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The Northern Ireland Blood Transfusion Service was granted a manufacturing licence after it had been delayed due to an inadequacy of premises.

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The first inspection by the Medicines Inspectorate of the Belfast RTC took place and thereafter about every two years.

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The NIBTS was collecting over 3,000 plasma donations per annum, representing 10% of the total amount of fresh frozen plasma sent to PFC.

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The NIBTS used telemarketing which involved eligible donors being telephoned immediately prior to donor sessions.

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Dr Morris McClelland noted that blood shortages were not unknown in Northern Ireland and there were occasions where supplies needed to be rationed or elective surgery had to be postponed.

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Dr Morris McClelland attended an annual meeting with Dr Elizabeth Mayne to try to co-ordinate supplies of Factor 8 with usage and demand.

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The closure of factories in the late 1970s and early 1980s made it more challenging to meet targets.

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By this time, the Belfast RTC had increased its output of red cell concentrates from 20% of the units sent out for transfusion to 75-80% in the space of 3 to 4 years.

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In South East Scotland, the role of voluntary blood donor organisers was phased out and there was an increasing role for radio and television advertising.

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The increase in radio and television advertising in Edinburgh and South East Scotland was effective in reversing the dip in donor attendance.

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Attendances and donations increased in South East Scotland.

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Dr Gillon gave evidence to the Inquiry that there was a sharp drop off in blood donor numbers between around 1985 and 1987, which he attributed to the effects of AIDS messaging.

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There was a significant drop in donor attendances Edinburgh and South East Scotland.

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Dr Cash thought that if donor numbers continued to fall, "sometime in mid 1988 the demand for products will exceed plasma supply".

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Dr Cash confirmed that donor attendances had increased following a national media campaign to promote blood donation.

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Dr Cash wrote that blood collection needed to increase "by a further 40,000 donations per annum to meet the many and varied needs of patients in the 1990s".

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Dr Cash secured the appointment of a national donor programme manager in Scotland.

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At a meeting of SNBTS and haemophilia directors Dr Bell emphasised that the aim of the SNBTS and of national policy was for Scotland to be self-sufficient.

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According to the SNBTS Annual Report, 46% of donations in Scotland were issued as red cell concentrates.

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In Scotland, 60% of donations were being processed into red cell concentrates with 220ml plasma removed.

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