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An article on AIDS in West Germany by L'Age-stehr et al confirmed that at least one patient with haemophilia had contracted AIDS and died in 1982.

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The Council of Europe's committee of experts on blood transfusion and immunology meeting in Lisbon produced a report which showed that there were two German patients with haemophilia who had contracted AIDS.

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The Council of Europe's committee of experts on blood transfusion and immunology report showed that Spain had reported three cases in people with haemophilia, two in Germany, one suspected case in Austria, and one suspected in Finland, retrospectively, after the person's death.

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Dr Liddel, the registrar in haematology, wrote after seeing one of Dr Bloom's patients, a 47-year-old man with severe haemophilia, that the patient was concerned about the possibility of acquired immunodeficiency syndrome.

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A patient registered that he was concerned about AIDS to Dr Bloom's staff and the registrar noted it was because the patient was well read, although they acknowledged that they credited it as a reasonable possibility.

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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 Andrzej Rejman was a senior medical officer in the Department of Health during this period.

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John Canavan, in his oral evidence, stated he did not recall that in the first half of 1989 he had been involved in any examination of the Department of Health's or Government's past actions.

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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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Dr Hilary Pickles did not know the factual basis for the assertion of no negligence.

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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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