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Dr Brian McClelland told the Inquiry that the wording in the press release was quite inconsistent with his own view of the risks and that he thought the wording was "misleading and falsely reassuring."

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Dr Andrzej Rejman stated that the departments in Northern Ireland, Wales and Scotland were "smaller than DH by a significant margin, and so the relevant doctors in their departments would have had a much wider role." He argued that because of this, they did somewhat rely upon work done within DH.

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The Welsh Office was significantly smaller than the DHSS, and the medical officers would have had a much wider role than in the DHSS, instead of having someone with specific responsibility for blood and blood products.

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Civil servants from Northern Ireland were invited to attend some of the committees and working parties which reported to the DHSS. According to Dr Pickles this could sometimes be as a "regretful late thought".

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Lord Patten stated "unequivocally" that ministers should have been informed about Dr Galbraith's letter. He also stated that if he had seen it "I think I probably would have
pressed the panic button."

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Lord Patten stated that ministers were not told of Dr Galbraith's paper, and were not told about the CSM's decision-making, which he found very hard to understand why.

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The response to recipients of blood that had been exposed to AIDS was to try to talk up what the Government was doing. Lord Patten acknowledged, "Defensive Press Briefing" was "not a nice phrase".

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Lord Patten observed the DHSS should be "presenting things truthfully", as opposed to "presenting things well."

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Lord Patten did not understand why it had taken so long or why there was no sense of urgency in producing the leaflet.

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Lord Patten had no recollection of ever meeting Sir Henry Yellowlees. He did however have interactions with Dr Acheson although there was no system of regular meetings with the CMO.

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Lord Patten stated that ministerial submissions would be required for a change of policy or significant new spending commitments. He also acknowledged that a concern about media interest or adverse press comment might lead to a matter being brought to the attention of ministers.

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Dr Galbraith's views were not communicated to ministers, the CMO, or shared with haemophilia centre directors, regional transfusion directors, or with the SHHD, DHSSNI and Welsh Office. Each minister thought ministers should have been told.

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Duncan Macniven spoke of "a great deal of executive devolution to the Scottish Office" prior to the creation of the Scottish Parliament.

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Lord Forsyth described the role of officials as administering agreed policies and ensuring that ministers were alerted to any concerning issues. He expected significant matters that required ministerial decision-making to be "drawn to their attention."

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John Patten advised that those planning to visit the Mediterranean should arrange to have a typhoid vaccination due to the outbreak.

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A Dear Doctor letter regarding AIDS was circulated to chief administrative medical officers in Scotland.

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The third AIDS leaflet was circulated in a letter to regional general managers and general managers of Special Health Authorities for London Postgraduate Hospitals.

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A report was prepared setting out possibilities for research on AIDS, identifying the potential for research involving people with haemophilia.

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At an SNBTS meeting Dr Brian McClelland explained that the AIDS leaflet was amended following discussion with representatives of the Scottish Homosexual Rights Group.

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At an SNBTS meeting, attendees discussed the approaches taken in England and Wales and the policies of the American Red Cross and Council of Europe regarding AIDS.

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