footnote in the EM takes the reader to statistics that
    only relate to care homes for those aged over 65,7 and within that, one source
    shows that 70.2% of all staff have received both doses, whereas a table based
    on self-reporting states that only 48.1% of care homes have met the SAGE
    standard.
27.    The picture is further confused by the original policy having been formed
       only in relation to care homes for the over 65 age group but having been
7     NHS England, COVID-19 Vaccinations of Residents and Staff in Older Adult Care Homes by
      NHS Region [Excel spreadsheet]: https://www.england.nhs.uk/statistics/wp-content/uploads/
      sites/2/2021/06/Older-Adult-Care-Homes-Vaccinating-80-of-staff-and-90-of-residents-June-2021.
      xlsx [accessed 7 July 2021].
8      SECONDARY LEGISLATION SCRUTINY COMMITTEE

       extended later, after the consultation exercise, to include all care homes.
       There are around 15,000 care homes of which around 10,500 (70%) cater
       (but not exclusively) for older adults.
28.     DHSC has provided further explanation (see Q1 in Appendix 1) which now
       cites that take-up of the first dose in the care home workforce stands at
       85.6%, but also states that there is significant variation at regional, local
       and individual care home level,8 so that only 65% of care homes for the
       over 65 age group are meeting the standard being set by SAGE. Although
       these Regulations apply to all care homes, DHSC’s statistics randomly veer
       between all care homes and those for the over 65 age group (see for example
       Q7 in Appendix 1)
         “As of Sunday 27 June, 402,231 staff in care homes serving any older
         people have been vaccinated with the first dose (85% of total staff).
         347,236 staff are reported to have received a 2nd dose (74% of staff)
         based on responses from 98% of providers.”
29.    It should be noted that, although the SAGE advice relates to first doses,
       it does also state that higher coverage and both doses would increase the
       level of protection. At no point, however, does the DHSC articulate its
       justification for requiring staff to have received both doses or, as an
       alternative, to be banned from entering their workplace.
30. The EM lists a number of DHSC initiatives targeted at improving uptake in
    the sector but does not address why they have not achieved the required level
    of vaccination compliance. No explanation is provided about why, despite
    being prioritised, a large proportion of care home staff have so far not received
    both doses to meet the standard being set by these Regulations. Nor does
    the EM explain why, although first dose vaccination among staff is now over
    85%, only 65% of care homes (44% in London) meet the SAGE standard.
    The House may wish to ask the Minister for a clearer explanation
    of the criteria in the Regulations and a better analysis of these local
    failures.

        Impact
31.    The EM describes the impact as follows: “providers are likely to experience
       a short-term cost of dealing with staff absences, if workers chose not to get
       vaccinated as a result of the policy”. That seems to assume that all workers
       will eventually comply.
32. A 16-week grace period from the instrument becoming law is allowed for
    those who have not taken the opportunity to be vaccinated to do so. There is
    no estimate given, however, of the percentage who, for whatever reason, may
    chose not to comply. Nor is there any analysis of the potential consequences if
    a significant proportion of care home staff become ineligible for employment
    because they have chosen not to have the vaccine.
33.    Paragraph 12.3 of the EM says that, for local authorities, “contingency plans
       should already be in place to deal with workforce shortages and provider
       failures as set out in the Care Act”. But no reassurance is given that these will
       remain feasible if there is a diminished pool of qualified staff to recruit from.
8     NHS England, COVID-19 Vaccinations [Excel spreadsheet]: https://www.england.nhs.uk/statistics/
      wp-content/uploads/sites/2/2021/07/COVID-19-weekly-announced-vaccinations-01-July-2021.xlsx)
      [accessed 7 July 2021].
SECONDARY LEGISLATION SCRUTINY COMMITTEE                            9

        Such scenarios are usually dealt with in the Impact Assessment (IA) but,
        although we are told one has been prepared, it has not been made available.

        Consultation Analysis
34. We also note that the consultation analysis presented in the EM focuses only
    on the positives and does not explain the reasons given in the high number
    of objections (57%). Further information is provided in the supplementary
    information (see Q2 in Appendix 1). This indicates that a significant number
    of people take the view that the policy is contrary to the European Convention
    on Human Rights on the ground, they say, that it infringes their bodily
    autonomy or is contrary to their beliefs. We have, for example, received a
    submission from the Christian Science Committee on Publication9 which
    says that vaccination is an individual choice and the imposition of it threatens
    the operation of the registered care homes that they run according to their
    beliefs. Although the EM contains the standard Ministerial statement
    that this legislation is compatible with the Convention, we would
    have expected DHSC to have provided stronger supporting evidence
    and, in particular, its response to the human rights issues raised in
    response to the consultation.

        Future extension?
35.     This policy is not being put forward purely as a short-term measure to deal
        with the pandemic. The instrument includes a statutory review clause,
        requiring the Health Secretary to review the Regulations and lay a report
        before Parliament annually. It does not include any sunset provision.
36. What started as a measure for staff in care homes for the elderly has
    already expanded to include (1) other visitors such as other professionals
    and tradespeople, and (2) all care homes. The Government response to the
    consultation exercise also indicates that DHSC is considering whether to
    expand the scope of the mandatory requirement:
          “We are therefore considering whether this should be an ongoing
          requirement which could be applied across health and social care. There
          is also the question of whether the policy should be extended to other
          vaccines, such as the flu vaccine.”10
37.     The Committee is unclear why similar NHS settings are not included, but
        DHSC would also need to explain current levels of vaccination and potential
        impact on NHS staff.

        Conclusion
38. No one can be unaware of the increased risks to those living in residential
    care homes from COVID-19 and that requiring staff to be fully vaccinated
    may be the way forward, but the approach of these Regulations, in requiring
    both doses, is much stronger than the advice offered by SAGE: The DHSC
    needs to justify this policy choice.

9     Published in full on our webpage. Secondary Legislation Scrutiny Committee, scrutiny evidence
      page:    https://committees.parliament.uk/committee/255/secondary-legislation-scrutiny-committee/
      publications/8/scrutiny-evidence/.
10    DHSC, Making vaccination a condition of deployment in care homes: government response (16 June 2021),
      Section 4.2 Policy Scope.
10    SECONDARY LEGISLATION SCRUTINY COMMITTEE

39.   For many years we have made clear to departments that it is not acceptable
      to present legislation for scrutiny without all the explanatory material. We
      anticipate that the IA will contain a more precise analysis of the care home
      workforce, the regional variation in vaccination levels, and a discussion of
      whether the standard is likely to be met within the timetable set and how
      care homes will be able to continue in operation if it is not.
40. Equally, we have consistently made clear our view that all key definitions and
    criteria on which decisions that might affect a person’s welfare or livelihood
    will be made, should be included in legislation and not put in guidance that
    is not subject to Parliamentary scrutiny or approval.
41.   DHSC has laid this instrument with neither. This information and the
      operational guidance are crucial to the House’s understanding of how
      the policy underlying these Regulations will work–for both individuals
      and on a sector wide basis. Without them, effective Parliamentary
      scrutiny is impossible. We therefore recommend that the debate on
      the instrument should be deferred until they are made available.
42. In the meantime, because much remains unclear, despite the additional
    material published in the Appendix to this report, we have invited a DHSC
    Minister to give oral evidence on these Regulations at our next meeting.
SECONDARY LEGISLATION SCRUTINY COMMITTEE               11

        Draft Motor Fuel (Composition and Content) and the Biofuel
        (Labelling) (Amendment) (No. 2) Regulations 2021
                                                                    Date laid: 21 June 2021

                                                    Parliamentary procedure: affirmative

       To reduce greenhouse gas emissions, “premium” petrol in the UK is currently
       blended with up to 5% ethanol, known as E5 grade. These Regulations will
       require the ethanol content to be increased to up to 10% (E10) with effect from
       1 September 2021 to meet future emissions targets. This is a complex policy area
       but issues are raised in the Impact Assessment (IA) that are glossed over in the
       Explanatory Memorandum (EM), for example, the role of E10 in propping up
       the UK’s struggling ethanol production sector, the comparative CO2 savings from
       ethanol and other biofuels, and the long term costs to motorists as E10 delivers lower
       miles per gallon. Although the goal of reducing emissions is broadly supported, this
       does not exempt the Department for Transport from fully justifying its policy choices
       when deciding how to achieve those reductions. Because the EM provides the
       House with an incomplete explanation, we recommend the House
       reads the IA before the debate and seeks further clarification of the
       policy’s effects from the Minister before reaching its decision.
       These draft Regulations are drawn to the special attention of the
       House on the grounds that they are politically or legally important or
       give rise to issues of public policy likely to be of interest to the House.

        Background
43. To reduce greenhouse gas emissions, “premium” petrol in the UK is currently
    blended with up to 5% ethanol, known as E5 grade. These Regulations
    will require the ethanol content to be increased to up to 10% (E10) with
    effect from 1 September 2021 to meet future emissions targets. E10 petrol is
    suitable for the majority of petrol vehicles, but this instrument also ensures
    that E5 grade petrol can still be supplied for older vehicles and some petrol-
    powered equipment that still needs it.
44. The Department for Transport (DfT) says that these changes are necessary
    to meet future legally binding carbon budgets because voluntary measures
    have failed. However, biofuel blending levels are generally driven by a
    separate government scheme known as the Renewable Transport Fuel
    Obligation (RTFO), and the next RTFO increases are planned for 1 January
    2022. According to paragraph 12.2 of the Explanatory Memorandum (EM),
    in the interval between these Regulations taking effect and the RTFO
    amendments, the policy will cost the motorist around £87 million per year
    and decrease CO2 savings.

        New Procedure
45.    These Regulations follow the published draft procedure required under
       Schedule 8 of the European Union (Withdrawal) Act 2018, allowing 28 days
       for comment before the instrument is formally laid before the House. This
       Committee commented on the published draft in its 3rd Report11 saying:
         “DfT does not offer any reason why these two sets of regulations cannot
         be more effectively synchronised and until they are, it appears that
         the proposed Regulations will operate against the policy intention of
11    3rd Report, Session 2021–21 (HL Paper 10).
12     SECONDARY LEGISLATION SCRUTINY COMMITTEE

         reducing emissions. We therefore recommend that, in the absence of
         convincing reasons to the contrary, the start of these Regulations should
         be reviewed with a view to aligning it with the complementary increase
         in the RTFO targets from 1 January 2022.”
46. Having completed the required 28-day period for comments, DfT has now
    laid the instrument formally as a draft affirmative instrument. To address
    our comments, the Department has provided further information about the
    additional costs and difficulties for the industry if E10 petrol is introduced at
    a different date. (See new paragraphs 7.7 and 12.3 in the EM.)
47.    However, DfT did not explain in its response why the date of the RTFO
       target increase could not be changed. In additional material the Department
       told us:
         “The RTFO scheme is a certificate trading scheme with annual
         obligations set out in secondary legislation (rising targets are currently
         set out to 2032). As suppliers plan to meet their obligations based on
         their annual projections for both fuel blending, and their ability to trade
         renewable fuel certificates, changing the obligation mid-year would be
         akin to changing the goal posts for those obligated suppliers and would
         have the same impact as a retrospective change. Suppliers who could
         have blended more earlier in the year, at a lower cost, if they had been
         aware of the change, would be forced to blend more later in the year. Due
         to the nature of the certificate scheme, and the market this has created,
         the value of certificates could be affected in ways that suppliers could
         not have predicted. As a result, it is not considered viable to change
         targets mid-year.”
48. This additional material gives a clearer picture of the costs and disruption to
    the industry if the existing schemes were synchronised for this changeover.
    It is persuasive but would be even more convincing if the relative costs of this
    disruption were estimated for comparison with the impact on the consumer
    and on CO2 savings.

        Additional information in the Impact Assessment
49.    While the Impact Assessment (IA) was not supplied alongside the published
       draft,12 it provides a much broader perspective on the consequences of the
       changeover to E10 than the EM.
50. For example, paragraph 43 of the IA indicates that due to lead times the
    effects of implementing the two regulations separately may not be as great as
    they first appear. However, the EM still clearly indicates a negative impact
    on consumers during the changeover period. We asked DfT for clarification
    and the Department replied:
         “As set out in the IA, we acknowledge that the short gap between the
         introduction of E10 and increases to the RTFO target could mean that
         the full benefits of the E10 introduction are not immediately realised.
         Our analysis indicates there could even be a small reduction in carbon
         savings (note that emissions are still reduced compared to fossil fuel
         use, just by a lesser degree than in an alternative scenario) however
         the position modelled is probably a worst case scenario, with further
12    DfT, Statutory guidance: Regulations to introduce E10 petrol (13 May 2021): https://www.gov.uk/
      government/publications/regulations-to-introduce-e10-petrol [accessed 7 July 2021].
SECONDARY LEGISLATION SCRUTINY COMMITTEE                    13

       detail provided below. However, given the overall impact is limited, we
       do believe this is the best way to introduce E10. As our consultation
       showed and based on subsequent engagement, this view is also shared
       by the industry who are supportive of the changes and timelines and
       have started to prepare for the changes.
       It is also important to highlight that there are still significant uncertainties
       as to actual blending rates between September and end of the year, and
       accordingly any impact on emission savings. Fuel suppliers have some
       flexibilities as to how they comply with their obligations under the RTFO
       and the minimum ethanol blending requirement, so the final fuel mix
       will be subject to individual business decisions. The modelling used for
       the IA necessarily had to use general, simplified assumptions, using for
       example historic data, to assess the potential impact and risks. It is not
       a projection of what will happen, particularly between September and
       January, as the fuel grade switches over. The fuel specification will also
       only apply at the point of sale from November, allowing for existing
       stocks of petrol to be used first, meaning there will be a short transition
       phase that may also effect the rate of change of ethanol blending in the
       first months which was not captured in the IA.”
51.   If anything, this makes the consequences of transition to E10 less clear and
      the House may wish to ask the Minister for a clearer view of the effects
      of introducing the two sets of regulations three months apart.
52. Because in this case the IA provided so much additional information, we
    recommend that whenever the policy requires an IA, it should made
    available alongside the “published draft”.

      Quality of the EM
53.   The IA raises a number of issues that are glossed over in the EM, for
      example the degree to which these changes support the UK’s struggling
      ethanol production plants, which in turn benefits markets for feed-wheat in
      the North East. (see paragraphs 54 to 64).
54. The EM is also based on the assumption that increased ethanol content
    by changing to E10 is the only way forward. The IA discusses at some
    length the fact that the greenhouse gas savings from the additional ethanol
    are lower than the savings from other biofuels, for example waste-derived
    biodiesel. The IA however concludes that, providing the RTFO target is
    suitably adjusted, E10 will result in longer term reductions in greenhouse
    gas emissions. The House may wish to ask the Minster to explain why
    blending petrol with ethanol is perceived as the most effective way to
    reduce greenhouse gases.
55.   The IA also notes that the core reason for blending biofuels into road fuels
      is to reduce greenhouse gas emissions rather than to improve air quality:
      “A range of studies have looked at the air quality implications of increased
      bioethanol blending with general consensus that a switch between E5 and
      E10 has minimal impact in either direction on emissions relating to air
      quality.” (IA paragraph 70). The House may wish to ask the Minister
      whether other options might have also improved air quality.
14    SECONDARY LEGISLATION SCRUTINY COMMITTEE

      Costs to Consumers
56. The EM says at paragraph 12.2 that: “Until RTFO targets can be increased,
    the policy will cost around £87 million per year and decrease CO2 savings
    by around 0.2 megatonnes per year. These costs will be borne by motorists.”
    This appears to suggest that the costs to motorists are transitional.
57.   What the IA makes clear is that there will be significant long-term costs to
      consumers because E10 fuel is less efficient. Although moving from 5% to
      10% bioethanol content is not expected to change pump prices, as the energy
      content of the fuel will also decrease, motorists will have to buy more litres
      of fuel. Paragraph 86 of the IA concludes that fuel costs for petrol cars are
      therefore estimated to increase by 2.3% as a result of moving from 5% to 10%
      bioethanol content. Scaling this up, the IA estimates additional fuel supply
      costs to consumers of E10 petrol of £701 million over 10 years because of the
      reduced miles per gallon. (Further costs estimated at £169 million over 10
      years will fall to consumers whose vehicles will only accept E5 petrol.)

      Conclusion
58. Although the policy area is complex, the EM presents a rather sketchy
    view of the rationale for, and the consequences of, the proposed change
    to E10 petrol. It assumes that E10 petrol is the only way forward without
    explaining why that combination of fuels offers the best outcome. DfT also
    assumed the reader has a detailed knowledge of the broader regulation of the
    sector and how the RTFO system operates. In particular, because the EM
    indicates that there will be negative consequences during the changeover,
    the Department’s explanation should have made much clearer how these are
    to be offset by other policy outcomes and in the longer term.
59.   Although the goal of reducing emissions is a broadly supported, this does not
      exempt the Department from fully justifying its policy choices when deciding
      how to achieve those reductions. Because the EM provides the House
      with an incomplete explanation, we recommend the House reads the
      IA before the debate and seeks further clarification of the policy’s
      effects from the Minister before reaching its decision.
SECONDARY LEGISLATION SCRUTINY COMMITTEE                              15

        Town and Country Planning (Development Management Procedure
        and Section 62A Applications) (England) (Amendment) Order 2021
        (SI 2021/746)
                                                                                  Date laid: 24 June 2021

                                                                  Parliamentary procedure: negative

        This Order introduces a requirement for a fire statement to be submitted with
        applications for planning permission for developments involving certain high-rise
        residential buildings, and for the Health and Safety Executive to be consulted before
        planning permission is granted. This is in response to the findings of the Independent
        Review of Building Regulations and Fire Safety following the Grenfell Tower fire
        which recommended that requirements around fire safety needed to be addressed at
        the planning application stage. The Order also reduces certain statutory timescales
        to encourage local planning authorities to prioritise applications for public service
        infrastructure developments, such as hospitals, schools or prisons, as set out in
        the National Infrastructure Strategy. Given that this Order takes forward one of
        the recommendations in relation to the Grenfell Tower fire, the House may wish
        to explore further the approach the Ministry of Housing, Communities and Local
        Government has taken.
        The Order is drawn to the special attention of the House on the ground
        that it is politically or legally important and gives rise to issues of
        public policy likely to be of interest to the House.
60. This Order has been laid by the Ministry of Housing, Communities, and
    Local Government (MHCLG) with an Explanatory Memorandum (EM).
61.     Amongst other changes, the Order introduces a new requirement for a fire
        statement to be submitted with applications for planning permission for
        developments involving a relevant high-rise residential building, and for
        the Health and Safety Executive (HSE) to be consulted before planning
        permission is granted. This is to address the findings of Dame Judith
        Hackitt’s Independent Review of Building Regulations and Fire Safety (“the
        Independent Review”)13 following the Grenfell Tower fire in June 2017 which
        recommended that requirements around fire safety needed to be addressed
        at the planning application stage, and that this would require input of those
        with the relevant expertise.
62. The Order also reduces certain statutory timescales to encourage local
    planning authorities to prioritise applications for public service infrastructure
    developments, such as hospitals, schools or prisons.

        New requirement for fire statements
63.     MHCLG explains that in April 2020 the Government published its response14
        to the Building a Safer Future consultation which proposed a new approach
        for developments involving a relevant high-rise residential building, so that
        fire safety issues which impact on planning, such as emergency fire vehicle
        access to a building and the availability of adequate water supplies in the

13    MHCLG, Building a Safer Future: Independent Review of Building Regulations and Fire Safety: final
      report (17 May 2018): https://www.gov.uk/government/publications/independent-review-of-building-
      regulations-and-fire-safety-final-report [accessed 7 July 2021].
14    MHCLG, A reformed building safety regulatory system, Government response to the ‘Building a Safer
      Future’ consultation (2 April 2020): Building a safer future: proposals for reform of the building safety
      regulatory system - GOV.UK (www.gov.uk) [accessed 7 July 2021].
16      SECONDARY LEGISLATION SCRUTINY COMMITTEE

        event of a fire, should be considered before planning permission is granted,
        as recommended by the Independent Review.
64. To help the local planning authority in its decision as to whether to grant
    planning permission, this Order will require the developer to submit
    together with the planning application a fire statement setting out fire safety
    considerations specific to the development. According to MHCLG, this will
    have the effect of bringing forward consideration of fire safety matters to an
    earlier stage in the development process and will result in schemes which
    “better integrate thinking on fire safety, as opposed to revisiting and revising
    a consented scheme later in the development process due to the impact of
    fire safety requirements”.
65.     The Order defines relevant buildings to which the new requirement for a fire
        statement applies as those which contain two or more dwellings or educational
        accommodation and are at least 18 meters high or have seven or more
        storeys. Certain developments are exempt, for example, where applications
        for planning permission propose material changes to a building which would
        mean that the building no longer qualifies as a “relevant building”, such
        as a development proposal to turn a residential building that is more than
        18 meters high into a storage and distribution warehouse: a fire statement
        would not be required because the building would no longer be a relevant
        building. MHCLG says that applications for outline planning permission15
        will also be exempt from the requirement to submit a fire statement because
        matters such as layout and scale can be reserved.
66. MHCLG says that the fire safety matters included in a fire statement will be
    those relevant to planning matters (see paragraph 62), and that the level of
    detail provided in a fire statement will not be the same as the information that
    has to be submitted at building control application stage, which is a separate
    process. The requirements of the fire statement will also not duplicate or
    require compliance with the building regulations or the Fire Safety Order.
67.     The Order also requires that the fire statement is placed in Part 2 of the local
        planning authority’s planning register which contains a permanent record
        of applications for planning permission and decisions. The Order further
        introduces a requirement for HSE to be consulted before planning permission
        is granted. MHCLG explains that in the longer-term, the Building Safety Bill
        will establish a new Building Safety Regulator within HSE that will enforce
        a new, more stringent regulatory regime for relevant high-rise buildings and
        also oversee the safety and performance of all buildings.

        Prioritising of public service infrastructure development
68. MHCLG says that securing planning permission for public service
    infrastructure development16 can take significant time, and that many
    decisions by local planning authorities on applications for substantive public

15    An outline planning permission applies where permission on certain matters is reserved until later. It is
      particularly used for large multi-phase developments where details of the development are not finalised
      at the time of the planning application. Matters which can be reserved are access, layout, landscaping,
      appearance and scale. As some of the matters relevant to the completion of a fire statement, such as
      layout and access, can be reserved, there is no requirement to submit a fire statement as these details
      do not have to be included in an application for outline permission.
16    This Order classifies public service infrastructure developments as a new category of “major
      development” which includes developments of sites of one hectare or more, and/or involving one or
      more buildings where the floor space to be created is 1,000 square metres or more.
SECONDARY LEGISLATION SCRUTINY COMMITTEE                        17

        service developments take longer than the statutory period of 13 weeks,
        leading to project delays and cost increases. According to MHCLG, this
        Order makes changes to encourage local planning authorities to prioritise
        applications for public service infrastructure development as part of the
        Government’s National Infrastructure Strategy.17 The Order shortens the
        timescale for representations to be made in relation to certain publicity
        and consultation requirements (from the current 21 calendar day statutory
        period to a minimum of 18 calendar days with discretion to extend the period
        where appropriate), and the statutory period for determining the application
        from 13 to 10 weeks. These changes apply where applications are made to
        build, extend or alter a hospital, school, further/higher education institution
        or criminal justice accommodation (such as prisons but not immigration or
        removal detention centres).
69.     MHCLG says that to enable the Government to monitor the progress that
        is being made in prioritising such developments, the Secretary of State
        intends to issue a direction to require local planning authorities to notify the
        Secretary of State when they receive a planning application for public service
        infrastructure development and to provide information on the timing of the
        decision.

        Conclusion
70.     Amongst other changes, this Order introduces a requirement for a fire
        statement to be submitted with applications for planning permission for
        developments involving certain high-rise residential buildings, and for HSE
        to be consulted before planning permission is granted. Given that this is
        in response to a recommendation by the Independent Review following the
        Grenfell Tower fire, the House may wish to explore further the approach
        taken by MHCLG. The Order is drawn to the special attention of the
        House on the ground that it politically or legally important and gives
        rise to issues of public policy likely to be of interest to the House.

17    HM Treasury, National Infrastructure Strategy (25 November 2020): https://www.gov.uk/government/
      publications/national-infrastructure-strategy [accessed 7 July 2021].
18      SECONDARY LEGISLATION SCRUTINY COMMITTEE

        INSTRUMENTS RELATING TO COVID-19

        Travel
        Health Protection (Coronavirus, International Travel and Operator Liability)
        (England) (Amendment) (No. 3) Regulations 2021 (SI 2021/731)
71.     These Regulations amend the International Travel Regulations:18

        •     To exempt those who arrive in the UK under the Afghan Relocations
              and Assistance Policy or the Afghan Locally Employed Staff Ex-Gratia
              Scheme from the requirement to complete the passenger locator form
              (PLF).

        •     To modify the requirement to self-isolate for certain senior officials
              from the Union of European Football Associations (UEFA), the
              International Federation of Association Football (FIFA) and other
              relevant senior figures, such as senior executives of sponsors or
              broadcasters, or representatives of competing countries. This is to
              enable them to attend Euro 2020 matches and related events, including
              meetings with the UK Government or the Football Association (FA).
              The Department of Health and Social Care (DHSC) says that these
              individuals will still have to complete the PLF, have a negative test
              result and book and undertake tests, as required by the International
              Travel Regulations. In addition, they will also have to comply with strict
              protocols to limit contact with the local population, between attendees
              and to reduce the risk of transmission between groups. According to
              DHSC, this will include daily testing, private transport and limiting
              their stay in the UK, while heads of delegation will have to provide
              assurance of compliance to the FA and individuals will have to sign a
              code of conduct. Asked about the number of people who will benefit
              from the exemption, DHSC told us that this will “extend to a maximum
              of 2,000 accredited guests. They would be split as follows, working
              with FA/UEFA to ensure compliance with limits etc: 750 permitted to
              attend from 5 to 12 July; 250 extra for each semi-final on 6 and 7 July
              (limited to 48h in the country) and an extra 750 for the final.”

        •     To exempt those attending or facilitating the COP26 Ministerial or
              the Global Education Summit from the requirement for self-isolation,
              managed quarantine, mandatory testing and the PLF. To qualify for
              this exemption, individuals will have to agree to comply with specific
              health protocols in place for each event, which include daily testing and
              tracing procedures.

        •     To correct a technical error, so that the amount of a Fixed Penalty
              Notice for failure to adhere to the duty to possess a managed self-
              isolation package on arrival in England in the first instance is £500
              rather than £5,000.

18    Health Protection (Coronavirus, International Travel and Operator Liability) (England) Regulations
      2021 - Explanatory Memorandum (legislation.gov.uk) (SI 2021/582).
SECONDARY LEGISLATION SCRUTINY COMMITTEE                19

        Health Protection (Coronavirus, International Travel and Operator Liability)
        (England) (Amendment) (No. 4) Regulations 2021 (SI 2021/766)
72.     These Regulations further amend the International Travel Regulations19 in
        a variety of ways:

        •     To introduce limited exemptions from the requirements imposed
              by those Regulations for: persons invited to the UK by the Foreign
              Secretary on official business; engineers etc essential for the operation
              of ferry services; in-flight security officers (“sky marshals”); prisoners
              being extradited or deported to the UK; certain categories of senior
              executives on business visits likely to create or save at least 500 UK jobs
              (and authorised by the Secretary of State); and “specially accredited”
              persons invited to attend the 2020 UEFA European Football
              Championship Final (these are in addition to the UEFA officials listed
              in SI 2021/731 above and may add about 1,000 visitors per team);

        •     To revise the onboard public health announcement on commercial
              passenger transport to tell people arriving in England that they must
              have a pre-booked testing package for days 2 and 8;

        •     To update the list of exempt sporting events in Schedules 5 and 11;

        •     To update the Schedule 1 (green list) countries to add Anguilla,
              Antigua and Barbuda, the Balearic Islands, Barbados, Bermuda, the
              British Antarctic Territory, the British Indian Ocean Territory, the
              British Virgin Islands, the Cayman Islands, Dominica, Grenada,
              Madeira, Malta, Montserrat, the Pitcairn Islands, and the Turks and
              Caicos Islands;

        •     To update the Schedule 3 (red list) countries to add the Dominican
              Republic, Eritrea, Haiti, Mongolia, Tunisia and Uganda and also to
              add the Dominican Republic and Tunisia to the list of countries from
              which direct passenger flights are generally prohibited unless landing
              at Birmingham Airport or Heathrow Airport; and

        •     To change the designated terminal at Heathrow Airport for handling
              passengers on such flights from Terminal 3 to Terminal 4.

        Health Protection (Coronavirus, International Travel and Operator Liability)
        (England) (Amendment) (No. 5) Regulations 2021 (SI 2021/795)
73.     This instrument makes further amendments to the International Travel
        Regulations20 to exempt people from Amber list countries who have been
        invited to attend a Euro 2020 event by the Football Association from the
        obligation to isolate on arrival into England. They will still be subject to
        the wider public health border requirements, including pre-departure test,
        Passenger Locator Form, and mandatory testing after arrival and, according
        to the Government, they should be in the UK for no more than 24 to 36
        hours.
74.     The distinction between invitees (exempted by SI 795) and Final attendees
        (exempted by 766) is that the Final attendees are to be more closely managed
        by law, because they are less closely affiliated to UEFA or the national

19    SI 2021/582 as above.
20    SI 2021/582 as above.
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