Innovation: managing risk, not avoiding it - report

INNOVATION:
MANAGINGRISK,NOTAVOIDINGIT
Annual Report of the Government Chief Scientific Adviser 2014

3
INNOVATION:
MANAGINGRISK,NOTAVOIDINGIT
This is the first Annual Report of the Government Chief Scientific Adviser, Professor Sir Mark Walport.
Editor Mark Peplow
Authors Mark Walport
Government Chief Scientific Adviser
Claire Craig
Director, Government Office for Science
This report is intended for:
Policy-makers, legislators, and a wide range of business people, professionals, researchers and other individuals whose
interests relate to the link between risk and innovation.
This report should be cited as:
Annual Report of the Government Chief Scientific Adviser 2014. Innovation: Managing Risk, Not Avoiding It
The Government Office for Science, London
The Government Office for Science would like to thank the authors who contributed evidence chapters, case studies and
their time towards this report and gave it freely. A full list of authors can be found in the companion document:
Innovation: Managing Risk, Not Avoiding It. Evidence and Case Studies.
The report project team was David Bennett, Graeme Collinson, Mike Edbury, Elizabeth Surkovic and Jack Wardle.

4
The purpose of this report
As this report is published, Ebola is raging inWest Africa.
Already-weakened economies are struggling. Scientists,
pharmaceutical companies and regulators are working flat out
to develop new treatments and new vaccines. No one would
dispute the vital need for innovation to control and reduce
the risks from this terrible infection. Once again, we are
reminded that the forces of nature hold many of the trump
cards in the evolutionary relationships between humans and
other species on the planet.
This epidemic serves as a reminder of the things that
governments really care about.These can be distilled as
the health, wellbeing, resilience and security of citizens,
underpinned by a strong economy. All of these depend on
our social, physical and natural infrastructures. Societies
crumble very quickly if they are disrupted. Science has much
to tell us about infrastructure and that is why scientific advice
to governments is so important.
The infrastructure created by humans and the natural
infrastructure of the planet are both vital for our survival
and wellbeing. It is only possible for more than seven billion
people to inhabit the Earth because of our ability to modify
our environment. We achieved this by creating social and
physical structures, and by discovering how to harness the
fossil energy sources of the planet to power our modern
world. But in spite of all our innovation and ingenuity we are
still critically dependent on our natural infrastructure, on
our interactions with animal and plant health, on weather,
climate and all the other aspects of the physical and biological
environment of the planet.
At the same time as we were learning how to modify our
physical environment to improve our living conditions, we
were building social and economic structures. We are as
dependent on these as on our built environment. Modern
economies were developed through politics, trade and
specialization, shaped from time to time by war and conflict.
The Industrial Revolution of the eighteenth and nineteenth
centuries started in Great Britain, and we are now going
through a second equally tumultuous revolution — the
InformationTechnology Revolution — which is likely to play
a similarly important role in the development of societies and
economies of the future.
The topic of this report is innovation and risk. Why
have we chosen this topic and how have we gone about
our work to reach our conclusions? Firstly, innovation is
essential for economic growth, health, wellbeing, security and
resilience. In Chapter 1 of the companion volume “Innovation:
Managing Risk, Not Avoiding It. Evidence and Case Studies”,
Nick Stern and his colleagues describe how many of the
greatest periods of economic growth in the past have been
driven by innovation.The need to innovate is a fundamental
requirement for social and economic progress. Innovative
economies are more competitive, respond better to change,
see higher returns on investment and create increased living
standards. Innovative businesses are more productive and
grow faster than businesses that fail to innovate. And it is not
only businesses that must innovate: governments and social
organizations need to innovate to adapt, respond to and shape
the evolution of society. Governments have an essential role
in shaping the legal frameworks, institutions and policies that
in turn shape the risks and incentives faced by others. It is this
balance of risks and incentives that determine what choices
innovators, entrepreneurs, investors, inventors, bureaucrats
and citizens will make.
Secondly, we need innovation just as much today as we
did at the time of the first Industrial Revolution, even if the
reasons are slightly different.The innovators of the eighteenth
and nineteenth centuries in Great Britain were motivated by
and working against a backdrop of widespread poverty, high
child-mortality and extremes of crime and squalor.This is no
longer the case — at least in the United Kingdom.
In Chapter 2, Ian Goldin describes the background
against which innovators are operating in the twenty-first
century: global population growth, continuing climate and
environmental change and large socio-economic shifts. Other
significant trends include continuing increases in available data,
computing power and bandwidth; and a greater likelihood
of scarcity in natural resources, including oil and water,
phosphates and rare-earth elements. Innovation is needed in
the future to develop better ways of producing and disposing
of goods, and for delivering services.
However, innovation is not an unalloyed good — almost all
innovations can cause both benefit and harm. Because of this,
discussion of innovation has become almost inseparable from
discussion of risk. Paradoxically, this discussion has become
more prominent precisely because the innovations of previous
generations have made our lives much safer and free of risk.
People living in advanced economies have become more risk
averse compared to previous generations.
A common denominator of innovation in every generation
is that it solves problems, creates wealth and new
employment, while at the same time potentially disrupting the
status quo of existing wealth and employment, and creating
new problems and challenges.
The Industrial Revolution began in the absence of much
legislation or regulation. However, it is a mistake to think that
innovation was not strongly contested then, for reasons that
were similar to those we see today: the vested interests of
those profiting from incumbent technologies; clashes of values
or religion; or protests by those whose lives were disrupted
or disturbed by change. Societies, then as now, responded
to the challenges posed by innovation and to their adverse
consequences — railway and road fatalities, for example —
with a mixture of legislation and regulation.
This brings us to the present time and to the third reason
for this report.The task of designing systems of regulation
and practice that are based on rigorous evidence and well-
informed public debate is difficult. In some areas, regulatory
systems have become sclerotic and stifle growth. In others,
ambiguity about ‘who is accountable for what’ acts as an
inhibitor. Debates about risk are often highly technical while,
at the same time, being at least as much about values and
choices, about who benefits and who pays. Social, political
and geographical contexts matter hugely, and this is especially
true when seeking to establish frameworks across national
boundaries. When governance goes wrong, we can miss out

5
on major potential benefits, or suffer needlessly.
This report builds on recent creative thinking about
innovation, benefit and risk, drawing on experience and
observation.The authors of this report have brought together
perspectives from a wide range of disciplines. Our aim is
to help policymakers and citizens to make better-informed
choices about innovation. In order to do that, we focus on the
ways in which risk can be governed most effectively.We invite
debate about how the principles outlined in this report should
be applied to decisions taken at local, national, European and
global scales.
We are enormously grateful to the experts who wrote
the chapters and case studies of the companion report. In
addition, many of them helped to shape the report through
discussions and meetings. Discussions of risk and decision-
making can seem rather abstract; so the chapters are
complemented by case studies — on topics from genetically
modified (GM) crops to the regulation of financial services —
that illustrate how the outcomes of decisions about risk have
very direct effects.The chapters and case studies represent
the authors’ personal views rather than those of the
Government Office for Science, but the chapters provide the
evidence base for the Government Chief Scientific Adviser’s
calls for action.This report is our response to that evidence
base, and is aimed at policymakers and regulators.
Innovation, risk and government
Chief Scientific Advisers to the UK government learn quickly
that a key and largely unsung role of the government is the
difficult job of managing the risks facing the UK population.
The performance and resilience of our infrastructure is at
the root of many of these risks.The United Kingdom has a
well-developed public facing National Risk Register, based
on a classified National Risk Assessment.This assesses the
likelihood and potential impact of civil emergency risks — but
one of the hardest decisions for the government is to find
the right balance of both effort and expenditure in preventing
and mitigating the consequences of individual risks and, in
the event that they transpire, managing and clearing up the
consequences. How much money should be spent on flood
defences, on vaccines, on hardening our telecommunications
and energy infrastructure against the effects of strong solar
flares?The list is long. Indeed, it is almost a no-win game —
there is flak from the public, media and opposition politicians
when things go wrong, but little or no recognition when
adversity is averted.
And sometimes we fail to recognize that the extremes
of the physical and biological systems that shape the
environment will ultimately beat all but the most resistant
human infrastructure, whether those are extremes of rain,
wind, geological forces or infectious diseases.When more than
one metre of rain fell on SouthWest England at the end of
2013 and start of 2014, it was inevitable that flooding would
be the consequence, particularly in flood plains such as the
Somerset Levels.
The threat of extreme rainfall is rising as the climate of the
planet changes, so tough decisions will have to be made about
how much to spend on things such as flood defences. And
when rivers meet the sea and tides, the difficulties and costs
of defending against extreme weather become extraordinarily
challenging and costly. How much and where to spend are
decisions for politicians and society — the role of science
advisers is to describe, analyse and explain the hazards, risks,
threats and vulnerabilities. One thing is for sure: innovation
is essential if we are effectively and cost-effectively to future-
proof our national infrastructure to provide the best and
most affordable security and resilience to UK citizens.
The United Kingdom starts in a very strong, indeed world-
leading, position in the assessment and management of the
risks facing our population. It is one of the few countries in
the world to have a publicly available National Risk Register,
with a strong and deeply embedded civil contingencies
secretariat and well-rehearsed disaster prevention and
management protocols and procedures. Following the United
Nations’ (UN)World Conference on Disaster Reduction in
Kobe, Hyogo, Japan, in 2005, the Hyogo Framework for Action
was developed with five specific actions:
1. Making disaster risk reduction a priority.
2. Improving risk information and early warning.
3. Building a culture of safety and resilience.
4. Reducing the risks in key sectors.
5. Strengthening preparedness for response.
The United Kingdom has been audited against these
actions and strongly commended for its work. It
should continue to develop the role for innovation,
evidence and risk evaluation in delivery of resilient
infrastructure.To achieve this the UK will need
further to develop the National Risk Register as
a key part of the discussion and debate inside and
outside the government on the priorities for action
on national infrastructure and resilience investment.
(This will build on the approach taken in the Hyogo
Framework for Action).
How to frame discussions of risk and innovation
Innovation creates change and, for both individuals and
societies, this always carries risk, with the potential for harm
as well as benefit. Further, because predicting the future is
extremely difficult, there is plenty of scope for uncertainty
and controversy. As Andy Stirling describes in Chapter 4, the
issue at stake is rarely a simple question of ‘yes or no?’ or even
‘how fast?’, but more often ‘in which direction?’,‘what are the
alternative choices?’,‘who leads, gains, and loses?’ and ‘why?’.
Innovation is essential for
economic growth, health,
wellbeing, security and
resilience.

6
Indeed, innovation is often discussed mistakenly in
generic rather than specific terms. For example, it is not
sensible or meaningful to ask whether a technology such
as nanotechnology is, in and of itself, a good or a bad thing.
The questions are always specific. Are nanoparticles of a
particular composition an appropriate way to monitor a
specific environmental hazard? Or is there an unacceptable
risk of inhalation of a particular nanoparticle that is released
as a consequence of its use in a household product? In the
case of GM organisms, the questions are:‘what gene?’,‘in what
organism?’, and ‘for what purpose?’. Almost any technology
has the potential for both beneficial and harmful uses and
in every case we need to work out how best to exploit the
benefits while minimizing the harms.
We should be careful of the ‘Pandora’s box’ argument, which
is that a new technology may lead to an unforeseen series of
consequences that may pose existential risks to the human
race. Nick Beckstead andToby Ord describe in Chapter 10
the particular challenges presented by the very narrow class
of risk concerning high-impact events which are conceivable
in principle, but about which we have little evidence to inform
decisions. In these cases we must constantly scan the horizon
to do our best to prevent and mitigate adverse consequences
of new technologies. But Pandora’s box was opened when
the earliest humans discovered fire, and when they developed
the capacity to refine and work stone and metals.The rest is
history.
Acknowledging uncertainties and the breadth of opinion
and debate on an issue does not inevitably lead to delay and
complexity.The clear message from our authors is that we all
constantly make decisions based on imperfect information,
both professionally and personally.That is ultimately the
only way to get things done. In making regulatory decisions,
however, and in framing the ways in which decisions are taken,
we can move further, faster and more robustly by observing a
few key guidelines.
Firstly, each decision about the risks and benefits created by
applications of a new innovation needs to be considered in the
round.We usually focus on the risks of acting, but not acting
is also a choice that may create its own risks. Equal attention
needs to be paid to the consequences of inaction.
Secondly, robust decision-making and debate needs to take
account of the different ways to achieve the same or a similar
aim. And for each of these, the claims for benefit and for harm
need careful analysis.
Thirdly, science is usually one lens amongst several through
which we view and debate innovation and risk. It is an essential
lens, but not the only one. Economic, social and political
lenses may also be considered. Debates about risk are also
debates about values, ethics and choices; about how benefits
and risks are judged; and about fairness, or who benefits and
who carries the risk. If these broader questions are ignored,
conflicts can become intensive and disabling. It is important
that scientists working with decision makers recognize the
breadth of the discussion, and equally important for decision
makers to realize that science is a vital component of that
discussion.Widening the conversation is a democratic
necessity and an expression of responsible citizenship.
This takes us into a discussion of the science of risk and risk
communication.
Application of the science of risk and risk
communication enables the best discussions
Policymakers and regulators need to be extremely clear about
the factors to be considered in any rational discussion about
risk.We have just considered one of these: the need to look
at innovation in terms of specific possible applications, rather
than in a generic fashion.
One of the biggest challenges is to distinguish between
hazard, exposure, risk, and vulnerability. Understanding this
terminology really matters.This is because hazard is frequently
equated or confused with risk, and this leads to poor debate,
confused communication and flawed decision-making.
The simplest illustration of the importance of the distinction
between hazard and risk can be found in the contents of our
kitchens.These are full of hazards: sharp knives, boiling kettles,
exposed electric filaments in toasters, salt, bleach and other
noxious chemicals.We avoid the risks of these hazards by
reducing our exposure to them. So we avoid poking metal
conductors into our toaster, or pouring bleach into our stews.
These examples illustrate that risk is a product of the hazard
and our exposure to it. Indeed a hazard with no exposure
poses no risk.
The additional factor in the equation is vulnerability. Some
of us are more vulnerable than others, so we are careful to
separate young people from boiling kettles.We put safety
lids on bleach bottles to restrict youngsters from curious
sampling of the contents.The point here is that the increased
vulnerability of small children is caused by their greater
sensitivity to the hazard of a sharp knife or toxic chemical, and
that their likelihood of exposure is higher.
Especially for novel or unfamiliar risks, we must also take
account of uncertainty.This addresses the degree to which
we are confident in our knowledge of hazard, exposure and
vulnerability.
These examples illustrate the importance of understanding
that risk is a product of hazard, exposure and vulnerability.
All of these must be considered, together with the degree
of certainty in each assessment, to come to a good
understanding of risk. But too often we focus on one of these
factors to the exclusion of others.This is illustrated to an
extreme in the case of radiation: the international response of
many countries to the nuclear reactor disaster at Fukushima
in 2011 was a response to a deep-seated fear of radioactivity
rather than a careful analysis of actual radiation exposures,
which were very small outside the site of the power station
itself.
In Chapter 6, David Spiegelhalter proposes some common
principles for developing and ensuring the use of the best
possible quantitative and rigorous science in decision-making.
Science cannot be used in decision-making if it is unclear
what is already known, so the first step is to review existing
evidence.The United Kingdom is a world leader in the
development of rigorous evidence reviews. Good examples
are the Cochrane Reviews of the evidence underlying different
medical practices; the reports of the learned academies, such
as that by the Royal Society and Royal Academy of Engineering

7
on hydraulic fracturing to obtain shale gas; the evidence
review on bovine tuberculosis; the work of the National
Institute of Health and Clinical Excellence (NICE), and the
newWhatWorks Centres.There are also good international
examples of excellent practice, such as reports from the US
National Academies, the InterAcademy Panel, the European
Academies Scientific Advisory Council (EASAC), and those
from organizations under the auspices of the UN such as
the Intergovernmental Panel on Climate Change (IPCC).The
common denominator of all of these is the ‘meta-analysis’ — a
rigorous and neutral review of all of the evidence available on
a particular topic.
But reviewing the evidence is just the beginning of the
discussion of risk; how this evidence is communicated is
equally important.We should acknowledge that any risk and
uncertainty assessment is provisional and contingent. Scientific
knowledge is contingent knowledge — it is dependent on
the nature and reliability of existing evidence, and subject
to modification and improvement by the emergence of
new evidence.This is particularly the case as scientific
understanding and technology evolves.
One of the challenges is how (and to what degree)
uncertainty can and should be quantified.Where attempts
are made to put numbers to uncertainty, the way in which
numbers have been generated should be made clear.The
framing of those numbers is also crucial. For example,
doubling the risk of an event sounds serious, but less so when
expressed as increasing a risk from one in a million to two in
a million. Framing dramatically influences how numbers speak
to an audience.
It follows from this discussion that a strategic,
coherent and structured approach to assessing
the impact of risk in policy, regulation and crisis
management is essential.
a) It should be normal practice for those responsible
for leading the analysis and discussion supporting
innovation to be informed by independent evidence.
b) Discussions about a new technology should
be founded around specific possible uses of the
technology, their respective alternatives, and the
costs of inaction as well as action.
c)The multi-disciplinary academic community that
works on risk and risk communication in the United
Kingdom is small.This community, the UK Research
Councils and universities should all collaborate
to fund and support the development of this
capacity.The scope of the work should range from
undergraduate to postgraduate courses, doctoral
training and support for the next generation of
leaders.
How people estimate and perceive risk
It is one thing to be able to estimate and measure risk
accurately. However, objective measurements of risk may
differ widely from individual and societal perceptions of
risk. Over the past few years we have vastly improved our
understanding of how individuals assess risk and benefit when
they make decisions and take part in debates.
As David Halpern and Owain Service describe in Chapter
7, we know that good decision-making draws on both the
analytical and the emotional systems in the brain.We know
that human beings do not typically weigh up quantitative
estimates of the impact of an event or outcome against its
probability, even where the numbers are clear. In many cases,
we make decisions instinctively.We use ‘rules of thumb’ based
on our own experience and reinforced by our personal
networks. Some of the typical consequences of this strategy
are that we overestimate the likelihood of an event that can
be easily recalled, for example a recent train accident; we
are more concerned to avoid losses than to make equivalent
gains; and we are particularly keen to avoid risks that
create vivid mental pictures. But there is much more to risk
assessment than our individual and collective assessments of
the likelihoods of risk, which takes us to the issue of values.
When science meets values
Our individual responses to innovation and risk are shaped
by our family, our friends and colleagues, and by our national
identity and values. Nick Pidgeon outlines in Chapter 8 how
these cultural factors influence our selection of which dangers
to accept or avoid; inform views on the fairness of distribution
of risk and benefit; and, crucially, influence who is blamed
when things go wrong.
As a result, there are large variations in tolerance to
different types of risk between countries and cultures.This
means that the approach to risk and to judgments about
risk may differ within and between countries. In some cases,
these differences influence the way in which a country may
approach and manage its whole system for considering risk
and innovation. In other cases, apparently similar systems
of governance evaluating similar technologies may produce
different analyses of risk and different judgments.
Why are some innovations more challenging than others?
We can only have the best discussion about innovations
if we understand that the discussion must be about both
science and values.There are some areas of technology and
innovation that trigger particularly strong and immediate
value-based responses, and these typically vary between
different communities and countries. Obvious examples
in biology and medicine are animal research, stem-cell
research and reproductive technologies. In energy, almost all
technologies can trigger strong emotions, whether we are
considering fossil fuels, wind technologies or nuclear. In the
One of the biggest
challenges is to
distinguish between
hazard, exposure, risk,
and vulnerability.

8
environment, major arguments follow the consequences of
the release of waste and by-products created by humans,
ranging from oestrogen contraceptives excreted in urine
to the excess of 10 gigatonnes of carbon emitted into
the atmosphere each year by the burning of fossil fuels. In
the food industry, GM organisms, pesticides, industrialized
processes for agriculture and animal husbandry, and control
mechanisms for animal and plant diseases, each cause strong
responses in some communities and some countries.
In the case of nuclear energy, there are profound differences
in the attitudes of the populations from different countries:
compare, for example, France, Japan and Germany, where the
historical context underlying these differences is important.
Similarly, the antipathy to embryo technologies in Germany
and Italy can in part be attributed to both twentieth-century
history and to religious values. But one of the consequences
of having a European Union of 28 nations is that almost every
technology evokes immediate and strong reactions in one or
more nations.
We need to be more aware of these differences, so that
we can have healthier and clearer debates that make better
policy at all levels. For example, there are two fundamental
confusions that bedevil debate on several important
regulatory topics, particularly within Europe.The first is the
way in which the notions of hazard and risk are differently
embedded in national modes of policymaking. This is why it is
so important that we share a common understanding of the
distinctions between hazard, risk, and vulnerability.
The second is a drift of interpretation of the precautionary
principle from what was, in effect, a holding position pending
further evidence, to what is now effectively a stop sign.To be
meaningful, the precautionary principle requires a rational
response to uncertainty (as distinct from risk.)
Anticipating the challenges
What are the factors that determine whether particular
innovations will pose large challenges? In discussions during
the development of this report,Tim O’Riordan (Chapter
5) suggested the following working model of five broad
categories of innovation:
• ‘Who pays?’: innovations whose benefits are generally
accepted, although there may be disagreement about the
nature and allocation of costs. For example, some medical
drugs.
• ‘My pain, your gain’: innovations whose wider benefits are
accepted, but which impose highly local costs and impacts.
For example, some forms of transport, energy or waste
infrastructure.
• ‘Science meets values’: innovations for which the debate
is largely about values.Typically this will refer to early-stage
innovations and emerging science at a point when the
specific applications are unclear. For example, early-stage
GM technologies.
• ‘Unanticipated consequences’: innovations which impose
unanticipated and unintended consequences. For example,
many aspects of theWorldWideWeb.
• ‘New challenges’: platform innovations which are initially
sufficiently governed by existing frameworks, but which
may create or enable specific applications that pose new
questions. For example, nanotechnologies.
The second and third of these categories appear to lead to
the most heated discussions.The second applies particularly
to innovations or infrastructures that have a large and
localized footprint. In this case, the risks of an innovation
or an infrastructure reside with one group of people and
the benefits with another.This, of course, is another issue
of values, concerning equity, fairness and trust. Even affected
local communities are often divided according to risk and
benefit at a local level, for example between those who gain
employment or other amenities, and those who perceive that
their lives are being threatened or disrupted in the absence of
any benefit.
This is illustrated by the challenges of finding a location
of a site for the geological disposal of nuclear waste. Local
communities worry about the physical footprint, about how
waste is delivered to the site, and about the short- and long-
term safety of the radioactive material deep underground.
Some will benefit from jobs and other economic externalities
of the facility; others will not, and are the most likely to feel
threatened and aggrieved.There is a much larger community,
distant from the site, which recognizes that radioactive waste
underground is safer than above ground and have none of the
risks, perceived or otherwise, of the waste facility itself.This is
a typical scenario for many examples of innovation associated
with large pieces of infrastructure and science: economics,
carefully constructed social deliberation, and politics are
necessary to find solutions that are safe and fair.
The third category of innovation is when the nature
of innovations and technologies clash with value systems
of individuals and societies.We have already considered
examples of this in the section on science and values.
Institutions and trust
We are much more likely to accept advice about new
technologies and associated risks if we trust the people and
institutions that develop and communicate that advice. But it
is more complicated than that, because we may trust a person
or institution in one context but not necessarily in another.
Judith Petts outlines in Chapter 9 how concerns about
risks are often rooted in concerns about the adequacy of
the institutions that produce, predict and manage them.
This is likely to be particularly important for risks that are
pervasive, which are not visible, and whose technological
or environmental causes may only be grasped by acquiring
particular types of expertise.The trusted expert or institution
would typically be expected to act with care for those affected,
to be competent, and to be free from self-serving bias.
Individuals and societies cannot function without trust.
Transparency is necessary but not sufficient. Most of us have
neither the time nor the expertise to examine every decision
or explore all the evidence.We rely on judgements about the
values and behaviours of those in charge. For the individual,
‘critical trust’ may be the best frame of mind: neither outright
scepticism nor uncritical acceptance.

9
Who makes the decision? Effective decision-making in
regulation
We delegate many decisions about innovation and risk to
regulators. Regulation provides a well-tried and effective
mechanism for adjudicating these decisions. In Chapter
3, Simon Pollard outlines the recent history of national
risk management in the United Kingdom that has shaped
existing regulatory systems and debate. Disasters such as
Piper Alpha, the Herald of Free Enterprise and the King’s
Cross Underground fire triggered examination and action.
Meanwhile, the ‘better regulation’ agenda has pushed towards
open, transparent and deliberative analysis over many years.
Pollard suggests that a variety of trends have created an
increasing distinction between policymaking and regulation,
with the former typically defining the core strategy in a
relevant area, while the latter acts directly on the providers of
technical services.
There are both generic and specific aspects of regulation.
On the specific side, regulating medicinal products
poses completely different challenges to regulating
telecommunications. And within medicinal products, the
challenges of regulating a new implanted stent to hold
open a blood vessel are different to those of regulating the
introduction of a new vaccine.
However, three broad generic issues in regulation stand out
as particularly problematic, and each of these is related to the
incentives that we provide to regulators.
The first is an unintended consequence of economic
regulation. Much of our infrastructure and some of our
utilities for example water are provided by monopolistic
or semi-monopolistic providers. So, in the absence of a
completely free market, economic regulators have been
developed to protect customers. But unless the duty of the
regulator includes sufficient provision for ensuring innovation
and resilience, there is a danger that economic regulation
will drive out innovation and reduce resilience. A ‘systems
approach’ needs to be taken to regulation in this situation
to provide the best package of incentives to the service or
infrastructure provider.
The second challenge for regulation is that there are
asymmetric incentives applied to many regulators. Put simply,
a regulator who allows something to happen that causes
harm will probably be in deep trouble. A regulator who stops
something from happening that would have caused benefit will
likely suffer no consequences.This is a very difficult problem
to solve, because proving the counterfactual to a preventative
decision by a regulator is well-nigh impossible.The best hope
that we have to deal with this problem is to do our best to
make regulators accountable for all decisions, both positive
and negative.
The third challenge is for regulators in societies that are
increasingly risk averse, where ‘if something goes wrong, it is
always someone’s fault’. In Chapter 11, JoyceTait describes
how in many areas products have never been safer, but the
regulatory processes that surround them are becoming more
complex, time consuming and costly.
This can be illustrated in the world of medicine.The
regulation of the development of new drugs is arguably one
of the triumphs of modern medicine. But in recent years,
the regulatory burden for the introduction of new drugs
has increased, with parallel huge increases in the associated
development costs.This may be to the detriment of the
consumer, who has not been offered as many successful
innovative medicines as would be expected in an era of great
discoveries in medical research.
This problem cannot be placed solely at the door of the
regulator. Strict product liability and the consequences of
litigation mean that the pharmaceutical industry has itself
become increasingly risk averse.The people who are suffering
are patients with severe but relatively uncommon diseases,
because the development costs of new drugs mean that
there is no longer a market that can afford to pay for this
innovation.This specific problem in the pharmaceutical sector
has been widely recognized and is the subject of international
debate. Both the industry and regulators are starting to re-
examine the regulatory process, but there is much work to be
done.
A ‘systems approach’ needs to be taken to the
design of regulatory mechanisms to support
innovation. Regulators need to be sufficiently
agile and responsive to changes in technologies,
products and services. They should have appropriate
governance mechanisms, and these should ensure
that the regulator may, as far as possible, be held
accountable for its decisions, both to allow and to stop
a regulated activity.These mechanisms should also
allow regulators to file away needless rust and other
encrustations on existing enforcement mechanisms.
Ultimately, a decision has to be made
Innovation is not a linear process that starts in the laboratory
and ends up in the clinic, the environment or the marketplace.
There is a constant iteration as new things are discovered,
products developed and tried out, improved, thrown away,
taken back to the laboratory, computer or factory for further
iterations, until ultimately a new product may or may not
emerge. Similarly, the processes that society uses to decide
about the implementation of new technologies and new
infrastructures, and to discuss their risks and benefits, are not
linear either.This takes us to a fourth challenge for legislation
and regulation: how to legislate and regulate in the face of
emerging technologies and in situations where ‘science meets
values’.
Even where an area is complex, uncertain and highly
contested, however, there are examples of very effective
decision-making that rely on working with interested publics
and scientists. As Lisa Jardine outlines in Chapter 12, it can
be done.The model of the UK Human Fertilisation and
Embryology Authority, developed to regulate the application
of embryology research to reproductive technologies, is
an outstanding example of regulation working alongside
legislation in the face of emerging scientific understanding and
competing values.
There is an important lesson to be learnt from this. It shows
that a sophisticated regulator, empowered to conduct public
debate as part of its work, can deliver advice over a prolonged

10
period while both science and technology continue to evolve
to enable new interventions and treatments. Because this area
of science and application is in a domain loaded with values
— especially deeply-held religious values — the regulator
has worked alongside Parliament, which has debated the key
issues and provided the underpinning legislation alongside the
regulation. Although an elaborate process, it has allowed the
United Kingdom to develop an approach to this difficult area
of innovation and risk that is respected around the world.
However, different countries have drawn different
conclusions about the acceptability of these technologies
(and there have been occasional attempts to unify a European
Union position in this area, which has been resisted to date).
This takes us to a further challenge.To what extent can
regulation and legislation about new technologies remain
nationally based, and to what extent should it be international?
Arguably a simple rule of thumb is that decision-making
should have an international dimension when the application
of an innovation in one sovereign nation creates risks for
another.
A clear example of this, looking to the future, would be
the application of geoengineering technologies to mitigate
the effects of global warming. Such technologies include
spraying aerosols into the higher layers of the atmosphere to
reduce the influx of solar energy, and adding large amounts
of minerals to seas and oceans in order to capture dissolved
carbon dioxide. A more contentious example is the genetic
modification of crops. In this case, good husbandry can limit
the spread of GM crops in the same way as for any other
crop modified by traditional breeding techniques. If necessary,
we might go further and use the technologies themselves to
build in additional safeguards.
The challenge for the European Union lies in the diverse
national perspectives on different innovative technologies.This
raises the question of whether it is desirable for innovation
in the European Union to proceed at the speed of the most
cautious.That is a question for politicians rather than for
scientists. But what the scientists should expect is that the
science is seriously considered, evaluated and communicated
as part of the discussion.
To achieve this the European Commission needs
continually to strive to ensure rigorous scientific
input. This input should inform the processes of
preparing legislation in Council and Parliament.
It follows that, like other regulators, European
regulators should seek independent advice.They
should foster and promote public discussion and
debate.The outcome of that debate should inform
the regulator itself, policymakers and legislators.
Meanwhile, we will work with existing EU networks
to pursue further opportunities to exchange ideas and
good practice on these issues at EU level, and we will
bring together departmental Chief Scientific Advisers
with the UK Science and Innovation Network’s
officers across Europe to identify priority partners for
action on selected EU issues.
Innovation is not a linear
process that starts
in the laboratory and
ends up in the clinic,
the environment or the
marketplace.

Innovation: managing risk, not avoiding it - report

More Related Content

What's hot (20)

Viewers also liked (20)

Similar to Innovation: managing risk, not avoiding it - report (18)

More from bis_foresight (15)

Recently uploaded (20)

Innovation: managing risk, not avoiding it - report