Animals in Science Regulation Unit Annual Report 2017 © Crown copyright 2018
This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. To view this licence, visit http://nationalarchives.gov.uk/doc/open-government- licence/version/3/ or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: [email protected].
Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned.
ISBN: 978-1-78655-740-7
© Crown copyright 2018
This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. To view this licence, visit http://nationalarchives.gov.uk/doc/open-government- licence/version/3/ or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: [email protected].
Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned.
ISBN: 978-1-78655-757-5 Contents
Ministerial foreword 4 Section 6: Inspection 19 Inspection 19 Foreword 5 Baseline setting 19 Risk management 20 Section 1: What the Animals in Science Regulation Inspector training and continuous professional Unit does 7 development 20 The Policy and Administration Group 7 Inspection reporting 21 Investigating allegations made to the Animals in Science Regulation Unit 21 Section 2: The regulatory framework 9 Judicial Reviews 9 Section 7: Compliance 22 Publications 10 Non-compliance 22 Working with the EU Commission 10 Compliance in 2017, self‑reporting and a culture of Working with the Animals in Science Committee 11 care 24 Key compliance messages 25 Section 3: Licensing 13 Transparency of major investigations 27 The framework 13
Performance 13 Section 8: Financial report 28 Licensing Team stakeholder engagement 13 2017/18 Expenditure 28 Animals Scientific Procedures e-Licensing 14 2017/18 Income 29
Section 4: Promoting the principles of replacement, Annex 1: Non-compliance cases 30 reduction and refinement of animals in research 15 Work with the National Centre for the 3Rs 15 Annex 2: Tables and figures 42
Section 5: Engaging with stakeholders 16 Annex 3: Household products ban update 46 Communications 16 Correspondence 16 Stakeholder communication 17 Licensee engagement 18 External representation 18
3 Ministerial foreword
The use of animals in scientific research As we plan a future of the UK outside of the helps us to ensure that medicines are safe European Union we mark the start of a new to use and to find treatments for cancer beginning. The transposition of European and other diseases, among a range of other Directive 2010/63/EU has given us a strong benefits. This work must continue to be platform for the delivery of the use of animals authorised within a rigorous regulatory system. in science in the UK. In the near term we This ensures that animal research and testing seek to provide seamless continuation of is carried out only where no practicable the rigorous regulatory framework. We look alternative exists and under controls that forward to working together with the EU keep suffering to an absolute minimum. to deliver the best outcomes for science Central to this UK commitment is our and animal welfare as we build a new continuing full application of the 3Rs (the comprehensive partnership that sees replacement, reduction and refinement of us stay the closest of friends and allies. the use of animals in science).
The UK’s life science strategy is based on a vision of how the UK may exploit its current strengths to support strong economic growth in this sector. As a regulator, the Home Office has an important role in balancing the need to enable innovation and research in the life Baroness Williams of Trafford sciences whilst maintaining public trust through a strong framework that has the necessary checks and balances. The Animals (Scientific Procedures) Act 1986 provides this underpin of assurance, thus promoting high standards of animal welfare and also opportunities to deliver high quality science of international standing.
4 Animals in Science Regulation Unit: Annual Report 2017 Foreword
The Animals in Science Regulation Unit (ASRU) increased efficiencies for the processing has continued to focus efforts on high quality, • of licences; effective and efficient regulation. This is framed a robust assessment process and application in our three overarching aims of becoming a • of the 3Rs (replacement, reduction and ‘modern, consistent and responsive regulator’. refinement of the use of animals in science); and At the heart of regulation is our e-licensing the protection of confidential information. system (ASPeL). At the beginning of 2014 • we first rolled out an e-licensing system that The system will undergo an iterative roll-out placed our paper-based licences into an for full delivery in 2019. electronic format. This has been particularly effective in delivering more rapid personal Whilst the new ASPeL system is being licence authorisations. Now, in 2017, developed we have listened to licence we have embarked upon the next phase applicants for whom the process has been of the e-licensing project that will improve frustrating. Although we have met legislative functionality for users and be located on the targets (99.9% and 99.8% on personal and Government website. The project is being project licences respectively) this does not delivered through a process that places reflect the lead-in period for project licences. the system user – establishments, inspectors After listening to applicants’ concerns we and licensing officers – at the centre of the responded and developed an annotated design. Our plans are for extensive consultation licence form. The annotated form sets during the build; a process of agile delivery. out our expectations for a ‘complete and Through agile delivery we will pilot the system correct’ application and clearly presents with users as we build it. The new system how to implement the 3Rs and produce will deliver: a non‑technical summary that supports openness and transparency.
5 Developing and maintaining a culture of Our planning for a seamless exit from the compliance is a key part of the effective delivery European Union continues apace. The aim of the Animals (Scientific Procedures) Act 1986 is to maintain substantially similar regulations (ASPA). During 2016 we undertook a review of with the EU, thus preserving a level of our compliance operations and policy. Our aims parity that will support the UK to retain were to have a new policy that: competitiveness in global markets. ASPA already enjoys that parity through the relatively embedded the principles of good regulation; recent transposition that we undertook in • continued to improve the efficiency and 2012. Through 2016 and 2017 we have • effectiveness of enforcement processes; and continued with our legislative plans that worked with the research community to uphold the integrity of the Act from March • improve the openness and transparency 2019 onwards and assure licensees of the of ASRU’s operations and decision making. continuation of the framework currently in place. Thus, we will not make any substantive We used the lessons learned from complex changes to ASPA, other than those required cases and focus groups of licence holders to to move from working under an EU Directive support the production of a new compliance to working under UK law only. policy. In 2017 we published our new compliance policy that we believe will better achieve our aims through positive support and effective enforcement.
During 2017 there were significant changes to the Government estate as departmental buildings in central London were closed in Will Reynolds a drive for better value for money. In late Head of the Animals in Science Regulation Unit 2017 ASRU relocated part of its operation to government offices in Croydon, along with many other parts of the Home Office family. At the end of 2017, the Operations Team (Licensing, IT and Finance) and the Compliance Team were entirely based in Croydon. The Policy Team has remained in 2 Marsham Street. The inspectors are mainly home working so as to be located near establishments for inspection. We also maintain one-hub site and a few desks within touch‑down offices around the UK. The fact that many of our stakeholders were unaware that a move had even taken place is testament to the hard work of the ASRU team that made it so smooth.
6 Animals in Science Regulation Unit: Annual Report 2017 Section 1: What the Animals in Science Regulation Unit does
“We regulate the use of animals in scientific research for the benefit of people, animals and the environment through the provision of impartial licensing procedures and evidence-based advice, and by encouraging the development and use of the 3Rs (replacement, reduction and refinement).”
The Animals in Science Regulation Unit (ASRU) responding to the EU Commission’s requests is a part of Home Office Security, Science and • regarding the transposition of the EU Directive Innovation. ASRU is responsible for regulating 2010/63/EU; the operation of the Animals (Scientific advising on matters related to the UK’s exit Procedures) Act 1986 (ASPA). • from the EU; supporting the requirements of the Judicial The Unit is led by the ASRU Leadership Team • Review process; (ALT), comprising the Head of Unit, Chief Inspector, Head of Policy, Head of Operations • the development of central government and Strategy and three principal inspectors. and operational policy; • the production of various Advice Notes; and • the publication of statistics. The Policy and The Policy Team also responds to Administration Group Parliamentary Questions, Freedom of Information requests and all correspondence The Policy and Administration Group is based (Ministerial and official). at the Home Office in Westminster, Croydon and Swindon. The group comprises three At the end of 2017 the Policy Team comprised teams: three policy advisers who report to the Head policy; of Policy. • compliance; and • business support. • Compliance These teams fulfil the following functions. The ASRU Compliance Team consists of a Principal Inspector, an Operational Inspector, a Senior Complex Cases Manager and Policy and legislation administrative support. The Compliance Team The Policy Team provides direct support supports inspectors during the investigation to Ministers to develop and deliver policy of potential non-compliance with the aim of objectives. The team is responsible for the promoting a robust, efficient and consistent development of new policies and guidance national approach to cases. The team advises supporting the delivery of ASPA. In 2017 on the appropriate investigation of cases and the team’s work included: the proportionate application of sanctions.
7 The team reports directly to the Head of Policy. At the end of 2017 the Inspectorate comprised 22 individuals (17.6 full-time equivalents [FTE]), which is no significant change from 2016. Business support Following the retirement of the previous Head The ASRU Business Support Team is a of Unit in 2016, the role of the Chief Inspector dedicated resource providing business was combined with the Head of Unit role and support to all operational staff and is not included in these figures. management. This includes: providing general support to inspectors The Licensing Team • and management; gathering and analysing management The purpose of the Licensing Team is to act on • information; behalf of the Secretary of State in operating the licensing system. Its core functions within this providing a secretariat function; remit are: • organising internal and external recruitment; • • issuing establishment, personal and project • organising ASRU training, events and licences, and amendments; conferences, including external stakeholder dealing with appeals against decisions taken; events; • taking action in cases of non-compliance; conducting risk management, including • and • health and safety; leading on the technology for e-licensing. • collecting and administering the annual • Return of Procedures exercise; At the end of 2017 the team comprised the managing procurement and general finance; Head of Licensing (reporting to the Head of • and Operations), two licensing managers and four • collecting licence fees. licensing officers. During 2017 the Business Support Team comprised one Senior Manager supported by one Executive Officer.
The Inspectorate Inspectors act as professional advisers to the Secretary of State. They play a key role in the implementation of the controls of scientific procedures on animals covered by ASPA. Their work is split broadly into thirds between their commitments to: • inspection; • licence assessment; and • providing operational and strategic advice. All inspectors are registered veterinary or medical practitioners. They all have first‑hand experience of biomedical research and possess higher scientific or clinical postgraduate qualifications.
8 Animals in Science Regulation Unit: Annual Report 2017 Section 2: The regulatory framework
The UK regulatory framework is underpinned by the Animals (Scientific Procedures) Act 1986 Judicial Reviews (ASPA), which was amended by transposition In 2016 Cruelty Free International (CFI) brought of Directive 2010/63/EU in January 2013. a case for Judicial Review against the Home The standards associated with the Act and Secretary, in relation to the licensing of safety guidance on its administration and enforcement testing for prescription-only medicinal products Code of Practice for are provided in the containing botulinum toxin (BT), commonly the housing and care of animals bred and known as ‘botox’. supplied or used for scientific purposes 1 Guidance (the Code of Practice) and the CFI’s principal allegations included the on the Operation of the Animals (Scientific following. Procedures) Act 1986 (the Guidance)2 respectively. Both documents are publicly • An allegation that the Home Office is not available and support establishments in both compliant with various duties to ensure that understanding ASPA and being compliant. licensed establishments were not testing BT for ‘cosmetic’ (as opposed to medicinal) use. When the transposed Directive was • A repeated demand that the Home Office embedded into ASPA the Animals in Science should seek an additional declaration from Regulation Unit (ASRU) made a commitment licence holders, recognising that the licence to publish further Advice Notes as required. ‘does not permit testing where the end use The Advice Notes complement the Guidance of the toxin is vanity’. and provide further explanation where An allegation that where ASRU licenses testing required. To ensure that they meet this aim • on animals, and it is ‘known’ that some of the the Advice Notes have been drafted with input product will be used for what CFI call ‘purely from many sources including: cosmetic purposes’, there is a significant the biosciences sector; breach of the cosmetics testing ban. • representatives of licensed establishments; • The case was heard in 2017 and the judge • animal welfare and protection groups; dismissed all of the claims made by CFI. • subject matter experts; In summing up the judge said: • the ASRU Inspectorate; other government departments; and “I have been unable to discern • the Animals in Science Committee. any Public Law error in the way the • Secretary of State and her specialist team of Inspectors and Civil Servants were delivering and carrying out their regulatory duties.”
1 https://www.gov.uk/government/publications/code-of-practice-for-the-housing-and-care-of-animals-bred-supplied-or- used-for-scientific-purposes 2 https://www.gov.uk/government/publications/operation-of-aspa
9 The court’s ruling endorses the Home Office’s culminated in the publication of the annotated long-standing approach to licensing the safety project licence application form. In the medium testing of medicines containing BT. Such term ASRU is making plans to re-design the testing is undertaken to ensure that patients project licence form: with debilitating conditions have continued to make the process more efficient; and access to the medicines that they need, in line • to gather information as effectively as with the regulatory requirements of medicines’ • possible for project evaluation, with the same regulators. Those requirements are that safety levels of scrutiny and rigour. testing is conducted to ensure that the toxicity levels of each batch of medicine are safe Last year ASRU published the annotated enough to give it to patients. project licence application form to assist all those applying for a licence. Following ASRU does not license animal testing for feedback from several groups of stakeholders cosmetics, and the court concluded that the this has been revised and the updated version Secretary of State takes reasonable steps to is available on ASRU’s website.4 The revised ensure that batches of BT tested on animals form explains what is required in each box of are only used for medicinal purposes. ASRU the form. Failure to adhere to this guidance only issues licences after carrying out a full could significantly increase the time taken to harm/benefit analysis and seeks to ensure grant a licence and could result in a rejection that animal suffering is kept to a minimum. of the application.
Publications Working with the 1. Compliance policy EU Commission
A new document on ASRU’s compliance The Directorate-General for the Environment in policy was published on ASRU’s website.3 the EU Commission is responsible for ensuring This document explains how ASRU: the Europe-wide implementation of Directive 2010/63/EU. During 2017 senior representatives identifies and investigates potential incidents from ASRU, as the UK competent authority, • of non-compliance; and attended a number of meetings in Brussels. • decides on appropriate and proportionate measures and sanctions aimed to minimise There were two National Contact Point the risk of recurrence. meetings in 2017, both of which ASRU attended as UK representatives. Updates This document is primarily aimed at those who were provided by EU Member States on work within the life science research community their transposition of the Directive. under ASPA, but will also be of interest to those wishing to know more about how 1. EU Exit ASRU regulates. The UK voted to leave the EU in June 2016. 2. Updated annotated project licence Subsequently, the Government began a application form process of compiling an evidence base to plan for the future in the best way. The Department ASRU has committed to providing advice for Exiting the European Union quickly ramped to improve the standards of project licence up engagement with government departments applications. In the short term ASRU has a in preparation for the EU exit, including the ‘one high quality’ draft initiative, which has Home Office and ASRU.
3 https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/670174/ASRU_ Compliance_Policy_December_Final.pdf 4 https://www.gov.uk/government/publications/animal-testing-and-research-improve-your-project-licence-application
10 Animals in Science Regulation Unit: Annual Report 2017 Unlike many government regulators ASRU does Working with the Animals in not operate for the express purpose of achieving a product to be delivered. ASRU’s ‘product’ Science Committee is to provide the legal and ethical framework, under ASPA, to make decisions as to whether The Animals in Science Committee (ASC) is an to allow tests that other regulators, such as the independent, non-executive, non-departmental Medicines and Healthcare products Regulatory public body convened under Sections 19 Agency (MHRA), require. and 20 of ASPA (as amended). The ASC is responsible for providing impartial, balanced and objective advice to Ministers on issues Therefore, the regulation of animals in science relating to ASPA. At all times, the Committee impacts on a number of other regulatory must take into account both the legitimate systems. For example: requirements of science and industry and • medicines cannot be brought to market the protection of animals against avoidable without testing on animals; suffering and unnecessary use in scientific new chemicals need to be tested on animals procedures. • to provide assurances on public safety; and a great deal of medical and biological The ASC provides advice on specific categories • research relies on the use of animals. of project licences, including those seeking authority for: ASRU is therefore continuing to engage with the use of wild-caught non-human primates; other relevant government departments and • the use of cats, dogs, equidae or non-human agencies to contribute full support in gathering • primates in severe procedures; evidence and information to plan for EU exit. • the use of endangered species; The EU Directive 2010/63/EU, on the • projects with major animal welfare or ethical protection of animals used for scientific implications; purposes, was transposed in detail into UK projects of any kind raising novel or law through an amendment to ASPA in 2012. • contentious issues, or giving rise to serious This means that the legislation required for societal concerns; UK animals in science regulation to operate projects involving the use of admixed following EU exit is already in place. Other • embryos as advised in the Guidance on than minor changes to references to the the use of Human Material in Animals;5 and Directive that are embedded in ASPA, no projects that may invoke any of the further legislative action is needed for animals • ‘safeguard clauses’ in the Directive 2010/63/ in science regulation around EU exit. There will EU with respect to the purpose of primate be no change to the high standards of animal use, proposals for the use of a great ape, or welfare required or to the required standards proposals to cause long-lasting pain, suffering of housing and care as set out in the Code or distress that cannot be ameliorated. of Practice. During 2017 the ASC reviewed four applications for which it provided the Home Office with advice.
5 https://www.gov.uk/government/publications/guidance-on-the-use-of-human-material-in-animals
11 ASPA requires that the ASC engages in the promotion of good practice, through knowledge sharing, between Animal Welfare and Ethical Review Boards (AWERBs). This is a challenging remit due to the geographical spread of establishments, breadth of scientific interest of establishments and different ways of operating. To help address this, the ASC has set up a network of AWERB hubs to facilitate knowledge transfer. ASRU welcomed this initiative as a means of improving communication of good practice.
Under the terms of ASPA the ASC provides independent scrutiny and advice to the Home Office on matters concerned with the regulation of animals in science, which includes ASRU’s Advice Notes.
12 Animals in Science Regulation Unit: Annual Report 2017 Section 3: Licensing
Project licences: During 2017 a total of The framework 568 licences were granted. Of these 567 The UK’s three-tier licensing system provides complete and correct applications were a framework for authorising research using granted within the 40 days target (99.8%). animals. It ensures that animal research and The remaining licence was granted during testing is only undertaken: the statutory 15-day extension to 55 days. This is a 8% increase in project licences • where no practicable alternatives exist; and granted compared with 2016; and an • under rigorous controls where suffering must improvement in processing where previously be kept to a minimum. 99.1% were granted in 40 days.
The Animals in Science Regulation Unit (ASRU) Personal licences: During 2017, 2,985 administers the licensing function under the personal licences were granted. This is a Animals (Scientific Procedures) Act 1986 5.8% decrease on 2016. The team successfully (ASPA). The licensing framework comprises processed 99.9% of licences within the internal the following requirements: 20-day target. the place at which the work is carried out • must hold an ‘establishment licence’ (PEL); the programme of work in which the Licensing Team stakeholder • procedures are carried out must be authorised in a ‘project licence’ (PPL); engagement • those carrying out procedures must hold a The engagement of licence holders with ‘personal licence’ (PIL), which ensures that ASRU’s Licensing Team continues to play an those working with the animals are qualified important role. Establishments have welcomed and suitable. visits from members of staff from the Licensing Team through their single point of contact In 2017 ASRU licensed and regulated 160 (SPoC) roles and this has assisted in forging establishments. These are predominantly stronger bonds and greater understanding in the pharmaceutical, biotechnology and of the work undertaken on both sides. contract research industries, and in academia The SPoCs have continued to visit their (universities and research institutes). At the associated establishments and have a target end of 2017 there were 2,585 active project of three visits a year. licences and 16,109 personal licensees. The Home Office Liaison and Training Information Forum (HOLTIF) has been an Performance effective platform for establishments and licensing staff to meet on a quarterly basis Establishment licences: During 2017, to discuss mutually relevant topics to enhance one new establishment application was an improved relationship. Since the introduction received and three new establishment licences of the SPoC scheme, both sides are striving to were granted (one from a 2016 application). deliver effective outcomes for licence applicants.
13 Animals Scientific Procedures e-Licensing
Animals Scientific Procedures e-Licensing (ASPeL) continued to handle the processing of all licence types and has almost entirely replaced the previous paper-based system. ASPeL improved ASRU’s internal efficiency and this facilitated the continuity of business during the team’s relocation to Croydon.
ASPeL users have regularly provided feedback on the usability and capability of the system, and this allowed ASRU to define the limitations of the existing ASPeL product. This has been particularly demonstrated in processing establishment licence amendments, project licence applications and generating reports for customers.
In 2017 ASRU completed a tender process for the development of a new system to replace ASPeL. The contract was awarded to Marvell Consulting and work on the replacement e-licensing product began in December. Marvell is focused on user experience and stakeholder engagement, and these will form an integral part of the product’s development.
14 Animals in Science Regulation Unit: Annual Report 2017 Section 4: Promoting the principles of replacement, reduction and refinement of animals in research
Work with the National Centre for the 3Rs
The National Centre for the Replacement, Reduction and Refinement of Animals in Research (NC3Rs) is the UK national organisation for the discovery and application of new technologies and approaches to replace, refine and reduce the use of animals for scientific purposes. The NC3Rs is an important stakeholder organisation for the Animals in Science Regulation Unit (ASRU) to engage with.
NC3Rs colleagues have continued to contribute to ASRU in-house training events to establish strong relationships with inspectors and to support the need for the 3Rs being fully considered in project licence applications. The ongoing link between NC3Rs and ASRU ensures that the Inspectorate is well placed to disseminate 3Rs knowledge to the science community.
15 Section 5: Engaging with stakeholders
Correspondence
During 2017 ASRU handled 165 pieces of correspondence. This compromised 18 FOI requests, 23 PQs, 66 items of Ministerial correspondence and 58 other pieces of correspondence.
Correspondents were concerned with a breadth of issues. Among these the main topics were: transparency and openness in • animal research; the use of dogs in research; • and • the use of non-animal alternatives in research.
Parliamentary Questions PQs represent a means by which Ministers are held to account and provide an opportunity for scrutiny of operations. Since the answers become official Ministerial statements, it is of paramount importance to ensure their accuracy. Answers must also be provided within a very tight timeline, which is often Communications less than 24 hours. ASRU provided advice to Ministers on 23 PQs in 2017. The Animals in Science Regulation Unit (ASRU) has a key role in supporting Ministers in Topics for PQs included what steps the providing well-evidenced and fully considered Government is taking: responses to Parliamentary Questions (PQs), to reduce the use of live animals in Freedom of Information Act 2000 (FOI) requests • experiments; and and correspondence from the general public to ensure that there is a reduction in the on any issue related to the use of animals • importation of monkeys for research. in science. PQs and correspondence are an important way in which the Government communicates current policy and thinking.
16 Animals in Science Regulation Unit: Annual Report 2017 Freedom of Information requests the Department for Business, Energy, • and Industrial Strategy (BEIS); ASRU received 18 FOI requests on a variety of topics during 2017. In line with • the Department for Environment, Food and the Government’s policy on openness and Rural Affairs (Defra); transparency ASRU’s approach is to act the Department of Health (DH); with a presumption to openness to assist • the Medical Research Council (MRC); public understanding. Nevertheless, it is • the Medicines and Healthcare Products essential ASRU protects all information that • Regulatory Authority (MHRA); is legally exempt from disclosure, such as the National Centre for the 3Rs; personal details and information given to the • Home Office in confidence. Such protected • Public Health England (PHE); and information includes intellectual property/ the Veterinary Medicines Directorate (VMD). commercially sensitive information and that • which could identify people or places. ASRU also met with a range of non‑governmental organisations (NGOs) and charities including: Meetings with stakeholders • Animal Free Research UK; In support of ASRU objectives, the Unit’s the Royal Society for the Prevention of Cruelty Leadership Team held regular meetings with • to Animals (RSPCA); and a wide range of stakeholders during the year. the Wellcome Trust. Maintaining these relationships is vital to help: • inform ASRU policy decisions; These meetings were generally to discuss • understand the expectations and specific issues of mutual interest. • perspectives of ASRU’s stakeholders; and In addition, ASRU staff routinely join the receive valuable feedback. • Minister in meetings with stakeholder groups to provide advice as appropriate. The meetings covered matters related to: the revision of the project licence • application form; Stakeholder communication • updates on operational matters; and • policy issues. ASRU publishes two regular newsletters that are sent out quarterly to all establishment licence The meetings were with representatives from: holders and Home Office liaison contacts. industry, academia, government research • institutes, medical research charities and ASRU operational newsletters provide research funders; information on what is required on a day‑to‑day animal welfare and alternatives – the basis, for example, the requirement for the • replacement, reduction and refinement annual Return of Procedures. of the use of animals in research (the 3Rs) – groups; Establishment licence holder newsletters • animal protection groups; and contain overarching information on: the Animals (Scientific Procedures) Act • what is happening within ASRU; and • 1986 (ASPA) Named Persons and others any information that must be brought to performing functions under the Act. • the attention of senior management at establishments, for example, changes ASRU met periodically with other government to the licensing or compliance process. departments and agencies including:
17 All newsletters can be found on ASRU’s • website: https://www.gov.uk/government/ publications/animals-in-science-regulation- unit-newsletters
Licensee engagement
Engagement with those who hold a licence under ASPA is an important aspect of ASRU’s work. Such engagement allows ASRU to explain its policies and plans, and to receive feedback on the quality of its work and delivery. Importantly, ASRU’s ongoing engagement is conducted through regular engagement at an operational level between: the ASRU Licensing Team and the Home • Office Liaison and Training Information Forum (HOLTIF); and the ASRU Senior Leadership Team and the • Establishment Licence Holders Forum.
External representation
External representation and engagement with stakeholders, in the UK and internationally, is another important aspect of ASRU’s work. This is delivered by staff in all parts of ASRU, including the Senior Leadership Team and inspectors.
Some highlights of engagement with stakeholders in 2017 included: the Institute of Animal Technologists • Congress in March; the Animal Welfare and Ethical Review Bodies • Forum in May; the Establishment Licence Holders Forum • in July; the Laboratory Animals Veterinary Association • Conference in September; and the Laboratory Animal Science Association • Conference in November.
18 Animals in Science Regulation Unit: Annual Report 2017 Section 6: Inspection
any information relating to potential • non‑compliance; the number and species of animals kept; and • the number and type of regulated procedures • carried out.
Baseline setting
Each establishment is assigned a baseline number of inspections. This number depends on a range of factors. The most significant The Animals in Science Regulation Unit (ASRU) factors are: inspection programme is a cornerstone for the a measure of the size and complexity of the protection of animals used for experimental • establishment; and or other scientific procedures. Inspectors visit the type of work that is carried out there. all establishments licensed to breed or supply • animals, or to carry out regulated procedures Baseline setting is done by drawing up on animals under the Animals (Scientific the number of regulatory units that an Procedures) Act 1986 (ASPA) in England, establishment has (a regulatory unit is Scotland and Wales. The purpose of inspection calculated from the number of individual is to provide reassurance to Ministers and licences at an establishment added to twice the public that the care of animals and the the number of project licences). experiments undertaken comply with the requirements of ASPA and the relevant Other factors are then taken into consideration. conditions specified in licences. Establishments with specially protected • species are given additional inspection time. Establishments with access difficulties relating Inspection • to their geography may be given additional inspection time. There are two types of In 2017 ASRU undertook 966 inspections geographical difficulties: of places where scientific work on animals ¡ establishments might be remote and was conducted. Of the visits to animal units, difficult to get to; or 59% were unannounced. ¡ establishments might be difficult to get around because of multiple sites and/or The risk-based programme of inspection is biosecurity restrictions. based on consideration of the factors specified in Section 18 (2C) of ASPA. These are: The number of inspections at establishments • the compliance history of an establishment; may be altered because of their risk profile.
19 Contract research laboratories may be given Inspector training and additional inspections as they tend to have proportionately fewer project licences; this continuous professional means that the regulatory unit approach development understates their inspection demand. Two new inspectors joined ASRU and completed their three-month induction programme. As well as training provided by Risk management current inspectors, ASRU actively sought help from its stakeholders to widen the programme: In 2015/16 ASRU put a more structured risk management process in place, and this was • leading universities; continued in 2017. This comprises a review of the pharmaceutical industry; the national risk profile, and local establishment • contract research organisations; factors. It is undertaken quarterly by the Chief • government and non-governmental research Inspector and the principal inspectors. Prior • institutes; to the meeting, the principal inspectors discuss the Research Councils; the concerns, observations and findings of • each of the inspectors reporting to them. • the Wellcome Trust; These discussions identify the main concerns the Home Office Parliamentary Team; each Inspector has regarding the institutions • the Royal Society for the Prevention of Cruelty they inspect. • to Animals (RSPCA); and animal protection organisations. The quarterly review meetings gather together • the inspectors’ evaluation of the risk for These all combined to bring together a training institutions they inspect and the results of the programme of the highest quality. inspections of the previous quarter. Additional consideration is given to: External recruitment for further new inspectors, the incidence and nature of non-compliance to cater for anticipated future requirements, • cases; was instigated during the latter part of the year. significant low level concerns;6 • new procedures; All inspectors (who are either veterinary or • new species; and medical professionals) are required to satisfy • the continuous professional development • any other relevant information. (CPD) requirements of their relevant professional regulator. The result of the meeting is a summary of the key evidence and an action plan to resolve As well as individual research and self-directed concerns. The action plan might include learning, CPD related to the work of ASRU is additional inspections but could include other delivered at regular inspector conferences. measures, such as defined review points to assess progress and achievements. Additional Conferences include presentations from inspection time is targeted to specific concerns external expert speakers, information sharing rather than necessarily to a more general between inspectors, and training in other increase in the number of inspections to a professional skills. particular establishment. A mix of other CPD activities are undertaken Where the risk factors have been addressed, by inspectors: or the nature of work at the establishment changes to a lower risk profile, the inspection • to maintain professional specialist expertise; time will move closer to the baseline. and
6 https://www.gov.uk/guidance/animal-testing-and-research-compliance-with-aspa#patterns-of-low-level-concerns
20 Animals in Science Regulation Unit: Annual Report 2017 to increase knowledge in an area related to The inspection reporting system now allows • specific science, administrative skills, or the better recording of follow up and resolution replacement, reduction and refinement (the of actions that are not dealt with at the time 3Rs) of animals used in research. of inspection.
Inspectors are active in developing and The inspection record allows access to the delivering presentations on topics relevant history when establishments transfer between to ASRU’s work areas to a diverse range of inspectors. stakeholders and representative groups.
Investigating allegations made Inspection reporting to the Animals in Science The aim of the Inspector is to make the key Regulation Unit findings of the inspection clear to the relevant establishment contacts during, or at the end of ASRU periodically receives allegations about the inspection. This is so that the relevant people potential breaches of ASPA, from individuals at the establishment can take any action that at establishments, commonly referred to as may be necessary, and so that good practice ‘whistle blowing’ allegations. These are taken may be identified and promoted locally. seriously and where sufficient information is provided they are followed up by the most A new electronic system of inspection reporting appropriate means, including by carrying was implemented in 2017. The new system out inspections. Some of these allegations provides: may have relevance to legislation other than ASPA, and others may not be breaches of improved functionality for recording, ASPA. Where it appears that there may have • categorising and rating findings of inspection; been a lack of compliance with ASPA these and are investigated in accordance with ASRU’s improved management data, that is closer non‑compliance policy. • to real time.
The inspection reporting system continues to be under review, with a view to allowing the findings from all contact with establishments, including remote contact and outcomes, to be recorded and reported centrally. A large part of the inspectors’ time is spent discussing and advising establishments and licence holders outside of inspection visits. This includes time spent meeting with licence applicants as part of licence assessment work.
Where practical issues prevent local reporting (for example, on multi-site establishments) this will normally be followed up after the inspection. Any issues requiring immediate action are communicated during the inspection to the person most appropriate to deal with them. Where necessary this will also be confirmed in writing. In most cases minor issues or concerns are addressed in this way.
21 Section 7: Compliance
The Animals in Science Regulation Unit’s complying with the provisions of ASPA (ASRU’s) compliance policy focuses on the and with the conditions of their licences. delivery of a proportionate, consistent and Inspectors report any non-compliance and outcome-based approach to incidents of make recommendations on what action may non‑compliance. be required. This is primarily aimed at the prevention of repeated similar incidents. In December 2017 ASRU published a revised compliance policy document, developed In most cases of non-compliance, the assigned in consultation with the Animals in Science Inspector consults with colleagues and gathers Committee (ASC) and those regulated by ASRU. sufficient information to determine whether there is a case that merits investigation. The compliance policy document explains An initial report is then submitted to the how ASRU identifies and investigates potential Compliance Team. A full investigation report incidents of non-compliance and decides is typically submitted within 30 working days on appropriate and proportionate remedies of discovery, together with a recommendation aimed to minimise the risk of reoccurrence. for action. Those directly involved in the case The document can be found at: https://assets. will normally be notified by the Inspector and, publishing.service.gov.uk/government/uploads/ in writing, by the Senior Compliance Manager. system/uploads/attachment_data/file/670174/ They will be given the opportunity to provide ASRU_Compliance_Policy_December_Final.pdf any information that they wish to be considered before a decision is taken regarding the Every establishment licensed under the Animals appropriate sanction. Complex or serious cases (Scientific Procedures) Act 1986 (ASPA) has may take longer to resolve than the suggested a Named Person Responsible for Compliance timescales above. There is also the opportunity (NPRC). This individual is responsible for to make representations regarding some ensuring compliance with the conditions placed sanctions. In rare cases an Inspector may take on their establishment licence. A culture of a view early in the investigation that an offence compliance is a key part of a good culture of has been committed that is sufficiently serious care at an establishment, meeting both the to merit referral for prosecution. letter and the spirit of the law. The NPRC must maintain robust systems and frameworks that Case summaries of non-compliance cases support and encourage compliance. By so from 2017 are summarised in Annex 1 of doing, they can ensure that all licensees this document. comply with their licences when working at their establishment.
Inspectors advise licensees and others working Non-compliance with animals in science on how to comply Each case is considered on an individual with and promote a culture of compliance. basis with regard to its seriousness. The most During inspections, inspectors determine appropriate remedy is applied with the aim whether establishments and licensees are of deterring or preventing recurrence, and
22 Animals in Science Regulation Unit: Annual Report 2017 considers both aggravating and mitigating should there be a further breach within five circumstances. These factors include: years. All letters are copied to the NPRC at the relevant establishment so that they can review the extent of any unnecessary suffering; local practices and processes. • the timeliness of any remedies applied by • the establishment; the risk of recurrence; and Variation of the licence • evidence of dishonesty or attempts to evade Requirement for retraining • responsibility. Retraining is required where a licensee has demonstrated that they do not have the As set out in the Animals in Science Regulation expected level of knowledge of their legal Unit Compliance Policy there are a range of responsibilities, of the animals they are using sanctions available to the Secretary of State: or of the procedures. Inspector advice; • a compliance letter; Requirement for reporting Where action is required to improve weaknesses • variation of the licence; • identified by the breach, including poor record • a Compliance Notice; keeping, a report would typically be required to revocation of a licence; and monitor progress. Reports are also useful for • prosecution. formally monitoring improvements in scientific • outcomes or the implementation of refinements.
Inspector advice Suspension Where there is a minor breach the Inspector Where a breach has been identified, licences will provide advice stating what provision was may be suspended as a sanction. Typically, breached and what is expected in the future. such suspensions are applied when there is a A minor breach is one where: need to protect animal welfare. Animal welfare there are no or minor avoidable adverse must be safeguarded in such circumstances. • animal welfare consequences; This is likely to be appropriate where a requirement for retraining has been identified • the facts are agreed; and there may be ongoing risks to animal there was no intention to subvert the controls welfare until retraining is completed. • of ASPA; and the risk of a recurrence is judged to be low. • Compliance Notice A Compliance Notice is issued where ASRU Compliance letter requires particular action to be taken to prevent Where Inspector advice is not considered further non-compliance. Such a notice will appropriate, most cases of non-compliance specify: are dealt with by a letter from ASRU, with or the licence condition(s) or ASPA provision(s) without a variation of the relevant licence(s). • that have been breached; Where a breach has been committed by a the action that must be taken to ensure licensee, a letter of reprimand is sent. Where • that the failure does not continue or is not a non-licensee has contributed significantly to repeated; and the breach, a letter of censure may be sent. any action that must be taken to eliminate • or reduce any consequences of the breach. Letters note the breach(es) that have occurred and summarise the evidence for those breaches. The letter is a formal record of The Compliance Notice will set out the non‑compliance that will be taken into account consequences of failing to comply. In this
23 eventuality the licence holder may then be to strengthen establishment governance sanctioned with suspension, variation or • systems; and revocation of their licence. to improve knowledge of the regulatory and • licensing system. This type of remedy is particularly effective where weaknesses in governance have been identified, or where cultural change in attitudes towards welfare or compliance is needed. Compliance in 2017, self‑reporting Such changes may reasonably take some time and a culture of care to remedy, for example: increases in staffing, refurbishment of facilities, or embedding an In 2017, 40 cases of non-compliance were improved culture of care. reported, fully investigated and completed: 27 occurred at universities; It provides a formal mechanism for assuring • 9 at commercial organisations; and and monitoring improvements over time. • • 4 at government research establishments. Revocation of a licence Of these 40 cases, 37 (93%) were self- reported. In 2016 and 2015, 40 (90%) and Revocation of any type of licence issued under 43 (78%) cases respectively were self-reported. ASPA is only used in the most serious cases. It is appropriate where a licensee has shown Table 1 provides a summary of the discovery of a disregard for the controls of the Act and the cases of non-compliance for 2014 to 2017. has caused avoidable suffering. It may also be appropriate where significant avoidable suffering has been caused through negligence Table 1. Discovery of cases of or ignorance, or where the licensee otherwise non‑compliance, 2014 to 2017 appears to be unsuitable for the role. The Secretary of State has a duty to ensure that 2014 2015 2016 2017 the welfare of animals is not adversely affected Cases reported 49 43 40 37 by the revocation of a licence. by the establishment
Cases discovered 12 12 5 3 Prosecution by an Inspector
Only extremely serious cases would be Cases reported by referred to the prosecuting authorities to make others independent 2 0 0 0 a judgment as to whether it would be in the of the establishment public interest to prosecute. Prosecution could Total cases 63 55 45 40 lead to a fine or imprisonment. Self-reporting is generally indicative of an Desired outcomes following the application establishment that is committed to a culture of of sanctions/remedies compliance. It indicates that an establishment is aware of its responsibilities under ASPA and In all cases the remedy applied aims to address is committed to building a good culture of the underlying cause. ASRU’s aim is to drive care. Self-reporting is expected to be normal behaviour, at both individual and establishment practice within establishments and part of level, to the following desired outcomes: good governance frameworks. It continues to • to build capability to improve compliance by be encouraging that the trend of a significant individuals and the establishment; proportion of self-reported cases has continued from 2015 to 2017.
24 Animals in Science Regulation Unit: Annual Report 2017 The Guidance on the Operation of the Figure 1. Categories of non-compliance, Animals (Scientific Procedures) Act 1986 by type, 2015 to 2017 7 0 (the Guidance), published in 2014, increased awareness among licence holders of their 0 responsibilities under the amended Act. It is 0 expected that the publication of the compliance 0 policy at the end of 2017 will also help to 0 inform licensees about compliance. Reports 2 about major or high-profile investigations 22 20 1 continue to be used by licensees to improve 1 1 1 12 compliance and help to develop a culture 10 of care. Establishment licence holders are 1 0 0 continuing to reflect on the meaning of 201 201 2017 ‘culture of care’ and how it can be improved. otal no o non compliance cases Unaut oris proce ures Unaut oris re use Key compliance messages ailure to pro i e oo t er reac es As in 2015 and 2016 a common cause of non- compliance in 2017 was again that the details 1. Procedures conducted without of granted authorities had not been sufficiently licence authority checked. Failure to be familiar with licence authorities is not considered to be a mitigating Working without authority has occurred where factor and licensees must ensure that they are either personal licence or project licence familiar with their authorities. authorities were not in place. Causes included: a mistaken belief that project authority was In order to compare data published in previous • in place; years, three common non-compliance types have been highlighted in this report: personal licensees were unaware that their • licence had been revoked; procedures conducted without licence • authority; non-licensees were asked to undertake • regulated procedures, and undertook them; a failure to provide food and/or water; and a retrospective review of activities on a • the unauthorised re-use of animals. • • licence uncovered more use of animals than was authorised. These data should be used to gain a better understanding of how to avoid non-compliance This group included 18 (45%) of the 40 cases. and support establishments to build and maintain effective frameworks to deliver a good culture of care and compliance. Root causes The primary responsibility for ensuring compliance with licence authorities rests with the individual licence holder.
The causes of these non-compliances were: • administrative lapses and error; • inadequate record keeping; and • communication lapses.
7 https://www.gov.uk/government/publications/operation-of-aspa
25 Licensees must be aware of the authorities 3. The unauthorised re-use of animals they hold before proceeding with regulated procedures. Establishment licence holders ‘Re-use’ is explained in the Home Office should review record keeping processes Guidance on the Operation of the Animals to ensure that animal numbers are not (Scientific Procedures) Act 1986 (the inadvertently exceeded. Guidance) as “the use of a protected animal that has already completed a series of 2. A failure to provide food and/or water regulated procedures for a particular purpose when a different animal on which no regulated Failing to provide sufficient food and/or water procedure has previously been carried out to animals, as part of basic husbandry and (a naïve animal) could be used”. It follows that care, is unacceptable. Establishments must the sole criterion for determining if an animal is have robust procedures in place to ensure the being re-used is whether a naïve animal could provision of food and water to animals kept be used for the second or subsequent use and under the terms of ASPA. Of the total 40 cases still achieve the scientific objective. in 2017, 8 cases (20%) were under this theme. Establishment licence holders and other ASRU drafted further guidance that was named role holders are regularly reminded of published in the form of an Advice Note (Use, the need to have in place adequate procedures Keeping Alive and Re-use) in October 2015. and systems to minimise the likelihood of such There were no cases of unauthorised re-use incidents occurring. Inspectors have also in 2017. targeted this area in their inspections, and this has been raised as a significant area of concern 4. Solutions for non-compliance themes with establishment licence holders. There are a number of safeguards against the above themes, which all establishments should Root causes provide. These include: The primary reasons for failure to provide food good channels of communication between and water are related to the effectiveness of • those working under ASPA throughout the routine checks of animals to spot both lack establishment; of provision and the declining condition of the effective training and supervision, including animals. The ability of an establishment to • competence assessments; conduct full and proper checks, as required by ASPA, is related to both staffing resource • good record keeping in accordance with and the ease with which staff can readily view ASPA requirements; and assess the animals and their environment. a culture of checking licence authorities Root causes must be addressed proactively. • before undertaking experiments; and Staff resource may be over-stretched sufficient time and resource allocated for daily, during busy times and out-of-hours, such • meaningful routine monitoring of all animals. as weekends. Proper provision for training, competence assessment and supervision The Guidance (https://www.gov.uk/ should be incorporated into management government/publications/operation-of-aspa), systems. It is also notable that checking the or relevant Advice Notes published on ASRU’s wellbeing of animals housed in cages on website, should be consulted and routinely ventilated racks, and ensuring food and water followed. In this way, establishments should provision, may take longer than for animals in be able to assure themselves that they are open cages. Allowance must be made for this. conducting their work in a compliant way.
26 Animals in Science Regulation Unit: Annual Report 2017 There was confusion with some establishment Such investigations are normally led by licence holders around the legal requirements inspectors and result in one or more detailed for re-homing animals and so ASRU drafted investigation reports. In the interests of and issued guidance on this matter through transparency and openness, ASRU publishes an Advice Note (https://www.gov.uk/guidance/ anonymised reports of such investigations on animal-research-technical-advice#re-homing- the GOV.UK website once they are completed. and-setting-free) to all establishment licence This is in addition to its usual reporting in its holders in October 2015. This Advice Note Annual Report. ASRU believes this will help explains the criteria required for the Secretary to ensure that all stakeholders can learn from of State to consent to the re-homing or setting the outcomes of these investigations as early free of relevant protected animals that have as possible and enable them to address any been bred, supplied, kept or used in regulated potential weaknesses in their own management procedures at the end of those procedures. All systems, creating a cycle of continuous licensees should always fully check their licence improvement. These reports also provide the authorities and the Guidance before starting public with an insight into this important aspect any new work, and any queries or concerns of ASRU’s work. should be fully explored and addressed with senior role holders and, if required, with their In determining which reports to publish, assigned ASRU Inspector. ASRU applies a public interest test. All reports involving a significant compromise to animal welfare, or those in which there is clear evidence of a deliberate intent to deceive, Transparency of major are normally published. In cases where the investigations establishment licence holder is found to have failed to comply, it is likely that the issues will As well as investigating each non-compliance be wide-ranging within the establishment and case, whether self-reported or discovered ASRU will normally publish those reports to by an Inspector, ASRU may initiate more offer useful lessons to others. In the interests substantial investigations each year. These may of transparency, ASRU expects a decision not be triggered by a number of factors including: to publish a major report to be the exception. an infiltration resulting in allegations in the • public domain of poor practice; Links to the reports and a summary to the a cluster of non-compliances or ‘near-misses’ substantial investigations can be found at: • identified by inspectors; https://www.gov.uk/government/publications/ a non-compliance apparently involving compliance-investigations-by-the-animals-in- • significant animal harm; science-regulation-unit a publication that appears to describe • unauthorised procedures or other evidence of non-compliance; or concern raised by inspectors or others that • a particular procedure may not be either the most refined or the most appropriate model for the purpose.
27 Section 8: Financial report
2017/18 was the third financial year that the Figure 2. Expenditure, 1 April 2017 to Animals in Science Regulation Unit (ASRU) has 31 March 2018 been operating on a full cost recovery basis, 33,33 meaning that licence fee income should cover - 41,380 all expenditure incurred in delivering the service. 55,802 5 ,783 165,853 The summary of income and fee-funded expenditure for the last four years is shown 27 ,2 8 in Table 2.