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The MSBT examined progress at its meeting including increasing press enquiries about why the lookback exercise was going slowly and why ministers were not taking action.

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Departmental lawyers advised the Secretary of State may have a duty of care to do whatever can reasonably be done to identify, inform, counsel and treat any who may have become infected as a result of NHS treatment.

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In a submission on the UK Government's response to Hepatitis C it was noted that "Until recently it was considered that lookback to identify recipients of blood transfusion who are at risk would be technically difficult; and as there was no effective treatment, to inform people they were at risk, when there was nothing that could be done about it, would increase distress without any benefit."

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A regional transfusion officer wrote to Dr Maycock at the Ministry of Health about a case of jaundice following a plasma transfusion; the author expressed his concerns about the lack of jaundice cases being reported by clinicians.

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Dr Drummond, the medical director of the Cardiff Regional Transfusion Centre, wrote to Dr Maycock at the Lister Institute about the issue of post-transfusion hepatitis.

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In January 1948, Dr Maycock emphasised the need to establish a reporting system for cases of haematogenous hepatitis at a meeting of Regional Blood Transfusion Officers.

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Dr Stone notified Dr Maycock that a donor with homologous serum jaundice had moved address so was still being searched for.

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The Expert Report to the Infected Blood Inquiry: Hepatitis stated that sexual and secondary transmission are rare in heterosexual couples (estimated at 0.07% per year). Sexual transmission of HCV between MSM is more common.

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J S Metters, the Deputy CMO, wrote a memo to the CMO regarding the Hepatitis C lookback exercise and a helpline was set up to provide members of the public with information.

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Professor Cash wrote to Dr Jack Gillon to advise the commencement of anti-HCV donation screening, with a high priority for producing operation guidelines for counselling anti-HCV confirmed positive donors

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The Deputy Chief Medical Officer, Dr Jeremy Metters wrote to Professor Cash to advise the next ACVSB meeting was postponed so its members could further consider advice provided recently.

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At a meeting of the SNBTS Medical and Scientific Committee Dr Urbaniak asked what should be said to a Hepatitis C positive donor who asked about his previous donations. It was noted that it had previously been agreed that there would be no lookback "and this should be conveyed to the donor."

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A D McIntyre wrote to Mr Panton to recommend counselling of HCV seropositive donors, and a note to Mr Hogg indicated concern about informing donors who are seropositive without evidence of antigen that may not be infectious.

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A meeting between SNBTS and hepatologists in Edinburgh on lookback was described at the meeting of the SNBTS Medical and Scientific Committee as producing "very positive reactions and support for the programme had been received by clinicians."

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At its meeting, the Welsh Health Common Services Authority discussed HCV lookback.

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G Williams sent a memo to "jaf, pat, mam, bah, caj, roh and tib, [unknown organisations] and provided a timeline of events leading up to the HCV lookback.

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David William Lane described in his statement his father receiving a letter "totally out of the blue in 1995. It wasn't recorded delivery or anything; it was like an invite to a sale. It said 'in 1989 the donor was infected with Hepatitis C - please see your doctor'."

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Fiona Cunningham became unwell in 2015 and was diagnosed with Hepatitis C. She explained: "I lived with HCV without knowing for 26 years. I was never contacted by the NHS or a hospital during the period of time between the transfusion and my diagnosis. I am concerned that a look-back exercise was not conducted."

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John Aubrey was contacted by letter in 1995, five years after he had surgery for ulcerative colitis during which he received blood transfusions. The letter asked him to contact the head of the haematology centre where he had originally been treated.

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A woman described how the letter she received included a section at the bottom that was highlighted "emphasising that there was no relationship between Hepatitis C and HIV/AIDS. The first thing you look at is what's highlighted. It started to make me wonder what I'd got."

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