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Haemophilia Treatment Policy Guidance stated to try to avoid using commercial factor concentrates and those who had never been given commercial concentrates should receive only NHS concentrates where concentrates were needed to limit exposure to risk.

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Policy guidance for the treatment of haemophilia patients was issued at the Cardiff Haemophilia Centre. The guidance advised using DDVAP, cryoprecipitate and only NHS factor concentrates for children and those with mild haemophilia.

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Professor Bloom suggested tests be performed to identify whether patients at the Cardiff Haemophilia Centre may have contracted illnesses.

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It was already known that a number of people with haemophilia who had been infected had begun to make claims, though Department of Health information about the cases was limited.

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A group action was contemplated by the plaintiffs and it was at this same time that the Department of Health informed ministers.

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Charles Dobson prepared a submission for the Minister of State for Health, David Mellor, that informed ministers of the legal action and to seek their views on resisting the case.

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Dr Hilary Pickles, principal medical officer in the Med SEB branch, was unhappy about settling the claims.

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A briefing for a meeting between the Prime Minister, Robert Key and the Haemophilia Society repeated the view that patients had received the best available treatment at the time.

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Paul Gray wrote to Alan Davey reiterating that patients had, as far as the Government were concerned, received the best available treatment at the time.

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Roger Freeman stressed that the Department of Health believed patients were offered the best treatment available at the time.

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Professor Geoffrey Rose was critical of the actions of the Department of Health.

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A confidential note to the Chief Secretary of the Treasury showed that there were more than 500 sufferers whose infections with HIV "in principle" might have been contracted after the stage at which hospitals might reasonably have been expected to use different forms of treatment.

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DHSC legal advisors estimated that medical negligence was likely to be established in 20-30 cases, and up to 500 more infections was likely to have occurred at the end of 1984 or in 1985.

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The Sunday Times was sympathetic to the claims for compensation from people with Haemophilia.

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Charles Dobson reported to the Department of Health the ministers' responses and views in relation to the litigation and suggested that the Department should review its position.

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Charles Dobson sent a memo to Mr Davey in relation to the HIV litigation and the Sunday Times campaign.

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Charles Dobson prepared a paper setting out options for making more money available to "the haemophiliacs".

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Kenneth Clarke believed that the court would find in favour of the Government and it should not admit fault.

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Kenneth Clarke discussed the matter of non-discretionary payments again with the Prime Minister and payments were increased from £10,000 to £20,000 within an unchanged overall allocation of £20 million.

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The Government paid £24 million to the Macfarlane Trust to be distributed.

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