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In a memo from Roger Scofield to Andy Hollebon on the Hepatitis C lookback announcement it was stated that "all three territorial Health Departments have signed up to the UK-wide approach and have approved the draft PQ."

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In a memo on the Hepatitis C lookback process from Lord John Horam's Private Secretary to Dr Metters it was stated that "He is content with the preferred option of continuing the current strategy, whilst improving communication between the BTS and hospitals where there are particular problems and offering assistance to overcome the bottlenecks."

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In 1996 Dr Frank Jones received a letter from the NIBTS requesting assistance in tracing blood products to their recipients. He stated that "Our blood bank was able to trace all of these blood products to their recipients".

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As with Wales, in 1995 healthcare in Northern Ireland was not a devolved issue and Northern Ireland followed the approach of the Department of Health in London.

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Vaughan Gethin stated in his statement that he was aware that the Welsh Blood Service took part in a Government led 'lookback' exercise in 1995, before the establishment of the Welsh Government. He understood that the WBS fed their findings directly back to the Department of Health.

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Dr Gillon's briefing on his study on Hepatitis C lookback in May 1994 caused Professor Keel to think that a national lookback was feasible. She told the Inquiry that it was from this point that she immediately started to put the wheels in motion in terms of achieving an SHHD policy decision in this area.

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Dr Robinson told the Inquiry that an attempt was made to get a letter from the CMO to enforce compliance from those hospitals who were not complying with the request for records.

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During the first years of the 1990s, a further reason given for not conducting a lookback was that there was no effective treatment for Hepatitis C.

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Dr Gillon concluded it would be unethical to fail to act and that he owed a duty of care to the recipient of any blood or blood products.

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Professor John Brennan described that the major obstacle faced by his Trust was reaching patients who were lost to follow up. In particular, this concerned patients who had moved house or were choosing to not respond to letters sent.

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Jane Ellison informed Parliament that all GPs had been notified that a Hepatitis C test should be offered to patients who received a blood transfusion in the UK before 1991 or were treated with blood products before 1986.

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GPs were notified by a regional action bulletin that a Hepatitis C test should be offered to patients who received a blood transfusion in the UK before 1991 or were treated with blood products before 1986.

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At a meeting of the SNBTS Medical and Scientific Committee it was recorded regarding the Hepatitis C Lookback that the "Implementation process has been problematic...However, good progress is being made."

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Updates from the Infected Blood Compensation Authority

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The Scottish National Blood Transfusion Association annual report for the year ending 31 March 1972 recorded that routine screening had been in place in Scotland for at least a year in all centres and longer in some others.

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In the NHS Revised Report of the Advisory Group on Testing for the Presence of Australia (Hepatitis Associated) Antigen and Its Antibody, it was found that by around 1970, there was a test to screen blood for the presence of Hepatitis B, though it was not sensitive enough to identify every case of infection in the blood.

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Dr Carroll Birch described 113 patients with haemophilia, 82 of whom died before the age of 15, often from a trivial injury.

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Dr Aronstam reported that where blood collects in a joint it begins to destroy parts of the lining of the joint, the synovium, which causes it to swell and then tear, in turn causing more swelling until it "resembles a sponge laden with blood".

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In 1957 The Lancet was able to describe some of the development which led to the preparation of a concentrated form of Factor 8, then known as antihaemophilic factor.

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Freeze-dried granules could be mixed with sterile water to reconstitute what has been described as "dreadful soups and thick creamy stuff."

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