Timeline of proposed changes to the UK regulatory framework for medical devices

Last updated: 9 November 2024

To see updates, click on the ‘+’ sign below.

DateUpdate(s)
9 Nov 2024Links added in Table 1 that provide further information concerning the Draft Post-market Surveillance (PMS) Statutory instrument (SI) laid in Parliament on 21 Oct 2024.
22 Oct 2024Table updated to add information on Draft Post-market Surveillance (PMS) Statutory instrument (SI) laid in Parliament yesterday.
21 Oct 2024Table updated to add information on draft Statutory Instrument (SI) laid in Parliament today on Modular Manufacture and Point of Care.
8 Oct 2024Table 1 updated substantially to include only items/events that have already occurred.

Item no 6 added under the heading Sources. Only the item in Q4/2024 has yet to happen.
3 Jul 2024Table 1 updated to include link to intended policy on international recognition (see item dated 3 Jul 2024) and consultation on common specifications for in vitro diagnostic medical devices (IVDs) (see item dated 14 Jun 2024).
28 Mar 2024Under the section Further Information, link added to MHRA MedTech Regulatory Reform Webinar – 5 March 2024
7 Feb 20241. New 2nd paragraph added at the beginning of the post, starting “The regulations will be delivered through four Statutory Instruments…….. etc.”
2. Table 1 has been update to reflect the current available information. Specifically, the rows for 2024 and 2025 have been updated.
3. New section entitled Future Core Regulations added.
4. New section entitled Further Information added.
9 Jan 2024Table 1 was updated to include a link to the Roadmap towards the future regulatory framework for medical devices which was added to the announcement on the implementation of the future regulations which was was first published on 25 Oct 2022 and has since been updated several times.
1 Aug 20231) Section entitled MHRA statement following UK Government announcement on the extension of CE mark recognition
2) Administrative changes made to improve the readability of the post.
28 Jul 2023Table 1 updated to provide Information on the Notification of the draft Post Market Surveillance SI published on 26 July 2023
19 Jun 2023The following updates have been applied in line with the MHRA updates of 16 June 2023:

1) In Table 1, the section on Statutory Instrument on Transitional arrangements has been updated.
2) The text under Table 2 has been updated.
3) Sources of Information have been updated.
8 May 2023Post updated to reflect latest information from the MHRA.
25 March 2023Text under the section entitled Will there be any impact from the extension of Medical Device Regulation (MDR) transitional period and the validity of certificates in the EU? updated to add information on the publication of Regulation (EU) 2023/607.
21 Feb 2023Added heading Will there be any impact from the extension of Medical Device Regulation (MDR) transitional period and the validity of certificates in the EU? plus relevant content.

This post is an attempt to outline the timeline of proposed changes to the UK regulatory framework for medical devices, including the transitional arrangements.

The regulations will be delivered through four Statutory Instruments. It is intended that priority measures to enhance post-market surveillance will be put in place first in 2024, with core elements of the new framework expected to be in place in 2025.

Table 1
DateItem/EventImplementation (where applicable)
Sept-Nov 2021Between September and November 2021, the Medicines and Healthcare products Regulatory Agency (MHRA) consulted on proposed changes to the regulatory framework for medical devices in the United Kingdom (UK).
The aim was to seek views on developing a future legislation for medical devices which delivers:
• improved patient and public safety
• greater transparency of regulatory decision making and medical device information
• close alignment with international best practice, and
• more flexible, responsive and proportionate regulation of medical devices
26 Jun 2022The UK Government response to consultation on the future regulation of medical devices in the United Kingdom was published.
Statutory Instrument (SI) on Transitional arrangements
(The Medical Devices (Amendment) (Great Britain) Regulations 2023 No. 627)

Draft laid in parliament on 27 April 2023 and signed into law on 9 June 2023.
A statutory instrument (Draft Medical Devices (Amendment) (Great Britain) Regulations 2023) was laid in Parliament on 27 April 2023 to enable an extended timeframe for acceptance of CE marked medical devices on the Great Britain market (i.e. beyond 30 June 2023) .

On 23 May 2023 in the House of Commons (5. Statutory Instruments: Motions for Approval, point no 7) and on 8 June 2023 in the House of Lords, the motion that the Draft Medical Devices (Amendment) (Great Britain) Regulations 2023 be approved, was agreed. Subsequently, the Statutory Instrument was signed into law on 9 June 2023. The full timeline of the proceedings in parliament can be viewed here.

Now that this statutory instrument (SI) has come into force, it amends the end of the standstill date (of 30 June 2023) in the current UK Medical Devices Regulations (UK MDR 2002) and introduces the transitional arrangements for CE and UKCA Marked Devices. More information on these transitional arrangements is provided below.

This will mean that CE marked medical devices will be accepted on the Great Britain market beyond the current deadline of 30 June 2023.

Regulations 1 to 4 of the SI came into force on 30 June 2023 and the remainder on 1 July 2023.
26 July 2023








on 26 July 2023, the World Trade Organisation (WTO) published notification of the draft Post-market Surveillance Requirements Statutory Instrument (PMS SI) .  
The WTO notice a link to the draft PMS SI, providing interested stakeholders with early notice of the intended legislative changes.

The draft PMS SI included:
· Detail on what must be included as part of a PMS system, including the methods for collecting PMS data to support improved capturing of PMS data and harmonisation across manufacturers.
· Enhanced serious incident reporting obligations for manufacturers to support the detection of safety issues sooner.
· More stringent requirements for manufacturers to conduct periodic reviews of their PMS data, including for implantable medical devices. This aims to support manufacturers in earlier detection of trends/signals that may have an impact on the safety of a medical device.

The comment period for the WTO notification closed 25 September 2023.

The MHRA are now giving the responses to that review careful consideration.
9 Jan 2024An announcement on the implementation of the future regulations was first published on 25 Oct 2022 and has since been updated several times. The guidance was last updated on 9 Jan 2024  with a Roadmap towards the future regulatory framework for medical devices  which sets out intended timescales for delivery of the future core regulations.
14 Jun 2024The MHRA consultation on common specification requirements for in vitro diagnostic devices closed on Friday 14 June 2024 and feedback is currently being analysed.
3 Jul 2024Standard:
Statement of policy intent: International recognition of medical devices.

This statement describes the draft policy for recognition by the UK of international regulators’ approvals of medical devices.

This statement and proposed framework applies to medical devices in Great Britain.
21 Oct 2024

The Human Medicines (Amendment) (Modular Manufacture and Point of Care) Regulations 2024
A Draft Statutory Instrument (SI) laid in Parliament today, 21 October, will provide a new regulatory framework meaning that medicines with a very short shelf life and highly personalised medicines can more easily be made in or near a hospital setting and can get to the patients who need them safely and much more quickly.

The regulation will also allow for manufacture of innovative medicines in small, portable units that can be set up close to patients who may be too sick to travel or whose reduced immunity precludes travel or where rapid medicine availability is best served. 
The legislation proposes a six-month implementation period once Parliamentary processes have been concluded. This regulation could, therefore, become law in Summer 2025.
21 Oct 2024

The Medical Devices (Post-market Surveillance Requirements) (Amendment) (Great Britain) Regulations 2024


The Draft Post-market Surveillance (PMS) Statutory instrument (SI) laid in Parliament yesterday (21 Oct) is the first major update to the framework of medical device regulations in Great Britain, led by the MHRA.

By introducing clear, risk-proportionate requirements, the new legislation laid yesterday evening will build on measures already introduced to improve patient safety, facilitating greater traceability of incidents and reporting trends.

Section 3 3. Post Market Surveillance requirements of the Standard – Implementation of the future regulations has been updated accordingly.

Further information is available from the MHRA here (see No 3 Post-Market Surveillance requirements) and in this post by Arnold & Porter.
The SI proposes a six-month implementation period once Parliamentary processes have been concluded. This regulation could, therefore, become law in Summer 2025.
Transitional arrangements that apply now that the Statutory Instrument on Transitional Arrangement ((Draft Medical Devices (Amendment) (Great Britain) Regulations 2023) has come into force

The government has put in place legislation in Spring 2023 to extend the acceptance of CE marked medical devices on the Great Britain market. This will support the ongoing safe supply of medical devices to Great Britain and ease the transition to the future regulatory framework for medical devices.

Now that the Statutory Instrument on Transitional arrangements ((Draft Medical Devices (Amendment) (Great Britain) Regulations 2023) has come into force (Regulations 1-4 on 30 June 2023 and the rest on 1 July 2023), it provides that CE marked medical devices may be placed on the Great Britain market according to the timelines in Table 2 below:

Table 2
Device Type Timeline for placing on the Great Britain market
General medical devices compliant with the EU medical devices directive (EU MDD) or EU active implantable medical devices directive (EU AIMDD) with a valid declaration and CE marking Can be placed on the Great Britain market up until the sooner of expiry of certificate or 30 June 2028
In vitro diagnostic medical devices (IVDs) compliant with the EU in vitro diagnostic medical devices directive (EU IVDD) 
Can be placed on the Great Britain market up until the sooner of expiry of certificate or 30 June 2030
General medical devices, including custom-made devices, compliant with the EU medical devices regulation (EU MDR) and IVDs compliant with the EU in vitro diagnostic medical devices regulation (EU IVDR)Can be placed on the Great Britain market up until the
30 June 2030.

This will enable certain CE marked medical devices to continue to be placed on the Great Britain market for longer.

The legislation provides that you can place self-declared CE marked Class I medical devices on the GB market beyond 30 June 2023 if they are:

  • self-declared against EU MDR requirements (until 30 June 2030), or
  • self-declared against MDD requirements before 26 May 2021 where Notified Body involvement in their assessment is not required under MDD but is under EU MDR (until 30 June 2028). This includes upclassified devices and reusable surgical instruments.

It also provides that you can place a Class I medical device which has a sterile or measuring function with a valid MDD certificate on the GB market until 30 June 2028.

  • Class I medical devices and general IVDs under the Directives, for which the conformity assessment under the EU MDD or EU IVDD did not require a notified body, can only be placed on the Great Britain market if the involvement of a notified body would be required under the EU MDR or IVDR (i.e., if it is an upclassified device or a reusable surgical instrument Class I device). 
  • Custom-made devices that are compliant with the EU MDD or EU AIMDD can no longer be placed on the Great Britain market.

If placing medical devices on the Great Britain market under these transitional measures, manufacturers will not be able to rely on expired certificates (unless such certificates have been otherwise deemed valid by the EU).

You can download an infographic of the timelines for placement of CE marked medical devices on the Great Britain market under the Medical Devices (Amendment) (Great Britain) Regulations 2023.

Future Core Regulations

During the first half of 2024 the MHRA intends to run stakeholder discussions on the future core regulations to give early sight of the detailed policy, developed from the policy positions in the consultation response.

The future core regulations will enable greater international collaboration and practices, with more patient-centred, proportionate requirements for medical devices which are responsive to technological advances.

For more more specific information on the Future Core Regulations, please refer to this page.

MHRA statement following UK Government announcement on the extension of CE mark recognition

On 1 August 2023, The Department for Business and Trade announced an indefinite extension to the use of CE marking for UK businesses.

The Medicines and Healthcare Regulatory Agency (MHRA) has since released a statement on CE marking recognition for medical devices and in vitro diagnostics, the first sentence of which states that the extended recognition of CE marking announcment does not apply to medical devices or IVDs.

The UK government has already put in place legislation that amends The Medical Device Regulations 2002 (SI 2002 No 618, as amended) (UK MDR) to extend the acceptance of CE marked medical devices on the Great Britain market. More specifically, legislation now enables CE marked medical devices to be placed on the Great Britain market to the following timelines:

For the timelines for the placement of medical devices on the Great Britain market, please see Table 2 above.

Further Information
  1. MHRA MedTech Regulatory Reform Webinar – 5 March 2024
  2. UK MDR: further delays, unexpected developments? – Alex Denoon et al, Bristows LLP, 23 January 2024
Sources:
  1. Standard Implementation of the Future Regulations – MHRA
  2. Regulating Medical Devices in the UK
  3. Medical Devices Regulations webinar – 24 Jan 2023
  4. UK Government announces extension of CE mark recognition for businesses -1 August 2023
  5. MHRA statement on on CE marking recognition for medical devices and in vitro diagnostics – 1 August 2023
  6. MHRA Blog MedRegs – An update on our plans for Med Tech regulatory change – 25 September 2024
  7. UK Government Publishes Draft Regulations on Medical Devices Post-Market Surveillance 8 November 2024 by Jackie Mulryne et al, Bioslice blog, Arnold & Porter