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Professor Aileen Keel acknowledged in oral evidence that Scotland could have proceeded with a lookback exercise earlier than in the rest of the UK, however it did not. She said that it was "seen as desirable that in such an important area, that the whole of the UK did it roughly at the same time".

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A protocol for a pilot study to assess the introduction of routine anti-HCV tests in RTCs was drafted in November 1989 and carried out by Dr Gunson.

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The minutes of the UK Advisory Committee on Transfusion Transmitted Diseases meeting noted the policy regarding anti-Hepatitis C testing and that the focus should be on providing counselling services for those found to be anti-HCV positive.

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The minutes of the UK Advisory Committee on Transfusion Transmitted Diseases meeting noted the ACVSB agreed the anti-HCV test was a major step forward in identifying those who could transmit the virus, but that routine screening should not commence until the FDA had granted a license and that a cost benefit appraisal should be conducted and discussed with the Department of Health.

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The minutes of the UK Advisory Committee on Transfusion Transmitted Diseases meeting noted that ACVSB had deferred the decision to introduce routine screening for blood donations until April 1990.

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The agenda for the UK ACTTD meeting included Hepatitis C lookback, but there was no discussion of this recorded in the meeting minutes.

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The minutes of the UK Advisory Committee on Transfusion Transmitted Diseases meeting did not discuss Hepatitis C lookback.

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Dr Jean-Pierre Allain sent a fax to Dr Gunson with a proposal for HCV testing study that supported identifying and approaching all recipients of blood that was "screen positive (repeat reactive)".

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In a memo to Dr Thomson and Dr Mary Brennan, Dr Contreras suggested that an application should be made "as soon as possible" to the Medical Research Council and/or the Wellcome Foundation for funding in order to undertake a lookback for recipients of blood "who are now confirmed positive for HCV antibodies."

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The minutes of the ACVSB meeting recorded concern that there would be "problems of counselling donors in view of the state of knowledge about the significance of a positive reaction to the test."

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Professor Cash, SNBTS, wrote to Dr Gunson, NBTS, seeking his view on HCV lookback. He wrote: "You will have noted that our team have indicated the need for a policy statement and in their view 'look-back' should be attempted."

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Professor Cash provided a letter to Dr Gunson about the impact of the Gulf conflict relating to HCV Lookback.

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Dr Harrison held the view that a lookback study was "too late".

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Dr Contreras described how there was insufficient time to obtain ethical approval at each hospital for a lookback study.

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In a meeting on national study on surrogate NANBH markers in blood donors, it was agreed there would be no attempt to follow up on the recipients of surrogate marker positive donations.

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Dr Geoffrey Dusheiko advocated for obtaining a research grant "for [the] potentially clinically beneficial undertaking" of considering the value of treatment by interferon and ribavirin.

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The SACTTI meeting found that a "major limiting factor to completion of the look-back" was the unavailability of medical records.

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Medical officers of the Ministry of Health published a memorandum in "The Lancet" about incidences of jaundice.

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A letter from Dr Mitchell to Professor Cash discussed whether the BTS should have a lookback policy so as to identify donors who may have transmitted non-A non-B Hepatitis.

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Professor Cash wrote to Dr Gunson to see if he would establish a UK BTS and lookback study as soon as possible.

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