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In an article in The British Medical Journal titled, "Post-transfusion non-A, non-B hepatitis in the Netherlands", the significance of NANBH and the need for a test for it was outlined.

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Peter Burgin, senior executive officer at the Department of Health, was recruited to carry out the formal internal review on self-sufficiency. The material parts of the job were set out in the job description.

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Richard Gutowski, Head of Blood Policy, expressed the view external resources were needed to finalise the report on self-sufficiency.

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The version of the self-sufficiency report as amended by Dianthus Medical Ltd was sent to Richard Gutowski, Head of Blood Policy..

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Peter Burgin carried out a number of interviews as part of his review on self-sufficiency, including Dr Terry Snape, Blood Products Laboratory. Dr Snape prepared various documents for Peter Burgin prior to his visit.

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Charles Lister wrote to Zubeda Seedat setting out the remit of the work done by Peter Burgin on self-sufficiency.

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Richard Gutowski, Head of Blood Policy, considered that external consultants were required to finish the self-sufficiency report and that it would be helpful to have a subsidiary report on when HCV was first identified.

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Richard Gutowski, Head of Blood Policy, wrote to his director confirming their agreement that a medical drafter redraft the Burgin report in a "more robust form".

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Richard Gutowski, Head of Blood Policy, explained to his director he would have liked to involve Dr Hugh Nicholas in an assessment of whether the decisions made at the time on self-sufficiency stood up in light of the contemporary knowledge and information available, but he was unavailable.

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Lord Warner advised Lord Morris that the report on self-sufficiency was not yet completed.

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Charles Lister expressed regret that he had not been able to take the drafting of the Self-Sufficiency Report forward between December 2022 and May 2003.

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Melanie Johnson replied to a letter from Peter Mossman explaining that she had asked her officials to conclude the review on self-sufficiency as soon as possible.

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John Hutton replied to a letter from Lord Owen advising that officials had been asked to conclude the review on self-sufficiency as soon as practicable.

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In a memo to Tony Sampson, Richard Gutowski acknowledged that they had been unable to make any progress on the self-sufficiency report that year.

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Jill Taylor sent an email to Robert Finch advising that John Hutton was seeking a full explanation of Lord Owen's accusation and she queried whether this information should be provided.

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Richard Gutowski gave evidence to the Inquiry that the lack of progress on the Self-Sufficiency Report during "[his] half of 2003" was due to the pressures his team were under.

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Richard Gutowski gave evidence to the Inquiry that he accepts the work on the internal review took too long but wished to convey that his team worked exceptionally hard under huge pressures and the slow progress was caused by "our sheer workload".

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In written evidence, Richard Gutowski rejected the idea that the word "robust" indicated that he intended to make alterations to the substantive content of the Self-Sufficiency Report.

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In oral evidence, Richard Gutowski acknowledged that as of June 2003 there was only minor referencing work required on the Self-Sufficiency Report.

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Richard Gutowski gave evidence about the defensive approach taken by the Department of Health, stating that putting up a defensive briefing pre-emptively is a "pragmatic Civil Service approach".

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